Jornal Brasileiro de Psiquiatria (Jan 2008)

Fatores associados à adesão a um programa de tratamento de alcoolistas Factors associated with adherence in a alcoholic program

  • Mário Sérgio Ribeiro,
  • Luiz Cláudio Ribeiro,
  • Marcondes Antunes Garcia,
  • Grazielle Fialho de Souza,
  • Karolina Danielle Carvalho de Sousa,
  • Rachel Bueno Nogueira

DOI
https://doi.org/10.1590/S0047-20852008000300008
Journal volume & issue
Vol. 57, no. 3
pp. 203 – 211

Abstract

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OBJETIVO: A medida da adesão tem sido considerada alternativa objetiva e versátil para avaliação do resultado do tratamento de alcoolistas. Este estudo avaliou fatores associados à adesão de alcoolistas atendidos em um programa ambulatorial. MÉTODO: Foram estudados 300 alcoolistas que concluíram a fase de avaliação do programa e avaliada a associação da adesão dos pacientes ao tratamento a todas as mais de mil variáveis do banco de dados do programa, utilizando o teste qui-quadrado de Pearson (p OBJECTIVE: The evaluation of adherence to treatment has been considered an objective and versatile alternative to alcoholism treatment result assessment. The purpose of this study is to identify factors associated with adherence to an outpatient alcoholism treatment program. METHOD: This study included 300 alcoholic patients that concluded the program assessment stage. Crosstabs were performed to verify the association of adherence to treatment on all other (more than 1,000) variables in the data bank. Statistical significance was given by Pearson's Qui-square test (p < 0.1). RESULTS: Among variables with a positive association to adherence were: to have children and stable matrimonial relationship; affirm psychological problems; lately noticed forgetfulness and weakness; felt irritability when drunk, consuming it alone; present a psychiatric comorbidity; had already looked for alcoholism treatment, got help from AA, psychiatric treatment and made use of antidepressants; etc. Negative associations were: reduced consumption due to family influence; felt self-sufficiency, expansive and unsatisfied while sober; self-sufficient or resigned when under alcohol; first consumptions above group's average age; involved in physical aggression with friends; etc. CONCLUSIONS: These findings suggest the need of developing particular therapeutic strategies to address specific groups of patients and also contribute to the simplification of alcoholism assessment routines.

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