Universität zu Köln

Gouzoulis-Mayfrank, Euphrosyne, Koenig, Susanne, Koebke, Stefan, Schnell, Thomas, Schmitz-Buhl, Mario ORCID: 0000-0001-8403-6972 and Daumann, Joerg (2015). Trans-Sector Integrated Treatment in Psychosis and Addiction A Randomized Controlled Study of a Motivational, Cognitive Behavioral Therapy Program Under Standard Hospital Treatment Conditions. Dtsch. Arztebl. Int., 112 (41). S. 683 - 697. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

Full text not available from this repository.

Abstract

Background: Patients with psychosis often develop comorbid addiction, with a lifetime prevalence of ca. 50%. Dual diagnoses are considered hard to treat. Long-term integrated treatment programs might improve such patients' outcomes, at least to a moderate extent, but they have not yet been adequately studied or implemented in Germany to date. Methods: 100 dual diagnosis patients participated in a single-center, randomized, controlled trial under standard hospital treatment conditions. They were randomly allotted to two groups. Patients in the intervention group were admitted to a specialized open hospital ward, where they were given integrated treatment, including disorder-specific group therapy. Their treatment was continued with further disorder-specific group therapy in the outpatient setting. Patients in the control group were admitted to an open general psychiatric ward and received treatment as usual, but no disorder-specific treatment either during their hospitalization or in the subsequent outpatient phase. Follow-up examinations were performed three, six, and twelve months after inclusion. The primary outcome was defined as the changes in substance use and abstinence motivation. The secondary outcome consisted of the patients' satisfaction with treatment and with life in general, retention rate, psychopathology, rehospitalizations, and global level of functioning. Results: The patients in the intervention group developed higher abstinence motivation than those in the control group (p = 0.009) and transiently reduced their substance use to a greater extent (p = 0.039 at three months). They were also more satisfied with their treatment (group effect: p = 0.011). Their global level of functioning and their retention rate were also higher, but these differences did not reach statistical significance. Conclusion: Low-threshold, motivational, integrated treatment programs with psycho-educative and behavioral therapeutic elements may be helpful in the treatment of dual diagnosis patients and should be more extensively implemented as part of standard hospital treatment. Larger-scale, methodologically more complex studies will be needed to identify subgroups of patients that respond to such treatments in different ways.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gouzoulis-Mayfrank, Euphrosyne UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Koebke, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnell, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz-Buhl, Mario UNSPECIFIED orcid.org/0000-0001-8403-6972 UNSPECIFIED Daumann, Joerg UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-389953
DOI:	10.3238/arztebl.2015.0683
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	112
Number:	41
Page Range:	S. 683 - 697
Date:	2015
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COOCCURRING SUBSTANCE USE; CANNABIS USE; SCHIZOPHRENIC-PATIENTS; USE DISORDER; PEOPLE; ABUSE; PERFORMANCE; SEVERITY; SCALE; USERS Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38995