Historique
Périodique
Comparing treatments for dual diagnosis: twelve-step and self-management and recovery training
(Comparer les traitements pour les patients avec comorbidité : 12 étapes et autosupport d'une part, approches comportementales d'autre part)
Auteur(s) :
BROOKS, A. J. ;
PENN, P. E.
Année
2003
Page(s) :
359-383
Langue(s) :
Anglais
Refs biblio. :
48
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
COMORBIDITE
;
HOPITAL DE JOUR
;
ENTRAIDE
;
AUTOSUPPORT
;
THERAPIE COMPORTEMENTALE
;
COMPARAISON
;
EFFICACITE
;
ETUDE LONGITUDINALE
Note générale :
American Journal of Drug and Alcohol Abuse (The), 2003, 29, (2), 359-383
Note de contenu :
tabl.
Résumé :
ENGLISH :
The purpose of this study was to compare the effectiveness of 12-step and cognitive-behavioral (Self-Management and Recovery Training [SMART]) approaches for persons with a dual diagnosis of serious mental illness and substance use disorder in an intensive outpatient/parlial hospitalization setting. Participants (n = 112) were alternately assigned to the two treatment conditions, with 50 participants completing the 6- month treatment program. Assessments occurred at baseline, 3 months, and 6 months during treatment, and at 3- and 12-month follow-ups. Analyses were conducted on participants who had completed 3 months of treatment (n = 70). The 12-step intervention was more effective in decreasing alcohol use and increasing social interactions. However, a worsening of medical problems, health status, employment status, and psychiatric hospitalization were associated with the 12-step intervention. SMART was more effective in improving health and employment status, but marijuana use was greater for SMART participants. Improvements in alcohol use and life satisfaction occurred in both approaches. Covariates associated with treatment outcome were identified, with greater attendance being positively related to outcome. Involvement with the criminal justice system was positively related to treatment completion but negatively associated with medical problems. Less alcohol use, fewer medical problems, and better financial well-being at baseline were associated with better attendance. (Author' s abstract)
Affiliation :
La Frontera Ctr, 502 W. 29th St., Tucson, AZ 85713
Etats-Unis. United States.
Etats-Unis. United States.