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Indian Journal of Psychiatry logoLink to Indian Journal of Psychiatry
. 2003 Jul-Sep;45(3):174–177.

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

N Kar *,*, S Sengupta †, PSVN Sharma ‡, Gunasagari Rao §
PMCID: PMC2952164  PMID: 21206850

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

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Selected References

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  1. Andreasen N. C., Endicott J., Spitzer R. L., Winokur G. The family history method using diagnostic criteria. Reliability and validity. Arch Gen Psychiatry. 1977 Oct;34(10):1229–1235. doi: 10.1001/archpsyc.1977.01770220111013. [DOI] [PubMed] [Google Scholar]
  2. Bendia M. T., Giaquinto S., Massi G., Ricolfi A., Vitali S. Indagine catamnestica su alcoolisti svezzati. Minerva Med. 1979 Apr 28;70(20):1503–1506. [PubMed] [Google Scholar]
  3. Craig T. J., 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] [Google Scholar]
  4. Doyle H., Delaney W., Tobin J. Follow-up study of young attenders at an alcohol unit. Addiction. 1994 Feb;89(2):183–189. doi: 10.1111/j.1360-0443.1994.tb00877.x. [DOI] [PubMed] [Google Scholar]
  5. 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. doi: 10.1016/s0376-8716(02)00072-8. [DOI] [PubMed] [Google Scholar]
  6. Kaskutas Lee Ann, Bond Jason, Humphreys Keith. Social networks as mediators of the effect of Alcoholics Anonymous. Addiction. 2002 Jul;97(7):891–900. doi: 10.1046/j.1360-0443.2002.00118.x. [DOI] [PubMed] [Google Scholar]
  7. Lloyd Gareth. One hundred alcoholic doctors: a 21-year follow-up. Alcohol Alcohol. 2002 Jul-Aug;37(4):370–374. doi: 10.1093/alcalc/37.4.370. [DOI] [PubMed] [Google Scholar]
  8. Long C. G., Williams M., Hollin C. R. 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. doi: 10.1046/j.1360-0443.1998.93456111.x. [DOI] [PubMed] [Google Scholar]
  9. 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. doi: 10.15288/jsa.2002.63.397. [DOI] [PubMed] [Google Scholar]
  10. Morse R. M., Martin M. A., Swenson W. M., Niven R. G. Prognosis of physicians treated for alcoholism and drug dependence. JAMA. 1984 Feb 10;251(6):743–746. [PubMed] [Google Scholar]
  11. 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. doi: 10.1055/s-2001-16509. [DOI] [PubMed] [Google Scholar]
  12. 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. doi: 10.1016/s0306-4603(98)00087-2. [DOI] [PubMed] [Google Scholar]
  13. Rounsaville B. J., Dolinsky Z. S., Babor T. F., Meyer R. E. Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry. 1987 Jun;44(6):505–513. doi: 10.1001/archpsyc.1987.01800180015002. [DOI] [PubMed] [Google Scholar]
  14. Shaw G. K., Waller S., Latham C. J., Dunn G., Thomson A. D. The detoxification experience of alcoholic in-patients and predictors of outcome. Alcohol Alcohol. 1998 May-Jun;33(3):291–303. doi: 10.1093/oxfordjournals.alcalc.a008393. [DOI] [PubMed] [Google Scholar]
  15. Sobell M. B., Sobell L. C., Leo G. I. 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. doi: 10.1016/s0005-7916(00)00007-0. [DOI] [PubMed] [Google Scholar]
  16. Stinnett J. L., Schechter J. O. A Quantitative Inventory of Alcohol Disorders (QIAD): a severity scale for alcohol abuse. Am J Drug Alcohol Abuse. 1982;9(4):413–430. doi: 10.3109/00952998209002643. [DOI] [PubMed] [Google Scholar]
  17. Timko C., Moos R. H., Finney J. W., Moos B. S., Kaplowitz M. S. Long-term treatment careers and outcomes of previously untreated alcoholics. J Stud Alcohol. 1999 Jul;60(4):437–447. doi: 10.15288/jsa.1999.60.437. [DOI] [PubMed] [Google Scholar]
  18. Vaillant G. E., Clark W., Cyrus C., Milofsky E. S., Kopp J., Wulsin V. W., Mogielnicki N. P. Prospective study of alcoholism treatment. Eight-year follow-up. Am J Med. 1983 Sep;75(3):455–463. doi: 10.1016/0002-9343(83)90349-2. [DOI] [PubMed] [Google Scholar]
  19. Verheul R., van den Brink W., Koeter M. W., 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. doi: 10.1080/105504999306054. [DOI] [PubMed] [Google Scholar]
  20. Yates W. R., Reed D. A., Booth B. M., Masterson B. J., Brown K. Prognostic validity of short-term abstinence in alcoholism. Alcohol Clin Exp Res. 1994 Apr;18(2):280–283. doi: 10.1111/j.1530-0277.1994.tb00015.x. [DOI] [PubMed] [Google Scholar]
  21. 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] [Google Scholar]

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