A Zambon1, C Airoldi1, G Corrao1, M Cibin2, D Agostini3, F Aliotta3, M Movalli4, F Biondini4, P Bizzi5, G Zucchi5, G Cerizza6, A Dattola7, A Marmora7, G Vittadini8, F Girardi9, L Liberto9, I M Hinnenthal10, A Jaretti Sodano11, P Vizzuso11, E Majolino12, D Mioni13, L Pedretti14, P Ranaletti6, M Forghieri14, G Spolaor15, I Giorgi16. 1. Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Via Bicocca degli Arcimboldi, 8, 20126 Milano (Milano), Italy. 2. Dipartimento per le Dipendenze, Az. Ulss 13 del Veneto, Via Don Giacobbe Sartor, 4, 30035 Mirano (Venezia), Italy. 3. Casa di Cura Villa Silvia, Viale Anita Garibaldi, 64, 60019, Senigallia (Ancona), Italy. 4. Servizio per le Alcoldipendenze, Ospedale San Raffaele Turro, Via Stamira D'Ancona, 20, 20127 Milano (Milano), Italy. 5. Ospedale Privato Accreditato Villa Maria Luigia, Via Montepelato nord, 41, 43022 Monticelli Terme (Parma), Italy. 6. U.O. Riabilitazione Alcologica, Ospedale S. Marta, A.O. Ospedale Maggiore, Via Montegrappa, 15, 26027 Rivolta d'Adda (Crema), Italy. 7. Centro di Riabilitazione Alcologica-Fondazione Stella Maris Mediterraneo-Chiaromonte (Potenza), Italy. 8. Servizio di Psicologia, Istituti Clinici Scientifici Maugeri, IRCCS, Via S. Maugeri, 10, 27100, Pavia (Pavia), Italy. 9. U.O. Ospedale San Pancrazio, Istituto di Riabilitazione S. Stefano, Via D. Chiesa, 38062 Arco (Trento), Italy. 10. Economia e Gestione Aziende Sanitarie, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00161, Rome (Roma), Italy; ASL 1, Regione Liguria, Via Giovanni borea, 56, 18038 Sanremo (Imperia), Italy. 11. U.O. Alcolfarmacodipendenze Presidio Ospedaliero, Fatebenefratelli, Via Fetebenefratelli, 70, 10077 San maurizio Canavese (Torino), Italy. 12. Centro Terapeutico Dipendenze, Ospedale Bad Bachgart Comprensorio Sanitario, Bressanone, Italy. 13. Casa di Cura Parco dei Tigli, Via Monticello, 1, 35037 Villa di teolo (Padova), Italy. 14. Centro di Riabilitazione Alcologica Villa Rosa, Via F.lli Rosselli, 83, 41125 Modena (Modena), Italy. 15. Centro Soranzo (www.centrosoranzo.it), Via Pezzana, 1, 30173 Tessera (Venezia), Italy. 16. U.O. Riabilitazione Alcologica, Istituti Clinici Scientifici Maugeri, IRCCS, Via S. Maugeri, 10, 27100, Pavia (Pavia), Italy.
Abstract
AIMS: Alcohol abuse has long been known as a disease with social and economic burden to society. Given the complex nature of alcohol treatment, it is worthwhile to examine the change over time of patients admitted to residential alcohol abuse rehabilitation units. METHODS: The data were collected from two Italian projects on alcoholics performed in the mid-1990s (ASSALT) and in 2009 (CORRAL), respectively. Categorical variables were considered in terms of absolute and relative frequencies. Comparisons of relative frequencies between groups were assessed by means of Fisher's exact test. Mixed logistic regression models were fitted to CORRAL data to identify the predictors of the probability of being a polysubstance abuser or having a dual diagnosis. The association estimates were reported as adjusted odds ratios and relative 95% confidence intervals. RESULTS: Compared to the mid-1990s, in 2009 patients were older (P= 0.0003), with a higher level of education (P= 0.0204), with fewer comorbidities (liver disease except cirrhosis, P < 0.0001; polyneuropathy, P= 0.0001), more frequently polysubstance abusers (P < 0.0001), affected by dual diagnosis (P < 0.0001). In 2009, the probability of being a polysubstance abuser was higher in younger and in patients with dual psychiatric diagnosis. Female gender and polysubstance abuse were positively associated to the probability of being affected by dual psychiatric diagnosis. CONCLUSIONS: The increment of patients admitted to residential programs for alcohol dependence with polysubstance abuse and/or dual psychiatric diagnoses suggests the need to pay more attention to both psychological/psychiatric interventions and internal medicine/physical rehabilitation. SHORT SUMMARY: The results of this study suggest that further research is needed to identify the best treatment strategy that is safe and effective for the new population of alcoholics.
AIMS: Alcohol abuse has long been known as a disease with social and economic burden to society. Given the complex nature of alcohol treatment, it is worthwhile to examine the change over time of patients admitted to residential alcohol abuse rehabilitation units. METHODS: The data were collected from two Italian projects on alcoholics performed in the mid-1990s (ASSALT) and in 2009 (CORRAL), respectively. Categorical variables were considered in terms of absolute and relative frequencies. Comparisons of relative frequencies between groups were assessed by means of Fisher's exact test. Mixed logistic regression models were fitted to CORRAL data to identify the predictors of the probability of being a polysubstance abuser or having a dual diagnosis. The association estimates were reported as adjusted odds ratios and relative 95% confidence intervals. RESULTS: Compared to the mid-1990s, in 2009 patients were older (P= 0.0003), with a higher level of education (P= 0.0204), with fewer comorbidities (liver disease except cirrhosis, P < 0.0001; polyneuropathy, P= 0.0001), more frequently polysubstance abusers (P < 0.0001), affected by dual diagnosis (P < 0.0001). In 2009, the probability of being a polysubstance abuser was higher in younger and in patients with dual psychiatric diagnosis. Female gender and polysubstance abuse were positively associated to the probability of being affected by dual psychiatric diagnosis. CONCLUSIONS: The increment of patients admitted to residential programs for alcohol dependence with polysubstance abuse and/or dual psychiatric diagnoses suggests the need to pay more attention to both psychological/psychiatric interventions and internal medicine/physical rehabilitation. SHORT SUMMARY: The results of this study suggest that further research is needed to identify the best treatment strategy that is safe and effective for the new population of alcoholics.
Authors: Tomorrow D Arnold; Lewei Allison Lin; Brandi P Cotton; William C Bryson; Courtney A Polenick Journal: Subst Use Misuse Date: 2021-03-01 Impact factor: 2.164
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Authors: Elena Fiabane; Lorenza Scotti; Antonella Zambon; Giovanni Vittadini; Ines Giorgi Journal: Int J Environ Res Public Health Date: 2019-02-28 Impact factor: 3.390
Authors: Abdulaziz A Alodhayani; Khalid M Almutairi; Jason M Vinluan; Wadi B Alonazi; Hatim Gormallah Alzahrani; Mohammed Ali Batais; Fatmah Mohammed Kaki; Turky H Almigbal; Saad Alsaad Journal: Front Psychol Date: 2022-08-22