住院双重诊断治疗期间完成治疗和达到戒断的预测因素

M. Hesse, S. Austin, J. Lykke, I. Oestrich
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引用次数: 5

摘要

背景:对于双重诊断患者成功住院治疗的预测因素了解甚少。方法:在一项自然主义前瞻性研究中,连续接受双重诊断住院认知环境治疗项目的患者在入院时使用简短精神病学评定量表(BPRS)、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和依赖严重程度量表(SDS)进行评估。采用Logistic回归来确定在社区联系和遵医嘱完成治疗期间确认禁欲的预测因素。结果:未发现完成治疗的显著预测因素。在社区联系中,高度思维障碍、焦虑和严重依赖与药物或酒精使用有关。在社区联系中,酒精依赖的诊断与戒断有关。讨论:双重诊断的严重物质依赖患者,以及思维障碍和焦虑升高的患者……
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Predictors of completing treatment and achieving abstinence during inpatient dual diagnosis treatment
Background: Little is known about predictors of successful inpatient treatment of dual diagnosis patients. Methods: In a naturalistic prospective study, consecutive patients admitted to a dual diagnosis inpatient cognitive milieu therapy program were evaluated at intake to treatment with the Brief Psychiatric Rating Scale (BPRS), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the Severity of Dependence Scale (SDS). Logistic regression was used to determine predictors of confirmed abstinence during community linkage and completing treatment with medical advice. Results: No significant predictors were found of completing treatment. High thought disturbance, anxiety and severity of dependence were associated with drug or alcohol use during community linkage. A diagnosis of alcohol dependence was associated with abstinence during community linkage. Discussion: Dual diagnosis patients with severe substance dependence, as well as patients with elevated thought disturbance and anxiety...
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