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与物质使用障碍强化门诊项目相关的留存预测因素。

Retention predictors related to intensive outpatient programs for substance use disorders.

作者信息

Veach L J, Remley T P, Kippers S M, Sorg J D

机构信息

Wake Forest University, Winston-Salem, North Carolina 27109, USA.

出版信息

Am J Drug Alcohol Abuse. 2000 Aug;26(3):417-28. doi: 10.1081/ada-100100253.

Abstract

The purpose of this research was to expand knowledge in the current literature regarding treatment retention in intensive outpatient substance abuse treatment programs. The sample in this study participated in a hospital-based program accredited by the Joint Commission on Accreditation for Health Organizations (JCAHO) that utilized the Minnesota model. Specifically, this inquiry investigated whether treatment retention would be predicted by gender, age, employment status, number of problems on the treatment plan, whether the referral was related to driving while intoxicated (DWI), marital status, race, and whether each of the following substance problems was listed as the client's primary DSM-IV diagnosis: alcohol dependence, cocaine dependence, polysubstance dependence, opioid dependence, sedative/hypnotic dependence, cannabis dependence, other (or unknown) dependence, alcohol abuse, cannabis abuse, amphetamine abuse, and caffeine intoxication. Findings indicated that those retained in treatment, when compared to those who dropped out, had significantly more problems on their treatment plans, were more likely to be alcoholics, were less often cocaine addicts, and were more likely to be employed. The results of this study suggest that clients with this profile have increased likelihood of being retained in intensive outpatient substance abuse treatment programs.

摘要

本研究的目的是拓展当前文献中关于强化门诊药物滥用治疗项目中治疗保留率的相关知识。本研究中的样本参与了一个由医疗组织认证联合委员会(JCAHO)认证的、采用明尼苏达模式的医院项目。具体而言,本调查研究了治疗保留率是否可由性别、年龄、就业状况、治疗计划中的问题数量、转诊是否与酒后驾车(DWI)有关、婚姻状况、种族以及以下每种药物问题是否被列为客户主要的《精神疾病诊断与统计手册》第四版(DSM-IV)诊断来预测:酒精依赖、可卡因依赖、多种物质依赖、阿片类药物依赖、镇静催眠药依赖、大麻依赖、其他(或未知)依赖、酒精滥用、大麻滥用、苯丙胺滥用和咖啡因中毒。研究结果表明,与退出治疗的人相比,继续接受治疗的人在治疗计划上存在更多问题,更有可能是酗酒者,较少是可卡因成瘾者,且更有可能就业。本研究结果表明,具有这种特征的客户更有可能留在强化门诊药物滥用治疗项目中。

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