The effect of anxiety and depression on completion/withdrawal status in patients admitted to substance abuse detoxification program

Araujo, Lorenzo; Goldberg, Philip A.; Eyma, Jose; Madhusoodanan, Subramoniam; Buff, Daniel D.; Kausar, Shamim; Brenner, Ronald

doi:10.1016/0740-5472(95)02043-8

Cited by 32 publications

(16 citation statements)

References 33 publications

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“…The detoxification treatment completion rate of this study (78%) fell within the reported range (53–88%) of other studies (Araujo et al, 1996; Armenian et al, 1999; Blondell, Amadasu, et al, 2006; de los Cobos et al, 1997; Gordon et al, 2001; X. Li et al, 2013; Martinez-Raga et al, 2002; San et al, 1989).…”

Section: Discussionsupporting

confidence: 83%

“…Nationwide among the general population, detoxification treatment completion rates range from 66%–88% (Araujo et al, 1996; Armenian, Chutuape, & Stitzer, 1999; Blondell, Amadasu, Servoss, & Smith, 2006; Gordon et al, 2001; Martinez-Raga, Marshall, Keaney, Ball, & Strang, 2002; San, Cami, Peri, Mata, & Porta, 1989; Wiseman, Henderson, & Briggs, 1997). Incomplete detoxification, rather than complete, is often studied and defined as withdrawal from treatment by discharge against medical advice or transfer to other facility for medical reasons.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Alcohol detoxification completion, acceptance of referral to substance abuse treatment, and entry into substance abuse treatment among Alaska Native people

Bear

Beals

Novins

et al. 2017

Addictive Behaviors

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Background Little is known about factors associated with detoxification treatment completion and the transition to substance abuse treatment following detoxification among Alaska Native people. This study examined 3 critical points on the substance abuse continuum of care (alcohol detoxification completion, acceptance of referral to substance abuse treatment, entry into substance abuse treatment following detoxification). Methods The retrospective cohort included 383 adult Alaska Native patients admitted to a tribally owned and managed inpatient detoxification unit. Three multiple logistic regression models estimated the adjusted associations of each outcome separately with demographic/psychosocial characteristics, clinical characteristics, use related behaviors, and health care utilization. Results Seventy-five percent completed detoxification treatment. Higher global assessment functioning scores, longer lengths of stay, and older ages of first alcohol use were associated with completing detoxification. A secondary drug diagnosis was associated with not completing detoxification. Thirty-six percent accepted a referral to substance abuse treatment following detoxification. Men, those with legal problems, and those with a longer length of stay were more likely to accept a referral to substance abuse treatment. Fifty-eight percent had a confirmed entry into a substance abuse treatment program at discharge. Length of stay was the only variable associated with substance abuse treatment entry. Conclusions Services like motivational interviewing, counseling, development of therapeutic alliance, monetary incentives, and contingency management are effective in linking patients to services after detoxification. These should be considered, along with the factors associated with each point on the continuum of care when linking patients to follow-up services.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Alcohol detoxification completion, acceptance of referral to substance abuse treatment, and entry into substance abuse treatment among Alaska Native people

Bear

Beals

Novins

et al. 2017

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…The total population also included the dependents who could not be incorporated into the final analysis. The rate of 31% for this study's sample is comparable to the rates reported in American and British studies [1,5,6,16,17,20,21,25] whereas the actual rate of the patient population in detoxification is 56%. This result corresponds indeed to other studies from German-speaking countries [8,19,22,23].…”

Section: Discussionsupporting

confidence: 70%

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

Hättenschwiler¹,

Rüesch²,

Hell³

2000

Eur Addict Res

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The Psychiatric University Hospital of Zürich offers a 2-week residential detoxification treatment program for patients abusing illegal drugs. 96 out of 160 patients were interviewed at three intervals: upon admission, on the 10th day of treatment, and about 1 month after leaving the clinic. Approximately 17% of the patients were completely abstinent 1 month after treatment. About 50% of the patients could give up the consumption of particular drugs. For around one third of the dependents, the drug consumption remained the same or had increased. The analysis of the predictors of drug consumption after treatment stresses the importance of the social integration of the dependents before detoxification as well as of characteristics of the treatment process (relapse, dropping out of treatment, and referral to a follow-up program).

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“…The psychometric rating scales were used in order to evaluate changing in the drinking habits and in the depressive and anxiety symptoms induced by the alcohol misuse. All the scales used in the present studies were validated in different populations and used in several studies [27,28]. At this stage the first evaluation of the treatment outcome was carried out.…”

Section: Methodsmentioning

confidence: 99%

A follow up study on the efficacy of metadoxine in the treatment of alcohol dependence

Guerrini

Gentili

Nelli

et al. 2006

Subst Abuse Treat Prev Policy

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Background: We carried out a three months follow-up study on the efficacy of metadoxine in a cohort of alcoholics admitted to the Alcohol misuse Long-term Treatment (ALT) Unit -University of Pisa (Italy). We analyzed the clinical data, psychometric tests and blood tests of 160 alcoholics on admission and after 3 months of treatment. We compared 58 pts treated with metadoxine (MET) with 102 pts who did not receive (NULL) any drug as an adjunct to the psycho-educational interventions provided by the ALT Unit.

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The effect of anxiety and depression on completion/withdrawal status in patients admitted to substance abuse detoxification program

Cited by 32 publications

References 33 publications

Alcohol detoxification completion, acceptance of referral to substance abuse treatment, and entry into substance abuse treatment among Alaska Native people

Alcohol detoxification completion, acceptance of referral to substance abuse treatment, and entry into substance abuse treatment among Alaska Native people

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

A follow up study on the efficacy of metadoxine in the treatment of alcohol dependence

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