KOPS - The Institutional Repository of the University of Konstanz

Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification

Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification

Cite This

Files in this item

Checksum: MD5:411f1d52f94aae7d98500903c3618ef0

OSTERGAARD, Mathias, Leonie JATZKOWSKI, Raffaela SEITZ, Samantha SPEIDEL, Tanja WEBER, Norbert LÜBKE, Wolfgang HÖCKER, Michael ODENWALD, 2018. Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification. In: Alcohol and Alcoholism. 53(6), pp. 719-727. ISSN 0735-0414. eISSN 1464-3502. Available under: doi: 10.1093/alcalc/agy066

@article{Ostergaard2018-11-01Integ-43418, title={Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification}, year={2018}, doi={10.1093/alcalc/agy066}, number={6}, volume={53}, issn={0735-0414}, journal={Alcohol and Alcoholism}, pages={719--727}, author={Ostergaard, Mathias and Jatzkowski, Leonie and Seitz, Raffaela and Speidel, Samantha and Weber, Tanja and Lübke, Norbert and Höcker, Wolfgang and Odenwald, Michael} }

Seitz, Raffaela Lübke, Norbert Odenwald, Michael Ostergaard, Mathias Weber, Tanja Lübke, Norbert Höcker, Wolfgang Seitz, Raffaela Höcker, Wolfgang 2018-10-02T12:29:10Z Integrated Treatment at the First Stage : Increasing Motivation for Alcohol Patients with Comorbid Disorders during Inpatient Detoxification Weber, Tanja eng Speidel, Samantha terms-of-use Ostergaard, Mathias Speidel, Samantha Odenwald, Michael Jatzkowski, Leonie 2018-11-01 2018-10-02T12:29:10Z Aims:<br />Co-occurring mental disorders can complicate the detoxification treatment process and outcome. The aim of this study is to examine whether a brief psychoeducational group counseling session during detoxification treatment can increase the motivation for and utilization of subsequent treatments.<br /><br />Short summary:<br />Interventions increased utilization of post-detoxification treatment and reduced alcohol-related readmissions. Higher depression or trauma scores were associated with higher rates of utilization of treatment.<br /><br />Methods:<br />Patients received either a brief manualised group intervention on the interrelation of alcohol use disorder (AUD) and major depression (MD) or AUD and post-traumatic stress disorder (PTSD) or a cognitive training session (control group). Of the 784 patients treated in the study period, 171 participants were quasi-randomly allocated to groups. Self-reported motivation was measured before and after intervention, transition into AUD treatment and readmissions were collected after detoxification treatment.<br /><br />Results:<br />Participating in any of the intervention groups increased the utilization of AUD treatment after inpatient detoxification (χ<sup>2</sup> = 6.15, P = 0.02) and decreased readmissions 6 months after discharge (χ<sup>2</sup> = 7.46, P = 0.01). Depression and trauma scores moderated the effect: associations with the utilization of post-detoxification treatment were found in participants with higher depression (OR = 5.84, 95% CI = 1.17–29.04) or trauma scores (OR = 10.17, 95% CI = 1.54–67.1).<br /><br />Conclusions:<br />An integrated intervention approach for dual diagnosis at the beginning of the treatment can increase motivation for continued AUD treatment. Especially affected dual diagnosis patients can benefit from this treatment. Jatzkowski, Leonie

This item appears in the following Collection(s)

Search KOPS


Browse

My Account