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Gepubliceerd in: Quality of Life Research 10/2014

01-12-2014

Quality of life, alcohol detoxification and relapse: Is quality of life a predictor of relapse or only a secondary outcome measure?

Auteurs: Rocco Luigi Picci, Francesco Oliva, Marco Zuffranieri, Paola Vizzuso, Luca Ostacoli, Alessandro Jaretti Sodano, Pier Maria Furlan

Gepubliceerd in: Quality of Life Research | Uitgave 10/2014

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Abstract

Purpose

To estimate variations in Overall Quality Of Life (OQOL) within 12 months following alcohol detoxification and to evaluate the predictive value of OQOL for relapse and alcohol use severity.

Methods

Alcohol use disorders and four OQOL domains (physical health, psychological health, social relationships and environment) were assessed in 199 patients entering in-patient alcohol detoxification. Follow-up assessments were performed at 6 and 12 months after discharge. Cross-sectional and longitudinal analyses explored the relationship between OQOL and alcohol use severity, examining differences between abstinent and relapsed patients. The predictive value of OQOL was analyzed by logistic and linear regression.

Results

Correlation between OQOL and Alcohol Use Disorders Identification Test scores was confirmed at all stages of observation. Abstinent patients showed a significant improvement in all OQOL domains at 6 months after discharge, whereas OQOL domains did not undergo any significant change in relapsed patients. Baseline OQOL did not prove to be predictive of either relapse or alcohol use severity.

