University of Konstanz, Clinical Psychology, Germany.
Eur Addict Res. 2012;18(2):54-63. doi: 10.1159/000333336. Epub 2011 Dec 16.
Dropout rates from detoxification treatment are high. We tested whether high trauma event load was related to a higher dropout from alcohol detoxification. Furthermore, we studied the feasibility and effects of a short psychoeducational tool to increase retention among traumatized alcohol in-patients. Retention and treatment length were compared between treatment as usual (TAU) and standard therapy plus a psychoeducational group intervention on alcohol drinking related to stress and trauma (PAST). Patients with high trauma load were identified with the Trauma History Questionnaire. Of the 159 in-patients treated during the study period, 66 were included in the analysis: 33 in TAU and 33 in PAST. Sociodemographic characteristics did not differ between the groups. During TAU, patients with high trauma load tended to drop out more often (p = 0.056). Among patients with high trauma load, retention level increased from 29 to 80% (p = 0.006), and among those with low trauma load from 63 to 83% (p = 0.250). Treatment length only tendentially improved among patients with lower burden (p = 0.056). The pilot study supports the idea that detoxification treatment dropout occurs more often among alcohol patients with high trauma load and that their retention can be increased by a psychoeducational group intervention.
脱毒治疗的脱落率很高。我们测试了高创伤事件负荷是否与更高的酒精脱毒治疗脱落率有关。此外，我们研究了一种简短的心理教育工具的可行性和效果，以增加受创伤的酒精住院患者的保留率。在常规治疗（TAU）和标准治疗加与压力和创伤相关的酒精饮用的心理教育组干预（PAST）之间，比较了保留率和治疗时间。使用创伤史问卷确定高创伤负荷的患者。在研究期间接受治疗的 159 名住院患者中，有 66 名纳入分析：TAU 组 33 名，PAST 组 33 名。两组患者的社会人口统计学特征无差异。在 TAU 中，高创伤负荷患者往往更容易脱落（p = 0.056）。在高创伤负荷患者中，保留率从 29%增加到 80%（p = 0.006），在低创伤负荷患者中从 63%增加到 83%（p = 0.250）。只有在低负担患者中，治疗时间才会有所改善（p = 0.056）。这项试点研究支持这样一种观点，即脱毒治疗脱落更多地发生在高创伤负荷的酒精患者中，并且可以通过心理教育组干预来增加他们的保留率。
