Titre : | Predictors of recovery following involuntary hospitalization of violent substance abuse patients |
Titre traduit : | (Facteurs de prédiction de guérison suite à une hospitalisation involontaire chez des usagers de drogues violents.) |
Auteurs : | C. ANDRE ; JABER-FILHO J. A. ; M. CARVALHO ; C. JULLIEN ; A. HOFFMAN |
Type de document : | Périodique |
Année de publication : | 2003 |
Format : | 84-89 / graph. ; tabl. |
Note générale : |
American Journal on Addictions, 2003, 12, (1), 84-89 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ETUDE PROSPECTIVE ; HOSPITALISATION ; USAGER ; VIOLENCE ; GUERISON ; EFFICACITEThésaurus géographique BRESIL |
Résumé : |
ENGLISH : The goal of this study was to evaluate the results and predictors of good recovery following involuntary hospitalisation of violent substance abuse patients. Twenty patients (76 male, aged 73 to 53 years [mean +- s.d. = 32.9 +- 10.2]) were admitted in 1997 with a median hospital time of 73.5 days (20 to 455) for exhibiting violent behavior following drug abuse and a loss of self control. They were treated with psychiatric medication, a 12-step program (Minnesota), psychotherapy and family therapy, and, following hospitalisation, counselling, psychotherapy, and participation in self-help groups. Follow-up ranged from 3 to 24 months (17.8+-4.9). We studied the probability of maintenance of complete abstinence and social adaptation (professional-educational, family and legal parameters) using T and Fisher tests (significance level p=0.05). Of the twenty, thirteen patients (65%) achieved excellent social reintegration, and twelve maintained total abstinence. Two patients died (AIDS, hepatic cirrhosis). The chances of complete abstinence and social reintegration were increased by lower age at admission (p=0.02), some form of treatment following hospitalisation (p=0.007), adherence to the entire period of treatment (p=0.05), and regular attendance at self-help groups (p=0.05). No significant differences were found in terms of other demographic parameters, drugs used (number or class), previous hospital admissions, length of hospitalisation, or follow-up. Sixty percent of patients can expect an excellent outcome over a period of 78 months, according to strict clinical and social criteria. Early intervention and factors increasing adherence to prolonged treatment increase abstinence and social reintegration and thus should be further explored. (Author' s abstract) |
Note de contenu : | graph. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 9 |
Affiliation : |
Clinica Jorge Jaber, Rua Genral Venancio Flores, 305, sala 602, Leblon CEP, 22441-090, Rio de Janeiro. Email : andrecmdunisys.com.br Brésil. Brazil. |
Numéro Toxibase : | 206875 |
Centre Emetteur : | 02 Coordonnateur |
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