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Titolo:
THE DETOXIFICATION EXPERIENCE OF ALCOHOLIC INPATIENTS AND PREDICTORS OF OUTCOME
Autore:
SHAW GK; WALLER S; LATHAM CJ; DUNN G; THOMSON AD;
Indirizzi:
HLTH EDUC AUTHOR,TREVELYAN HOUSE,30 GREAT PETER ST LONDON SW1P 2HW ENGLAND BEXLEY HOSP,ELMDENE RES UNIT BEXLEY DA5 2BW KENT ENGLAND UNIV LONDON GOLDSMITHS COLL,DEPT PSYCHOL LONDON SE14 6NW ENGLAND INST PSYCHIAT,DEPT BIOSTAT & COMP LONDON SE5 8AF ENGLAND GREENWICH DIST HOSP,DEPT GASTROENTEROL LONDON SE10 ENGLAND
Titolo Testata:
Alcohol and alcoholism
fascicolo: 3, volume: 33, anno: 1998,
pagine: 291 - 303
SICI:
0735-0414(1998)33:3<291:TDEOAI>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
KINDLING HYPOTHESIS; WITHDRAWAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
G.K. Shaw et al., "THE DETOXIFICATION EXPERIENCE OF ALCOHOLIC INPATIENTS AND PREDICTORS OF OUTCOME", Alcohol and alcoholism, 33(3), 1998, pp. 291-303

Abstract

This paper reports the detoxification experience and outcome at 6 months and 1 year following detoxification from alcohol in 160 patients admitted to a south-east London in-patient detoxification unit. Patients' socio-demographic characteristics are also described. The sample was predominantly middle-aged, mainly male, and highly dependent on alcohol. Subjects had been drinking heavily for many years and suffered physical and social complications in consequence. The rate of convulsions was 3.1% and of delirium tremens 1.25%. The details of the level of drug usage during detoxification and the assessment of severity of thewithdrawal syndrome are also reported. The severity of the withdrawalsyndrome and the incidence of significant complications of withdrawalwere higher in those with a previous history of four or more episodesof detoxification, a previous history of withdrawal fits or evidence of high levels of tolerance and dependence assessed either by the Severity of Alcohol Dependence Questionnaire (SADQ) or by drinking on a typical heavy drinking day in excess of 24 U of alcohol. It is suggestedthat subjects with one or more of these attribute should be treated on an inpatient, rather than an out-patient, basis unless adequate support and monitoring systems are in place. Overall, patients made improvements on a wide range of social and psychological variables, but the 'abstinent' and 'controlled drinking' groups made significantly higherimprovements on all variables in both follow-up periods. When patients improved their drinking status and reduced the levels of drink-related physical and social complications, in both time periods, their use of social and health resources decreased significantly. Living circumstances at intake were predictive of drinking status at both followup stages. The amount drunk on a heavy drinking day, at both follow-up stages, was predicted by severity of withdrawal, SADQ and living circumstances at intake in that order of importance.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 09:26:12