Postdetoxification Factors Predicting Alcohol‐Related Emergency Room Visits 12 to 24 Months After Discharge: Results from a Prospective Study of Patients with Alcohol Dependence

Constant, Aymery; Gruyer, Antonia Le; Lan, Caroline Le; Riou, Françoise; Moirand, Romain

doi:10.1111/acer.12753

Cited by 5 publications

(7 citation statements)

References 47 publications

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“…In the current study, rates of outpatient addiction treatment following inpatient detoxification were about the same as those for another detoxification at 3-month follow-up (24% and 35% of ETM and UC patients, respectively) and 6-month follow-up (30% and 35%, respectively). Previous studies have also documented that even when patients successfully complete detoxification, relatively few engage in abstinence-oriented outpatient treatment (Davison et al, 2006), possibly precipitating high rates of emergency department visits (Constant, Le Gruyer, Le Lan, Riou, & Moirand, 2015). In contrast, in our study, higher proportions of patients attended 12-step groups during the 3-month (72% and 66%) and 6-month (53% and 64%) follow-up periods.…”

Section: Discussioncontrasting

confidence: 73%

Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3- and 6-month outcomes

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Vittorio

et al. 2019

Journal of Substance Abuse Treatment

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Telehealth interventions have the potential to deter repeated detoxification episodes and improve outcomes. Using a sample of 298 detoxification inpatients, this randomized controlled trial compared Enhanced Telephone Monitoring (ETM) to usual care (UC) on the primary outcome of reducing subsequent detoxification, and secondary outcomes of linking patients to addiction treatment and mutual-help, and patients' experience of improved substance use and mental health outcomes. At the 3-month follow-up (i.e., at the end of the ETM intervention), compared to UC patients, ETM patients were significantly less likely to have received additional inpatient detoxification, but no more likely to have participated in 12-step groups or received outpatient addiction treatment. Even so, ETM patients had better alcohol, drug, and mental health outcomes. In contrast, at the 6-month follow-up, patients in ETM and UC generally did not differ on primary or secondary outcomes. Findings suggest that ETM deters additional detoxification episodes while the intervention is ongoing, but not after the intervention ends. Because telephone monitoring is low-intensity and low-cost, its extension over time may help reduce repeated detoxifications.

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Section: Discussioncontrasting

confidence: 73%

Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3- and 6-month outcomes

Timko

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Vittorio

et al. 2019

Journal of Substance Abuse Treatment

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“…They reported mental and physical functioning below average, since alcohol dependence includes the impairment of functional status, activity limitations, and restrictions in social interactions (Levola et al, 2014;Vancampfort et al, 2015). And more than half of them relapsed one month after discharge (Constant et al, 2015). But overall, they reported low levels of alcohol urges and psychological distress, although these symptoms tend to be more prevalent in people with alcohol dependence (Constant et al, 2015), and 4 in 10 were sober for more than a week before admission to the 7-day detoxification program.…”

Section: Discussionmentioning

confidence: 99%

“…And more than half of them relapsed one month after discharge (Constant et al, 2015). But overall, they reported low levels of alcohol urges and psychological distress, although these symptoms tend to be more prevalent in people with alcohol dependence (Constant et al, 2015), and 4 in 10 were sober for more than a week before admission to the 7-day detoxification program. This probably reflects the particular situation of patients in detoxification programs, where mental health and withdrawal symptoms are carefully monitored and managed (Constant et al, 2019;Giorgi et al, 2015;Sander and Jux, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Our participants were representative of patients hospitalized for alcohol issues, whose characteristics have been investigated (Constant et al, 2015;Constant et al, 2017;Constant et al, 2019). They reported mental and physical functioning below average, since alcohol dependence includes the impairment of functional status, activity limitations, and restrictions in social interactions (Levola et al, 2014;Vancampfort et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

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French Validation of the Alcohol Urge Questionnaire: Psychometric Properties and Relationship with Alcohol Dependence and Drinking Behavior

Constant

Sanz

Auffret

et al. 2020

Alcohol and Alcoholism

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Aim To validate a French translation of the Alcohol Urge Questionnaire (AUQ) that measures craving in patients with alcohol dependence. Method All patients aged > 18 years who were hospitalized for alcohol detoxification from February to May 2019 in the alcohol unit of the Rennes university hospital were eligible. A back-translated version of the AUQ was completed at admission. Patients were interviewed at the end of the 7-day detoxification program by a trained addiction psychiatrist (MS), using tablet computed-based questionnaires assessing state craving (visual analog scale), alcohol dependence severity, drinking behavior, psychological distress and physical/mental health. The same investigator assessed relapse 1 month after discharge. Results A total of 80 inpatients were recruited and completed questionnaires. The single factor structure of the French version of the AUQ was similar to the original questionnaire, and was supported by strong internal reliability and item-scale validity. The AUQ score correlated highly acute craving measure, but moderately scales assessing the severity of alcohol dependence, drinking behavior and mental health. Relapse 1 month after discharge was significantly related to AUQ score assessed either at baseline, or with better estimate at the end of the 7-day detoxification period. Conclusion The French version of the AUQ provides a reliable measure of phasic craving, which is best described as a context-dependent single-factor variable, related to but distinct from tonic craving, dependence severity and drinking behavior. The ease of administration makes the AUQ a useful tool for French-speaking patients with alcohol dependence.

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“…And, while depressive symptoms were significantly higher in patients with AC as compared to controls, they remained below the cut-off value. This probably reflects the particular situation of patients in detoxification programs, where mental health and withdrawal symptoms are carefully monitored and managed (Giorgi et al, 2015; Sander and Jux, 2006), albeit relapse is still possible afterwards (Constant et al, 2015). When it comes to active lifestyle, patients with AC were less likely to be employed (Storbjörk and Room, 2008) and to practice vigorous activity, but matched controls otherwise.…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms are related to boredom proneness in patients receiving hospital care, regardless of alcohol status, lifestyle, or social support

et al. 2019

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We examined the relationship between boredom proneness and psychological distress in patients receiving hospital care due either to excessive alcohol consumption or to gastrointestinal diseases. Sociodemographic data were collected together with boredom proneness subscales (internal/external lack of stimulation), psychological distress, physical activity, and social support. Boredom proneness due to a lack of external stimulation seemed to constitute a prominent personality trait in patients with alcohol consumption. But depressive symptoms were related only to boredom proneness due to a lack of internal stimulation in all patients, regardless of alcohol status, lifestyle, or social support. Potential implications for practice and future research are discussed.

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Postdetoxification Factors Predicting Alcohol‐Related Emergency Room Visits 12 to 24 Months After Discharge: Results from a Prospective Study of Patients with Alcohol Dependence

Cited by 5 publications

References 47 publications

Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3- and 6-month outcomes

Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3- and 6-month outcomes

French Validation of the Alcohol Urge Questionnaire: Psychometric Properties and Relationship with Alcohol Dependence and Drinking Behavior

Depressive symptoms are related to boredom proneness in patients receiving hospital care, regardless of alcohol status, lifestyle, or social support

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