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Predicting post-treatment-initiation alcohol use among patients with severe mental illness and alcohol use disorders.
Authors:Bradizza  Clara M; Maisto  Stephen A; Vincent  Paula C; Stasiewicz  Paul R; Connors  Gerard J; Mercer  Nicole D
Abstract:Few investigators studying alcohol abuse among individuals with a severe mental illness (SMI) have examined predictors of posttreatment alcohol outcomes. In the present study, a multivariate approach based on a theoretical model was used to study the relationship between psychosocial factors and post-treatment-initiation alcohol use. Predictors of alcohol use outcomes were examined in 278 individuals diagnosed with a current schizophrenia-spectrum or bipolar disorder and an alcohol use disorder (AUD). At 6-months follow-up, 144 of 228 available participants (63%) had good clinical outcomes. The results of structural equation modeling indicated that type of pretreatment residential setting was directly related to treatment, with participants who lived in supervised settings (41%) reporting significantly more days of treatment (β = .34, p
Keywords:severe mental illness  alcohol outcome  schizophrenia  bipolar disorder  dual diagnosis  posttreatment prediction
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