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J Clin Psychol. 2001 Dec;57(12):1403-19.

Predictors of deterioration among patients with substance-use disorders.

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Center for Health Care Evaluation. VA Health Care System, Department of Veterans Affairs and Stanford University School of Medicine, Palo Alto, CA 94304, USA.


The purpose of this study was to identify patients with substance-use disorders who deteriorate during treatment, and to examine baseline predictors of deterioration. Three groups of 872 patients each, matched on number of problems at baseline, were selected from a larger sample based on their treatment outcome (improved, nonresponsive, deteriorated). Deterioration was predicted by younger age and African-American race; four aspects of patients' history (psychiatric symptoms, arrests, prior drug treatment, and recent inpatient or residential care); and having no close friends. Patients who had both an alcohol and a drug diagnosis, a personality-disorder diagnosis, and those who had a shorter episode of care and fewer outpatient-mental-health visits, also were more likely to deteriorate.

[Indexed for MEDLINE]

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