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首页> 外文期刊>European archives of psychiatry and clinical neuroscience >Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : A six-month follow-up study.
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Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : A six-month follow-up study.

机译：参加戒酒匿名小组或参加巴西戒酒者心理治疗的预测因素：六个月的随访研究。

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OBJECTIVE: To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy. METHODS: About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis. RESULTS: Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003). CONCLUSION: The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.
机译：目的：确定与酒精依赖患者（AA）和心理治疗有关的酒精依赖患者参与的相关因素。方法：在住院期间约300名住院酒精中毒患者接受了访谈，此后3个月和6个月再次进行了访谈。评估包括标准化工具的管理。通过逻辑回归分析评估两种干预措施的参与度。结果：较高的教育水平可预测6个月后会参与AA（OR = 2.19; CI 1.08-4.41）。 6个月后参与心理治疗与大学学历（OR = 3.60; CI 1.6-7.9），合并症，抑郁症（OR = 3.47; CI 1.8-6.5），其他药物的使用有关。酒精（OR = 3.08; CI 1.5-6.19），之前的治疗（OR = 2.87; CI 1.29-6.40）和高中学历（OR = 2.44; CI 1.24-4.80）。物质诱发的焦虑症的存在与未参与心理治疗有关（OR = 0.27; CI 0.63-0.003）。结论：确定参与的预测因素对于指导临床医生选择更有可能成功的治疗策略非常重要。

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