PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of ijpsychHomeCurrent issueInstructionsSubmit article
 
Indian J Psychiatry. 2003 Jul-Sep; 45(3): 174–177.
PMCID: PMC2952164

Predictors of outcome following alcohol deaddiction treatment : a prospective longitudinal study for one year

Abstract

The factors influencing the short-term outcome of alcohol dependence patients psychiatric set up were studied prospectively in an Indian population. Consecutive 60 patients with alcohol dependence syndrome according to the ICD 10 criteria, were studied. Positive outcome was noted in 55%, negative in 35%; and 10% were lost to follow up at the end of one year. There was no difference between the groups on educational level, marital status, economic status, religion, social support, associated physical or psychiatric diagnoses, type of treatment for deaddiction, age of regular drinking, days of previous abstinence and inpatient treatment days. However the negative outcome group were younger, and their average age for problem drinking was significantly less than the other group. They achieved many mile-stones of drinking career like onset of day drinking, development of dependence, diagnosis of dependence earlier. The negative outcome group also had higher psychosocial problem index, family history of alcoholism, more follow-up days using the mental health services. They did not come for follow up as quickly as the abstinent group after initiation of pathological drinking.The study suggested many clearly identifiable variables, which may distinguish prospectively patients with probable positive and negative outcome one year after the alcohol deaddiction treatment

Keywords: Alcohold dependence, predictors, outcome

Full Text

The Full Text of this article is available as a PDF (229K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Andreasen NC, Endicott J, Spitzer RL, Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977 Oct;34(10):1229–1235. [PubMed]
  • Bendia MT, Giaquinto S, Massi G, Ricolfi A, Vitali S. Indagine catamnestica su alcoolisti svezzati. Minerva Med. 1979 Apr 28;70(20):1503–1506. [PubMed]
  • Craig TJ, Krishna G, Poniarski R. Predictors of successful vs. unsuccessful outcome of a 12-step inpatient alcohol rehabilitation program. Am J Addict. 1997 Summer;6(3):232–236. [PubMed]
  • Doyle H, Delaney W, Tobin J. Follow-up study of young attenders at an alcohol unit. Addiction. 1994 Feb;89(2):183–189. [PubMed]
  • Greenfield Shelly F, Kolodziej Monika E, Sugarman Dawn E, Muenz Larry R, Vagge Lisa M, He David Y, Weiss Roger D. History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study. Drug Alcohol Depend. 2002 Aug 1;67(3):227–234. [PubMed]
  • Kaskutas Lee Ann, Bond Jason, Humphreys Keith. Social networks as mediators of the effect of Alcoholics Anonymous. Addiction. 2002 Jul;97(7):891–900. [PubMed]
  • Lloyd Gareth. One hundred alcoholic doctors: a 21-year follow-up. Alcohol Alcohol. 2002 Jul-Aug;37(4):370–374. [PubMed]
  • Long CG, Williams M, Hollin CR. Treating alcohol problems: a study of programme effectiveness and cost effectiveness according to length and delivery of treatment. Addiction. 1998 Apr;93(4):561–571. [PubMed]
  • Maisto Stephen A, Clifford Patrick R, Longabaugh Richard, Beattie Martha. The relationship between abstinence for one year following pretreatment assessment and alcohol use and other functioning at two years in individuals presenting for alcohol treatment. J Stud Alcohol. 2002 Jul;63(4):397–403. [PubMed]
  • Morse RM, Martin MA, Swenson WM, Niven RG. Prognosis of physicians treated for alcoholism and drug dependence. JAMA. 1984 Feb 10;251(6):743–746. [PubMed]
  • Mundle G, Brügel R, Urbaniak H, Längle G, Buchkremer G, Mann K. Kurz- und mittelfristige Erfolgsraten ambulanter Entwöhnungsbehandlungen für alkoholabhängige Patienten. Eine 6-, 18- und 36-Monats-Katamnese. Fortschr Neurol Psychiatr. 2001 Aug;69(8):374–378. [PubMed]
  • Noone M, Dua J, Markham R. Stress, cognitive factors, and coping resources as predictors of relapse in alcoholics. Addict Behav. 1999 Sep-Oct;24(5):687–693. [PubMed]
  • Rounsaville BJ, Dolinsky ZS, Babor TF, Meyer RE. Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry. 1987 Jun;44(6):505–513. [PubMed]
  • Shaw GK, Waller S, Latham CJ, Dunn G, Thomson AD. The detoxification experience of alcoholic in-patients and predictors of outcome. Alcohol Alcohol. 1998 May-Jun;33(3):291–303. [PubMed]
  • Sobell MB, Sobell LC, Leo GI. Does enhanced social support improve outcomes for problem drinkers in guided self-change treatment? J Behav Ther Exp Psychiatry. 2000 Mar;31(1):41–54. [PubMed]
  • Stinnett JL, Schechter JO. A Quantitative Inventory of Alcohol Disorders (QIAD): a severity scale for alcohol abuse. Am J Drug Alcohol Abuse. 1982;9(4):413–430. [PubMed]
  • Timko C, Moos RH, Finney JW, Moos BS, Kaplowitz MS. Long-term treatment careers and outcomes of previously untreated alcoholics. J Stud Alcohol. 1999 Jul;60(4):437–447. [PubMed]
  • Vaillant GE, Clark W, Cyrus C, Milofsky ES, Kopp J, Wulsin VW, Mogielnicki NP. Prospective study of alcoholism treatment. Eight-year follow-up. Am J Med. 1983 Sep;75(3):455–463. [PubMed]
  • Verheul R, van den Brink W, Koeter MW, Hartgers C. Antisocial alcoholic patients show as much improvement at 14-month follow-up as non-antisocial alcoholic patients. Am J Addict. 1999 Winter;8(1):24–33. [PubMed]
  • Yates WR, Reed DA, Booth BM, Masterson BJ, Brown K. Prognostic validity of short-term abstinence in alcoholism. Alcohol Clin Exp Res. 1994 Apr;18(2):280–283. [PubMed]
  • Yokoyama A, Matsushita S, Ishii H, Takagi T, Maruyama K, Tsuchiya M. The impact of diabetes mellitus on the prognosis of alcoholics. Alcohol Alcohol. 1994 Mar;29(2):181–186. [PubMed]

Articles from Indian Journal of Psychiatry are provided here courtesy of Medknow Publications