Out-patient behaviour therapy in alcoholism: treatment outcome after 2 years
Article first published online: 28 AUG 2002
Acta Psychiatrica Scandinavica
Volume 106, Issue 3, pages 227–232, September 2002
How to Cite
Burtscheidt, W. , Wölwer, W. , Schwarz, R. , Strauss, W. and Gaebel, W. (2002), Out-patient behaviour therapy in alcoholism: treatment outcome after 2 years. Acta Psychiatrica Scandinavica, 106: 227–232. doi: 10.1034/j.1600-0447.2002.02332.x
- Issue published online: 28 AUG 2002
- Article first published online: 28 AUG 2002
- behaviour therapy;
- ambulatory care;
- cognitive disorder;
- personality disorder
Burtscheidt W, Wölwer W, Schwarz R, Strauss W, Gaebel W. Out-patient behaviour therapy in alcoholism: treatment outcome after 2 years. Acta Psychiatr Scand 2002: 106: 227–232. © Blackwell Munksgaard 2002.
Objective: The main aim of the study was the evaluation of out-patient behavioural approaches in alcohol dependence. Additionally, the persistence of treatment effects and the impact of psychiatric comorbidity in long-term follow-up was examined.
Method: A total of 120 patients were randomly assigned to non-specific supportive therapy or to two different behavioural therapy programmes (coping skills training and cognitive therapy) each comprising 26 weekly sessions; the follow-up period lasted 2 years.
Results: Patients undergoing behavioural therapy showed a consistent trend towards higher abstinence rates; significant differences between the two behavioural strategies could not be established. Moreover, the results indicate a reduced ability of cognitive impaired patients to cope with short-time abstinence violations and at a reduced benefit from behavioural techniques for patients with severe personality disorders.
Conclusion: Behavioural treatment yielded long-lasting effects and met high acceptance; yet, still in need of improvement is the development of specific programmes for high-risk patients.