Outcome of Alcohol Dependence: The Role of Continued Care.

Autor: Pratima, Murthy, Prabhat, Chand, Harish, M. G., Thennarasu, K., Prathima, S., Karappuchamy, N. Janakiramiah
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Zdroj: Indian Journal of Community Medicine; Apr2009, Vol. 34 Issue 2, p148-151, 4p, 4 Charts, 1 Graph
Abstrakt: Aims: This study attempted to determine the effects of continued care on subjects with alcohol dependence. Materials and Methods: Study patients were recruited from a slum in Bangalore. The control group comprised individuals from a lower socio-economic status. Both groups received identical treatment from a specialised de-addiction facility. The study group also received weekly continued care in the community, either at a clinic located within the slum or through home visits. Those patients without stable jobs were referred for employment. The control group was given routine hospital follow-up visits. Both groups were evaluated on the Alcohol Problem Questionnaire and quantity/frequency of drinking at baseline and every 3 month interval for one year after discharge. Results: Both groups showed improvement in terms of reduction of drinking at 3 months, with the study group showing a 64% improvement with respect to the number of non drinking days and the control group showed a 50% improvement. However, at 6 months, 9 months, and 12 months, the study group continued to maintain these gains while the control group showed a downward slide (differences significant at P<0.05). At the end of 12 months, the study group maintained a 53% improvement with respect to the number of non drinking days as compared with baseline, while the control group had an improvement of only 28%. Conclusions: Follow-up support and continued care appear to significantly improve longer-term recovery in alcohol dependents. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index