Secondary outcomes: Group and individual change and relationships to drinking outcomes

Abstract

This article describes pre to posttreatment changes in secondary outcome domains, and examines the relationships between drinking outcomes and secondary outcomes, in a Swedish treatment sample. Structured interviews, including the Addiction Severity Index (ASI) Composite Scores, were performed on admission (n ¼ 244), and after 12 months (n ¼ 188, 77%). Significant problem reductions were observed for all domains except for the employment and medical domains. Posttreatment abstainers did not show greater improvement in secondary domains than did those who were in remission, and correlations between primary and secondary ASI domains, were generally low at baseline and follow-up. At the same time, those who met criteria for alcohol dependence during the follow-up year, reported significantly poorer secondary outcomes than did those with favorable drinking outcomes. Findings suggest that in the study sample, continuous abstinence did not automatically lead to better psychosocial adjustment, but that continued alcohol dependent drinking was associated with deterioration in secondary outcome domains.

Clinical and Reliable Change in an Australian Residential Substance Use Program Using the Addiction Severity Index

“…Similar results were obtained by Bodin and Romelsjo (2007), who used the RCI to demonstrate reductions in problem severity across five of the seven ASI domains. Of the 188 alcohol abusers in the study, 70.7% of clients who indicated alcohol problem severity in a range that would allow for reliable improvement were found to make such improvement.…”

“…The measure consists of structured interview questions assessing client functioning across seven domains (e.g., drug, alcohol, psychiatric). While the ASI is widely used, we found no longitudinal analyses of residential AOD treatment clients that assessed clinical and reliable change on ASI composite scores, though some have used the reliable change index alone (Bodin & Romelsjo, 2007;Lopez-Goni et al, 2010). Lopez-Goni et al (2010) investigated change in 112 drug abusers who remained in a Spanish inpatient community for the duration of a 12-month rehabilitation program and assessed the extent to which reliable change was demonstrated by the participants.…”

“…The Addiction Severity Index (ASI), version 5 , was administered to all participants within fourteen days of their admission to one of the agency's participating residential centres. The ASI is one of the most widely utilised substance abuse assessment tools in the world (Bodin & Romelsjo, 2007;McLellan et al, 2006;. It is a semi-structured interview that explores seven domains of functioning: medical history and status, employment, alcohol and other drug use and history, legal issues, family and social relationships, and psychiatric history and status.…”

Differences between Alcoholics and Cocaine Addicts Seeking Treatment

“…Inattention to these aspects of life (family, social, occupational, medical, etc.) could decisively influence the recovery of these patients and increase their relapse rates (Bodin & Romelsjo, 2007;Echeburúa, de Medina, & Aizpiri, 2008; during the leisure period on the weekend. In both cases, situational elements appear more important than personality dimensions or psychopathological characteristics in establishing the type of treatment that could be more adequate for drug-addicted patients.…”

Diferencias en variables de personalidad en sujetos adictos a drogas con y sin conductas violentas contra la pareja [Differences in personality variables in drug-addicted patients with and without intimate partner violence]

“…Se trata de una población en la que se puede hablar de agresor sólo en casos concretos, ya que la mayoría de situaciones de violencia contra la pareja está asociada específicamente a episodios de consumo de drogas, o aparece como resultado de una relación problemática en el contexto de una situación personal bastante desestructurada. Esto encaja con el perfil de los pacientes toxicómanos, caracterizados por ser personas que presentan una gran desestructuración personal, así como en distintas áre-as de su vida (Bodin y Romelsjo, 2007;López-Goñi et al, 2010;López-Goñi et al, 2011), especialmente en la relación de pareja.…”