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  1. Psychiatric co-morbidity and aftercare among alcoholics : a prospective study of a nationwide representative sample.

    Article - En anglais

    Aims

    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.

    Design

    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.

    Measurements

    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.

    Findings

    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.

    Conclusions

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0251388

    Code Inist : 002B18I15. Création : 11/09/1998.