Psychiatric co-morbidity and aftercare among alcoholics : a prospective study of a nationwide representative sample.
To study prospectively the type and extent of aftercare sought by patients following their admission for alcohol and other substance abuse treatment as a function of psychiatric co-morbidity.
Prospective cohort study with follow-up after 16 months.
Setting and participants
A nationwide sample of alcoholics discharged from inpatient treatment (N=351) in Iceland.
The Diagnostic Interview Schedule was used to assign psychiatric diagnoses at the time of index admission.
A questionnaire on the type and number of aftercare attendances was mailed to all participants to obtain information about aftercare.
A combination of attendance at Alcoholics Anonymous (AA) and professional care was the most common aftercare (49%) ; while only 8% received no aftercare whatsoever.
The mean number of AA attendances was over 24 while it was less than 3 for the various professional appointments.
Patients with a diagnosis of schizophrenia had a lower rate of attendance at AA.
Other types of co-morbidity did not affect AA attendance but did increase rates of professional help-seeking.
Better professional treatment attendance might be gained by integrating AA concepts while AA might benefit from professional input to address the prevalent co-morbid psychiatric disorders.
Mots-clés Pascal : Alcoolisme, Traitement, Evolution, Association morbide, Trouble psychiatrique, Postcure, Alcoolique anonyme, Epidémiologie, Islande, Iles Atlantiques, Santé mentale, Homme, Sevrage toxique
Mots-clés Pascal anglais : Alcoholism, Treatment, Evolution, Concomitant disease, Mental disorder, Postcure, Alcoholics anonymous, Epidemiology, Iceland, Atlantic Ocean Islands, Mental health, Human, Detoxification
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0251388
Code Inist : 002B18I15. Création : 11/09/1998.