Arias Francisco, Sion Ana, Espinosa Regina, Jurado-Barba Rosa, Marín Marta, Martínez Maldonado Andrés, Rubio Gabriel
Hospital 12 de Octubre. Universidad Complutense de Madrid.
Adicciones. 2023 Jan 1;35(1):21-32. doi: 10.20882/adicciones.1575.
The aim of this work is to determine if relapses can hinder the sequence of psychological recovery and to rebuild this sequence in patients with severe alcohol dependence that seek treatment. The sample was comprised of 159 patients seeking an intensive outpatient treatment of two years duration and who were subject to follow-up during four years after discharge. Patients were grouped according to the presence of relapse during follow-up, resulting in abstainers (n = 80) and relapsers (n = 79). Assessments were carried out in the following periods: baseline, at discharge, and at the second- and fourth-year follow-ups. The measurement variables were avoidance behavior, anxiety, depression, impulsivity and meaning in life (MiL). A control group (n = 74) was evaluated at the same periods as the patients. Results indicate a slower recovery in relapsers in comparison to abstainers in all psychological dimensions and periods assessed. At the second-year follow-up, the abstainers achieved similar scores in depression as the control participants, in addition to higher scores in Meaning in Life at the end of treatment. In patients with severe alcohol dependence, our data supports a sequence of recovery that could continue beyond the four years of follow-up after treatment. This sequence would begin with the avoidance of risk situations and continue with the rest of dimensions (anxiety, depression, impulsivity).
这项工作的目的是确定复发是否会阻碍心理恢复的进程，并在寻求治疗的严重酒精依赖患者中重建这一进程。样本包括159名寻求为期两年强化门诊治疗且出院后接受四年随访的患者。根据随访期间是否复发对患者进行分组，分为戒酒者（n = 80）和复发者（n = 79）。在以下时间段进行评估：基线期、出院时、第二年和第四年随访。测量变量包括回避行为、焦虑、抑郁、冲动性和生活意义（MiL）。一个对照组（n = 74）在与患者相同的时间段进行评估。结果表明，在所有评估的心理维度和时间段中，复发者的恢复速度比戒酒者慢。在第二年随访时，戒酒者在抑郁方面的得分与对照组参与者相似，此外在治疗结束时生活意义得分更高。在严重酒精依赖患者中，我们的数据支持一种恢复顺序，这种顺序可能在治疗后的四年随访期之后仍会持续。这个顺序将从避免风险情境开始，并继续涉及其他维度（焦虑、抑郁、冲动性）。
