The prognosis of out-patient alcohol treatment among parents with childcare responsibility

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Resumé

Background Despite expansive knowledge on the detrimental effects of growing up with parents with alcohol use disorders (AUDs), little is known about the prognosis of alcohol treatment among parents with childcare responsibility. Aims This observational cohort study aimed to examine the prognosis of patients with and without childcare responsibility, in a conventional out-patient alcohol treatment clinic. Method A consecutive AUD sample (N = 2201), based on ICD-10 Diagnostic Criteria for Research, was assessed with the European Addiction Severity Index during the clinical routine, at treatment entry and conclusion. Data on addiction severity, treatment course and drinking outcomes were derived, and adjusted odds ratios (AORs) were calculated with logistic-regression models. Drinking outcomes were compared in an intention-to-treat analysis, including all patients in a logistic regression with inverse probability weighting. Results Patients with childcare responsibility (aged <18 years) had a less severe addiction profile and lower drop-out rate compared with patients without children or with children living out-of-home. They were also more likely to improve on all drinking-related outcomes, including abstinence (AOR 2.68, 95% CI 1.82-3.95), number of drinking days (AOR 2.45, 95% CI 1.50-4.03) and excessive drinking days (AOR 4.66, 95% CI 2.36-9.17); and those with children living out-of-home had better outcomes on abstinence (AOR 1.59, 95% CI 1.08-2.34) than patients without children. Conclusions Childcare responsibility among out-patients was associated with better treatment course and outcomes than those without or not living with their children. This knowledge can help guide clinical practice, effectuate interventions and inform social authorities.

OriginalsprogEngelsk
TidsskriftBJPsych Open
Vol/bind4
Udgave nummer6
Sider (fra-til)471-477
ISSN2056-4724
DOI
StatusUdgivet - nov. 2018

Fingeraftryk

Drinking
Outpatients
Parents
Odds Ratio
Alcohols
Logistic Models
Intention to Treat Analysis
International Classification of Diseases
Cohort Studies
Research

Citer dette

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title = "The prognosis of out-patient alcohol treatment among parents with childcare responsibility",
abstract = "Background Despite expansive knowledge on the detrimental effects of growing up with parents with alcohol use disorders (AUDs), little is known about the prognosis of alcohol treatment among parents with childcare responsibility. Aims This observational cohort study aimed to examine the prognosis of patients with and without childcare responsibility, in a conventional out-patient alcohol treatment clinic. Method A consecutive AUD sample (N = 2201), based on ICD-10 Diagnostic Criteria for Research, was assessed with the European Addiction Severity Index during the clinical routine, at treatment entry and conclusion. Data on addiction severity, treatment course and drinking outcomes were derived, and adjusted odds ratios (AORs) were calculated with logistic-regression models. Drinking outcomes were compared in an intention-to-treat analysis, including all patients in a logistic regression with inverse probability weighting. Results Patients with childcare responsibility (aged <18 years) had a less severe addiction profile and lower drop-out rate compared with patients without children or with children living out-of-home. They were also more likely to improve on all drinking-related outcomes, including abstinence (AOR 2.68, 95{\%} CI 1.82-3.95), number of drinking days (AOR 2.45, 95{\%} CI 1.50-4.03) and excessive drinking days (AOR 4.66, 95{\%} CI 2.36-9.17); and those with children living out-of-home had better outcomes on abstinence (AOR 1.59, 95{\%} CI 1.08-2.34) than patients without children. Conclusions Childcare responsibility among out-patients was associated with better treatment course and outcomes than those without or not living with their children. This knowledge can help guide clinical practice, effectuate interventions and inform social authorities.",
keywords = "Alcohol disorders, childhood experience, out-patient treatment, outcome studies",
author = "Mellentin, {Angelina Isabella} and Ellermann, {Annette Elkj{\ae}r} and Bent Nielsen and Anna Mejldal and S{\"o}ren M{\"o}ller and Nielsen, {Anette S{\o}gaard}",
year = "2018",
month = "11",
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language = "English",
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The prognosis of out-patient alcohol treatment among parents with childcare responsibility. / Mellentin, Angelina Isabella ; Ellermann, Annette Elkjær; Nielsen, Bent; Mejldal, Anna ; Möller, Sören; Nielsen, Anette Søgaard.

