Aplicabilidade da classificação de alcoolismo tipo A/tipo B

Ribeiro, Mário Sérgio; Ribeiro, Luíz Cláudio; Souza, Grazielle Fialho de; Antunes, Marcondes Garcia; Nogueira, Rachel Bueno; Sousa, Karolina Danielle Carvalho de

doi:10.1590/s0047-20852009000100003

Cited by 3 publications

(8 citation statements)

References 28 publications

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“…Evaluation and replication studies usually agree with Babor's findings in relation to the more severe subtype: higher severity of "alcohol and other substances problems", higher rates of "Chronicity and consequences of Drinking" and also of "Psychiatric Symptoms" 4,[8][9][10][15][16][17][18] . The results here presented suggest that Cluster 1 patients may, in fact, be considered similar to Type A alcoholic patients (lower severity) and those included in Cluster 2 to Babor's Type B patients (higher overall severity) 4,16 .…”

Section: Discussionsupporting

confidence: 63%

“…The study was approved by the local ethics committee and used the clinical records of patients that had their first appointment between October 1997 and December 2005. The assessment and treatment routines of this program have been previously presented and discussed 13,15,21 . Briefly, patients' evaluations were undertaken by the multiprofessional team responsible for their everyday assistance -which included one Psychiatrist, 2 Psychologists, a Psychiatric Nurse, a General Practitioner and two Medical Residents, all under the supervision of the main author of this paper.…”

Section: Methodsmentioning

confidence: 99%

“…All variables used in this study derived from the assessment instruments used in the outpatient program or were generated by combinations of the clinical data 13,15,21 . A few adjustments were necessary so that available clinical data could represent Babor's variables as strictly as possible: all these adaptations are well described in table 1, where we indicate some that were modified regarding our previous study on Babor's Tipology 15 .…”

Section: Methodsmentioning

confidence: 99%

“…A few adjustments were necessary so that available clinical data could represent Babor's variables as strictly as possible: all these adaptations are well described in table 1, where we indicate some that were modified regarding our previous study on Babor's Tipology 15 . Following an a priori decision to work with binary outputs, categorical variables were regrouped into two categories and the continuous ones were classified as above or below the median for this group of 273 patients (see Table 2).…”

Section: Methodsmentioning

confidence: 99%

“…Physical and social consequences are specially correlated to Type B alcoholic patients that also present a faster clinical progression and poorer prognosis 4,9,11 . Even though Babor's binary typology of alcoholism has been repeatedly used in researches in this field, it has not yielded consistent results as far as its clinical and epidemiological usefulness, as expected of medical typologies 4,[15][16][17][18][19] . It has been suggested that future typological research should strive to identify the limitations of actual classifications, highlight their differences and explore the consistencies they might share, to move towards a more effective routine clinical use 2,20 .…”

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confidence: 99%

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A possible contribution to improving the therapeutic potentials of Babor's Typology of Alcohol Dependent Patients

Ribeiro

Ferreira

2015

J. bras. psiquiatr.

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Objective: The objective of this study was to replicate Babor's Typology and to explore clinical features related to personality traits that may underlie this classification, in order to improve its therapeutic possibilities. Methods: Observational prospective study on a group of 273 male alcoholics. After a replication of Babor's variables, Cluster Analysis, Chi-Square -applied on clinical variables related to a Lappda Tipology -and Kappa tests were performed. Results: The study identified two distinct clusters that held similar features to those described for the Type A/Type B classification. Besides presenting a lower socio-economic situation, Cluster 2 patients were associated with higher vulnerability and severe clinical features and also differed from Cluster 1 in their response to treatment. These replicated clusters retained connections and also differences in relation to the variables derived from the Lappda Typology. Conclusion: Considering that each of the two replicated clusters seem to be associated to different personality traits -according to their correlations to the affective, cognitive and behavioral dimensions brought forward by the Lappda Typology -it is acceptable that this study may contribute to the development of more comprehensive and effective therapeutic strategies specifically tailored to target more specific personality traits of these subgroups of alcoholic patients. REsuMOObjetivo: O objetivo deste estudo foi replicar a tipologia do Babor e explorar características clínicas relacionadas a traços de personalidade que podem estar subjacentes a essa classificação, a fim de melhorar suas possibilidades terapêuticas. Métodos: Estudo observacional prospectivo em um grupo de 273 alcoolistas masculinos. Depois de uma replicação das variáveis de Babor, foram realizados Análise de Cluster, testes de Qui-quadrado -aplicados em variáveis clínicas relacionadas com uma tipologia desenvolvida pelo Lappda -e testes Kappa. Resultados: O estudo identificou dois clusters distintos que mantiveram características semelhantes àquelas descritas na classificação Tipo A/Tipo B. Além de apresentar uma pior situação socioeconômica, os pacientes do Cluster 1 foram associados a maior vulnerabilidade e a características clínicas de maior gravidade; e também diferiram do Cluster 2 em sua res-

