Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study
It is far from clear how comorbidity changes during alcoholism treatment. This study investigates: (1) the course of comorbid Axis I disorders in chronic alcoholics over 2 years of controlled abstinence in the outpatient long-term intensive therapy for alcoholics (OLITA) and (2) the effect of comorb...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
8 July 2004
|
| In: |
Journal of psychiatric research
Year: 2004, Jahrgang: 38, Heft: 6, Pages: 619-635 |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2004.04.007 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpsychires.2004.04.007 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0022395604000524 
|
| Verfasserangaben: | Thilo Wagner, Henning Krampe, Sabina Stawicki, Jennifer Reinhold, Henriette Jahn, Kristin Mahlke, Ulrike Barth, Sonja Sieg, Oliver Maul, Claudia Galwas, Carlotta Aust, Birgit Kröner-Herwig, Edgar Brunner, Wolfgang Poser, Fritz Henn, Eckart Rüther, Hannelore Ehrenreich |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1735423475 | ||
| 003 | DE-627 | ||
| 005 | 20220818222951.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 201013s2004 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jpsychires.2004.04.007 |2 doi | |
| 035 | |a (DE-627)1735423475 | ||
| 035 | |a (DE-599)KXP1735423475 | ||
| 035 | |a (OCoLC)1341370885 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Wagner, Thilo |d 1969- |e VerfasserIn |0 (DE-588)129976385 |0 (DE-627)48530256X |0 (DE-576)297931040 |4 aut | |
| 245 | 1 | 0 | |a Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study |c Thilo Wagner, Henning Krampe, Sabina Stawicki, Jennifer Reinhold, Henriette Jahn, Kristin Mahlke, Ulrike Barth, Sonja Sieg, Oliver Maul, Claudia Galwas, Carlotta Aust, Birgit Kröner-Herwig, Edgar Brunner, Wolfgang Poser, Fritz Henn, Eckart Rüther, Hannelore Ehrenreich |
| 264 | 1 | |c 8 July 2004 | |
| 300 | |a 17 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 13.10.2020 | ||
| 520 | |a It is far from clear how comorbidity changes during alcoholism treatment. This study investigates: (1) the course of comorbid Axis I disorders in chronic alcoholics over 2 years of controlled abstinence in the outpatient long-term intensive therapy for alcoholics (OLITA) and (2) the effect of comorbid Axis I and II disorders in this group of patients on subsequent drinking outcome over a four-year follow-up. This prospective treatment study evaluates psychiatric variables of 89 severely affected chronic alcohol dependent patients on admission (t1), month 6 (t2), 12 (t3) and 24 (t4). Drinking outcomes have been analyzed from 1998 to 2002. On admission, 61.8% of the patients met criteria for a comorbid Axis I disorder, 63.2% for a comorbid personality disorder. Axis I disorders remit from t1 (59.0% ill), t2 (38.5%), t3 (28.2%) to t4 (12.8%) (p<0.0001). Anxiety disorders remit more slowly from t1 (43.6%) to t3 (20.5%, p=0.0086), whereas mood disorders remit early between t1 (23.1%) and t2 (5.1%, p=0.0387) with a slight transient increase at t3 (10.3%). During the four-year follow-up, the cumulative probability of not having relapsed amounts to 0.59. Two predictors have a strong negative impact on abstinence probability: number of inpatient detoxifications (p=0.0013) and personality disorders (p=0.0106). The present study demonstrates a striking remission of comorbid Axis I disorders upon abstinence during comprehensive long-term outpatient alcoholism treatment. The presence of an Axis II rather than an Axis I disorder on admission strongly predicts drinking outcome over a four-year follow-up. | ||
| 650 | 4 | |a Chronic alcohol dependence | |
| 650 | 4 | |a Chronic psychiatric illness | |
| 650 | 4 | |a Chronicity | |
| 650 | 4 | |a Comorbid personality disorders | |
| 650 | 4 | |a Outpatient alcoholism treatment | |
| 650 | 4 | |a Prognosis | |
| 700 | 1 | |a Henn, Fritz A. |d 1941- |e VerfasserIn |0 (DE-588)17213384X |0 (DE-627)697047938 |0 (DE-576)133005917 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of psychiatric research |d Amsterdam [u.a.] : Elsevier Science, 1961 |g 38(2004), 6, Seite 619-635 |h Online-Ressource |w (DE-627)30666111X |w (DE-600)1500641-4 |w (DE-576)081986718 |x 1879-1379 |7 nnas |a Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study |
| 773 | 1 | 8 | |g volume:38 |g year:2004 |g number:6 |g pages:619-635 |g extent:17 |a Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.jpsychires.2004.04.007 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u http://www.sciencedirect.com/science/article/pii/S0022395604000524 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20201013 | ||
| 993 | |a Article | ||
| 994 | |a 2004 | ||
| 998 | |g 17213384X |a Henn, Fritz A. |m 17213384X:Henn, Fritz A. |d 60000 |e 60000PH17213384X |k 0/60000/ |p 15 | ||
| 999 | |a KXP-PPN1735423475 |e 3779439190 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"origin":[{"dateIssuedDisp":"8 July 2004","dateIssuedKey":"2004"}],"language":["eng"],"id":{"eki":["1735423475"],"doi":["10.1016/j.jpsychires.2004.04.007"]},"type":{"bibl":"article-journal","media":"Online-Ressource"},"relHost":[{"part":{"issue":"6","extent":"17","year":"2004","text":"38(2004), 6, Seite 619-635","pages":"619-635","volume":"38"},"title":[{"title_sort":"Journal of psychiatric research","title":"Journal of psychiatric research"}],"physDesc":[{"extent":"Online-Ressource"}],"language":["eng"],"id":{"zdb":["1500641-4"],"issn":["1879-1379"],"eki":["30666111X"]},"type":{"bibl":"periodical","media":"Online-Ressource"},"origin":[{"dateIssuedKey":"1961","publisher":"Elsevier Science","publisherPlace":"Amsterdam [u.a.]","dateIssuedDisp":"1961-"}],"pubHistory":["1.1961/63 -"],"recId":"30666111X","note":["Gesehen am 19.02.20"],"disp":"Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective studyJournal of psychiatric research"}],"title":[{"title_sort":"Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study","title":"Substantial decrease of psychiatric comorbidity in chronic alcoholics upon integrated outpatient treatment - results of a prospective study"}],"person":[{"display":"Wagner, Thilo","family":"Wagner","given":"Thilo","role":"aut"},{"role":"aut","given":"Fritz A.","display":"Henn, Fritz A.","family":"Henn"}],"physDesc":[{"extent":"17 S."}],"note":["Gesehen am 13.10.2020"],"recId":"1735423475","name":{"displayForm":["Thilo Wagner, Henning Krampe, Sabina Stawicki, Jennifer Reinhold, Henriette Jahn, Kristin Mahlke, Ulrike Barth, Sonja Sieg, Oliver Maul, Claudia Galwas, Carlotta Aust, Birgit Kröner-Herwig, Edgar Brunner, Wolfgang Poser, Fritz Henn, Eckart Rüther, Hannelore Ehrenreich"]}} | ||
| SRT | |a WAGNERTHILSUBSTANTIA8200 | ||