Meyer Agnes, Wapp Manuela, Strik Werner, Moggi Franz
a University Hospital of Psychiatry , University of Bern , Bern , Switzerland.
J Addict Dis. 2014;33(3):234-42. doi: 10.1080/10550887.2014.950025.
This study examined whether patients' drinking goals at admission to and discharge from 12 residential alcohol use disorder treatment programs were associated with alcohol-related outcomes at 1-year follow-up. Detoxified patients (N = 289) completed assessments at admission, after treatment, and at 1-year follow-up. Drinking goals of abstinence, conditional abstinence (in principle abstinence but potential occurrence of lapses or drinking, when urges are strong), and controlled drinking changed during treatment and predicted the 1-year follow-up outcomes (abstinence, number of standard drinks, and number of days to the first alcohol use). Goals at discharge had a better predictive value. The goal of abstinence at discharge had better outcomes than conditional abstinence; the poorest had controlled drinking.
本研究调查了12个住院酒精使用障碍治疗项目中患者入院时和出院时的饮酒目标是否与1年随访时的酒精相关结果有关。已戒酒的患者(N = 289)在入院时、治疗后和1年随访时完成了评估。戒酒、有条件戒酒(原则上戒酒,但在强烈冲动时可能出现失误或饮酒)和控制性饮酒的目标在治疗期间发生了变化,并预测了1年随访结果(戒酒、标准饮酒量和首次饮酒天数)。出院时的目标具有更好的预测价值。出院时戒酒目标的结果优于有条件戒酒;控制性饮酒的结果最差。