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Predictors of deterioration among patients with substance-use disorders

✍ Scribed by Rudolf H. Moos; Bernice S. Moos; John W. Finney

Publisher
John Wiley and Sons
Year
2001
Tongue
English
Weight
102 KB
Volume
57
Category
Article
ISSN
0021-9762

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✦ Synopsis

Abstract

The purpose of this study was to identify patients with substance‐use disorders who deteriorate during treatment, and to examine baseline predictors of deterioration. Three groups of 872 patients each, matched on number of problems at baseline, were selected from a larger sample based on their treatment outcome (improved, nonresponsive, deteriorated). Deterioration was predicted by younger age and African‐American race; four aspects of patients' history (psychiatric symptoms, arrests, prior drug treatment, and recent inpatient or residential care); and having no close friends. Patients who had both an alcohol and a drug diagnosis, a personality‐disorder diagnosis, and those who had a shorter episode of care and fewer outpatient‐mental‐health visits, also were more likely to deteriorate. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 1403–1419, 2001.

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