Malla A
Department of Psychiatry, University of Western Ontario, London, Ontario.
Can J Psychiatry. 1988 Apr;33(3):183-7. doi: 10.1177/070674378803300304.
Fifteen matched pairs of alcoholics who had either refused or completed day treatment were reassessed sixteen months after the initial assessment. The treated group had improved significantly more than the untreated group on measures related directly to alcohol abuse, in their utilization of inpatient psychiatric services, and the use of family physician's services. The treated group had also used disulfiram for significantly longer periods of time. The treatment refusers had nonetheless achieved statistically significant, albeit modest, reduction in their consumption of alcohol compared to their pre-assessment levels. Both groups showed equal amount of change on a number of psychosocial measures, such as employment, use of minor tranquilizers and non-prescription drugs, legal problems and symptoms of depression. These findings are discussed in the context of the effectiveness of a day program, the use of disulfiram and certain pretreatment characteristics of the patient.
15对匹配的酗酒者，其中一些拒绝接受日间治疗，另一些完成了日间治疗，在首次评估16个月后进行了重新评估。在与酒精滥用直接相关的指标、住院精神科服务的利用情况以及家庭医生服务的使用方面，接受治疗的组比未接受治疗的组改善更为显著。接受治疗的组使用双硫仑的时间也明显更长。然而，与评估前水平相比，拒绝治疗者的酒精消费量虽有下降，但在统计学上仍有显著意义，尽管降幅不大。在一些心理社会指标上，如就业、使用小剂量镇静剂和非处方药、法律问题以及抑郁症状，两组的变化量相当。本文将结合日间项目的有效性、双硫仑的使用以及患者的某些治疗前特征对这些发现进行讨论。
