Campbell J, Gabrielli W, Laster L J, Liskow B I
Psychiatry Service, Kansas City Veterans Affairs Medical Center, MO 64128, USA.
J Addict Dis. 1997;16(2):15-25. doi: 10.1300/J069v16n02_02.
Outpatient intensive treatment for drug and alcohol abuse has become an alternative approach to management of substance abuse. We evaluated the efficacy of an outpatient intensive treatment program for crack cocaine; and the impact of psychiatric diagnosis on outcome variables.
Subjects participating in an outpatient intensive treatment program underwent descriptive testing at entry and at six-month followup. Outcome variables included Addiction Severity Index composite scores and retention in treatment.
Subjects demonstrated significant improvement in ASI scales, over time, with an interaction effect of time and scale. Minimal interaction of psychiatric diagnosis and outcome was found.
Outpatient intensive treatment demonstrated efficacy in reduction of ASI composite scores. Comparison with standard outpatient treatment and inpatient treatment is needed.
门诊强化治疗药物和酒精滥用已成为药物滥用管理的一种替代方法。我们评估了门诊强化治疗方案对快克可卡因成瘾的疗效;以及精神科诊断对结局变量的影响。
参加门诊强化治疗方案的受试者在入组时和六个月随访时接受描述性测试。结局变量包括成瘾严重程度指数综合评分和治疗留存率。
随着时间推移,受试者在成瘾严重程度指数量表上有显著改善,存在时间和量表的交互作用。发现精神科诊断与结局之间的交互作用极小。
门诊强化治疗在降低成瘾严重程度指数综合评分方面显示出疗效。需要与标准门诊治疗和住院治疗进行比较。