| Autor: |
Magura S, Spybrook J, Rosenblum A, Fong C, Villano C, Vogel HS, Betzler T |
| Jazyk: |
angličtina |
| Zdroj: |
The open addiction journal [Open Addict J] 2010; Vol. 3, pp. 102-108. |
| DOI: |
10.2174/1874941001003010102 |
| Abstrakt: |
A challenge for psychiatric treatment programs is to accurately identify individuals with drug misuse problems at admission to treatment. Consecutive new admissions to an urban continuing day treatment (n=229) during 2003-2005 were recruited and their treatment status was determined after one year. At admission, 34% were diagnosed with drug dependence/abuse based on a DSM-IV clinical interview, whereas 69% were found to be misusing drugs based on a research protocol consisting of self-reports of use within the past 30 days and drug toxicologies. Drug misuse as identified by the research protocol predicted a clinically meaningful outcome - early exit from treatment (relative risk = 2.7, p < .01), but DSM-IV diagnosis of drug use disorder was not predictive. These results suggest that psychiatric outpatient programs should consider adding an assessment for drug misuse to a comprehensive clinical assessment at admission to treatment. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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