Follow up at i year and 8 years of alcoholic cohorts treated with oral and implantable disulphiram
DOI:
https://doi.org/10.20882/adicciones.568Keywords:
alcoholism, treatment, oral disulphiram, implantable disulphiramAbstract
Follow up by house visits made by fifth year medical students to each group of primary alcoholic dependants, 1 year and 8 years after hospital discharge during which they received an integral treatment which included implantable and oral disulphiram as an added dissuasive recourse, showed that the implanted group (A) tripled on the first visit and duplicated on the second the percentage of abstinent patients, in addition to the overall evolutionary evaluation of excellence achieved in Group B. It was also shown that the excellent results were similarly consistent between the first and second visit in both groups. The number of deaths in the oral group (B), tripled that of the implanted group (A) and the average age of death was 42.8 years, a very much lower figure general male life expectancy in Cuba which is more than 74 years. The results recommend implantable disulphiram as a supplementary dissuasive recourse.References
Ciraulo D.; Renner J. Alcoholism in Clinical Manual of Chemical Dependence Ciraulo D.; Shader R. Editors American Psychiatric Press Washington 1991.
Galanter M.; Kleber H. Tratamiento de los trastornos por abuso de substancias. Edit. Masson Barcelona 1997.
González R.; González M.; Calzadilla L.; Cisneros A. Los cuestionarios breves en la identificación de alcohólicos y bebedores sociales: Estudio comparativo entre la fuente directa y familiar. Rev. Del Hosp. Psiq. de la Hab.13(2) 97-106,1992.
González R El Alcoholismo y su atención específica. Editorial Ciencias Médicas. La Habana 1993.
González R.; Martínez M.;Vázquez V.; Bacelo R. Estudio comparativo del disulfiram oral e implantable como recursos disuasivos antialcohólicos. Rev del Hosp Psiq. de la Hab36(1)1-6,1995
González R.; Goicolea S.; Calzadilla L.;Martínez H. El dependiente alcohólico a los 5 y 12 años de su egreso. Adicciones 11(3)279-282,1999.
González R.; Goicolea S.; Calzadilla L.; Martínez H. La repercusión del alcoholismo en una cohorte de pacientes seguidos a los 5 y 12 años después del egreso. Revista Española de Drogodependencias 25 (1) 49-56, 2000.
Helzer J. The extend of long term moderate drinking among alcoholics discharged from medical and psychiatric treatment facilities. The New England Journal of Medicine June 27, pag 1678-1682,1985.
Kaplan, H.; Sadock, B .Synopsis of Psychiatry. Williams and Wilkins Editors Baltimore 1998 Mendoza L. El disulfiram y el estímulo eléctrico aversivo: su valoración como recursos terapéuticos en el alcoholismo.
Tesis de Grado La Habana 1989.
Rente S.; González R. La ipecacuana y el Disulfiram Su valoración como recursos aversivos en el Tratamiento del Alcoholismo Rev del Hosp Psiq Hab, 31(2),257 a 266,1989.
