Vaillant G E, Clark W, Cyrus C, Milofsky E S, Kopp J, Wulsin V W, Mogielnicki N P
Am J Med. 1983 Sep;75(3):455-63. doi: 10.1016/0002-9343(83)90349-2.
One hundred patients admitted for alcohol withdrawal were followed for eight years. At the eight year mark, 25 percent had achieved stable abstinence of three years' duration or more, and 29 percent had died. Only 26 percent experienced continued serious problems with alcohol. Premorbid social stability and sustained abstinence made independent contributions to good psychosocial outcome at eight years. Premorbid social stability and Alcoholics Anonymous attendance made independent contributions to sustained abstinence. Review of these data and other major longitudinal studies suggests that factors other than professionally organized treatment per se exert substantial effect upon long-term outcome.
对100名因酒精戒断而入院的患者进行了为期八年的随访。在八年这个时间节点,25%的患者实现了持续三年或更长时间的稳定戒酒,29%的患者已经死亡。只有26%的患者仍然存在严重的酒精相关问题。病前社会稳定性和持续戒酒对八年后良好的心理社会结局有独立的贡献。病前社会稳定性和参加戒酒互助会对持续戒酒有独立的贡献。对这些数据以及其他主要纵向研究的回顾表明,除了专业组织的治疗本身之外,其他因素对长期结局也有重大影响。