Psychological changes in alcohol-dependent patients during a residential rehabilitation program

Ines Giorgi,1 Marcella Ottonello,2,3 Giovanni Vittadini,4 Giorgio Bertolotti5 1Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 2Department of Physical & Rehabilitation Medicine, Salvatore Maugeri Foundation, Clinica del Lavoro...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Giorgi I, Ottonello M, Vittadini G, Bertolotti G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Alcohol Residential Rehabilitation Psychological support. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f8b51908096e4e979545989e61404fe0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f8b51908096e4e979545989e61404fe0
record_format	dspace
spelling	oai:doaj.org-article:f8b51908096e4e979545989e61404fe02021-12-02T03:13:52ZPsychological changes in alcohol-dependent patients during a residential rehabilitation program1178-2021https://doaj.org/article/f8b51908096e4e979545989e61404fe02015-12-01T00:00:00Zhttps://www.dovepress.com/psychological-changes-in-alcohol-dependent-patients-during-a-residenti-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ines Giorgi,1 Marcella Ottonello,2,3 Giovanni Vittadini,4 Giorgio Bertolotti5 1Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 2Department of Physical & Rehabilitation Medicine, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Genoa, 3Department of Medicine, PhD Program in Advanced Sciences and Technologies in Rehabilitation Medicine and Sport, Università di Tor Vergata, Rome, 4Alcohol Rehabilitation Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 5Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Tradate, Italy Background: Alcohol-dependent patients usually experience negative affects under the influence of alcohol, and these affective symptoms have been shown to decrease as a result of alcohol-withdrawal treatment. A recent cognitive–affective model suggests an interaction between drug motivation and affective symptoms. The aim of this multicenter study was to evaluate the psychological changes in subjects undergoing a residential rehabilitation program specifically designed for alcohol addiction, and to identify at discharge patients with greater affective symptoms and therefore more at risk of relapse.Materials and methods: The sample included 560 subjects (mean age 46.91±10.2 years) who completed 28-day rehabilitation programs for alcohol addiction, following a tailored routine characterized by short duration and high intensity of medical and psychotherapeutic treatment. The psychological clinical profiles of anxiety, depression, psychological distress, psychological well-being, and self-perception of a positive change were assessed using the Cognitive Behavioral Assessment – Outcome Evaluation questionnaire at the beginning and at the end of the program. The changes in the psychological variables of the questionnaire were identified and considered as outcome evaluation of the residential intervention. Moreover, differences in the psychological functioning between patients with different characteristics were investigated.Results: The score measured by the Cognitive Behavioral Assessment – Outcome Evaluation showed significant improvements in all the psychological characteristics assessed, and the profile at discharge was within the normal scores. Some significant differences were found in relation to specific characteristics of the sample, such as age, sex, level of education, type of intervention, and polysubstance use.Conclusion: This study shows the changes in psychological profile in subjects undergoing residential rehabilitation from alcohol and how this profile may permit identification of subjects requiring more psychosocial support after discharge. Keywords: alcohol dependence, alcohol withdrawal, outcome measure, residential rehabilitation, psychological supportGiorgi IOttonello MVittadini GBertolotti G,Dove Medical PressarticleAlcoholResidential RehabilitationPsychological support.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss Issue 1, Pp 2989-2996 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Alcohol Residential Rehabilitation Psychological support. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Alcohol Residential Rehabilitation Psychological support. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Giorgi I Ottonello M Vittadini G Bertolotti G, Psychological changes in alcohol-dependent patients during a residential rehabilitation program
description	Ines Giorgi,1 Marcella Ottonello,2,3 Giovanni Vittadini,4 Giorgio Bertolotti5 1Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 2Department of Physical & Rehabilitation Medicine, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Genoa, 3Department of Medicine, PhD Program in Advanced Sciences and Technologies in Rehabilitation Medicine and Sport, Università di Tor Vergata, Rome, 4Alcohol Rehabilitation Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 5Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Tradate, Italy Background: Alcohol-dependent patients usually experience negative affects under the influence of alcohol, and these affective symptoms have been shown to decrease as a result of alcohol-withdrawal treatment. A recent cognitive–affective model suggests an interaction between drug motivation and affective symptoms. The aim of this multicenter study was to evaluate the psychological changes in subjects undergoing a residential rehabilitation program specifically designed for alcohol addiction, and to identify at discharge patients with greater affective symptoms and therefore more at risk of relapse.Materials and methods: The sample included 560 subjects (mean age 46.91±10.2 years) who completed 28-day rehabilitation programs for alcohol addiction, following a tailored routine characterized by short duration and high intensity of medical and psychotherapeutic treatment. The psychological clinical profiles of anxiety, depression, psychological distress, psychological well-being, and self-perception of a positive change were assessed using the Cognitive Behavioral Assessment – Outcome Evaluation questionnaire at the beginning and at the end of the program. The changes in the psychological variables of the questionnaire were identified and considered as outcome evaluation of the residential intervention. Moreover, differences in the psychological functioning between patients with different characteristics were investigated.Results: The score measured by the Cognitive Behavioral Assessment – Outcome Evaluation showed significant improvements in all the psychological characteristics assessed, and the profile at discharge was within the normal scores. Some significant differences were found in relation to specific characteristics of the sample, such as age, sex, level of education, type of intervention, and polysubstance use.Conclusion: This study shows the changes in psychological profile in subjects undergoing residential rehabilitation from alcohol and how this profile may permit identification of subjects requiring more psychosocial support after discharge. Keywords: alcohol dependence, alcohol withdrawal, outcome measure, residential rehabilitation, psychological support
format	article
author	Giorgi I Ottonello M Vittadini G Bertolotti G,
author_facet	Giorgi I Ottonello M Vittadini G Bertolotti G,
author_sort	Giorgi I
title	Psychological changes in alcohol-dependent patients during a residential rehabilitation program
title_short	Psychological changes in alcohol-dependent patients during a residential rehabilitation program
title_full	Psychological changes in alcohol-dependent patients during a residential rehabilitation program
title_fullStr	Psychological changes in alcohol-dependent patients during a residential rehabilitation program
title_full_unstemmed	Psychological changes in alcohol-dependent patients during a residential rehabilitation program
title_sort	psychological changes in alcohol-dependent patients during a residential rehabilitation program
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/f8b51908096e4e979545989e61404fe0
work_keys_str_mv	AT giorgii psychologicalchangesinalcoholdependentpatientsduringaresidentialrehabilitationprogram AT ottonellom psychologicalchangesinalcoholdependentpatientsduringaresidentialrehabilitationprogram AT vittadinig psychologicalchangesinalcoholdependentpatientsduringaresidentialrehabilitationprogram AT bertolottig psychologicalchangesinalcoholdependentpatientsduringaresidentialrehabilitationprogram
_version_	1718401896880799744

Psychological changes in alcohol-dependent patients during a residential rehabilitation program

Ejemplares similares