Conclusions

Overall quality of life changed in parallel with alcohol use severity throughout the duration of the study, confirming it to be a useful and sensitive measure of secondary outcome for alcohol detoxification. Conversely, none of the OQOL baseline scores functioned as predictors of relapse within 12 months following discharge or alcohol use severity in relapsed patients.
Literatuur
1.
go back to reference Babor, T. F., Kranzler, H. R., & Kadden, R. M. (1986). Issues in the definition and diagnosis of alcoholism: Implications for a reformulation. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 10(2), 113–128.PubMedCrossRef Babor, T. F., Kranzler, H. R., & Kadden, R. M. (1986). Issues in the definition and diagnosis of alcoholism: Implications for a reformulation. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 10(2), 113–128.PubMedCrossRef
2.
go back to reference Daeppen, J. B., Krieg, M. A., Burnand, B., & Yersin, B. (1998). MOS-SF-36 in evaluating health-related quality of life in alcohol-dependent patients. The American journal of drug and alcohol abuse, 24(4), 685–694.PubMedCrossRef Daeppen, J. B., Krieg, M. A., Burnand, B., & Yersin, B. (1998). MOS-SF-36 in evaluating health-related quality of life in alcohol-dependent patients. The American journal of drug and alcohol abuse, 24(4), 685–694.PubMedCrossRef
3.
go back to reference Morgan, T. J., Morgenstern, J., Blanchard, K. A., Labouvie, E., & Bux, D. A. (2003). Health-related quality of life for adults participating in outpatient substance abuse treatment. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 12(3), 198–210.PubMedCrossRef Morgan, T. J., Morgenstern, J., Blanchard, K. A., Labouvie, E., & Bux, D. A. (2003). Health-related quality of life for adults participating in outpatient substance abuse treatment. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 12(3), 198–210.PubMedCrossRef
4.
go back to reference Foster, J. H., Marshall, E. J., & Peters, T. J. (1998). Predictors of relapse to heavy drinking in alcohol dependent subjects following alcohol detoxification: The role of quality of life measures, ethnicity, social class, cigarette and drug use. Addiction Biology, 3(3), 333–343. doi:10.1080/13556219872146.CrossRef Foster, J. H., Marshall, E. J., & Peters, T. J. (1998). Predictors of relapse to heavy drinking in alcohol dependent subjects following alcohol detoxification: The role of quality of life measures, ethnicity, social class, cigarette and drug use. Addiction Biology, 3(3), 333–343. doi:10.​1080/​13556219872146.CrossRef
5.
go back to reference Foster, J. H., Marshall, E. J., Hooper, R., & Peters, T. J. (1998). Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinking. Addiction Biology, 3(3), 321–332. doi:10.1080/13556219872137.CrossRef Foster, J. H., Marshall, E. J., Hooper, R., & Peters, T. J. (1998). Quality of life measures in alcohol dependent subjects and changes with abstinence and continued heavy drinking. Addiction Biology, 3(3), 321–332. doi:10.​1080/​13556219872137.CrossRef
6.
go back to reference Frischknecht, U., Sabo, T., & Mann, K. (2013). Improved drinking behaviour improves quality of life: A follow-up in alcohol-dependent subjects 7 years after treatment. Alcohol and Alcoholism,. doi:10.1093/alcalc/agt038.PubMed Frischknecht, U., Sabo, T., & Mann, K. (2013). Improved drinking behaviour improves quality of life: A follow-up in alcohol-dependent subjects 7 years after treatment. Alcohol and Alcoholism,. doi:10.​1093/​alcalc/​agt038.PubMed
7.
go back to reference Johnson, B. A., Ait-Daoud, N., Akhtar, F. Z., & Ma, J. Z. (2004). Oral topiramate reduces the consequences of drinking and improves the quality of life of alcohol-dependent individuals: A randomized controlled trial. Archives of General Psychiatry, 61(9), 905–912. doi:10.1001/archpsyc.61.9.905.PubMedCrossRef Johnson, B. A., Ait-Daoud, N., Akhtar, F. Z., & Ma, J. Z. (2004). Oral topiramate reduces the consequences of drinking and improves the quality of life of alcohol-dependent individuals: A randomized controlled trial. Archives of General Psychiatry, 61(9), 905–912. doi:10.​1001/​archpsyc.​61.​9.​905.PubMedCrossRef
8.
go back to reference Johnson, B. A., Rosenthal, N., Capece, J. A., Wiegand, F., Mao, L., Beyers, K., et al. (2008). Improvement of physical health and quality of life of alcohol-dependent individuals with topiramate treatment: US multisite randomized controlled trial. Archives of Internal Medicine, 168(11), 1188–1199. doi:10.1001/archinte.168.11.1188.PubMedCrossRef Johnson, B. A., Rosenthal, N., Capece, J. A., Wiegand, F., Mao, L., Beyers, K., et al. (2008). Improvement of physical health and quality of life of alcohol-dependent individuals with topiramate treatment: US multisite randomized controlled trial. Archives of Internal Medicine, 168(11), 1188–1199. doi:10.​1001/​archinte.​168.​11.​1188.PubMedCrossRef
