School of Psychology, University of Wollongong, Wollongong, Australia.
Illawarra Health and Medical Research Institute, Wollongong, Australia.
Drug Alcohol Rev. 2023 Feb;42(2):415-426. doi: 10.1111/dar.13591. Epub 2023 Jan 12.
Assessing drug and alcohol inpatient withdrawal treatment programs is important, as these represent a first step of treatment among people with alcohol and drug problems. However, there are many ways of measuring outcomes making it difficult for service providers to decide which domains and methods to use. This narrative review aims to clarify frequencies of the domains and methods used to assess withdrawal treatment outcomes.
We reviewed published studies that examined outcomes of inpatient drug and alcohol withdrawal treatment. The types of outcome measures used and the frequency of use were summarised.
The review showed that assessment of withdrawal treatment outcomes goes beyond traditional abstinence measures. Outcomes mainly focus on biological and psychological outcomes, with social outcomes rarely measured. Even within outcome domains (e.g., cravings), there were many assessment methods.
The review provides service providers with an outline of common outcome domains and measures. Given the importance of social functioning to recovery from alcohol and drug problems, greater emphasis on such measures is desirable. Future research could develop greater consensus on outcome measures for use in withdrawal management services to facilitate clarity around factors associated with treatment success.
Outcome assessment in withdrawal treatment goes beyond abstinence to include holistic measurement of biological, psychological and some social outcomes; but more work needs to be done to cohere the different assessment methods and broaden the scope to include social functioning.
评估药物和酒精住院戒断治疗计划很重要，因为这些计划是解决酒精和药物问题人群的治疗的第一步。然而，有许多方法可以衡量治疗效果，这使得服务提供者难以确定要使用哪些领域和方法。本叙述性综述旨在阐明用于评估戒断治疗效果的领域和方法的频率。
我们回顾了检查住院药物和酒精戒断治疗效果的已发表研究。总结了使用的各种结果衡量指标的类型和使用频率。
综述表明，戒断治疗效果的评估不仅仅局限于传统的戒断措施。结果主要集中在生物学和心理学结果上，很少测量社会结果。即使在结果领域内（例如，渴望），也有许多评估方法。
该综述为服务提供者提供了常见结果领域和措施的概述。鉴于社会功能对酒精和药物问题康复的重要性，更需要强调这些措施。未来的研究可以就戒断管理服务中使用的结果衡量标准达成更大的共识，以促进明确与治疗成功相关的因素。
戒断治疗中的结果评估不仅仅局限于戒断，还包括对生物学、心理学和一些社会结果的全面衡量；但需要做更多的工作来整合不同的评估方法，并扩大范围，包括社会功能。
