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药物滥用治疗的开篇之举:治疗分配的适宜性

Opening move in substance abuse therapy: appropriateness of treatment assignment.

作者信息

Krieger E C, McLellan A T, Parente R

出版信息

Am J Drug Alcohol Abuse. 1980;7(3-4):347-59. doi: 10.3109/00952998008993432.

DOI:10.3109/00952998008993432
PMID:7258167
Abstract

This study examines the relationships between pretreatment severity of six problem areas commonly affected by addiction and type of discharge from inpatient substance abuse treatment. Subjects were 531 male veterans from five different inpatient substance abuse programs at the Veterans Administration Hospital, Coatesville, Pennsylvania. A comparison of patients in the five programs showed different patterns of problem severity, and different variables emerged as correlates or discriminators of discharge status. Results of multiple discriminant analyses were useful in predicting those patients who received an unfavorable discharge from treatment, although the analyses were not as successful in identifying those patients who received favorable discharges. Based on this data, some approaches to improving the match between patients and programs are discussed.

摘要

本研究探讨了成瘾通常影响的六个问题领域的治疗前严重程度与住院药物滥用治疗出院类型之间的关系。研究对象为来自宾夕法尼亚州科茨维尔退伍军人管理局医院五个不同住院药物滥用项目的531名男性退伍军人。对这五个项目中的患者进行比较,结果显示问题严重程度的模式不同,并且出现了不同的变量作为出院状态的相关因素或区分因素。多重判别分析的结果有助于预测那些治疗出院情况不佳的患者,不过在识别那些治疗出院情况良好的患者方面,这些分析并不那么成功。基于这些数据,讨论了一些改善患者与项目匹配度的方法。

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