11.
go back to reference Rippeth, J. (1997). Factors influencing health-related quality of life in alcoholics and stimulant abusers. San Diego, CA: University of San Diego. Rippeth, J. (1997). Factors influencing health-related quality of life in alcoholics and stimulant abusers. San Diego, CA: University of San Diego.
12.
go back to reference Maisto, S. A., & McCollam, J. B. (1980). The use of multiple measures of life health to assess alcohol treatment outcome: A review and critique. Evaluating alcohol and drug abuse treatment effectiveness: Recent advances (pp. 15–76). New York: Pergamon Press.CrossRef Maisto, S. A., & McCollam, J. B. (1980). The use of multiple measures of life health to assess alcohol treatment outcome: A review and critique. Evaluating alcohol and drug abuse treatment effectiveness: Recent advances (pp. 15–76). New York: Pergamon Press.CrossRef
13.
go back to reference Cisler, R. A., & Zweben, A. (1999). Development of a composite measure for assessing alcohol treatment outcome: Operationalization and validation. Alcoholism, Clinical and Experimental Research, 23(2), 263–271.PubMed Cisler, R. A., & Zweben, A. (1999). Development of a composite measure for assessing alcohol treatment outcome: Operationalization and validation. Alcoholism, Clinical and Experimental Research, 23(2), 263–271.PubMed
14.
go back to reference Cisler, R. A., Kivlahan, D. R., Donovan, D., & Mattson, M. E. (2005). Assessing nondrinking outcomes in combined pharmacotherapy and psychotherapy clinical trials for the treatment of alcohol dependence. Journal of Studies on Alcohol. Supplement, 15, 110–118. discussion 92–93.PubMed Cisler, R. A., Kivlahan, D. R., Donovan, D., & Mattson, M. E. (2005). Assessing nondrinking outcomes in combined pharmacotherapy and psychotherapy clinical trials for the treatment of alcohol dependence. Journal of Studies on Alcohol. Supplement, 15, 110–118. discussion 92–93.PubMed
15.
go back to reference Laudet, A. B. (2011). The case for considering quality of life in addiction research and clinical practice. Addiction science & clinical practice, 6(1), 44–55. Laudet, A. B. (2011). The case for considering quality of life in addiction research and clinical practice. Addiction science & clinical practice, 6(1), 44–55.
17.
go back to reference LoCastro, J. S., Youngblood, M., Cisler, R. A., Mattson, M. E., Zweben, A., Anton, R. F., et al. (2009). Alcohol treatment effects on secondary nondrinking outcomes and quality of life: The COMBINE Study. Journal of Studies on Alcohol and Drugs, 70(2), 186–196.PubMedCentralPubMed LoCastro, J. S., Youngblood, M., Cisler, R. A., Mattson, M. E., Zweben, A., Anton, R. F., et al. (2009). Alcohol treatment effects on secondary nondrinking outcomes and quality of life: The COMBINE Study. Journal of Studies on Alcohol and Drugs, 70(2), 186–196.PubMedCentralPubMed
18.
go back to reference Pal, H. R., Yadav, D., Mehta, S., & Mohan, I. (2007). A comparison of brief intervention versus simple advice for alcohol use disorders in a North India community-based sample followed for 3 months. Alcohol and Alcoholism, 42(4), 328–332. doi:10.1093/alcalc/agm009.PubMedCrossRef Pal, H. R., Yadav, D., Mehta, S., & Mohan, I. (2007). A comparison of brief intervention versus simple advice for alcohol use disorders in a North India community-based sample followed for 3 months. Alcohol and Alcoholism, 42(4), 328–332. doi:10.​1093/​alcalc/​agm009.PubMedCrossRef
19.
go back to reference WHO—The World Health Organization. (1998). WHOQOL user manual. Geneva: World Health Organization. WHO—The World Health Organization. (1998). WHOQOL user manual. Geneva: World Health Organization.
22.
go back to reference Duckert, F. (1993). Predictive factors for outcome of treatment for alcohol problems. Journal of Substance Abuse, 5(1), 31–44.PubMedCrossRef Duckert, F. (1993). Predictive factors for outcome of treatment for alcohol problems. Journal of Substance Abuse, 5(1), 31–44.PubMedCrossRef
23.
go back to reference Solomon, K. E., & Annis, H. M. (1990). Outcome and efficacy expectancy in the prediction of post-treatment drinking behaviour. British Journal of Addiction, 85(5), 659–665.PubMedCrossRef Solomon, K. E., & Annis, H. M. (1990). Outcome and efficacy expectancy in the prediction of post-treatment drinking behaviour. British Journal of Addiction, 85(5), 659–665.PubMedCrossRef
24.
