Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification

Ostergaard, Mathias; Jatzkowski, Leonie; Seitz, Raffaela; Speidel, Samantha; Weber, Tanja; Lübke, Norbert; Höcker, Wolfgang; Odenwald, Michael

Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification

Dateien

Ostergaard_2-kyzpqhx8n8gx8.pdfGröße: 390.26 KBDownloads: 166

Datum

2018

Autor:innen

Ostergaard, Mathias

Jatzkowski, Leonie

Seitz, Raffaela

Speidel, Samantha

Weber, Tanja

Lübke, Norbert

Höcker, Wolfgang

Odenwald, Michael

Open Access-Veröffentlichung

Open Access Green

Sammlungen

Psychologie

Publikationstyp

Zeitschriftenartikel

Publikationsstatus

Published

Erschienen in

Alcohol and Alcoholism. 2018, 53(6), pp. 719-727. ISSN 0735-0414. eISSN 1464-3502. Available under: doi: 10.1093/alcalc/agy066

Zusammenfassung

Aims:
Co-occurring mental disorders can complicate the detoxification treatment process and outcome. The aim of this study is to examine whether a brief psychoeducational group counseling session during detoxification treatment can increase the motivation for and utilization of subsequent treatments.

Short summary:
Interventions increased utilization of post-detoxification treatment and reduced alcohol-related readmissions. Higher depression or trauma scores were associated with higher rates of utilization of treatment.

Methods:
Patients received either a brief manualised group intervention on the interrelation of alcohol use disorder (AUD) and major depression (MD) or AUD and post-traumatic stress disorder (PTSD) or a cognitive training session (control group). Of the 784 patients treated in the study period, 171 participants were quasi-randomly allocated to groups. Self-reported motivation was measured before and after intervention, transition into AUD treatment and readmissions were collected after detoxification treatment.

Results:
Participating in any of the intervention groups increased the utilization of AUD treatment after inpatient detoxification (χ² = 6.15, P = 0.02) and decreased readmissions 6 months after discharge (χ² = 7.46, P = 0.01). Depression and trauma scores moderated the effect: associations with the utilization of post-detoxification treatment were found in participants with higher depression (OR = 5.84, 95% CI = 1.17–29.04) or trauma scores (OR = 10.17, 95% CI = 1.54–67.1).

Conclusions:
An integrated intervention approach for dual diagnosis at the beginning of the treatment can increase motivation for continued AUD treatment. Especially affected dual diagnosis patients can benefit from this treatment.

Fachgebiet (DDC)

150 Psychologie

Schlagwörter

ethanol, detoxification therapy, comorbidity, depressive disorders, diagnosis dual (psychiatry), inpatients, mental disorders, metabolic detoxication drug, motivation, patient readmission, post-traumatic stress disorder, wounds and injuries, integrated treatment

Zitieren

ISO 690

OSTERGAARD, Mathias, Leonie JATZKOWSKI, Raffaela SEITZ, Samantha SPEIDEL, Tanja WEBER, Norbert LÜBKE, Wolfgang HÖCKER, Michael ODENWALD, 2018. Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification. In: Alcohol and Alcoholism. 2018, 53(6), pp. 719-727. ISSN 0735-0414. eISSN 1464-3502. Available under: doi: 10.1093/alcalc/agy066

BibTex

@article{Ostergaard2018-11-01Integ-43418,
  year={2018},
  doi={10.1093/alcalc/agy066},
  title={Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification},
  number={6},
  volume={53},
  issn={0735-0414},
  journal={Alcohol and Alcoholism},
  pages={719--727},
  author={Ostergaard, Mathias and Jatzkowski, Leonie and Seitz, Raffaela and Speidel, Samantha and Weber, Tanja and Lübke, Norbert and Höcker, Wolfgang and Odenwald, Michael}
}

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Universitätsbibliographie

Ja

Begutachtet

Ja