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Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 37(1): 40-48, Jan-Mar/2015. tab
Article in English | LILACS | ID: lil-741932

ABSTRACT

Objective: To evaluate the dichotomy of type I/II and type A/B alcoholism typologies in opiate-dependent patients with a comorbid alcohol dependence problem (ODP-AP). Methods: The validity assessment process comprised the information regarding the history of alcohol use (internal validity), cognitive-behavioral variables regarding substance use (external validity), and indicators of treatment during 6-month follow-up (predictive validity). Results: ODP-AP subjects classified as type II/B presented an early and much more severe drinking problem and a worse clinical prognosis when considering opiate treatment variables as compared with ODP-AP subjects defined as type I/A. Furthermore, type II/B patients endorse more general positive beliefs and expectancies related to the effect of alcohol and tend to drink heavily across several intra- and interpersonal situations as compared with type I/A patients. Conclusions: These findings confirm two different forms of alcohol dependence, recognized as a low-severity/vulnerability subgroup and a high-severity/vulnerability subgroup, in an opiate-dependent population with a lifetime diagnosis of alcohol dependence. .


Subject(s)
Aged , Female , Humans , Male , Multiple Myeloma/pathology , Survival Rate , Cohort Studies , Multiple Myeloma/mortality , Multiple Myeloma/surgery , Prognosis , Stem Cell Transplantation , Treatment Outcome
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