go back to reference Staines, G., Magura, S., Rosenblum, A., Fong, C., Kosanke, N., Foote, J., et al. (2003). Predictors of drinking outcomes among alcoholics. The American journal of drug and alcohol abuse, 29(1), 203–218.PubMedCrossRef Staines, G., Magura, S., Rosenblum, A., Fong, C., Kosanke, N., Foote, J., et al. (2003). Predictors of drinking outcomes among alcoholics. The American journal of drug and alcohol abuse, 29(1), 203–218.PubMedCrossRef
25.
go back to reference Zywiak, W. H., Longabaugh, R., & Wirtz, P. W. (2002). Decomposing the relationships between pretreatment social network characteristics and alcohol treatment outcome. Journal of Studies on Alcohol, 63(1), 114–121.PubMed Zywiak, W. H., Longabaugh, R., & Wirtz, P. W. (2002). Decomposing the relationships between pretreatment social network characteristics and alcohol treatment outcome. Journal of Studies on Alcohol, 63(1), 114–121.PubMed
26.
go back to reference Curran, G. M., & Booth, B. M. (1999). Longitudinal changes in predictor profiles of abstinence from alcohol use among male veterans. Alcoholism, Clinical and Experimental Research, 23(1), 141–143.PubMedCrossRef Curran, G. M., & Booth, B. M. (1999). Longitudinal changes in predictor profiles of abstinence from alcohol use among male veterans. Alcoholism, Clinical and Experimental Research, 23(1), 141–143.PubMedCrossRef
27.
go back to reference Shaw, G. K., Waller, S., Latham, C. J., Dunn, G., & Thomson, A. D. (1998). The detoxification experience of alcoholic in-patients and predictors of outcome. Alcohol and Alcoholism, 33(3), 291–303.PubMedCrossRef Shaw, G. K., Waller, S., Latham, C. J., Dunn, G., & Thomson, A. D. (1998). The detoxification experience of alcoholic in-patients and predictors of outcome. Alcohol and Alcoholism, 33(3), 291–303.PubMedCrossRef
30.
go back to reference Glenn, S. W., & Parsons, O. A. (1991). Prediction of resumption of drinking in posttreatment alcoholics. The International journal of the addictions, 26(2), 237–254.PubMed Glenn, S. W., & Parsons, O. A. (1991). Prediction of resumption of drinking in posttreatment alcoholics. The International journal of the addictions, 26(2), 237–254.PubMed
34.
go back to reference American Psychiatric Association. (2006). American Psychiatric Association Practice Guidelines for the treatment of psychiatric disorders: Compendium 2006. Washington DC: American Psychiatric Pub. American Psychiatric Association. (2006). American Psychiatric Association Practice Guidelines for the treatment of psychiatric disorders: Compendium 2006. Washington DC: American Psychiatric Pub.
35.
go back to reference Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (2001). The alcohol use disorders identification test. Guidelines for use in primary care (2nd ed., Vols. 1–1). Geneva: World Health Organization. Babor, T. F., de la Fuente, J. R., Saunders, J., & Grant, M. (2001). The alcohol use disorders identification test. Guidelines for use in primary care (2nd ed., Vols. 1–1). Geneva: World Health Organization.
36.
go back to reference WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.CrossRef WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558.CrossRef
37.
go back to reference First, M. B. (1997). User’s guide for the Structured clinical interview for DSM-IV axis I disorders SCID-I: Clinician version. Washington DC: American Psychiatric Press. First, M. B. (1997). User’s guide for the Structured clinical interview for DSM-IV axis I disorders SCID-I: Clinician version. Washington DC: American Psychiatric Press.
38.
go back to reference Spielberger, C. (1983). Manual for the state-trait anxiety inventory (STAI) (Form Y: Self-evaluation questionnaire). Redwood City, CA: Mind Garden. Spielberger, C. (1983). Manual for the state-trait anxiety inventory (STAI) (Form Y: Self-evaluation questionnaire). Redwood City, CA: Mind Garden.
39.
go back to reference Beck, A. T., & Steer, R. A. (1978). Beck depression inventory: BDI. New York: Psychological Corp. Beck, A. T., & Steer, R. A. (1978). Beck depression inventory: BDI. New York: Psychological Corp.
40.
go back to reference Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1995). The Alcohol Use Disorders Identification Test (AUDIT): Validation of a screening instrument for use in medical settings. Journal of Studies on Alcohol, 56(4), 423–432.PubMed Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1995). The Alcohol Use Disorders Identification Test (AUDIT): Validation of a screening instrument for use in medical settings. Journal of Studies on Alcohol, 56(4), 423–432.PubMed
41.
go back to reference Piccinelli, M., Tessari, E., Bortolomasi, M., Piasere, O., Semenzin, M., Garzotto, N., et al. (1997). Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: A validity study. BMJ (Clinical research ed.), 314(7078), 420–424.CrossRef Piccinelli, M., Tessari, E., Bortolomasi, M., Piasere, O., Semenzin, M., Garzotto, N., et al. (1997). Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: A validity study. BMJ (Clinical research ed.), 314(7078), 420–424.CrossRef
