Is There a Need for Congruent Treatment Goals Between Alcohol-Dependent Patients and Caregivers?

• BackgroundAlcohol-dependent patients have different treatment goals when entering treatment. Furthermore, different treatment settings advocate different treatment goals. Earlier studies have pointed out that treatment goal is important for treatment outcome, both in the treatment setting as well as in the patients themselves. However, to our knowledge, no study has so far investigated the interaction between patient's goal and the goal of the treatment setting. The aim of the study was therefore to study the interaction between these 2 factors on treatment outcome. MethodsPatients' (n=201) goals from 2 treatment settingsone that had an abstinence-oriented goal and one with a low-risk drinking goalwere investigated. The patients were followed up 2.5years after treatment entry and effectiveness of congruent treatment goals on treatment outcome was investigated. ResultsThere was no significant association between congruent goals and treatment outcomes (p=0.060). However, when comparing the effectiveness of congruent treatment goal between the 2 treatment settings, the abstinence-oriented treatment setting was significantly more effective (p<0.01). ConclusionsThe major finding was that there appeared to be no association between congruence itself and treatment outcome. On the other hand, we found that the treatment outcome was more successful if the patient as well as the treatment setting had abstinence as a goal (i.e., congruent goals of abstinence).

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Beroendelära (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Substance Abuse (hsv//eng)

SAMHÄLLSVETENSKAP  -- Psykologi (hsv//swe)

SOCIAL SCIENCES  -- Psychology (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Nyckelord

Congruent Drinking Goals

Treatment Settings

Alcohol-Dependent Patients

Abstinence

Low-Risk

drinking goal

initial preference

united-states

individuals

health

abstinence

reduction

relapse

risk

Substance Abuse

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)