Psychological distress in alcohol-dependent patients. Evaluating inpatient treatment with the symptom checklist (SCL-90-R).
The aim of this study was to evaluate the change of psychological distress measured by the symptom checklist in alcohol dependent inpatients during treatment and at follow-up. In addition, psychological distress as a predictive variable for abstinence or relapse during a 1-year follow-up was investigated. In a sample of 314 alcohol-dependent inpatients, we found a statistically significant reduction of psychological distress during therapy. Comparison of patients within 1-year follow-up showed a significant reduction of psychological distress only for the later abstinent subgroup. Later abstinent patients were significantly less distressed at the end of therapy and at follow-up. Logistic regression indicated that a higher Global Severity Index (GSI) of psychological distress at the end of therapy increases the relapse risk.
Klinik Schweriner See, Luebstorf, Germany. wsander@ahg.de
Wiebke
W
Sander
Michaela
M
Jux
D000328:Adult; D000342:Affective Symptoms / Q000523:psychology* / Q000534:rehabilitation; D000437:Alcoholism / Q000523:psychology* / Q000534:rehabilitation; D015928:Cognitive Behavioral Therapy; D000431:Ethanol / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011379:Prognosis; D011594:Psychometrics; D011615:Psychotherapy, Group; D012008:Recurrence; D016320:Substance Abuse Treatment Centers; D013375:Substance Withdrawal Syndrome / Q000523:psychology*; D013695:Temperance / Q000523:psychology; D016896:Treatment Outcome
D000431:Ethanol