Prediction of attrition from day hospital treatment in lower socioeconomic cocaine-dependent men

作者: Arthur I. Alterman , James R. McKay , Frank D. Mulvaney , A.T. McLellan

DOI: 10.1016/0376-8716(95)01212-5

关键词:

摘要: This study attempted to identify predictors of completion a 27 h/week 4-week day hospital program for cocaine dependence. The research subjects were 95 lower socioeconomic, primarily African American male veterans. Of wide range predictor variables available at baseline, including sociodemographic and historical information, Addiction Severity Index data, psychiatric diagnoses, SCL-90 measures, measures craving familial alcoholism, only the urine toxicology result self report days use in past 30 (log transformed) significant predictors. was more powerful with 73% negative completing treatment, as contrasted 36% positive urine. Three additional obtained end treatment week 1 further increased ability predict completion/attrition. Two these based on counsellor ratings one patient's services received during first week. Thus, patients high risk dropout can be identified fairly early. Whether treatments adapted retain such is an important question field.

参考文章(22)
A behavioral approach to achieving initial cocaine abstinence. American Journal of Psychiatry. ,vol. 148, pp. 1218- 1224 ,(1991) , 10.1176/AJP.148.9.1218
Achieving cocaine abstinence with a behavioral approach. American Journal of Psychiatry. ,vol. 150, pp. 763- 769 ,(1993) , 10.1176/AJP.150.5.763
Arthur I. Alterman, Marian Droba, A. Thomas McLellan, Response to day hospital treatment by patients with cocaine and alcohol dependence. Hospital and community psychiatry. ,vol. 43, pp. 930- 932 ,(1992) , 10.1176/PS.43.9.930
Kathleen M. Carroll, Bruce J Rounsaville, Frank H Gawin, A Comparative Trial of Psychotherapies for Ambulatory Cocaine Abusers: Relapse Prevention and Interpersonal Psychotherapy American Journal of Drug and Alcohol Abuse. ,vol. 17, pp. 229- 247 ,(1991) , 10.3109/00952999109027549
Debrin Goubert, James R. McKay, Maureen Burke, Thomas McLellan, Mary Randall, Arthur I. Alterman, Treatment Program Progress:Reliability and Predictive Validity of the Treatment Program Progress Rating Scale American Journal on Addictions. ,vol. 5, pp. 174- 180 ,(1996) , 10.3109/10550499608995674
Margaret T. Williams, Cleora S. Roberts, Predicting length of stay in long-term treatment for chemically dependent females. Substance Use & Misuse. ,vol. 26, pp. 605- 613 ,(1991) , 10.3109/10826089109058908
John Coverdale, Behavioral sciences: an international, open-access, peer reviewed journal. Systems Research and Behavioral Science. ,vol. 1, pp. 1- 3 ,(2011) , 10.3390/BEHAVSCI1010001
Leonard R. Derogatis, Ronald S. Lipman, Karl Rickels, E. H. Uhlenhuth, Lino Covi, The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory Behavioral Science. ,vol. 19, pp. 1- 15 ,(1974) , 10.1002/BS.3830190102
A. THOMAS McLELLAN, ARTHUR I. ALTERMAN, JOHN CACCIOLA, DAVID METZGER, CHARLES P. OʼBRIEN, A new measure of substance abuse treatment. Initial studies of the treatment services review. Journal of Nervous and Mental Disease. ,vol. 180, pp. 101- 110 ,(1992) , 10.1097/00005053-199202000-00007
A THOMAS McLELLAN, LESTER LUBORSKY, GEORGE E. WOODY, CHARLES P. O??BRIEN, An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. Journal of Nervous and Mental Disease. ,vol. 168, pp. 26- 33 ,(1980) , 10.1097/00005053-198001000-00006