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Predictors of deterioration among patients with substance‐use disorders
Author(s) -
Moos Rudolf H.,
Moos Bernice S.,
Finney John W.
Publication year - 2001
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.1105
Subject(s) - psychiatry , substance use , personality disorders , psychology , antisocial personality disorder , personality , mental health , clinical psychology , medicine , poison control , injury prevention , emergency medicine , social psychology
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. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 1403–1419, 2001.