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A randomized study of long-term out-patient treatment in alcoholics : Psychiatric treatment versus multimodal behavioural therapy, during 1 versus 2 years of treatment

Öjehagen, A. LU ; Berglund, M. LU ; Appel, C. P. ; Andersson, K. ; Nilsson, B. ; Skjaerris, A. and Wedlin-Toftenow, A. M. (1992) In Alcohol and Alcoholism 27(6). p.649-658
Abstract

Seventy-two alcoholic patients (60 men and 12 women) were randomized into four groups who received psychiatric treatment (PT) or multimodal behavioural therapy (MBT), for either 1 or 2 years. PT was based on psychodynamic principles, and MBT is a cognitive-behavioural treatment. The patients accepting treatment had a mean age of 37 ± 9 years, and they were socially stable. There was no difference in attrition rate (35%) in relation to therapy and length of treatment. The rate of favourable drinking outcome during the third year was similar in all four alternatives, at 40-44%. A favourable drinking outcome was predicted by a better initial psychic status and few psychiatric symptoms at intake. In PT patients a favourable outcome was more... (More)

Seventy-two alcoholic patients (60 men and 12 women) were randomized into four groups who received psychiatric treatment (PT) or multimodal behavioural therapy (MBT), for either 1 or 2 years. PT was based on psychodynamic principles, and MBT is a cognitive-behavioural treatment. The patients accepting treatment had a mean age of 37 ± 9 years, and they were socially stable. There was no difference in attrition rate (35%) in relation to therapy and length of treatment. The rate of favourable drinking outcome during the third year was similar in all four alternatives, at 40-44%. A favourable drinking outcome was predicted by a better initial psychic status and few psychiatric symptoms at intake. In PT patients a favourable outcome was more strongly related to a better psychic status than in MBT patients (P = 0.58). The mean number of sessions, 23, did not differ in relation to outcome. The main conclusion from this study is that there were only small and inconclusive differences between the therapies of different types and different duration.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Alcohol and Alcoholism
volume
27
issue
6
pages
649 - 658
publisher
Oxford University Press
external identifiers
  • pmid:1292438
  • scopus:0027057455
ISSN
0735-0414
DOI
10.1093/oxfordjournals.alcalc.a045316
language
English
LU publication?
yes
id
a6979a1b-40f8-43a7-9700-005c2196d289
date added to LUP
2020-12-28 12:05:16
date last changed
2024-01-03 02:23:01
@article{a6979a1b-40f8-43a7-9700-005c2196d289,
  abstract     = {{<p>Seventy-two alcoholic patients (60 men and 12 women) were randomized into four groups who received psychiatric treatment (PT) or multimodal behavioural therapy (MBT), for either 1 or 2 years. PT was based on psychodynamic principles, and MBT is a cognitive-behavioural treatment. The patients accepting treatment had a mean age of 37 ± 9 years, and they were socially stable. There was no difference in attrition rate (35%) in relation to therapy and length of treatment. The rate of favourable drinking outcome during the third year was similar in all four alternatives, at 40-44%. A favourable drinking outcome was predicted by a better initial psychic status and few psychiatric symptoms at intake. In PT patients a favourable outcome was more strongly related to a better psychic status than in MBT patients (P = 0.58). The mean number of sessions, 23, did not differ in relation to outcome. The main conclusion from this study is that there were only small and inconclusive differences between the therapies of different types and different duration.</p>}},
  author       = {{Öjehagen, A. and Berglund, M. and Appel, C. P. and Andersson, K. and Nilsson, B. and Skjaerris, A. and Wedlin-Toftenow, A. M.}},
  issn         = {{0735-0414}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{649--658}},
  publisher    = {{Oxford University Press}},
  series       = {{Alcohol and Alcoholism}},
  title        = {{A randomized study of long-term out-patient treatment in alcoholics : Psychiatric treatment versus multimodal behavioural therapy, during 1 versus 2 years of treatment}},
  url          = {{http://dx.doi.org/10.1093/oxfordjournals.alcalc.a045316}},
  doi          = {{10.1093/oxfordjournals.alcalc.a045316}},
  volume       = {{27}},
  year         = {{1992}},
}