Samenvatting
De evidentie voor geïntegreerde behandeling van dubbele diagnose middels de IDDT-methode is nog beperkt. Doel van dit artikel is het vaststellen van geobserveerde veranderingen bij patiënten opgenomen op een klinische afdeling voor dubbele problematiek waar IDDT wordt toegepast. Daartoe werden ROM-gegevens (HoNOS, CGI, CGI-VZ en GAF) van 196 klinische patiënten die in 2016 met ontslag gingen verzameld bij opname en ontslag, en werden de uitkomsten vergeleken. De gemiddelde totaalscore en twaalf van de vijftien items van de HoNOS waren significant lager bij ontslag. Ook de CGI en CGI-VZ waren lager; de GAF was juist significant hoger. Dit duidt op afname van klachten en op toename van kwaliteit van leven. IDDT blijkt nog opvallend weinig onderworpen aan onderzoek. Deze studie laat zien dat een behandeling waarbij IDDT wordt toegepast kan leiden tot positieve uitkomsten.
Abstract
There is little evidence for the effects of integrated dual disorder treatment (IDDT). Aim of this article is to determine the observed changes of a clinical sample at a dual disorder programme. ROM data (HoNOS, CGI, CGI-VZ and GAF) of 196 clinical patients who were treated in 2016, were analysed. These data were assessed at the start and at the end of the clinical treatment and compared with each other. The mean total score and 12 of the 15 items of the HoNOS were significantly lower. Also the CGI and CGI-VZ were lower, but the GAF was higher at the end of the treatment period. Conclusion: the effects of IDDT are still under investigation. This study shows that an IDDT treatment can have positive effects.
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Dankbetuiging
De auteurs danken Jipke Kool en Renee Zwart-de Jong voor het verzamelen van de data en Mathijs Deen voor zijn hulp bij de statistische analyses.
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Neven, A., Bonebakker, A.E. Uitkomsten van IDDT op een dubbele-diagnoseafdeling. Verslaving 14, 56–65 (2018). https://doi.org/10.1007/s12501-018-0147-0
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DOI: https://doi.org/10.1007/s12501-018-0147-0