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Titolo:
The relationship of psychiatric comorbidity to treatment outcomes in methadone maintained patients
Autore:
Cacciola, JS; Alterman, AI; Rutherford, MJ; McKay, JR; Mulvaney, FD;
Indirizzi:
Univ Penn, Sch Med, Vet Affairs Med Ctr, Ctr Studies Addict, Philadelphia,PA 19104 USA Univ Penn Philadelphia PA USA 19104 ies Addict, Philadelphia,PA 19104 USA
Titolo Testata:
DRUG AND ALCOHOL DEPENDENCE
fascicolo: 3, volume: 61, anno: 2001,
pagine: 271 - 280
SICI:
0376-8716(20010201)61:3<271:TROPCT>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
STRUCTURED CLINICAL INTERVIEW; ADDICTION SEVERITY INDEX; TEST-RETEST RELIABILITY; TREATED OPIATE ADDICTS; PERSONALITY-DISORDERS; DRUG PROBLEMS; SADS-L; ALCOHOL; DIAGNOSIS; PREDICTORS;
Keywords:
methadone; treatment outcome; personality disorders; psychiatric diagnosis; comorbidity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Cacciola, JS Univ Penn, Sch Med, Vet Affairs Med Ctr, Ctr Studies Addict, Bldg 3,Univ &Civ Ctr Blvd, Philadelphia, PA 19104 USA Univ Penn Bldg 3,Univ& Civ Ctr Blvd Philadelphia PA USA 19104
Citazione:
J.S. Cacciola et al., "The relationship of psychiatric comorbidity to treatment outcomes in methadone maintained patients", DRUG AL DEP, 61(3), 2001, pp. 271-280

Abstract

The authors examined the relationship of comorbid non-substance use psychiatric disorders to preadmission problem status and treatment outcomes in 278 methadone maintenance patients. Recent admissions were assigned DSM-III-RAxis I and II diagnoses according to structured diagnostic interviews. TheAddiction Severity Index was administered at admission to assess past and current substance use and psychosocial problems and again 7 months later. Treatment retention and month 7 drug urinalysis results were also obtained. Across substance use and psychosocial domains, participants showed significant and comparable levels of improvement regardless of comorbidity. Comorbid participants received more concurrent psychiatric treatment which may have accounted for the lack of differential improvement among groups. Nevertheless. psychiatric comorbidity was associated with poorer psychosocial and medical status at admission and follow-up and participants with the combination of Axis I and II comorbidity had the most severe problems. Admission and month 7 substance use were, for the most part. not related to psychiatriccomorbidity, although there was a trend indicating more treatment attrition for participants with personality disorders. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

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Documento generato il 02/04/20 alle ore 09:38:20