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A 2-year follow-up of 120 Swedish female alcoholics treated early in their drinking career: prediction of drinking outcome.

https://arctichealth.org/en/permalink/ahliterature10097
Source
Alcohol Clin Exp Res. 2001 Nov;25(11):1586-93
Publication Type
Article
Date
Nov-2001
Author
B. Haver
L. Dahlgren
A. Willander
Author Affiliation
Karolinska Institute, Department of Clinical Neuroscience, Clinical Alcohol and Drug Research Section, Stockholm, Sweden. brit.haver@psyk.uib.no
Source
Alcohol Clin Exp Res. 2001 Nov;25(11):1586-93
Date
Nov-2001
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcoholism - therapy
Biological Markers
Female
Follow-Up Studies
Humans
Middle Aged
Patient compliance
Patient Dropouts
Recurrence
Regression Analysis
Sweden
Time Factors
Treatment Outcome
Abstract
BACKGROUND: One hundred twenty women alcoholics recruited to a treatment program called EWA (Early Treatment for Women With Alcohol Addiction) were studied. The selected women were not previously treated for alcohol abuse. METHODS: The women were followed up by use of a structured personal interview, biomarkers sensitive for alcohol abuse (i.e., glutamyl transpeptidase), and questionnaires, by using defined criteria for abstinence, social drinking, satisfactory drinking outcome, and unsatisfactory drinking outcome. RESULTS: Drinking outcome was good (i.e., total abstinence, social drinking, or satisfactory drinking outcome) for 67% of the women during the total follow-up time, by use of strict criteria for relapse. The results were corroborated by the biomarkers. Similar results were reported from two previously studied groups of women from the same department. However, the frequency of abstinence was higher and social drinking was significantly lower among this sample of women. Daily drinking, the use of sedatives, and a long duration of pretreatment alcohol abuse predicted an unfavorable outcome. However, a long duration of outpatient treatment predicted a good outcome, whereas treatment dropout was related to an unsatisfactory drinking outcome. A majority of the women (96%) rated the treatment experience and the treatment program favorably. The overall good results might reflect the selection of the subjects studied. CONCLUSIONS: Improving treatment program adherence would probably improve outcome for the women with an unsatisfactory drinking outcome.
PubMed ID
11707633 View in PubMed
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Assessment for three different forms of short-term dynamic psychotherapy. Findings from the Bergen Project.

https://arctichealth.org/en/permalink/ahliterature233941
Source
Psychother Psychosom. 1988;49(3-4):153-9
Publication Type
Article
Date
1988
Author
K. Barth
G. Nielsen
O E Havik
B. Haver
E. Mølstad
H. Rogge
M. Skåtun
A N Heiberg
H. Ursin
Author Affiliation
University of Bergen, Norway.
Source
Psychother Psychosom. 1988;49(3-4):153-9
Date
1988
Language
English
Publication Type
Article
Keywords
Adult
Female
Follow-Up Studies
Humans
Interview, Psychological
Male
Mental Disorders - psychology - therapy
Middle Aged
Norway
Psychoanalytic Interpretation
Psychoanalytic Therapy - methods
Psychological Tests
Psychotherapy, Brief - methods
Abstract
Forty-four patients were assessed for three different short-term dynamic therapies, with an evaluation form based on Sifneos' criteria for Short-Term Anxiety-Provoking Psychotherapy (STAPP). Ten patients were ascribed to STAPP, 22 patients to Malan's Brief Psychotherapy (BP), and 12 patients to a more eclectic/integrative form of brief psychotherapy in this project called the FIAT model. 78% of the patients completed their treatment in agreement with the original ascription to therapy, with good results for all three therapies. The evaluation form seems to be a reliable and valid instrument offering a good and systematic basis for designing a tailor-made treatment format for different types of patients.
PubMed ID
3237966 View in PubMed
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Comprehensive assessment of change in patients treated with short-term dynamic psychotherapy: an overview. A 2-year follow-up study of 34 cases.

