Historique
Périodique
Mortality 5 years after detoxification and counseling as indicated by psychometric test
(Evaluation à l'aide de tests psychométriques des facteurs de prédiction de la mortalité 5 ans après une cure de désintoxication et une période de suivi.)
Auteur(s) :
BERG, J. E. ;
ANDERSEN, S.
Année
2001
Page(s) :
1-10
Langue(s) :
Anglais
Refs biblio. :
44
Domaine :
Plusieurs produits / Several products
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
NORVEGE
Thésaurus mots-clés
PSYCHOMETRIE
;
SUIVI DU PATIENT
;
CURE DE DESINTOXICATION
;
MORTALITE
;
FACTEUR DE RISQUE
;
TEST
;
ETUDE LONGITUDINALE
Note générale :
Substance Abuse, 2001, 22, (1), 1-10
Note de contenu :
graph. ; tabl.
Résumé :
ENGLISH :
Residential detoxification of substance abusers, using medication to alleviate withdrawal symptoms, often fails to ensure further abstention and predict which clients have the greatest risk of morbidity after detoxification. Prolonging the detoxification period with a counseling period has been shown to enhance compliance to counseling. Sixty-one (61) substance abusers (mean age: 31.3 years; 22 women) with a mean length of abuse of 16 years in 1993-1994 were tested using two psychometric tests and then followed up in 1999 according to mortality. Mean value on Antononsky's Sense of Coherence (SOC) scale was 2.98 and on Hopkins Symptom Checklist (HSCL-24) was 2.06, indicating postdetoxification coping problems and distress. Thirteen (13) abusers died during follow-up. Cox regression of mortality showed increased risk in men, and also an increased risk of dying in the observation period with lower SOC score (p < .01), but not with increasing HSCL-24 score. Logistic regression indicated a 3.6 times higher risk of dying in the observation period if the SOC score was 1 point lower (on a scale range from 1 to 5). An increased mortality in drug addicts leaving the facility with an SOC value below 3.00 after a 4-week detoxification and counseling stay is thus strongly supported by the data. Antonousky's SOC scale thus seems to be a good indicator of future mortality. (Author' s abstract)
Affiliation :
Drug Research group, Dprt of Community Medicine, Univ. of Olso Blinden, 0318 Oslo
Norvège. Norway.
Norvège. Norway.