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Substance Abuse Treatment, Prevention, and Policy

, 4:15

First Online: 29 June 2009Received: 10 November 2008Accepted: 29 June 2009DOI: 10.1186-1747-597X-4-15

Cite this article as: Soyka, M. & Schmidt, P. Subst Abuse Treat Prev Policy 2009 4: 15. doi:10.1186-1747-597X-4-15

Abstract

ObjectivesTo study the value of demographic and alcohol-related variables for predicting 24-month treatment outcome in an outpatient setting.

MethodsProspective observational study with 92 alcohol-dependent patients. Assessments were made by personal interviews at the beginning and end of therapy, and at the 24-month follow-up. Univariate and logistic regression analyses were performed.

Results: The mean age was 46.0 SD = 9.9 years. There were 58 males 65.2% and 31 females 34.8%. Of the 67 patients interviewed at 2-year follow-up, 58% were abstinent and 79% improved. Differences between abstainers and non-abstainers were found for number of previous detoxifications, and number of patients attempted suicides. In addition, female gender and a higher number of prior treatments predicted negative treatment outcome.

ConclusionMatching patients to different types of treatment by means of empirically based characteristics may help to improve outcome but research has failed to establish reliable predictors in that area. Data from this follow-up study confirm the role of certain clinical outcome predictors. Additionally, results give further evidence for outpatient treatment as an effective setting for alcohol-dependent patients as indicated by a favourable retention rate 84% and outcome minimum abstinence rate 44%.

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Autor: Michael Soyka - Peggy Schmidt

Fuente: https://link.springer.com/



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