RESUMO
One year following treatment, alcoholic patients with a documented borderline personality disorder were compared with alcoholic patients who did not show borderline personality features. Both groups of alcoholic patients showed significant and comparable decreases in alcohol use through the follow-up year. Nonborderline alcoholics showed significant decreases in drug use through the follow-up. Borderline alcoholics showed a significant decrease in drug use for the first 6 months of follow-up, with uncertain results thereafter. Borderline alcoholics also showed significant improvements in their ratings of satisfaction with family, decreased hospitalizations and greater leisure satisfaction. There were also trends toward improvements in their relations with children and self-ratings of health and a decrease in accidents. The study documents that alcoholic patients with severe character pathology can significantly benefit from treatment in a short-term psychiatrically oriented alcoholism treatment program.
Assuntos
Alcoolismo/complicações , Transtorno da Personalidade Borderline/complicações , Transtornos da Personalidade/complicações , Acidentes , Adulto , Alcoolismo/terapia , Feminino , Seguimentos , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-IdadeRESUMO
Attempts to document systemically the presence of borderline personality disorder in alcoholic patients were made in 94 alcoholic patients consecutively admitted to an inpatient alcoholism program. Operational diagnoses of borderline or not borderline used Gunderson's semistructured Diagnostic Interview for Borderlines (DIB). With the use of conservative criteria, 12.8% of alcoholic patients could be designated as having borderline disorders. Borderline alcoholics were significantly younger and were more likely to have a history of drug abuse, suicide attempts, and accidents. Diminished satisfaction with self and family life and a greater tendency to experience craving across a variety of situations was reported.
Assuntos
Alcoolismo/complicações , Transtorno da Personalidade Borderline/diagnóstico , Transtornos da Personalidade/diagnóstico , Acidentes , Adulto , Fatores Etários , Alcoolismo/psicologia , Transtorno da Personalidade Borderline/complicações , Transtorno da Personalidade Borderline/psicologia , Família , Feminino , Hospitalização , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Autoimagem , Transtornos Relacionados ao Uso de Substâncias/complicações , Tentativa de SuicídioRESUMO
The authors designed a low-cost evaluation study to examine outcome on an alcoholism specialty unit of a private psychiatric hospital as well as to look at the effects of several post-treatment therapies. Using conservative criteria for good outcome, and accounting for the expected poorer outcome of non-respondents, they found that the program achieved a 58 percent success rate. Use of Alcoholics Anonymous and a covert sensitization exercise developed especially for the program were associated with better outcome in terms of drinking behavior post-hospitalization. It should not be difficult to conduct a similar study in other treatment settings with a low research budget.