42.
go back to reference Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction, 88(6), 791–804.PubMedCrossRef Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction, 88(6), 791–804.PubMedCrossRef
43.
go back to reference Donovan, D., Mattson, M. E., Cisler, R. A., Longabaugh, R., & Zweben, A. (2005). Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol. Supplement, 15, 119–139. discussion 92–93.PubMed Donovan, D., Mattson, M. E., Cisler, R. A., Longabaugh, R., & Zweben, A. (2005). Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol. Supplement, 15, 119–139. discussion 92–93.PubMed
44.
go back to reference Girolamo, G. D., Rucci, P., Scocco, P., Becchi, A., Coppa, F., D’Addario, A., et al. (2000). Quality of life assessment: Validation of the Italian version of the WHOQOL-Brief. Epidemiology and Psychiatric Sciences, 9(01), 45–55. doi:10.1017/S1121189X00007740.CrossRef Girolamo, G. D., Rucci, P., Scocco, P., Becchi, A., Coppa, F., D’Addario, A., et al. (2000). Quality of life assessment: Validation of the Italian version of the WHOQOL-Brief. Epidemiology and Psychiatric Sciences, 9(01), 45–55. doi:10.​1017/​S1121189X0000774​0.CrossRef
45.
go back to reference Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial A report from the WHOQOL Group. Quality of Life Research, 13(2), 299–310. doi:10.2307/4038089.PubMedCrossRef Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial A report from the WHOQOL Group. Quality of Life Research, 13(2), 299–310. doi:10.​2307/​4038089.PubMedCrossRef
46.
go back to reference da Silva, B., Lima, A. F., Fleck, M., Pechansky, F., de Boni, R., & Sukop, P. (2005). Psychometric properties of the World Health Organization quality of life instrument (WHOQoL-BREF) in alcoholic males: A pilot study. Quality of Life Research, 14(2), 473–478. doi:10.1007/s11136-004-5327-1.CrossRef da Silva, B., Lima, A. F., Fleck, M., Pechansky, F., de Boni, R., & Sukop, P. (2005). Psychometric properties of the World Health Organization quality of life instrument (WHOQoL-BREF) in alcoholic males: A pilot study. Quality of Life Research, 14(2), 473–478. doi:10.​1007/​s11136-004-5327-1.CrossRef
47.
go back to reference Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the structured clinical interview for DSM-IV axis I disorders (SCID I) and Axis II disorders (SCID II). Clinical psychology & psychotherapy, 18(1), 75–79. doi:10.1002/cpp.693.CrossRef Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the structured clinical interview for DSM-IV axis I disorders (SCID I) and Axis II disorders (SCID II). Clinical psychology & psychotherapy, 18(1), 75–79. doi:10.​1002/​cpp.​693.CrossRef
48.
go back to reference Donham, G. W., & Ludenia, K. (1984). Cross-validation of the State-Trait Anxiety Inventory with an alcoholic population. Journal of Clinical Psychology, 40(2), 629–631.PubMedCrossRef Donham, G. W., & Ludenia, K. (1984). Cross-validation of the State-Trait Anxiety Inventory with an alcoholic population. Journal of Clinical Psychology, 40(2), 629–631.PubMedCrossRef
49.
go back to reference Lasa, L., Ayuso-Mateos, J. L., Vázquez-Barquero, J. L., Díez-Manrique, F. J., & Dowrick, C. F. (2000). The use of the Beck Depression Inventory to screen for depression in the general population: A preliminary analysis. Journal of Affective Disorders, 57(1–3), 261–265.PubMedCrossRef Lasa, L., Ayuso-Mateos, J. L., Vázquez-Barquero, J. L., Díez-Manrique, F. J., & Dowrick, C. F. (2000). The use of the Beck Depression Inventory to screen for depression in the general population: A preliminary analysis. Journal of Affective Disorders, 57(1–3), 261–265.PubMedCrossRef
52.
go back to reference Welsh, J. A., Buchsbaum, D. G., & Kaplan, C. B. (1993). Quality of life of alcoholics and non-alcoholics: Does excessive drinking make a difference in the urban setting? Quality of Life Research, 2(5), 335–340.PubMedCrossRef Welsh, J. A., Buchsbaum, D. G., & Kaplan, C. B. (1993). Quality of life of alcoholics and non-alcoholics: Does excessive drinking make a difference in the urban setting? Quality of Life Research, 2(5), 335–340.PubMedCrossRef
53.
Metagegevens
Titel
Quality of life, alcohol detoxification and relapse: Is quality of life a predictor of relapse or only a secondary outcome measure?
Auteurs
Rocco Luigi Picci
Francesco Oliva
Marco Zuffranieri
Paola Vizzuso
Luca Ostacoli
Alessandro Jaretti Sodano
Pier Maria Furlan
Publicatiedatum
01-12-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0735-3

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