Zugangsvariablen als Prädiktoren für das Therapieergebnis bei Alkohollangzeitentwöhnungsmaßnahmen

Abstract

Objective: Up to now, there are no valid predictors for positive results in the long-term treatment of persons suffering from alcohol addiction. This study attempts to describe relations between motivation but also other external variables of access to treatment and therapy outcome. Method: 434 persons with alcohol addiction, treated in 2004 in the Diakonie-Krankenhaus Harz GmbH Elbingerode as part of a long-term measure, were audited one year after finishing treatment. Access variables were defined and checked in relation to outcome variables through the application of multiple linear and multiple logistic regression. Result: There is no relation between the channels through which patients come to the clinic and the rate of abstinence. A relation was identified between motivation at the start of therapy and the defined outcome variables: The group of patients with ambivalent motivation revealed the worst result. The factor dimensions of case groups used in rehabilitation research demonstrated low predictive strength as regards the therapy result in the long term treatment of alcohol addiction. Conclusion: Motivation to engage in therapy was the main predictor for the outcome of a long-term anti-addiction treatment. To improve the quality of the treatment-chains, the parts that strengthen the motivation of affected persons should be promoted.