Park Sang-Wook, Choi Hayeong, Na Eui Hyeon, Oh Hong Seok, Roh Sung Won, Lee Sang Kyu
Department of Psychiatry, National Cancer Center, Goyang, Republic of Korea.
Department of Psychiatry, Hallym University, Chuncheon Sacred Heart Hospital, Chuncheon, Republic of Korea.
Psychiatry Investig. 2024 Jul;21(7):792-802. doi: 10.30773/pi.2023.0314. Epub 2024 Jul 24.
Various patient placement criteria (PPC) have been developed to address alcohol use disorder (AUD), which has a high relapse rate and imposes substantial socioeconomic costs. Although research has shown PPC to be an effective tool, evidence supporting the Korean-PPC (K-PPC) is insufficient. This paper investigated whether treatment matching with the K-PPC was effective, based on variables related to AUD.
In total, 524 participants were evaluated using the 6 dimensions of the K-PPC and levels of care (LoC) were recommended based on the results. Participants whose treatment matched with the recommended LoC were classified into the matched group, and those whose treatment did not match were classified into the mismatched group. Subsequently, treatment was planned according to the determined LoC, and a total of 3 follow-up evaluations were conducted at 1 month, 3 months, and 6 months.
There was no significant difference in the follow-up rate between the K-PPC matched group and the mismatched group. Of the variables measured by the 6 dimensions of the K-PPC, alcohol-related variables, depression, insight, and biomedical outcomes showed the most significant results (especially alcohol-related variables) from the baseline evaluation to the 6-month follow-up. In addition, the average adherence to the treatment program in the 6-month period was found to be higher in the matched group than in the mismatched group.
The K-PPC could be effective for placing patients and providing treatment by matching patient characteristics. Enhancing treatment program retention can also have a positive effect on clinical outcomes.
为解决酒精使用障碍（AUD）问题，已制定了各种患者安置标准（PPC），AUD复发率高且带来巨大的社会经济成本。尽管研究表明PPC是一种有效工具，但支持韩国患者安置标准（K-PPC）的证据不足。本文基于与AUD相关的变量，研究了与K-PPC匹配的治疗是否有效。
总共524名参与者使用K-PPC的6个维度进行评估，并根据结果推荐护理级别（LoC）。治疗与推荐的LoC匹配的参与者被归类为匹配组，治疗不匹配的参与者被归类为不匹配组。随后，根据确定的LoC制定治疗计划，并在1个月、3个月和6个月进行了总共3次随访评估。
K-PPC匹配组和不匹配组的随访率没有显著差异。在K-PPC的6个维度测量的变量中，从基线评估到6个月随访，与酒精相关的变量、抑郁、洞察力和生物医学结果显示出最显著的结果（尤其是与酒精相关的变量）。此外，发现匹配组在6个月期间对治疗计划的平均依从性高于不匹配组。
K-PPC通过匹配患者特征，在安置患者和提供治疗方面可能是有效的。提高治疗计划的保留率也可能对临床结果产生积极影响。