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Section: Discussionsupporting

confidence: 63%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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A possible contribution to improving the therapeutic potentials of Babor's Typology of Alcohol Dependent Patients

Ribeiro

Ferreira

2015

J. bras. psiquiatr.

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Eficácia da ondansetrona no tratamento de dependentes de álcool

Filho¹,

João²

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Análise de Cluster e Análise Heurística na construção de uma tipologia de alcoolistas

Ribeiro

Ferreira

2014

J. bras. psiquiatr.

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rESUMo objetivos: Desenvolver e avaliar uma tipologia binária de alcoolistas. Métodos: Analisados registros de 329 alcoolistas acompanhados em estudo prospectivo e observacional. Análi-se de Correspondência foi aplicada para selecionar o menor número de variáveis capazes de representar a máxima variabilidade dos sujeitos; Análise de Cluster para identificar dois subtipos; e Análise Heurística para organizar as variáveis selecionadas em grupos de sentido. Análises Bivariadas foram utilizadas para testar possíveis associações com 51 variáveis demográficas ou clinicamente relevantes. resultados: A Análise de Correspondência selecionou 20 variáveis, posteriormente categorizadas em três grupos de sentidos por meio de Análise Heurística: "comportamentos", "crenças" e "sentimentos". Os pacientes do subgrupo 1 possuem perfil de maior gravidade clínica, psicopatológica e social. Sentimentos e crenças identificados se associaram a variáveis de consumo e recaída e os comportamentos com repercussão social. Conclusões: Os resultados deste estudo permitem supor que a tipologia aqui apresentada possa contribuir para o tratamento desses subtipos de alcoolistas identificados por meio de estratégias teórico-práticas adaptadas às necessidades desses sujeitos. aBStraCt objectives: To develop and to describe a binary typology of alcoholics. Methods: Data derived from 329 patients followed in an observational study. Correspondence Analysis was applied to identify the least number of variables capable of representing the maximum variability of the subjects; Cluster Analysis was performed to identify two subgroups; and Heuristic Analysis performed with the objective of organizing the variables into groups of meaning. Bivariate Analyses were used to test possible associations of Clusters to 51 variables -demographic or of clinical relevance. results: Correspondence Analysis derived 20 variables, afterwards categorized into three groups of meaning through Heuristic Analysis: "behaviors", "beliefs" and "feelings". The results indicate that subgroup 1 patients present a more severe clinical, psychopathological and social profile. Identified feelings and beliefs were associated to drinking and relapsing variables, and behaviors to social repercussions. Conclusions: The results of this study suggest that the typology here presented may contribute to the treatment of these alcoholics subtypes by means of therapeutic strategies adapted to the identified characteristics of each subgroup of patients.

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Aplicabilidade da classificação de alcoolismo tipo A/tipo B

Abstract: Palavras-chave

Cited by 3 publications

References 28 publications

A possible contribution to improving the therapeutic potentials of Babor's Typology of Alcohol Dependent Patients

A possible contribution to improving the therapeutic potentials of Babor's Typology of Alcohol Dependent Patients

Eficácia da ondansetrona no tratamento de dependentes de álcool

Análise de Cluster e Análise Heurística na construção de uma tipologia de alcoolistas

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