人格障碍和成瘾慢性化作为酒精使用障碍治疗中独立的预后预测因素。
Personality disorder and chronicity of addiction as independent outcome predictors in alcoholism treatment.
作者信息
Krampe Henning, Wagner Thilo, Stawicki Sabina, Bartels Claudia, Aust Carlotta, Kroener-Herwig Birgit, Kuefner Heinrich, Ehrenreich Hannelore
机构信息
Division of Clinical Neuroscience at the Max-Planck-Institute of Experimental Medicine in Goettingen, Germany.
出版信息
Psychiatr Serv. 2006 May;57(5):708-12. doi: 10.1176/ps.2006.57.5.708.
OBJECTIVE
A prospective four-year study examined which components of addiction severity predicted time to relapse among 112 adults with chronic alcoholism who participated in a comprehensive outpatient treatment program.
METHODS
Recruited from emergency, inpatient, and outpatient facilities, patients were admitted into the program consecutively between March 1998 and June 2002. Alcohol abstinence was carefully monitored for four years from admission by regular contacts and urine and blood analyses. Alcoholism characteristics and personality disorders were assessed with structured interviews and the International Diagnostic Checklists for Personality Disorders.
RESULTS
Among a variety of potential variables, only presence of a personality disorder and chronicity of addiction were independently associated with a decrease of cumulative four-year abstinence probability.
CONCLUSIONS
Their high predictive values suggest that chronicity and personality disorder rank among the most important characteristics of addiction severity.
目的
一项为期四年的前瞻性研究调查了成瘾严重程度的哪些组成部分能够预测112名参加综合门诊治疗项目的慢性酒精中毒成年人的复发时间。
方法
从急诊、住院和门诊机构招募患者，在1998年3月至2002年6月期间连续收治入该项目。自入院起通过定期联系以及尿液和血液分析对戒酒情况进行了四年的密切监测。通过结构化访谈和国际人格障碍诊断清单评估酒精中毒特征和人格障碍。
结果
在各种潜在变量中，只有人格障碍的存在和成瘾的慢性程度与四年累积戒酒概率的降低独立相关。
结论
它们的高预测价值表明，慢性程度和人格障碍是成瘾严重程度最重要的特征之一。
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