Issue/ problem Alcohol addiction is a phenomenon in rapid changing. In Italy Villa Soranzo (Venice) is one of the first residential communities which systematically tries to treat single alcohol addictions together with cocaine dependencies, polyabuse of alcohol and cocaine and other atypical addictions like gambling using a short specialized psychotherapeutic program. But what about the results regarding outcome (drop-out)? Description of the problem From Jan 2011 to Feb 2013 data were collected from 380 patients (301 males) that started the short residential program. 152 had a single alcohol dependency (A), 108 a cocaine addiction (C), 60 a mixed dependency (alcohol and cocaine - AC), 60 were ‘‘atypical’’ (isolated gambling addiction, poly- addiction and others - AT). For 294 of those patients we also collected other socio-demographic data as well as their outcome (drop-out vs regular program). 239 of the patients also compiled schedules on their motivation levels (MAC2A) and their levels of self-control against addiction impulses (DTCQ, one schedule non valid). Results (effects/ changes) The group only affected by alcohol addiction was significantly older than all the other groups (C, AC, AT) (2st-test, p < 0.05). Drop-out: There was no significant difference between males and females (Fisher’s Exact, p = 0.657), no difference between married persons and others (p = 0.215), no difference between persons with and without children (p = 0.705), no difference between persons with and without previous hospitalizations (Fisher’s Exact, p = 0.141). Only one diagnostic group of the atypical addictions (AT) differed significantly from all others (A, C, AC). The atypical addictions dropped more often (log rank test for equality <0.05) and their dropping was significantly correlated to their levels of motivation (Mann- Whitney u-test, p < 0.05) and to self-control against addiction impulses (DTCQ- scale: control) (Mann-Whitney u-test, p < 0.05). Annis HM, Sklar SN, Turner NE. The Drug-Taking Confidence Questionnaire (DTCQ): User’s Guide. Addiction Research Foundation; Toronto, Canada: 1997 Spiller V., Zavan V., Guelfi GP: Assessing motivation for change in subjects with alcohol problems: the MAC2-A questionnaire, in: Alcohol Alcohol. 2006 Nov-Dec; 41(6):616- 23. Epub 2006 Oct 7 Key messages Pure alcohol patients in a short residential program in Italy are older than patients with other addictions (cocaine addiction, gambling etc), probably consequence of the known new stiles of abuse. Patients with alcohol and/or cocaine addictions in a short residential program don’t differ regarding drop-out. Other diagnosis appear worse but their outcome depends on their motivational level.

Hinnenthal, I., Cibin, M., Messina, G., Sari, G., Spolaor, G., Vanini, S., et al. (2013). Risk of drop-out in patients with alcohol-, and/or cocaine-, gambling and other atypical addictions during a short residential treatment (Villa Soranzo, Venice, Italy). EUROPEAN JOURNAL OF PUBLIC HEALTH, 23, 221-221.

Risk of drop-out in patients with alcohol-, and/or cocaine-, gambling and other atypical addictions during a short residential treatment (Villa Soranzo, Venice, Italy)

MESSINA, GABRIELE;NANTE, NICOLA
2013-01-01

Abstract

Issue/ problem Alcohol addiction is a phenomenon in rapid changing. In Italy Villa Soranzo (Venice) is one of the first residential communities which systematically tries to treat single alcohol addictions together with cocaine dependencies, polyabuse of alcohol and cocaine and other atypical addictions like gambling using a short specialized psychotherapeutic program. But what about the results regarding outcome (drop-out)? Description of the problem From Jan 2011 to Feb 2013 data were collected from 380 patients (301 males) that started the short residential program. 152 had a single alcohol dependency (A), 108 a cocaine addiction (C), 60 a mixed dependency (alcohol and cocaine - AC), 60 were ‘‘atypical’’ (isolated gambling addiction, poly- addiction and others - AT). For 294 of those patients we also collected other socio-demographic data as well as their outcome (drop-out vs regular program). 239 of the patients also compiled schedules on their motivation levels (MAC2A) and their levels of self-control against addiction impulses (DTCQ, one schedule non valid). Results (effects/ changes) The group only affected by alcohol addiction was significantly older than all the other groups (C, AC, AT) (2st-test, p < 0.05). Drop-out: There was no significant difference between males and females (Fisher’s Exact, p = 0.657), no difference between married persons and others (p = 0.215), no difference between persons with and without children (p = 0.705), no difference between persons with and without previous hospitalizations (Fisher’s Exact, p = 0.141). Only one diagnostic group of the atypical addictions (AT) differed significantly from all others (A, C, AC). The atypical addictions dropped more often (log rank test for equality <0.05) and their dropping was significantly correlated to their levels of motivation (Mann- Whitney u-test, p < 0.05) and to self-control against addiction impulses (DTCQ- scale: control) (Mann-Whitney u-test, p < 0.05). Annis HM, Sklar SN, Turner NE. The Drug-Taking Confidence Questionnaire (DTCQ): User’s Guide. Addiction Research Foundation; Toronto, Canada: 1997 Spiller V., Zavan V., Guelfi GP: Assessing motivation for change in subjects with alcohol problems: the MAC2-A questionnaire, in: Alcohol Alcohol. 2006 Nov-Dec; 41(6):616- 23. Epub 2006 Oct 7 Key messages Pure alcohol patients in a short residential program in Italy are older than patients with other addictions (cocaine addiction, gambling etc), probably consequence of the known new stiles of abuse. Patients with alcohol and/or cocaine addictions in a short residential program don’t differ regarding drop-out. Other diagnosis appear worse but their outcome depends on their motivational level.
2013
Hinnenthal, I., Cibin, M., Messina, G., Sari, G., Spolaor, G., Vanini, S., et al. (2013). Risk of drop-out in patients with alcohol-, and/or cocaine-, gambling and other atypical addictions during a short residential treatment (Villa Soranzo, Venice, Italy). EUROPEAN JOURNAL OF PUBLIC HEALTH, 23, 221-221.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/45948
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