Patient histories, retention, and outcome models for younger and older adults in DATOS

被引：82

作者：

Grella, CE ^{[1
]}

Hser, YI ^{[1
]}

Joshi, V ^{[1
]}

Anglin, MD ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Drug Abuse Res Ctr, Inst Neuropsychiat, Los Angeles, CA 90025 USA

来源：

DRUG AND ALCOHOL DEPENDENCE | 1999年 / 57卷 / 02期

关键词：

young adults; drug use history; treatment career; self-efficacy; reference group;

D O I：

10.1016/S0376-8716(99)00082-4

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Structural equation modeling with multiple groups was used to examine relationships among pretreatment patient characteristics, treatment retention, and treatment outcomes among younger and older adults in the Drug Abuse Treatment Outcome Studies. Separate models were tested for 551 patients treated in long-term residential (LTR) programs and 571 patients treated in outpatient drug-free (ODF) programs. There was a stronger positive relationship between treatment retention and abstinence at follow-up for younger adults in both treatment modalities. Prior treatment history had a negative effect on self-efficacy to resist drug use for older adults in LTR. Negative reference group influence was reduced for all groups following treatment, however, it was more strongly related to abstinence for younger adults in LTR and for older adults in ODF. Clinical implications of age-related differences in these relationships are discussed. (C) 1999 EIsevier Science Ireland Ltd. All rights reserved.

引用

页码：151 / 166

页数：16

共 47 条

[1] Six-year predictors of problems in a national sample: IV. Young adult signs of disturbance [J].

Achenbach, TM ;

Howell, CT ;

McConaughy, SH ;

Stanger, C .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (07) :718-727

[2] Drug addiction and treatment careers among clients in the Drug Abuse Treatment Outcome Study (DATOS) [J].

Anglin, MD ;

Hser, YI ;

Grella, CE .

PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 1997, 11 (04) :308-323

[3]

Annis H.M., 1988, SITUATIONAL CONFIDEN

[4]

[Anonymous], 1989, Drug abuse treatment: A national study of effectiveness

[5] SELF-EFFICACY - TOWARD A UNIFYING THEORY OF BEHAVIORAL CHANGE [J].

BANDURA, A .

PSYCHOLOGICAL REVIEW, 1977, 84 (02) :191-215

[6]

Bennett M E, 1993, J Subst Abuse, V5, P365, DOI 10.1016/0899-3289(93)90005-V

[7]

Bentler P., 2002, EQS structural equations program manual

[8]

BENTLER PM, 1990, PSYCHOL BULL, V107, P238, DOI 10.1037/0033-2909.107.2.238

[9] Cocaine use and characteristics of young adult users from 1987 to 1992: The CARDIA study [J].

Braun, BL ;

Murray, D ;

Hannan, P ;

Sidney, S ;

Le, C .

AMERICAN JOURNAL OF PUBLIC HEALTH, 1996, 86 (12) :1736-1741

[10] LONGITUDINALLY PREDICTING LATE ADOLESCENT AND YOUNG-ADULT DRUG-USE - CHILDHOOD AND ADOLESCENT PRECURSORS [J].

BROOK, JS ;

WHITEMAN, M ;

COHEN, P ;

SHAPIRO, J ;

BALKA, E .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1995, 34 (09) :1230-1238

← 1 2 3 4 5 →