Integration of self-guidance groups for relatives in a public program of alcoholism treatment

Authors

  • Gabriel Rubio Instituto de Investigación 12 de Octubre. Hospital Universitario 12 de octubre. Departamento de Psiquiatría. Facultad de Medicina. Universidad Complutense de Madrid. Red de Trastornos Adictivos (RTA). Laboratorio de Psicofisiología Clínica. Facultad de Medicina. Universidad Complutense. Enviar correspondencia a: Gabriel Rubio Servicio de Psiquiatría. Edificio de Actividades Ambulatorias, Planta 3, Módulo C. Hospital Universitario 12 de Octubre Avda de Málaga, s/n 28041 Madrid.
  • Isabel Martínez- Gras Instituto de Investigación 12 de Octubre. Hospital Universitario 12 de octubre. Departamento de Psiquiatría. Facultad de Medicina. Universidad Complutense de Madrid. Red de Trastornos Adictivos (RTA). Laboratorio de Psicofisiología Clínica.
  • Guilermo Ponce Instituto de Investigación 12 de Octubre. Hospital Universitario 12 de octubre. Departamento de Psiquiatría. Facultad de Medicina. Universidad Complutense de Madrid. Red de Trastornos Adictivos (RTA). Laboratorio de Psicofisiología Clínica. Facultad de Medicina. Universidad Complutense.
  • Rafael Quinto Laboratorio de Psicofisiología Clínica.
  • Rosa Jurado Instituto de Investigación 12 de Octubre. Hospital Universitario 12 de octubre Departamento de Psiquiatría. Facultad de Medicina. Universidad Complutense de Madrid. Red de Trastornos Adictivos (RTA) Laboratorio de Psicofisiología Clínica Faculta de Psicología. Departamento de procesos básicos. Centro de Investigación Biomédica en Red de salud mental (CIBERSAM)
  • Miguel Ángel Jiménez-Arriero Instituto de Investigación 12 de Octubre. Hospital Universitario 12 de octubre. Departamento de Psiquiatría. Facultad de Medicina. Universidad Complutense de Madrid. Facultad de Medicina. Universidad Complutense. Centro de Investigación Biomédica en Red de salud mental (CIBERSAM).

DOI:

https://doi.org/10.20882/adicciones.70

Keywords:

alcoholism, family health, alcohol dependence treatment, family therapy alcoholism, self-help device

Abstract

Interventions with relatives of alcohol-dependent patients have shown effectiveness in engaging unmotivated patients into treatment. The Federation of ex-alcoholics, in the Community of Madrid, has a network of self-help centers (Centers to Promote Psychosocial Alternatives against Addictions, CPAA) spread throughout the Madrid’s region where alcohol-dependent patients and their families receive attention. The aim of this study was to demonstrate that the integration of these facilities could improve the psychological condition of the relatives and the outcome on the patients’ treatment. 188 patients attending the treatment program at “Hospital 12 de Octubre” and their relatives were randomized into two groups: Group A (n=94) (Standard program for patients and relatives delivered at our facility) and Group B (n=94) (where patients were treated with the standard program in our facilities and relatives attended a family group intervention at the CPAA) After 12 weeks, the CPAA conditions were significantly more effective than our standard program in improving psychological distress of relatives and in engaging patients into treatment. Patients belonging to group B had fewer drinking days during the treatment period. Our results support that psychological interventions delivered at CPAA centers are useful in improving psychological conditions of alcoholic patients’ relatives than when undertaking the public alcoholism program. This intervention also improves outcome of alcoholic patients. The integration of these centers within public alcoholism treatment programs could provide a new way to treat alcoholism, based on collaboration of public facilities and patient associations.

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Published

2013-03-01

Issue

Section

Originals