Predictors of drinking and functional outcomes for men and women following inpatient alcohol treatment
- PMID: 24724879
- PMCID: PMC3986726
- DOI: 10.1111/j.1521-0391.2014.12098.x
Predictors of drinking and functional outcomes for men and women following inpatient alcohol treatment
Abstract
Background and objectives: This prospective study uses path analytic models to examine baseline characteristics associated with both functioning and drinking outcomes 12 months after inpatient alcohol treatment.
Methods: Alcohol-dependent participants (N = 101) were recruited during inpatient alcohol treatment and assessed monthly 1 year after discharge.
Results: Alcohol severity was negatively associated with education and self-efficacy; marital status was positively associated with self-efficacy; and education and self-efficacy were negatively associated with drinking outcomes. Low alcohol severity, not having a depression diagnosis, and being married were associated with less social support impairment, which was in turn associated with better drinking outcomes. Having a history of sexual abuse did not influence drinking outcomes. However, having a history of sexual abuse was negatively associated with global functioning.
Conclusions and scientific significance: Drinking outcomes were associated with education, self-efficacy, social support, and diagnosis of depression at baseline; however, global functioning 1 year following treatment was primarily and negatively associated with sexual abuse history. Future treatment research should include measures of both functioning and drinking behavior outcomes.
© American Academy of Addiction Psychiatry.
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References
-
- Adamson SJ, Sellman JD, Frampton CMA. Patient predictors of alcohol treatment outcome: A systematic review. J. Subst. Abuse Treat. 2009;36(1):75–86. - PubMed
-
- Kadden RM, Skerker PM. Treatment decision making and goal setting. In: McCrady BS, Epstein EE, editors. Addictions: A comprehensive guidebook. Oxford University Press; New York, NY US: 1999. pp. 216–231.
-
- Connors G, Maisto S, Zywiak W. Understanding relapse in the broader context of post-treatment functioning. Addiction. 1996;91(Suppl):S173–S189. - PubMed
-
- Kampman K, Volpicelli J, Alterman A, Cornish J, O’Brien C. Amantadine in the treatment of cocaine-dependent patients with severe withdrawal symptoms. The American Journal of Psychiatry. 2000;157(12):2052–2054. - PubMed
-
- Bottlender M, Soyka M. Outpatient alcoholism treatment: Predictors of outcome after 3 years. Drug Alcohol Depend. 2005;80(1):83–89. - PubMed
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