Profile of Addicted Patients who Reenter Treatment Programs

López-Goñi, José Javier; Fernández‐Montalvo, Javier; Cacho, Raúl; Arteaga, Alfonso

doi:10.1080/08897077.2013.826614

Cited by 16 publications

(17 citation statements)

References 36 publications

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“…Moreover, women who dropped out of treatment had a worse psychopathological profile than men who dropped out; in fact, the most severe psychopathological profile was found in women who dropped out of treatment. These results coincide with those found in previous studies about gender and/or treatment reentry in drug-addicted patients (Cacciola, Leggett, and Camilleri 2009;Fernández-Montalvo et al 2014;Grella, Scott, and Foss 2005;Hser, Longshore, and Douglas 2007;López-Goñi et al 2014;Storbjörk 2011).…”

Section: Discussionsupporting

confidence: 92%

“…No statistically significant differences were observed in number of treatment episodes between men and women. This high rate of treatment re-entries (number of times leaving and re-entering the treatment program) coincides with those from previous studies (Dennis et al 2005;López-Goñi et al 2014).…”

Section: Discussionsupporting

confidence: 90%

“…Studies conducted in this field show that re-admitted patients generally have a more severe profile than those who respond to first time treatment. In general, patients who re-enter treatment programs are older and with lower educational attainment than first-time admits; re-admitted patients also have lower job stability, more problems with the law, and more medical, psychiatric, and family problems than patients who seek treatment for the first time (Cacciola, Leggett, and Camilleri 2009;Hser et al 1999;López-Goñi et al 2014;Moos, Moos, and Finney 2001). The results of the present study support these findings, as the number of treatment episodes was positively correlated with the severity of the addiction in all areas assessed by the EuropASI, although with differences between men and women.…”

Section: Discussionmentioning

confidence: 99%

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Gender differences in treatment progress of drug-addicted patients

et al. 2016

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The authors of this study explored the differences in treatment progress between men and women who were addicted to drugs. The differential rate of completion of/dropout from treatment in men and women with substance dependence was established. Moreover, comparisons between completers and dropouts, accounting for gender, were carried out for several variables related to treatment progress and clinical profile. A sample of 183 addicted patients (96 male and 87 female) who sought outpatient treatment between 2002 and 2006 was assessed. Information on socio-demographic, consumption, and associated characteristics was collected. A detailed tracking of each patient's progress was maintained for a minimum period of 8 years to assess treatment progression. The treatment dropout rate in the whole sample was 38.8%, with statistically significant differences between women (47.1%) and men (31.3%). Women who dropped out of treatment presented a more severe profile in most of the psychopathologic variables than women who completed it. Moreover, women who dropped out from treatment presented a more severe profile than men who dropped out. According to these results, drug-addicted women showed worse therapeutic progress than men with similar histories. Thus, women must be provided with additional targeted intervention to promote better treatment outcomes.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Gender differences in treatment progress of drug-addicted patients

et al. 2016

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“…Estos resultados deben ser interpretados teniendo en cuenta las alteraciones que presentan en velocidad de procesamiento y en los subprocesos atencionales y que han sido ampliamente referenciadas en la literatura de los TRS (Coullaut et al, 2011;Fernández et al, 2011, Piñón et al, 2016 (Duran & Iglesias, 2006;López et al, 2014;Maremmani et al, 2018;Pedrero et al, 2004).…”

Section: Eeagunclassified

Perfil neuropsicológico y sintomatología psicopatológica de pacientes con trastornos relacionados con sustancias a tratamiento en una unidad de día

Blanco

López²,

Machado³

et al. 2019

HAAJ

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El consumo de sustancias psicoactivas ha sido consistentemente asociado con la presencia de alteraciones en distintos procesos neuropsicológicos: velocidad de procesamiento, memoria, atención o funciones ejecutivas, que han sido relacionadas con deterioro en el funcionamiento diario y menor efectividad de los tratamientos convencionales, y justifican la necesidad de integrar el abordaje neuropsicológico en el tratamiento de las adicciones. El objetivo de este trabajo es estudiar las alteraciones neuropsicológicas y sintomatológicas en pacientes con trastornos relacionados con sustancias. Se aplicó una batería de evaluación neuropsicológica a una muestra de personas con trastornos relacionados con sustancias a tratamiento en una unidad de día. Los resultados reflejan un rendimiento neuropsicológico indicativo de deterioro cognitivo moderado, reducida velocidad de procesamiento psicomotora, lectora y visuoespacial, déficits en los subprocesos de atención sostenida, selectiva y alternante, y dificultades en los componentes ejecutivos de inhibición y flexibilidad cognitiva. A nivel de sintomatología psicopatológica se han encontrado manifestaciones clínicas de obsesión-compulsión, depresión, ansiedad y psicoticismo. La determinación del perfil neuropsicológico y sintomatológico en estos pacientes contribuye a mejorar el diagnóstico, trabajar la conciencia del déficit y a optimizar la individualización de los programas de tratamiento.

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“…Another common criterion used to assign inpatient treatment is the lack of satisfactory results in outpatient programmes. Patients with frequent episodes of Journal of Substance Abuse Treatment, 2017, 76, 28-35 http://dx.doi.org/10.1016/j.jsat.2017.02.014 relapse or high dropout rates in outpatient treatment are usually moved to inpatient programmes (Gregoire, 2000;López-Goñi, Fernández-Montalvo, Cacho, & Arteaga, 2014).…”

Section: Introductionmentioning

confidence: 99%

Searching objective criteria for patient assignment in addiction treatment

López-Goñi

Fernández‐Montalvo

Arteaga

et al. 2017

Journal of Substance Abuse Treatment

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The main aim of this study was to objectify the treatment assignment criteria used in a clinical centre for addiction treatment in Spain. A sample of 162 patients (87 inpatients and 75 outpatients) who sought treatment between 2010 and 2012 was assessed. Clinical characteristics (addiction severity, psychopathological symptoms, impulsiveness and maladjustment) of the two treatment groups (inpatient and outpatient) into which patients were assigned according to the clinical criteria of therapists were analysed to identify which variables were more relevant for patient placement. Moreover, the therapeutic progression of patients who met and did not meet the assignment criteria received was studied. According to the results, a score above 4 in the family/social support area of the European Addiction Severity Index (EuropASI), or, in cases of a score between 2 and 4 in the family/social area of EuropASI, a score above 2 in the partner subscale of the Maladjustment Scale correctly classified 73.5% of cases (96.6% of inpatients and 46.7% of outpatients). Comparisons of therapeutic results depending on matching or mismatching these assignment criteria showed a larger effect size in mismatching patient assignment criteria for outpatient treatment. The results obtained in this study provide an objective criterion for addicted patient placement. Moreover, from a cost-effective perspective, they question the necessity of inpatient treatment in most cases, demonstrating that outpatient treatment is a sufficient level of care. This study addresses the approach to assigning patients to the treatment modality that best fits them, implementing the least expensive level of care needed to achieve treatment success.

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Profile of Addicted Patients who Reenter Treatment Programs

Cited by 16 publications

References 36 publications

Gender differences in treatment progress of drug-addicted patients

Gender differences in treatment progress of drug-addicted patients

Perfil neuropsicológico y sintomatología psicopatológica de pacientes con trastornos relacionados con sustancias a tratamiento en una unidad de día

Searching objective criteria for patient assignment in addiction treatment

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