Schneider Renee, Timko Christine
Center for Health Care Evaluation, VA Palo Alto Health Care System and Stanford University School of Medicine, Menlo Park, CA, USA.
J Addict Dis. 2009;28(2):171-9. doi: 10.1080/10550880902772902.
Rates of violence perpetration are high among patients with substance use disorder, but the impact of violence on substance use disorder treatment outcomes has received little attention. Patients with (n = 155) or without (n = 190) a history of difficulty controlling violent behavior were interviewed at entry to substance use disorder treatment and 1 year later. Substance use disorder severity, amount of treatment, and extent of participation in 12-step self-help groups were assessed to examine potential differences in treatment outcomes between violent and non-violent patients. After adjusting for baseline differences, no differences in substance use disorder severity were found at 1 year. However, over the year, violent patients received more treatment and participated more in 12-step groups compared to non-violent patients. In addition, violent patients benefited more from 12-step group participation than non-violent patients did. Referral to 12-step self-help groups may enhance the likelihood of recovery from a substance use disorder for patients with a history of violence.
物质使用障碍患者的暴力犯罪率很高，但暴力对物质使用障碍治疗结果的影响却很少受到关注。在进入物质使用障碍治疗时以及一年后，对有（n = 155）或没有（n = 190）难以控制暴力行为病史的患者进行了访谈。评估了物质使用障碍的严重程度、治疗量以及参与12步自助小组的程度，以检查暴力和非暴力患者在治疗结果上的潜在差异。在调整基线差异后，一年时未发现物质使用障碍严重程度存在差异。然而，在这一年中，与非暴力患者相比，暴力患者接受了更多治疗且更多地参与了12步小组。此外，暴力患者从参与12步小组中比非暴力患者受益更多。将有暴力病史的患者转介到12步自助小组可能会增加其从物质使用障碍中康复的可能性。
