Patterns and temporal change of psychopathological symptoms among inpatients with alcohol use disorder undergoing a twelve-step based treatment

Horváth, Z, Tremkó, M, Fazekas, Z, Tóth, A, Petke, Z, Farkas, J, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, Demetrovics, Z and Urbán, R, 2020. Patterns and temporal change of psychopathological symptoms among inpatients with alcohol use disorder undergoing a twelve-step based treatment. Addictive Behaviors Reports, 12: 100302. ISSN 2352-8532

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Abstract

Background: Patients diagnosed with Alcohol Use Disorder (AUD) present an increased risk for experiencing severe internalizing and externalizing symptoms. Involvement in twelve-step based treatment programs, such as the Minnesota Model (MM), can contribute to improvement of an individual’s psychopathological symptom profile. The present study’s main objective was to examine profiles and change trajectories of psychopathological symptoms of AUD subgroups during an eight-week long period of MM treatment attendance.

Method: Inpatients with AUD (N = 303) who attended MM treatment programs participated in the present study. Latent Class Growth Analysis (LCGA) was used to evaluate the psychopathological symptom change trajectories assessed by using the Brief Symptom Inventory (BSI). Multiple comparisons and multinomial logistic regression were performed to validate the subgroups.

Results: Three subgroups were identified: low severity (48.5%), moderate severity (35.2%), and high severity (16.2%) symptomatic subgroups. The moderate severity class demonstrated the largest effect in terms of symptoms decrease. Higher severity classes showed significantly higher rates of harmful alcohol drinking and drinking motives.

Conclusions: The present study identified three severity-based subgroups which indicate that psychopathology sits on a spectrum of severity among AUD patients. The findings highlight the associations between AUD and internalizing symptoms, negative reinforcement drinking motives, and the symptomatic improvement that can occur among those participating in MM treatment programs.

Item Type:	Journal article
Publication Title:	Addictive Behaviors Reports
Creators:	Horváth, Z., Tremkó, M., Fazekas, Z., Tóth, A., Petke, Z., Farkas, J., Griffiths, M.D., Demetrovics, Z. and Urbán, R.
Publisher:	Elsevier
Date:	December 2020
Volume:	12
ISSN:	2352-8532
Identifiers:	Number Type 10.1016/j.abrep.2020.100302 DOI S2352853220301176 Publisher Item Identifier 1367347 Other
Rights:	© 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).
Divisions:	Schools > School of Social Sciences
Record created by:	Linda Sullivan
Date Added:	16 Sep 2020 11:19
Last Modified:	31 May 2021 15:16
URI:	https://irep.ntu.ac.uk/id/eprint/40750

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