https://arctichealth.org/en/permalink/ahliterature233867
Source
Psychother Psychosom. 1988;50(3):141-50
Publication Type
Article
Date
1988
Author
K. Barth
G. Nielsen
B. Haver
O E Havik
E. Mølstad
H. Rogge
M. Skåtun
Author Affiliation
University of Bergen, Norway.
Source
Psychother Psychosom. 1988;50(3):141-50
Date
1988
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Ego
Female
Follow-Up Studies
Humans
Male
Mental Disorders - psychology - therapy
Middle Aged
Norway
Personality Development
Personality Tests
Problem Solving
Psychoanalytic Therapy - methods
Psychotherapy, Brief - methods
Self Concept
Social Adjustment
Abstract
Change was assessed in 34 patients at the end of short-term dynamic psychotherapy (STDP), and at 2 follow-ups (1 year and 2 years subsequent to treatment). The assessment was made from different perspectives and according to multiple criteria and methods of measurement. The results indicate that, when a particular form of STDP is selected according to each patient's ego resources, motivation for therapy, and motivation for change, approximately 90% of the patients will attain substantial symptom relief. The majority of the patients in this study also gave evidence of positive change in adaptive functioning, while one-third attained some dynamic/structural change as well. Clinically rated improvement was confirmed by changes in the patients' self-reported distress level (SCL-90), and from psychological test findings (MMPI). Improvement observed at the end of therapy was sustained throughout the 2-year follow-up period.
PubMed ID
3267825 View in PubMed
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The DSM-III diagnosis of alcohol use disorders in women: findings from a follow-up study of 44 female alcoholics.

https://arctichealth.org/en/permalink/ahliterature12701
Source
Acta Psychiatr Scand Suppl. 1986;328:22-30
Publication Type
Article
Date
1986
Author
B. Haver
Source
Acta Psychiatr Scand Suppl. 1986;328:22-30
Date
1986
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Alcohol Drinking
Alcoholism - diagnosis - psychology
Female
Follow-Up Studies
Humans
Manuals
Norway
Research Support, Non-U.S. Gov't
Social Adjustment
Abstract
In a long term follow-up study of 44 young women with symptoms of alcohol dependence at index year, only 17 (38%) of the interviewed subjects fulfill the DSM-III criteria for alcohol abuse or dependence the year prior to follow-up according to the interview material. The reason for this is partly that there has been a change in drinking patterns for 24 women (54%), of which eight are abstainers, seven asymptomatic drinkers and nine having an increased tolerance as the only sign of a possibly pathological alcohol use. Partly, however, the lack of diagnosis can be attributed to client denial or substituting drugs for alcohol, and partly due to inadequate criteria. Some of the DSM-III criteria are sex biased, probably leading to men having a diagnosis at an earlier stage of alcoholism. The concept of degree of alcohol dependence, an appropriate time limit for assessment of diagnosis and the difference between primary and secondary alcoholism, should be specified in future diagnostic criteria for alcohol use disorders.
PubMed ID
3463135 View in PubMed
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Early treatment of women with alcohol addiction (EWA): a comprehensive evaluation and outcome study. I. Patterns of psychiatric comorbidity at intake.

