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J Stud Alcohol Drugs. 2014 Nov;75(6):993-8.

Treatment outcome of alcohol use disorder outpatients with or without medically assisted detoxification.

Author information

1
Department of Psychiatry, Amsterdam Institute for Addiction Research, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands, Jellinek Substance Abuse Treatment Center, Amsterdam, the Netherlands.
2
Department of Psychiatry, Amsterdam Institute for Addiction Research, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
3
Jellinek Substance Abuse Treatment Center, Amsterdam, the Netherlands.

Abstract

OBJECTIVE:

Little is known about the incremental effects of medically assisted detoxification on outpatient treatment for alcohol use disorders. The objective of this study was to compare drinking outcomes in a psychosocial treatment program between two groups of heavy drinking patients who had an alcohol use disorder: (a) one group with initial medically assisted detoxification and (b) a second group without initial medically assisted detoxification.

METHOD:

Analyses were conducted on 262 patients with a more severe alcohol use disorder who completed both an intake assessment and a 9-month follow-up assessment. The effect of medically assisted detoxification was determined using logistic regression analysis with a propensity score to control for possible baseline differences between the two groups.

RESULTS:

Of the 262 patients, 82 (31.3%) received medically assisted detoxification. These patients were more likely to abstain from alcohol than those without medically assisted detoxification. Abstinence rates in the month before follow-up were 32.9% and 18.9%, respectively (ORadj = 3.48, p = .01, number needed to treat = 7.1).

CONCLUSIONS:

Medically assisted detoxification may add to the effects of outpatient psychosocial treatment for heavy drinking patients with an alcohol use disorder.

PMID:
25343657
DOI:
10.15288/jsad.2014.75.993
[Indexed for MEDLINE]

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