I: BJPsych Open, Bind 4, Nr. 6, 11.2018, s. 471-477.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - The prognosis of out-patient alcohol treatment among parents with childcare responsibility

AU - Mellentin, Angelina Isabella

AU - Ellermann, Annette Elkjær

AU - Nielsen, Bent

AU - Mejldal, Anna

AU - Möller, Sören

AU - Nielsen, Anette Søgaard

PY - 2018/11

Y1 - 2018/11

N2 - Background Despite expansive knowledge on the detrimental effects of growing up with parents with alcohol use disorders (AUDs), little is known about the prognosis of alcohol treatment among parents with childcare responsibility. Aims This observational cohort study aimed to examine the prognosis of patients with and without childcare responsibility, in a conventional out-patient alcohol treatment clinic. Method A consecutive AUD sample (N = 2201), based on ICD-10 Diagnostic Criteria for Research, was assessed with the European Addiction Severity Index during the clinical routine, at treatment entry and conclusion. Data on addiction severity, treatment course and drinking outcomes were derived, and adjusted odds ratios (AORs) were calculated with logistic-regression models. Drinking outcomes were compared in an intention-to-treat analysis, including all patients in a logistic regression with inverse probability weighting. Results Patients with childcare responsibility (aged <18 years) had a less severe addiction profile and lower drop-out rate compared with patients without children or with children living out-of-home. They were also more likely to improve on all drinking-related outcomes, including abstinence (AOR 2.68, 95% CI 1.82-3.95), number of drinking days (AOR 2.45, 95% CI 1.50-4.03) and excessive drinking days (AOR 4.66, 95% CI 2.36-9.17); and those with children living out-of-home had better outcomes on abstinence (AOR 1.59, 95% CI 1.08-2.34) than patients without children. Conclusions Childcare responsibility among out-patients was associated with better treatment course and outcomes than those without or not living with their children. This knowledge can help guide clinical practice, effectuate interventions and inform social authorities.

AB - Background Despite expansive knowledge on the detrimental effects of growing up with parents with alcohol use disorders (AUDs), little is known about the prognosis of alcohol treatment among parents with childcare responsibility. Aims This observational cohort study aimed to examine the prognosis of patients with and without childcare responsibility, in a conventional out-patient alcohol treatment clinic. Method A consecutive AUD sample (N = 2201), based on ICD-10 Diagnostic Criteria for Research, was assessed with the European Addiction Severity Index during the clinical routine, at treatment entry and conclusion. Data on addiction severity, treatment course and drinking outcomes were derived, and adjusted odds ratios (AORs) were calculated with logistic-regression models. Drinking outcomes were compared in an intention-to-treat analysis, including all patients in a logistic regression with inverse probability weighting. Results Patients with childcare responsibility (aged <18 years) had a less severe addiction profile and lower drop-out rate compared with patients without children or with children living out-of-home. They were also more likely to improve on all drinking-related outcomes, including abstinence (AOR 2.68, 95% CI 1.82-3.95), number of drinking days (AOR 2.45, 95% CI 1.50-4.03) and excessive drinking days (AOR 4.66, 95% CI 2.36-9.17); and those with children living out-of-home had better outcomes on abstinence (AOR 1.59, 95% CI 1.08-2.34) than patients without children. Conclusions Childcare responsibility among out-patients was associated with better treatment course and outcomes than those without or not living with their children. This knowledge can help guide clinical practice, effectuate interventions and inform social authorities.

KW - Alcohol disorders

KW - childhood experience

KW - out-patient treatment

KW - outcome studies

U2 - 10.1192/bjo.2018.69

DO - 10.1192/bjo.2018.69

M3 - Journal article

VL - 4

SP - 471

EP - 477

JO - BJPsych Open

JF - BJPsych Open

SN - 2056-4724

IS - 6

ER -