Citation

Dawes MA, Frank S, Rost K. Am. J. Drug Alcohol Abuse 1993; 19(3): 377-386.

Affiliation

NIMH Center for Rural Mental Health Care Research, Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock 72205.

Copyright

(Copyright © 1993, Informa - Taylor and Francis Group)

DOI

unavailable

PMID

8213701

Abstract

Although psychiatric comorbidity and alcoholism severity are risk factors for poor outcomes in treating alcoholism, little is known about whether clinicians assess these conditions accurately. In this study we evaluated four clinicians' assessments of two indicators of alcoholism severity and three psychiatric co-morbidities in 78 inpatients in their third to seventh day of hospitalization in alcohol treatment programs. Clinicians overestimated the number of days drinking in 28% of subjects, and the number of drinks per drinking day in 37% of subjects. Clinicians underestimated alcohol consumption for patients with higher incomes. Clinicians correctly diagnosed 67% of 18 subjects with antisocial personality disorder, 65% of 26 with major depression, and 89% of 28 with drug abuse. These preliminary results need to be replicated in larger samples of clinicians to determine whether interventions are needed to improve the recognition of important prognostic factors in the treatment of alcoholic patients.

Language: en