Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics - A six-month follow-up study

Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics - A six-month follow-up study

Author Terra, Mauro Barbosa Google Scholar
Tannhauser Barros, Helena Maria Google Scholar
Stein, Airton Tetelbom Google Scholar
Luciana Dias Athayde, Ivan Figueira Google Scholar
Palermo, Luiz Henrique Google Scholar
Tergolina, Leticia Piccoli Google Scholar
Rovani, Joana Stela Google Scholar
Silveira, Dartiu Xavier da Google Scholar
Institution Fdn Fac Fed Ciencias Med Porto Alegre
Universidade Federal do Rio de Janeiro (UFRJ)
Universidade Federal de São Paulo (UNIFESP)
Abstract 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 comorbid 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; Cl 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.
Keywords alcohol
treatment
adherence
alcoholic anonymous
alcohol dependence
Language English
Date 2007-06-01
Published in European Archives of Psychiatry and Clinical Neuroscience. Darmstadt: Dr Dietrich Steinkopff Verlag, v. 257, n. 4, p. 237-244, 2007.
ISSN 0940-1334 (Sherpa/Romeo, impact factor)
Publisher Dr Dietrich Steinkopff Verlag
Extent 237-244
Origin http://dx.doi.org/10.1007/s00406-007-0719-1
Access rights Closed access
Type Article
Web of Science ID WOS:000247679300009
URI http://repositorio.unifesp.br/handle/11600/29786

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