Sexton H
Psykiatrisk Forskningssenter for Finmark og Troms Asgård sykehus.
Tidsskr Nor Laegeforen. 1995 Sep 20;115(22):2768-72.
Clients from Nord-Trøondelag county that received residential treatment for alcohol problems were interviewed some two years after the index treatment. Treatment programmes were selected by the patients themselves from among those provided at one public and three private clinics, and the costs were covered partially or entirely borne by the municipality. It was possible to interview 80% (133/166) of those treated during the study period. The overall outcome was quite good, with 2/3 being abstinent and over 80% not having a current DSM-IIIR or S-MAST defined alcohol problem at follow-up. Half (13/26) of those who had relapsed and were retreated were not drinking a year later. A survival analysis suggested that there were marked differences in relapse rates among those attending the different clinics. Small size, a warm, home-like atmosphere, and a clear presentation of the "Higher Power" concept were associated with the two clinics with fewer relapses, although the nature of the study does not allow inferences of causality. Other factors did not differentiate the more successful from the less successful clinics.
来自诺尔-特伦德拉格郡接受酒精问题住院治疗的患者在首次治疗约两年后接受了访谈。治疗方案由患者自己从一家公立和三家私立诊所提供的方案中选择，费用部分或全部由市政府承担。在研究期间接受治疗的患者中有80%（133/166）接受了访谈。总体结果相当不错，三分之二的患者戒酒，超过80%的患者在随访时没有当前DSM-IIIR或S-MAST定义的酒精问题。复发并接受再次治疗的患者中有一半（13/26）在一年后不再饮酒。生存分析表明，在不同诊所接受治疗的患者复发率存在显著差异。规模小、氛围温馨如家以及对“更高力量”概念的清晰呈现与复发较少的两家诊所相关，尽管研究性质不允许推断因果关系。其他因素并未区分较成功和较不成功的诊所。
