A study on how basic psychotherapy training is perceived by Swedish physicians in psychiatry
In: Reflective practice, Band 20, Heft 4, S. 417-422
ISSN: 1470-1103
16 Ergebnisse
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In: Reflective practice, Band 20, Heft 4, S. 417-422
ISSN: 1470-1103
In: Alcoholism treatment quarterly: the practitioner's quarterly for individual, group, and family therapy, Band 33, Heft 1, S. 105-117
ISSN: 1544-4538
In: Child abuse & neglect: the international journal ; official journal of the International Society for the Prevention of Child Abuse and Neglect, Band 75, S. 41-49
ISSN: 1873-7757
In: Child abuse & neglect: the international journal ; official journal of the International Society for the Prevention of Child Abuse and Neglect, Band 67, S. 249-259
ISSN: 1873-7757
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 54, Heft 6, S. 668-668
ISSN: 1464-3502
In: European addiction research, Band 24, Heft 6, S. 278-285
ISSN: 1421-9891
It is unclear whether exposure to childhood maltreatment is associated with the age of onset of alcohol use disorder (AUD). A group of socially stable women with AUD seeking treatment (<i>n</i> = 75) were interviewed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview. They also filled out the Childhood Trauma Questionnaire-short form. Emotional abuse, sexual abuse and multiple childhood traumas were found to be associated with earlier onset of AUD. Multivariable linear regression analysis showed that independent predictors for an earlier onset of AUD were exposure to emotional abuse (beta = –7.44, SE = 2.83, adjusted <i>p</i> = 0.010) and mother's alcohol/substance problems (beta = –7.87, SE = 3.45, adjusted <i>p</i> = 0.026). These variables explained 18.9% of the variance of age of onset of AUD. These findings highlight a need for increased clinical attention to AUD subgroups who have experienced childhood maltreatment, especially emotional abuse, as well as a need for including support in the patient's own parental role in the treatment.
In: Alcoholism treatment quarterly: the practitioner's quarterly for individual, group, and family therapy, Band 36, Heft 3, S. 387-398
ISSN: 1544-4538
In: Alcoholism treatment quarterly: the practitioner's quarterly for individual, group, and family therapy, Band 34, Heft 3, S. 329-336
ISSN: 1544-4538
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 41, Heft 2, S. 200-204
ISSN: 1464-3502
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 53, Heft 3, S. 216-220
ISSN: 1464-3502
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 54, Heft 4, S. 439-445
ISSN: 1464-3502
Abstract
Aims
To evaluate the long-term treatment outcome (up to 5 years) with respect to different drinking goals of patients.
Methods
Alcohol-dependent individuals (n = 349) were recruited from three alcohol treatment units. They were interviewed using the Addiction Severity Index (ASI). They were sub-grouped according to their goal at treatment entry: abstinence, low- risk drinking and no decided goal.
Results
Patients with abstinence as a goal at treatment entry reported at 2.5 years follow-up a higher abstinence rate, a more pronounced reduction in alcohol consumption, reduction in total number of DSM-IV criteria, higher frequency of low-risk drinking and fewer diagnoses of alcohol dependence compared to the groups who had low risk drinking as a goal or no decided goal. This improvement remained basically unchanged in all three groups at 5 years follow-up, suggesting long-term stability after the treatment interventions
Conclusions
The findings suggest that: (1) alcohol-dependent patients who have abstinence as their own drinking goal have a more favorable treatment outcome than those who have low-risk drinking as a goal or no decided goal. (2) Abstinence as a drinking goal should be considered for those who have a longer duration (for example more than 10 years) of their alcohol-related problems. (3) Patients who have no decided goal should be recommended abstinence as a drinking goal.
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 52, Heft 4, S. 477-482
ISSN: 1464-3502
In: Alcoholism treatment quarterly: the practitioner's quarterly for individual, group, and family therapy, Band 35, Heft 4, S. 328-343
ISSN: 1544-4538
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 41, Heft 5, S. 479-485
ISSN: 1464-3502
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 55, Heft 2, S. 187-195
ISSN: 1464-3502
Abstract
Aims
Community Reinforcement Approach and Family Training (CRAFT) is a support program for concerned significant others (CSOs) to identified persons (IPs) with alcohol use disorders, with the purpose of engaging IPs to treatment and to improve CSO functioning. The purpose of the present study was to investigate the efficacy of an internet-based version of CRAFT (iCRAFT).
Methods
Randomized controlled trial comparing iCRAFT with a wait-list (WL) condition with a nation-wide uptake in Sweden. A total of 94 CSOs to a treatment refusing IP, who described the IP according to DSM-IV criteria for alcohol dependence or abuse, were included in the study. iCRAFT consisted of five weekly administered therapist-guided modules with the following content: (a) improve CSOs' own mental health, (b) improve the CSOs skills in asking the IP to seek treatment, (c) positive communication skills training, (d) contingency management of IP drinking behavior. Main outcome measure was IPs initiative to seek treatment measured at 24 weeks. Secondary outcomes were IP's daily alcohol consumption, CSOs mental health, quality of life and relational satisfaction.
Results
Of 94 participants, 15 CSOs reported IP treatment initiative during the study period. Of these, 10 belonged to the iCRAFT condition and five to the WL condition. The difference between conditions was nonsignificant, and the results were inconclusive. Participants in iCRAFT showed short-term improvements regarding depressive symptoms, quality of life and relational happiness.
Conclusion
This study was unable to demonstrate substantial changes in the iCRAFT program regarding IP treatment seeking or CSO mental health.