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Patient predictors of substance abuse treatment outcome
Some clients with substance abuse are more likely to benefit from treatment than others and the same treatment may work differently for different individuals. The social services assign a variety of treatments for substance abuse to their clients and therefore, they asked SBU for research on personal and demographic factors that can be predictive of treatment outcome.
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Question
Which personal and demographic factors are important to consider in the choice of treatment for substance abuse?
Table with identified studies
Included studies | Population | Outcome | |
Brorson et al. (2013) [1] | |||
122 studies | The primary purpose of this systematic review is to conduct a comprehensive and clinically oriented evaluation of the available research regarding predictors of drop-out from addiction treatment. | ||
Authors' conclusion:
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Newton-Howes (2017) [6] | |||
22 studies on that report on the relationship between personality disorders and alcohol outcome treatment. | 4861 participants with personality disorder: ASPD* (range 15%-41%), BPD** (range 11%-27%) Any personality disorder (34%-71%). | To determine the size and direction of the association between personality disorder and outcome of treatment for AUD***. | |
Personality disorders were associated with more alcohol-related impairment at baseline and less retention in treatment. However, during follow-up people with a personality disorder showed a similar amount of improvement in alcohol outcomes to that of people without such disorder. Synthesis was hampered by variable outcome and a low quality of evidence overall. |
References
- Brorson HH, Ajo Arnevik E, Rand-Hendriksen K, Duckert F. Drop-out from addiction treatment: a systematic review of risk factors. Clinical Psychology Review. 2013;33(8):1010-24.
- Newton-Howes GM, Foulds JA, Guy NH, Boden JM, Mulder RT. Personality disorder and alcohol treatment outcome: systematic review and meta-analysis. Br J Psychiatry. 2017;211(1):22-30.
Literature search
Project group
Alexandra Snellman, Maja Kärrman Fredriksson, Sara Fundell and Miriam Entesarian Matsson at SBU.
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