Social and psychological factors in the treatment of chronic alcoholism

Kissin, Benjamin; Platz, Arthur; Su, Wen Huey

doi:10.1016/0022-3956(70)90012-9

Cited by 105 publications

(26 citation statements)

References 7 publications

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“…20 Patients with lower income and financial difficulties may have more problems to obtain satisfactory results in their treatment 21 . Complementarily, there is evidence that patients with stable socio-economic conditions have better results regarding withdrawal than those in non-favorable conditions 22 . However, other study did not find association between socio-demographic variables and the distribution of stages of change 23 .The study of these variables may indicate which aspects are connected to the heterogeneity of responses of patients to specific treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Therapies aimed at subjects in the stage of Action can be more efficient than interventions aimed at patients in the stages of Pre-Contemplation or Contemplation. Among patients who entered in a program under such conditions, that is, receiving appropriate and timely treatment in the moment they were evolving in the cycle of changes, near 94% remained abstinent in the six consecutive months 22 . Several studies 35,36 evaluated manuals aimed at applying specific therapeutical interventions according to the patients' previous classification in the stages of change, but they could not obtain results clearly indicative of the benefits of this kind of treatment.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of motivation for treatment in alcohol dependent patients who sought treatment at a specialized medical service

Júnior¹,

Malbergier

2003

Rev. Bras. Psiquiatr.

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Keywords Resumo Descritores artigo originalIntroduction: Motivation is deemed a critical component for interventions intended to change behaviors related to the use of alcohol and other drugs. The classification of patients in 'stages of change' can be a useful tool for the organization and improvement of treating programs. Methods: This study assessed the stages of change using the scales URICA and SOCRATES in patients who attended two different treating programs for alcohol dependence in a specialized medical service. We performed an analysis of the association between stages of change and demographic aspects. After three months of treatment, patients were reassessed to evaluate their outcome. Results: In the assessments using URICA, there was an association between stages of change and monthly income and age. There was no evidence that patients move across the stages of change. Using the scale SOCRATES, we found an association between stages of change and monthly income. In the reassessment, there was a significant movement across the stages of change. Conclusion: Patients who attend two different treating programs may have different motivation profiles. There was no movement congruent with the stage of change model, suggesting that patients may need more than 3 months to obtain significant changes in their motivation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of motivation for treatment in alcohol dependent patients who sought treatment at a specialized medical service

Júnior¹,

Malbergier

2003

Rev. Bras. Psiquiatr.

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“…In mehreren RCTs erwies sich psychoanalytische Therapie bei Suchterkrankungen als wirksam: In einem RCT von Kissin et al (1970) zur Behandlung von Alkoholabhän-gigkeit war psychoanalytische Therapie sowohl einer unbehandelten Kontrollgruppe als auch einem TAU (Drogenberatung) signifikant überlegen. In einem RCT von Sandahl et al (1998) war psychoanalytische Therapie bei Alkoholmissbrauch ebenso wirksam wie CBT.…”

Section: Persönlichkeits-und Verhaltensstörungen (Icd-10 F6)unclassified

Psychoanalytische Therapie

Brandl¹,

Bruns²,

Gerlach

et al. 2004

Forum Psychoanal

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“…17 Many alcoholics do recover, and motivation seems crucial in the process, as does some kind of external pressure or control mechanism. 18 Alcoholism may usefully be approached as a chronic disease such as diabetes, the effective management of which requires self-administered treatment on a continuing daily basis.…”

Section: The Role Of Physiciansmentioning

confidence: 99%