Grønbaek Morten, Nielsen Bent
Centre for Alcohol Research, National Institute of Public Health, Copenhagen, Denmark.
Addiction. 2007 Mar;102(3):381-8. doi: 10.1111/j.1360-0443.2006.01700.x.
To compare the Minnesota day clinic treatment with the traditional public psychosocial treatment.
Randomized controlled trial.
Public out-patient alcohol clinic and privately funded Minnesota day clinic in Denmark.
A total of 148 individuals with alcohol dependence were included in a 1-year clinical trial.
Self-reported drinking pattern and the seven composite scores from the addiction severity index (ASI).
A total of 42 (57%) and 45 (61%) patients (P > 0.05) completed the Minnesota treatment and public treatment, respectively. Throughout the whole 12-month follow-up period, 35% of the patients treated at the Minnesota day clinic were abstainers, while this was the case for 20% of the patients treated in the public out-patient alcohol clinic (P = 0.043). During the last month before the end of the 1-year follow-up, 53% of the patients treated according to the Minnesota model were abstainers, while this was the case for 43% of the patients treated in the public out-patient alcohol clinic (P = 0.249). There were insignificant differences in the seven ASI scores.
Twelve months after onset of treatment, the Minnesota day clinic treatment does not differ in effect from the much cheaper 'standard' public treatment. However, patients in Minnesota treatment were total abstainers throughout a longer period.
比较明尼苏达日间诊所治疗与传统公共心理社会治疗。
随机对照试验。
丹麦的公共门诊酒精诊所和私人资助的明尼苏达日间诊所。
共有148名酒精依赖个体纳入为期1年的临床试验。
自我报告的饮酒模式和成瘾严重程度指数（ASI）的七个综合评分。
分别有42名（57%）和45名（61%）患者完成了明尼苏达治疗和公共治疗（P>0.05）。在整个12个月的随访期内，在明尼苏达日间诊所接受治疗的患者中有35%戒酒，而在公共门诊酒精诊所接受治疗的患者中这一比例为20%（P=0.043）。在1年随访结束前的最后一个月，按照明尼苏达模式接受治疗的患者中有53%戒酒，而在公共门诊酒精诊所接受治疗的患者中这一比例为43%（P=0.249）。七个ASI评分无显著差异。
治疗开始12个月后，明尼苏达日间诊所治疗的效果与便宜得多的“标准”公共治疗没有差异。然而，接受明尼苏达治疗的患者在更长时间内完全戒酒。
