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Originalarbeit

Wie geht’s weiter nach der Entzugsbehandlung?

Eine randomisiert-kontrollierte Pilotstudie zur integrierten ambulanten Psychotherapie bei alkoholabhängigen Patient_innen mit Doppeldiagnosen

Published Online:October 10, 2018https://doi.org/10.1026/1616-3443/a000487

Abstract

Zusammenfassung.Theoretischer Hintergrund: Bisher existieren keine systematischen ambulanten Angebote für Alkoholpatient_innen mit Doppeldiagnosen, die direkt nach Qualifizierter Entzugsbehandlung (QE) einsetzen. Fragestellung: Diese Pilotstudie untersucht, ob durch nahtlos beginnende integrierte ambulante Psychotherapie Alkoholtrinktage und komorbide psychopathologische Symptomatik bei Alkoholpatient_innen mit Doppeldiagnosen reduziert werden können. Methode: 30 alkoholabhängige Patient_innen mit Doppeldiagnose (F3 oder F4) wurden vor Entlassung aus der QE randomisiert (T1) in Experimentalgruppe (n = 15, nahtlos nach Entzugsbehandlung beginnende integrierte ambulante Psychotherapie) oder Kontrollgruppe (n = 15, Warte-Kontrollgruppe). Drei Monate nach QE (T2) wurden alle Patient_innen hinsichtlich Alkoholtrinktage (Timeline Followback, TLFB) und komorbider Symptomatik (Brief Symptom Inventory, BSI; Beck Depression Inventory, BDI) nachuntersucht. Resultate: Im Gruppenvergleich reduzierten sich die Trinktage von T1 zu T2 in der Experimentalgruppe signifikant stärker (92 % vs. 35 %). Psychische Belastung und Depressivität reduzierten sich deutlicher in der Experimentalgruppe. Schlussfolgerung: Integrierte Therapieformen sollten weiterentwickelt und evaluiert werden, um die ambulant-psychotherapeutische Versorgung dieser Patient_innengruppe zu verbessern.


What’s Next After Withdrawal Treatment? A Randomized Controlled Pilot Study on Integrated Outpatient Psychotherapy in Alcohol-Dependent Patients With Dual Diagnoses

Abstract.Background: Integrated outpatient treatment approaches after withdrawal treatment for alcoholics with comorbid disorders are lacking. Aim: This pilot study investigated whether alcohol drinking days and comorbid symptom severity can be reduced in patients with alcohol dependence and comorbid psychological disorders by integrated outpatient psychotherapy beginning after withdrawal treatment. Method: In all, 30 alcoholics with comorbidities (F3 or F4) were randomized before release from the withdrawal treatment (T1) to an experimental condition (n = 15, integrated outpatient psychotherapy starting immediately after withdrawal treatment) or a control condition (n = 15, waiting list). Alcohol drinking days (Timeline Followback, TLFB) and comorbid symptom severity (Brief Symptom Inventory, BSI; Beck Depression Inventory, BDI) were reassessed 3 months after release from the withdrawal treatment (T2). Results: There was a greater reduction in drinking days in the experimental condition (92 % vs. 35 %). There was also a greater decrease in general symptom severity and depression in the experimental condition. Conclusion: Further development and evaluation of integrated treatment approaches are needed to improve outpatient psychotherapeutic treatment and care for this group of patients.

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