Predictive value of obsessive-compulsive drinking scale (OCDS) for outcome in alcohol-dependent inpatients: results of a 24-month follow-up study

Substance Abuse Treatment, Prevention, and Policy

Michael Soyka²  Claudia Helten¹  Peggy Schmidt¹ 

[1] Psychiatric Hospital, Ludwig-Maximilians-University, Nußbaumstr. 7, 80336 Munich, Germany;Private Hospital Meiringen, Willingen, 3860 Meiringen, Switzerland

关键词: outcome;    OCDS;    craving;    alcoholism;    alcohol;    Treatment;   

Others  :  837631
DOI  :  10.1186/1747-597X-6-14

 received in 2011-02-17, accepted in 2011-06-28,  发布年份 2011

【 摘 要 】

Background

The present study examined whether craving as measured by the obsessive-compulsive drinking scale (OCDS) predict long-term outcome in alcohol-dependent inpatients.

Methods

This was a 24-month prospective, observational study in 198 alcohol-dependent inpatients treated under standardized conditions. The primary outcome criterion was abstinence, defined as no subjective report or objective indication of alcohol consumption since discharge from treatment. The patients self-rated their craving for alcohol at the 6- and 12-month follow-ups by using the German version of the OCDS, which measures obsessive and compulsive aspects of craving. Univariate and logistic regression analyses with covariates were performed.

Results

Of the 104 patients interviewed at the 24-month follow-up, 60% (n = 62) were abstinent. We found significant associations between total OCDS scores at 6 months and outcome at 12 months and between total OCDS scores at 12 months and outcome at 24 months: the higher the OCDS total score at one follow-up evaluation, the less likely patients were to be abstinent at the subsequent one. The same association was found for each of the two OCDS subscales, control and consequences and drinking obsessions.

Conclusions

These results support earlier findings that OCDS scores can predict outcome in alcohol-dependent patients. This information can be used for the timely development of protective resources. Hence, decisions over the use of resources can be made on the basis of objectified parameters to develop a personalized treatment concept. Consequently, economic considerations can induce a reduction of high medical costs.

【 授权许可】

   
2011 Schmidt et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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