title: Predicting Inpatient Detoxification Outcome of Alcohol and Drug Dependent Patients: The Influence of Sociodemographic Environment, Motivation, Impulsivity, and Medical Comorbidities.
abstract: Aims. This prospective study aims to identify patient characteristics as predictors for treatment outcome during inpatient detoxification treatment for drug and alcohol dependent patients.Methods. A mixed gender sample of 832 consecutively admitted drug and alcohol dependent patients were interviewed by an experienced physician. The impact of a variety of factors concerning social environment, therapy motivation, impulsivity related variables, medical history, and addiction severity on treatment outcome was examined.Results. 525 (63.1%) of the patients completed detoxification treatment whereas 307 (36.9%) dropped out prematurely. Being female, living in a partnership, having children, being employed, and having good education were predictive for a positive outcome. Family, health, the fear of losing the job, prosecution, and emergency admission were significant motivational predictors for treatment outcome. Being younger, history of imprisonment, and the number of previous drop-outs were predictive for a negative outcome.Conclusions. Variables concerning social environment and the number of previous drop-outs have been identified as best predictors for treatment outcome. Socially stable patients benefit from the current treatment setting and treatment shall be adapted for patients with negative predictors. Treatment may consequently be tailored with respect to intervention type, duration, and intensity to improve the outcome for those patients that fulfil criteria with negative impact on treatment retention.
authors.affiliation: Jewish Hospital Berlin, Clinic for Psychiatry and Psychotherapy, Heinz-Galinski-Str. 1, 13347 Berlin, Germany.
authors.forename: Yvonne
authors.identifier: 0000-0002-4972-0979
authors.initials: Y
authors.lastname: Sofin
authors.affiliation: Competence Center for Sleep Medicine, Charité-School of Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.
authors.forename: Heidi
authors.initials: H
authors.lastname: Danker-Hopfe
authors.affiliation: Charité-School of Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.
authors.forename: Tina
authors.initials: T
authors.lastname: Gooren
authors.affiliation: Jewish Hospital Berlin, Clinic for Psychiatry and Psychotherapy, Heinz-Galinski-Str. 1, 13347 Berlin, Germany; Charité-School of Medicine, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.
authors.forename: Peter
authors.identifier: 0000-0002-6616-6594
authors.initials: P
authors.lastname: Neu