Efficacy indicators of four methods in outpatient addiction treatment

Authors

  • ANDREIA DE MOURA Universidade Lusófona do Porto
  • RICARDO PINTO Universidade Lusófona do Porto
  • LÍGIA FERROS Universidade Lusíada do Porto
  • INÊS JONGENELEN Universidade Lusófona do Porto
  • JORGE NEGREIROS Universidade do Porto; Faculdade de Psicologia e de Ciências da Educação

DOI:

https://doi.org/10.1590/0101-60830000000134

Keywords:

Addiction, outpatient treatments, group therapy, treatment effectiveness evaluation

Abstract

Background In Portugal, as far as we know, there are no recent studies that evaluated the comparative efficacy of therapeutic modalities in addiction problems by reference to a holistic and psychosocial model of effectiveness. Objectives Using a sample of Portuguese patients in outpatient treatment for drug and alcohol abuse, this study aimed to examine if a combined treatment modality (group therapy with individual intervention) had greater overall efficacy when compared to other three types of treatment without group therapy. Methods This is a correlational and cross-sectional study using a convenience sample of patients (N = 254) from an outpatient treatment in the Intervention Service on Addictive Behaviors and Substance Dependence. At the time of data collection, the patients were attending four types of treatment, such as receiving intervention based on individual psychological counseling (n = 66); receiving individual psychiatric counseling (n = 68); receiving both individual psychological and psychiatric counseling (n = 102); and receiving not only individual counseling (i.e., psychology or psychiatry), but also attending group therapy (n = 18). Results Using MANOVA and Wilks’s multivariate test criterion, there was a significant effect of treatment modality on the global efficacy, Λ = 0.88, F(9, 603) = 3.75, p < 0.0001. Examination of mean estimates indicated that patients in a combined therapeutic modality revealed more treatment involvement compared to patients in other therapeutic modalities without group therapy. Discussion The results obtained in this study highlight the importance of integrating interventions in a collaborative way. A combined therapeutic modality, adding group therapy, was associated with positive effects, such as more levels of peer support and involvement in treatment, and increasing the individual’s probability to remain abstinent.

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Published

2017-10-01

How to Cite

MOURA, A. D., PINTO, R., FERROS, L., JONGENELEN, I., & NEGREIROS, J. (2017). Efficacy indicators of four methods in outpatient addiction treatment. Archives of Clinical Psychiatry, 44(5), 117-121. https://doi.org/10.1590/0101-60830000000134

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Section

Original Articles