https://arctichealth.org/en/permalink/ahliterature11472
Source
Addiction. 1995 Jan;90(1):101-9
Publication Type
Article
Date
Jan-1995
Author
B. Haver
L. Dahlgren
Author Affiliation
Stiftelsen Bergensklinikkene, Bergen, Norway.
Source
Addiction. 1995 Jan;90(1):101-9
Date
Jan-1995
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcoholism - epidemiology - psychology - rehabilitation
Combined Modality Therapy
Comorbidity
Female
Follow-Up Studies
Humans
Mental Disorders - epidemiology - psychology - rehabilitation
Middle Aged
Norway - epidemiology
Research Support, Non-U.S. Gov't
Abstract
This paper deals with psychiatric comorbidity among 60 women problem drinkers treated in a specialized women-only treatment programme (EWA) at Karolinska Hospital, Stockholm, Sweden. The programme attracts women who have not been previously treated for alcohol problems. The methods used were structured interviews (SCID-I and SCID-II) applied at least 10 days after the start of treatment. All but two of the women had a definite alcohol dependence according to the DSM-III-R, and a majority (60%) also fulfilled the criteria for at least one psychiatric disorder during their lifetime. However, only 23% had a personality disorder (PD), and all subjects with a PD also had at least one Axis I disorder. The most common disorders were mood disorders (48%) and anxiety disorders (38%). However, alcohol dependence developed without definite pre-existing psychiatric disorders among a substantial proportion of the women (40%). It remains to be seen whether and how psychiatric disturbances among female problem drinkers affect treatment compliance and long-term outcome.
PubMed ID
7888968 View in PubMed
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Personality characteristics of women with alcohol addiction: a Rorschach study of women in an early treatment programme.

https://arctichealth.org/en/permalink/ahliterature10879
Source
Scand J Psychol. 1998 Mar;39(1):47-54
Publication Type
Article
Date
Mar-1998
Author
I. Bergman
B. Haver
H. Bergman
L. Dahlgren
G H Nielsen
Author Affiliation
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Source
Scand J Psychol. 1998 Mar;39(1):47-54
Date
Mar-1998
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcoholism - complications - psychology
Female
Humans
Mental Disorders - complications
Middle Aged
Personality
Rorschach test
Self Concept
Social Perception
Sweden
Abstract
This study identifies personality characteristics in a group of Swedish women (N = 60) attending their first treatment for alcohol problems. The treatment programme specifically addressed women in an early phase of their drinking career, and was called "Early Treatment of Women with Alcohol Addiction" (EWA). Rorschach personality profiles of the 60 women differed significantly in almost all investigated aspects in a psychopathological direction from norms reported by Exner for a reference group of female non-patients. The findings are consistent with the assumption that, although the EWA women were socially well-functioning and fairly early in their drinking career, they nevertheless reveal serious underlying psychopathology. Clinical implications of the findings are discussed.
PubMed ID
9619132 View in PubMed
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Screening for psychiatric comorbidity among female alcoholics: the use of a questionnaire (SCL-90) among women early in their treatment programme.

https://arctichealth.org/en/permalink/ahliterature10937
Source
Alcohol Alcohol. 1997 Nov-Dec;32(6):725-30
Publication Type
Article
Author
B. Haver
Author Affiliation
Karolinska Institute, Department of Clinical Neuroscience, Stockholm, Sweden.
Source
Alcohol Alcohol. 1997 Nov-Dec;32(6):725-30
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - epidemiology - psychology
Diagnosis, Dual (Psychiatry)
Female
Humans
Male
Mental Disorders - epidemiology - psychology
Middle Aged
Psychiatric Status Rating Scales
Questionnaires
Socioeconomic Factors
Sweden - epidemiology
Abstract
The use of a questionnaire, Symptom Check List-90 (SCL-90), as a screening instrument for psychiatric disorders was studied in 60 women attending their first treatment for alcohol abuse in Stockholm, Sweden. A global SCL-90 index, the General Symptomatic Index (GSI), measuring the total level of recent self-reported psychological distress, showed a high efficacy in distinguishing 'psychiatric cases' from 'non-cases' in the present sample. Psychiatric cases were defined as subjects satisfying the criteria for any current DSM-III-R disorder other than substance abuse. The psychiatric diagnoses were obtained independently by use of the Structured Clinical Interview for DSM-III-R (SCID-I). Psychiatric disorders, especially depression and anxiety disorders, frequently antecede or develop secondary to alcohol abuse among women. The use of structured interviews to diagnose these disorders is, however, time-consuming. Findings from the present study indicate that SCL-90 can be used to detect psychiatric comorbidity among female alcoholics, thus enabling clinicians to be aware of concomitant psychiatric disorders among a subgroup of patients.
PubMed ID
9463726 View in PubMed
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7 records – page 1 of 1.