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Titolo:
Predicting outcome of inpatient detoxification of substance abusers
Autore:
Franken, IHA; Hendriks, VM;
Indirizzi:
Parnassia Res Ctr, Addict Dept, NL-2505 AA The Hague, Netherlands Parnassia Res Ctr The Hague Netherlands NL-2505 AA he Hague, Netherlands
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 6, volume: 50, anno: 1999,
pagine: 813 - 817
SICI:
1075-2730(199906)50:6<813:POOIDO>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
THERAPEUTIC-COMMUNITY TREATMENT; ADDICTION SEVERITY INDEX; DRUG; MOTIVATION; READINESS; RETENTION; PROGRAM; ALCOHOL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Franken, IHA ParnassiasRes Ctr, Addict Dept, POB 53002, NL-2505 AA The Hague, Netherland Parnassia Res Ctr POB 53002 The Hague Netherlands NL-2505 AA
Citazione:
I.H.A. Franken e V.M. Hendriks, "Predicting outcome of inpatient detoxification of substance abusers", PSYCH SERV, 50(6), 1999, pp. 813-817

Abstract

Objective: Variables that have been identified as predictors of outcome ofsubstance abuse treatment-coping style, addiction severity and addiction-related problems, psychopathology, and treatment motivation-were examined aspredictors of outcome of inpatient detoxification. Methods: A cohort of 175 drug abuse patients consecutively admitted to an inpatient detoxificationclinic in the Netherlands were assessed. Baseline data were obtained on psychopathology using the Symptom Checklist-90, on severity and addiction-related problems using the Addiction Severity Index (ASI), on personal coping style using the Utrecht Coping List, on motivation using the CMRS scales, and on sociodemographic background. Positive detoxification outcome was defined as transfer to inpatient rehabilitation treatment. Results: Of the 175 admissions, 81 (46 percent) had a positive outcome, and 94 (54 percent) hada negative outcome. Severe drug use and severe medical problems, as measured by the ASI, were the best predictors of a negative outcome of detoxification. Self-rated suitability of postdetoxification treatment was also a predictor of positive outcome, although to a lesser degree than the ASI variables. Established predictors of residential drug abuse treatment outcome, such as psychopathology, coping style, and sociodemographic variables, did not predict outcome of detoxification. Conclusions: Caution is necessary whenapplying results of inpatient treatment outcome studies to inpatient detoxification programs. Different factors may play a role in the outcome of detoxification. To improve the rate at which patients in detoxification programs are transferred to longer-term rehabilitation, more attention should be paid to medical conditions and to the direct consequences of drug use, suchas withdrawal symptoms and craving during detoxification.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 06:36:44