Outcome in Relation to Drinking Goals in Alcohol-Dependent Individuals: A Follow-up Study 2.5 and 5 Years After Treatment Entry
| Autor: | Ulf Berggren, Claudia Fahlke, Kerstin K. Rauwolf, Kristina Berglund, Jan Balldin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry media_common.quotation_subject Treatment entry Treatment outcome Alcohol dependence Follow up studies 030508 substance abuse Alcohol General Medicine Abstinence Outcome (game theory) 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine chemistry Medicine 030212 general & internal medicine 0305 other medical science business Psychiatry After treatment media_common |
| Zdroj: | Alcohol and Alcoholism. 54:439-445 |
| ISSN: | 1464-3502 0735-0414 |
| DOI: | 10.1093/alcalc/agz042 |
| Popis: | Aims To evaluate the long-term treatment outcome (up to 5 years) with respect to different drinking goals of patients. Methods Alcohol-dependent individuals (n = 349) were recruited from three alcohol treatment units. They were interviewed using the Addiction Severity Index (ASI). They were sub-grouped according to their goal at treatment entry: abstinence, low- risk drinking and no decided goal. Results Patients with abstinence as a goal at treatment entry reported at 2.5 years follow-up a higher abstinence rate, a more pronounced reduction in alcohol consumption, reduction in total number of DSM-IV criteria, higher frequency of low-risk drinking and fewer diagnoses of alcohol dependence compared to the groups who had low risk drinking as a goal or no decided goal. This improvement remained basically unchanged in all three groups at 5 years follow-up, suggesting long-term stability after the treatment interventions Conclusions The findings suggest that: (1) alcohol-dependent patients who have abstinence as their own drinking goal have a more favorable treatment outcome than those who have low-risk drinking as a goal or no decided goal. (2) Abstinence as a drinking goal should be considered for those who have a longer duration (for example more than 10 years) of their alcohol-related problems. (3) Patients who have no decided goal should be recommended abstinence as a drinking goal. |
| Databáze: | OpenAIRE |
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