Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study
To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy. About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized...
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| Veröffentlicht in: | European archives of psychiatry and clinical neuroscience 2007-06, Vol.257 (4), p.237-244 |
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| creator | Terra, Mauro Barbosa Barros, Helena Maria Tannhauser Stein, Airton Tetelbom Figueira, Ivan Athayde, Luciana Dias Palermo, Luiz Henrique Tergolina, Letícia Piccoli Rovani, Joana Stela da Silveira, Dartiu Xavier |
| description | To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy.
About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis.
Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003).
The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful. |
| doi_str_mv | 10.1007/s00406-007-0719-1 |
| format | Article |
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About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis.
Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003).
The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.</description><identifier>ISSN: 0940-1334</identifier><identifier>EISSN: 1433-8491</identifier><identifier>DOI: 10.1007/s00406-007-0719-1</identifier><identifier>PMID: 17401731</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adult ; Alcoholics Anonymous ; Alcoholism ; Alcoholism - epidemiology ; Alcoholism - psychology ; Alcoholism - rehabilitation ; Brazil - epidemiology ; Comorbidity ; Diagnosis, Dual (Psychiatry) ; Female ; Follow-Up Studies ; Hospitalization ; Humans ; Logistic Models ; Male ; Middle Aged ; Patient Compliance ; Prognosis ; Psychiatric Status Rating Scales ; Psychotherapy - statistics & numerical data ; Social Behavior Disorders - complications ; Social Behavior Disorders - psychology ; Socioeconomic Factors</subject><ispartof>European archives of psychiatry and clinical neuroscience, 2007-06, Vol.257 (4), p.237-244</ispartof><rights>2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c278t-303854c27813bf7d3c26750fa5a15ab23cd96745cbb63fe02a4a778afe6fb06d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17401731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terra, Mauro Barbosa</creatorcontrib><creatorcontrib>Barros, Helena Maria Tannhauser</creatorcontrib><creatorcontrib>Stein, Airton Tetelbom</creatorcontrib><creatorcontrib>Figueira, Ivan</creatorcontrib><creatorcontrib>Athayde, Luciana Dias</creatorcontrib><creatorcontrib>Palermo, Luiz Henrique</creatorcontrib><creatorcontrib>Tergolina, Letícia Piccoli</creatorcontrib><creatorcontrib>Rovani, Joana Stela</creatorcontrib><creatorcontrib>da Silveira, Dartiu Xavier</creatorcontrib><title>Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study</title><title>European archives of psychiatry and clinical neuroscience</title><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><description>To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy.
About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis.
Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003).
The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.</description><subject>Adult</subject><subject>Alcoholics Anonymous</subject><subject>Alcoholism</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - psychology</subject><subject>Alcoholism - rehabilitation</subject><subject>Brazil - epidemiology</subject><subject>Comorbidity</subject><subject>Diagnosis, Dual (Psychiatry)</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Prognosis</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychotherapy - statistics & numerical data</subject><subject>Social Behavior Disorders - complications</subject><subject>Social Behavior Disorders - psychology</subject><subject>Socioeconomic Factors</subject><issn>0940-1334</issn><issn>1433-8491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpFkMtOwzAQRS0EouXxAWyQxd4wEztxwq5UvCQkWMA6chy7TZXEwU4E4Qf4bVK1Equ5i3PvSIeQC4RrBJA3AUBAwqbIQGLG8IDMUXDOUpHhIZlDJoAh52JGTkLYAADGERyTGUoBKDnOye-bN2Wle-cDdZaadqVWpjFtT6uW9mtDF7V2a1dXOtBF69qxcUOgK--GjjpPe0e7MOq1m1CvupGqxrUreufVT1VXqqXqv35LFQ3VN5uIfk2tq2v3xaaZ0A_leEaOrKqDOd_fU_LxcP--fGIvr4_Py8UL05FMe8aBp7HYZuSFlSXXUSJjsCpWGKsi4rrMEiliXRQJtwYiJZSUqbImsQUkJT8lV7vdzrvPwYQ-37jBt9PLPEKBsYzSbIJwB2nvQvDG5p2vGuXHHCHfms935vNt3JrPcepc7oeHojHlf2Ovmv8BcL-Axw</recordid><startdate>200706</startdate><enddate>200706</enddate><creator>Terra, Mauro Barbosa</creator><creator>Barros, Helena Maria Tannhauser</creator><creator>Stein, Airton Tetelbom</creator><creator>Figueira, Ivan</creator><creator>Athayde, Luciana Dias</creator><creator>Palermo, Luiz Henrique</creator><creator>Tergolina, Letícia Piccoli</creator><creator>Rovani, Joana Stela</creator><creator>da Silveira, Dartiu Xavier</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>200706</creationdate><title>Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study</title><author>Terra, Mauro Barbosa ; Barros, Helena Maria Tannhauser ; Stein, Airton Tetelbom ; Figueira, Ivan ; Athayde, Luciana Dias ; Palermo, Luiz Henrique ; Tergolina, Letícia Piccoli ; Rovani, Joana Stela ; da Silveira, Dartiu Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c278t-303854c27813bf7d3c26750fa5a15ab23cd96745cbb63fe02a4a778afe6fb06d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Alcoholics Anonymous</topic><topic>Alcoholism</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - psychology</topic><topic>Alcoholism - rehabilitation</topic><topic>Brazil - epidemiology</topic><topic>Comorbidity</topic><topic>Diagnosis, Dual (Psychiatry)</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Prognosis</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychotherapy - statistics & numerical data</topic><topic>Social Behavior Disorders - complications</topic><topic>Social Behavior Disorders - psychology</topic><topic>Socioeconomic Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Terra, Mauro Barbosa</creatorcontrib><creatorcontrib>Barros, Helena Maria Tannhauser</creatorcontrib><creatorcontrib>Stein, Airton Tetelbom</creatorcontrib><creatorcontrib>Figueira, Ivan</creatorcontrib><creatorcontrib>Athayde, Luciana Dias</creatorcontrib><creatorcontrib>Palermo, Luiz Henrique</creatorcontrib><creatorcontrib>Tergolina, Letícia Piccoli</creatorcontrib><creatorcontrib>Rovani, Joana Stela</creatorcontrib><creatorcontrib>da Silveira, Dartiu Xavier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>European archives of psychiatry and clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Terra, Mauro Barbosa</au><au>Barros, Helena Maria Tannhauser</au><au>Stein, Airton Tetelbom</au><au>Figueira, Ivan</au><au>Athayde, Luciana Dias</au><au>Palermo, Luiz Henrique</au><au>Tergolina, Letícia Piccoli</au><au>Rovani, Joana Stela</au><au>da Silveira, Dartiu Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study</atitle><jtitle>European archives of psychiatry and clinical neuroscience</jtitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><date>2007-06</date><risdate>2007</risdate><volume>257</volume><issue>4</issue><spage>237</spage><epage>244</epage><pages>237-244</pages><issn>0940-1334</issn><eissn>1433-8491</eissn><abstract>To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy.
About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis.
Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003).
The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>17401731</pmid><doi>10.1007/s00406-007-0719-1</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Alcoholics Anonymous Alcoholism Alcoholism - epidemiology Alcoholism - psychology Alcoholism - rehabilitation Brazil - epidemiology Comorbidity Diagnosis, Dual (Psychiatry) Female Follow-Up Studies Hospitalization Humans Logistic Models Male Middle Aged Patient Compliance Prognosis Psychiatric Status Rating Scales Psychotherapy - statistics & numerical data Social Behavior Disorders - complications Social Behavior Disorders - psychology Socioeconomic Factors |
| title | Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study |
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