Factors affecting the short-term prognosis of alcohol dependent patients undergoing inpatient detoxification
Stable measures of psychological functioning require a considerable period of abstinence. However, the duration of inpatient detoxification programs has decreased dramatically in most health care systems, posing a novel challenge for clinical evaluation of patients. The present study was carried out...
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| Published in | Substance abuse Vol. 22; no. 4; pp. 235 - 245 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Los Angeles, CA
Taylor & Francis Group
01.12.2001
SAGE Publications |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Stable measures of psychological functioning require a considerable period of abstinence. However, the duration of inpatient detoxification programs has decreased dramatically in most health care systems, posing a novel challenge for clinical evaluation of patients. The present study was carried out to examine whether factors predicting short-term prognosis can be identified in alcohol dependent subjects during early stages of inpatient detoxification. Self-reports of mood states were obtained, and executive cognitive functioning was examined. Outcome was studied at 2-3 months. No correlation was found between self-reported symptoms of depression, hopelessness, and anxiety, and percentage of nondrinking days. A significant positive correlation was found between Wisconsin Card Sorting Test (WCST) performance and short-term prognosis measured by this parameter. Thus, in addition to transient withdrawal-related effects, impairments of WCST performance in early stages of alcohol detoxification may reflect more long standing deficits in problem-solving strategies, of possible relevance for matching patients to treatment services. |
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| AbstractList | Stable measures of psychological functioning require a considerable period of abstinence. However, the duration of inpatient detoxification programs has decreased dramatically in most health care systems, posing a novel challenge for clinical evaluation of patients. The present study was carried out to examine whether factors predicting short-term prognosis can be identified in alcohol dependent subjects during early stages of inpatient detoxification. Self-reports of mood states were obtained, and executive cognitive functioning was examined. Outcome was studied at 2-3 months. No correlation was found between self-reported symptoms of depression, hopelessness, and anxiety, and percentage of nondrinking days. A significant positive correlation was found between Wisconsin Card Sorting Test (WCST) performance and short-term prognosis measured by this parameter. Thus, in addition to transient withdrawal-related effects, impairments of WCST performance in early stages of alcohol detoxification may reflect more long standing deficits in problem-solving strategies, of possible relevance for matching patients to treatment services. |
| Author | Heilig, M. Hammar, J. Wisén, O. Wicks, S. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12466683$$D View this record in MEDLINE/PubMed |
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| References | Lezak 1982; 17 Parsons, Nixon 1993; 11 Berg 1948; 39 Beck, Ward, Mendelson, Mock, Erbaugh 1961; 4 Sellman, Joyce 1996; 30 Glenn, Parsons 1991; 26 Willoughby, Edens 1996; 8 Abbruzzese, Ferri, Scarone 1995; 58 Regier, Framer, Rae, Locke, Keith, Judd, Goodwin 1990; 264 Bates 1997; 58 Weinstein, Shaffer 1993; 30 O'Mahony, Doherty 1996; 35 Caster, Parsons 1977; 38 Eckardt, Rawlings, Graubard, Faden, Martin, Gottschalk 1988; 12 Zihl, Grön, Brunnauer 1998; 97 Anderson, Damasio, Jones, Trust 1991; 13 Allen, Goldstein, Seaton 1997; 7 Sheehan 1993; 64 Ross, Glaser, Germanson 1988; 45 Grant, Berg 1948; 41 Berglund, Bergman, Swenelius 1986; 83 Beck, Brown, Steer 1989; 57 Parsons, Schaeffer, Glenn 1990; 15 Smith, McGrady 1991; 16 Davidson 1995; 166 Tollefson 1991; 159 Isenhart 1997; 58 Beck, Epstein, Brown, Steer 1988; 56 Brown, Schuckit 1988; 49 Mountain, Snow 1993; 7 Rollnick, Heather, Gold, Hall 1992; 87 Axelrod, Goldman, Seaton, Curtis, Thompson, Chelune, Kay 1996; 18 Berglund, Bergman, Swenelius 1988; 23 Berglund M (bibr17-08897070109511465) 1986; 83 bibr24-08897070109511465 bibr34-08897070109511465 bibr37-08897070109511465 bibr4-08897070109511465 bibr21-08897070109511465 bibr9-08897070109511465 Luria AR (bibr14-08897070109511465) 1973 bibr31-08897070109511465 bibr41-08897070109511465 bibr1-08897070109511465 bibr11-08897070109511465 bibr29-08897070109511465 bibr16-08897070109511465 bibr19-08897070109511465 Sobell LC (bibr28-08897070109511465) 1996 bibr7-08897070109511465 bibr6-08897070109511465 bibr3-08897070109511465 Shallice T (bibr15-08897070109511465) 1982 Berglund M (bibr18-08897070109511465) 1988; 23 Parsons OA (bibr33-08897070109511465) 1993; 11 bibr20-08897070109511465 bibr10-08897070109511465 bibr40-08897070109511465 bibr30-08897070109511465 bibr23-08897070109511465 Heaton KR (bibr27-08897070109511465) 1993 Parsons OA (bibr13-08897070109511465) 1993 bibr26-08897070109511465 bibr36-08897070109511465 bibr39-08897070109511465 bibr22-08897070109511465 bibr2-08897070109511465 bibr38-08897070109511465 bibr12-08897070109511465 Marlatt AA (bibr32-08897070109511465) 1985 bibr5-08897070109511465 bibr8-08897070109511465 bibr35-08897070109511465 bibr25-08897070109511465 |
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| Title | Factors affecting the short-term prognosis of alcohol dependent patients undergoing inpatient detoxification |
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