title: Predictors of engagement in the Alcoholics Anonymous group or to psychotherapy among Brazilian alcoholics : a six-month follow-up study.
abstract: OBJECTIVE
  To ascertain factors associated with engagement of patients with alcohol dependence in Alcoholics Anonymous (AA) groups and psychotherapy.
  
  
  METHODS
  About 300 hospitalized alcoholics were interviewed at hospitalization and again 3 and 6 months thereafter. Assessment included the administration of standardized instruments. Determinants of engagement in both interventions were assessed through logistic regression analysis.
  
  
  RESULTS
  Higher educational level was predictive of engagement in AA after 6 months (OR = 2.19; CI 1.08-4.41). Engagement in psychotherapy after 6 months was related to having a university degree (OR = 3.60; CI 1.6-7.9), to a co-morbid depressive disorder (OR = 3.47; CI 1.8-6.5), to the use of other drugs together with alcohol (OR = 3.08; CI 1.5-6.19), to previous treatment (OR = 2.87; CI 1.29-6.40), and to having a high school degree (OR = 2.44; CI 1.24-4.80). The presence of substance-induced anxiety disorder was associated with non-engagement in psychotherapy (OR = 0.27; CI 0.63-0.003).
  
  
  CONCLUSIONS
  The identification of predictors of engagement is important to guide clinicians in the choice of the treatment strategies that are more likely to be successful.
authors.affiliation: Department of Psychiatry and Forensic Medicine, Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, R. Sarmento Leite, 245 Centro, Porto Alegre, RS, CEP 90050-170, Brazil. mabarte@portoweb.com.br
authors.forename: Mauro Barbosa
authors.initials: MB
authors.lastname: Terra
authors.forename: Helena Maria Tannhauser
authors.initials: HM
authors.lastname: Barros
authors.forename: Airton Tetelbom
authors.initials: AT
authors.lastname: Stein
authors.forename: Ivan
authors.initials: I
authors.lastname: Figueira
authors.forename: Luciana Dias
authors.initials: LD
authors.lastname: Athayde
authors.forename: Luiz Henrique
authors.initials: LH
authors.lastname: Palermo
authors.forename: Letícia Piccoli
authors.initials: LP
authors.lastname: Tergolina
authors.forename: Joana Stela
authors.initials: JS
authors.lastname: Rovani
authors.forename: Dartiu Xavier
authors.initials: DX
authors.lastname: da Silveira
mesh_terms: D000328:Adult; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D001938:Brazil / Q000453:epidemiology; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012920:Social Behavior Disorders / Q000150:complications / Q000523:psychology; D012959:Socioeconomic Factors