Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1 year later

Jennis Freyer-Adam; Beate Gaertner; Hans Jürgen Rumpf; Ulrich John; Ulfert Hapke

doi:10.1016/j.addbeh.2010.03.002

Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1 year later

Jennis Freyer-Adam^*, Beate Gaertner, Hans Jürgen Rumpf, Ulrich John, Ulfert Hapke

^*Corresponding author for this work

Clinic of Psychiatry and Psychotherapy

9 Citations (Scopus)

Abstract

Aim: The aims were to investigate differences between alcohol dependent inpatients who seek alcohol treatment and those who do not seek alcohol specific but general hospital treatment, and to investigate problem drinking 12 months after hospitalization. Methods: Two samples of alcohol dependent inpatients were recruited: N=571 at general hospitals and N=473 at psychiatric alcohol detoxification units, and were followed-up 12 months later. Results: Multivariate logistic regression analyses revealed that higher age, living alone, being employed, previous help-seeking, increased severity of dependence, increased adverse consequences from drinking and increased motivation were significant predictors of receiving alcohol detoxification vs. general hospital treatment. A composite assessment of motivation to change and to seek help was the strongest predictor of positive outcome 12 months later. Conclusions: Alcohol dependent individuals who receive detoxification in psychiatric care have a more severe alcohol problem and fewer social resources than those treated in general hospitals. Interventions targeting at enhancing motivation to change and to seek help should be part of routine general hospital care and of detoxification treatment in psychiatric care.

Original language	English
Journal	Addictive Behaviors
Volume	35
Issue number	8
Pages (from-to)	756-763
Number of pages	8
ISSN	0306-4603
DOIs	https://doi.org/10.1016/j.addbeh.2010.03.002
Publication status	Published - 08.2010

Funding

Funding for this study, as part of the Research Collaboration in Early Substance Use Intervention (EARLINT), was provided by the German Federal Ministry of Education and Research ( 01 EB0120 , 01 EB0420 ), the Social Ministry of the State of Mecklenburg-Western Pomerania ( IX 311a 406.68.43.05 ) and the Alfried-Krupp-von-Bohlen-and-Halbach-Foundation . Funding sources had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 10 Reduced Inequalities

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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10.1016/j.addbeh.2010.03.002

Cite this

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title = "Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1 year later",

abstract = "Aim: The aims were to investigate differences between alcohol dependent inpatients who seek alcohol treatment and those who do not seek alcohol specific but general hospital treatment, and to investigate problem drinking 12 months after hospitalization. Methods: Two samples of alcohol dependent inpatients were recruited: N=571 at general hospitals and N=473 at psychiatric alcohol detoxification units, and were followed-up 12 months later. Results: Multivariate logistic regression analyses revealed that higher age, living alone, being employed, previous help-seeking, increased severity of dependence, increased adverse consequences from drinking and increased motivation were significant predictors of receiving alcohol detoxification vs. general hospital treatment. A composite assessment of motivation to change and to seek help was the strongest predictor of positive outcome 12 months later. Conclusions: Alcohol dependent individuals who receive detoxification in psychiatric care have a more severe alcohol problem and fewer social resources than those treated in general hospitals. Interventions targeting at enhancing motivation to change and to seek help should be part of routine general hospital care and of detoxification treatment in psychiatric care.",

author = "Jennis Freyer-Adam and Beate Gaertner and Rumpf, \{Hans J{\"u}rgen\} and Ulrich John and Ulfert Hapke",

note = "Funding Information: Funding for this study, as part of the Research Collaboration in Early Substance Use Intervention (EARLINT), was provided by the German Federal Ministry of Education and Research ( 01 EB0120 , 01 EB0420 ), the Social Ministry of the State of Mecklenburg-Western Pomerania ( IX 311a 406.68.43.05 ) and the Alfried-Krupp-von-Bohlen-and-Halbach-Foundation . Funding sources had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. Copyright: Copyright 2011 Elsevier B.V., All rights reserved.",

year = "2010",

month = aug,

doi = "10.1016/j.addbeh.2010.03.002",

language = "English",

volume = "35",

pages = "756--763",

journal = "Addictive Behaviors",

issn = "0306-4603",

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T1 - Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1 year later

AU - Freyer-Adam, Jennis

AU - Gaertner, Beate

AU - Rumpf, Hans Jürgen

AU - John, Ulrich

AU - Hapke, Ulfert

N1 - Funding Information: Funding for this study, as part of the Research Collaboration in Early Substance Use Intervention (EARLINT), was provided by the German Federal Ministry of Education and Research ( 01 EB0120 , 01 EB0420 ), the Social Ministry of the State of Mecklenburg-Western Pomerania ( IX 311a 406.68.43.05 ) and the Alfried-Krupp-von-Bohlen-and-Halbach-Foundation . Funding sources had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. Copyright: Copyright 2011 Elsevier B.V., All rights reserved.

PY - 2010/8

Y1 - 2010/8

N2 - Aim: The aims were to investigate differences between alcohol dependent inpatients who seek alcohol treatment and those who do not seek alcohol specific but general hospital treatment, and to investigate problem drinking 12 months after hospitalization. Methods: Two samples of alcohol dependent inpatients were recruited: N=571 at general hospitals and N=473 at psychiatric alcohol detoxification units, and were followed-up 12 months later. Results: Multivariate logistic regression analyses revealed that higher age, living alone, being employed, previous help-seeking, increased severity of dependence, increased adverse consequences from drinking and increased motivation were significant predictors of receiving alcohol detoxification vs. general hospital treatment. A composite assessment of motivation to change and to seek help was the strongest predictor of positive outcome 12 months later. Conclusions: Alcohol dependent individuals who receive detoxification in psychiatric care have a more severe alcohol problem and fewer social resources than those treated in general hospitals. Interventions targeting at enhancing motivation to change and to seek help should be part of routine general hospital care and of detoxification treatment in psychiatric care.

AB - Aim: The aims were to investigate differences between alcohol dependent inpatients who seek alcohol treatment and those who do not seek alcohol specific but general hospital treatment, and to investigate problem drinking 12 months after hospitalization. Methods: Two samples of alcohol dependent inpatients were recruited: N=571 at general hospitals and N=473 at psychiatric alcohol detoxification units, and were followed-up 12 months later. Results: Multivariate logistic regression analyses revealed that higher age, living alone, being employed, previous help-seeking, increased severity of dependence, increased adverse consequences from drinking and increased motivation were significant predictors of receiving alcohol detoxification vs. general hospital treatment. A composite assessment of motivation to change and to seek help was the strongest predictor of positive outcome 12 months later. Conclusions: Alcohol dependent individuals who receive detoxification in psychiatric care have a more severe alcohol problem and fewer social resources than those treated in general hospitals. Interventions targeting at enhancing motivation to change and to seek help should be part of routine general hospital care and of detoxification treatment in psychiatric care.

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DO - 10.1016/j.addbeh.2010.03.002

M3 - Journal articles

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AN - SCOPUS:77952891273

SN - 0306-4603

VL - 35

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JO - Addictive Behaviors

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ER -

Alcohol dependent inpatients who receive general hospital care vs. detoxification in psychiatric care and alcohol problem 1 year later

Abstract

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