Curran Geoffrey M, Kirchner JoAnn E, Worley Mark, Rookey Craig, Booth Brenda M
Veterans Administration Health Services Research and Development Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, Building 58, North Little Rock, AR 72114, USA.
J Behav Health Serv Res. 2002 May;29(2):138-43. doi: 10.1007/BF02287700.
This study examines the relationship between depressive symptoms and attrition from outpatient treatment in a Veterans Affairs facility that had recently moved to intensive outpatient-only treatment for substance abuse. This article focuses on 126 consecutively admitted patients who were enrolled on their last day of a 3- to 4-day outpatient detoxification. Results indicate that severe depressive symptomatology presenting at treatment entry is a significant risk factor for early attrition from intensive outpatient substance use treatment but not later attrition. These data indicate that retention efforts should be directed toward the assessment and management of depressive symptoms early in the treatment process, with interventions targeted to those who report severe symptomatology. The results also indicate that future research should focus on potential distinguishing characteristics between early and later attrition.
本研究考察了一家退伍军人事务机构中抑郁症状与门诊治疗脱落率之间的关系，该机构最近已转向仅提供强化门诊药物滥用治疗。本文聚焦于126名连续入院的患者，他们在3至4天门诊戒毒的最后一天登记入院。结果表明，治疗开始时出现的严重抑郁症状是强化门诊药物使用治疗早期脱落的一个重要风险因素，但不是后期脱落的风险因素。这些数据表明，留存工作应在治疗过程早期针对抑郁症状的评估和管理，干预措施应针对报告有严重症状的患者。结果还表明，未来的研究应关注早期和后期脱落之间潜在的区别特征。
