Abstract
Alcohol-dependent patients remain at high risk of relapsing during the first 6 months of the postdetoxification period (Hunt et al. 1971). There is fairly general consensus that the major objectives during this period are the maintenance of abstinence from alcohol (Marlatt and Gordon 1985), the patient’s return to a normal life, and preferably his or her establishing stable social and working conditions (Wallace et al. 1988). Many pharmacotherapeutic agents intended to assist the patient through this postdetoxification period are presently under evaluation (Lishow and Goodwin 1987; Litten and Allen 1991; Verbanck et al. 1993). Among them, disulfiram (Fuller et al. 1986), serotonergic agents (Naranjo and Bremner 1992) and naltrexone (Volpicelli et al. 1992; O’Malley et al. 1992) appear to be the most promising. However, the design of the trials performed to test the value of these compounds remained far removed from the “naturalistic” conditions of treatment of most alcoholic patients, and, for this reason, their value in common practice is still unclear.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alterman AI, Hayashida M, O’Brien CP (1987) Treatment response and safety of ambulatory medical detoxication. J Stud Alcohol 49 (2): 160–166
American Psychiatric Association (1980) Diagnostic and statistical manual for mental disorders, 3rd edn. APA, Washington DC
Bouchenafa O, Cwynarski K, Littleton JM (1990) Interactions between excitatory aminoacids and AOTAL in a cell culture model of ethanol dependence. 5th Congress of the International Society of Biomedical Research on Alcoholism 1990; abstract book, abstract 30
Cross GM, Morgan CW, Mooney AJ, Martin CA, Rafter JA (1990) Alcoholism treatment: a ten year study. Alcohol Clin Exp Res 14 (2): 169–173
Cutler SJ, Ederer F (1958) Maximum utilization of the life-talk method in analyzing survival. Chron Dis 8: 699–713
Daoust M, Chabenat C, Boucly P (1991) Acamprosate calcium. Drugs Today 27 (3): 75–76
De Soto CB, O’Donnel WE, De Soto JL (1989) Long term recovery in alcoholics, Alcohol Clin Exp Res 13 (5): 693–697
Edwards G (1989) As the years go rolling by. Drinking problems in time dimension. Bri J Psychiatry 154: 18–26
Elal-Lawrence G, Slade P, Dewey ME (1987) Treatment and follow-up variables discriminating abstainers, controlled drinkers and relapsers. J Stud Alcohol 48 (1): 39–49
Ewing JA (1984) Detecting alcoholism: the CAGE questionnaire J Am Med Assoc 252: 1905–1907
Gewiss M, Heidbredder C, Opsomer L, Durbin P, De Witte P (1991) Acamprosate and diazepam differentially modulate alcohol-induced behavioural and cortical alterations in rats following chronic inhalation of ethanol vapour. Alcohol Alcohol 26 (2): 129–137
Gilbert FS (1987) The effect of aftercare follow-up on treatment outcome among alcoholics. J Stud Alcohol 49 (2): 149–159
Gillings D, Koch G (1991) The application of intention-to-treat to the analysis of clinical trials. Drug Inform J 25: 411–424
Guy W(ed) (1976) ECDEU assessment manual for psychopharmacology, 3rd edn. National Institute of Mental Health, Bethesda, MD
Guy W, Bonato RB (eds) (1970) Manual for the ECDEU assessment battery, 2nd edn. National Institute of Mental health, Bethesda, MD
Hill MJ, Blane HT (1967) Evaluation of psychotherapy with alcoholics: a critical review. Q J Stud Alcohol 28: 76–104
Hillemand B, Joly JP, Lhuintre JP, Libert C (1986) Prospects of the management of alcoholism. Part 1: generalities and models of therapeutic relations with the alcoholic patient. Part 2: the alcohol-dependent person’s itinerary towards regained freedom. Sem Hop Paris 62: 3391–3395,3468–3474
Hillemand B, Lhuintre JP, Steru L, Daoust M, Moore N (1989) Essai thérapeutique multicentrique du N bis acetylhomotaurinate de calcium (Ca Aota) dans le traitment de l’alcoolo-dépendant. Rev Alcool 34 (1): 9–28
Hunt WA, Barnett W, Branch LG (1971) Relapse rates in addiction programs. J Clin Psychol 27: 455–456
Le Magnen J, Tran G, Durlach J, Martin C (1987) Dose dependent suppresion of the high alcohol intake of chronically intoxicated rats by Ca-acetylhomotaurinate. Alcohol 4: 97–102
Lhuintre JP, Daoust M, Tran G, Moore N, Chretien P, Hillemand B, Boismare F (1984) Calcium acetyl-homotaurinate (Ca-aota) reduces alcohol consumption by ethilics. Alcohol Clin 8: 103
Lhuintre JP, Daoust M, Moore N, Chretien P, Saligaut C, Tran G, Boismare F, Hillemand B (1985) Ability of calcium bis homotaurinate, a GABA-agonist, to prevent relapse in weaned alcoholics. Lancet 1: 1014–1016
Lhuintre JP, Moore N, Tran G, Steru L, Langrenon S, Daoust M, Parot P, Ladure P, Libert C, Boismare F, Hillemand B (1990) Acamprosate appears to decrease alcohol intake in weaned alcoholics. Alcohol (1987) Alcohol 25 (6): 613–622
Liskow BI, Goodwin DW (1987) Pharmacological treatment of alcohol intoxication, withdrawal and dependence: a critical review. J Stud Alcohol 48 (4): 356–370
Litten RZ, Allen JP (1991) Pharmacotherapies for alcoholism: promising agents and clinical issues. Alcohol Clin Exp Res 15 (4): 620–633
MacKenzie A, Funderburk FR, Allen RP, Stefan RL (1987) The characteristics of alcoholics frequently lost to follow-up. J Stud Alcohol 48 (2): 119–123
Marlatt GA, Gordon JR (1985) Relapse prevention: maintenance strategies in the treatment of addictive behaviours. Guilford, New York
Moos RH, Bliss F (1978) Difficulty of follow-up and outcome of alcoholism treatment. J Stud Alcohol 39: 473–481
Moos RH, Finney JW, Cronkite RC (1990) Alcoholism treatment: context, process, and outcome. Oxford University Press, Oxford
Naranjo CA, Sellers EM, Lawrin MO (1986) Modulation of ethanol intake by serotonin uptake inhibitors. J Clin Psychiatry 47 [Suppl]: 16–20
Naranjo CA, Sellers EM, Sullivan JT, Woodley DV, Kadlec K, Sykora K (1987) The serotonin uptake inhibitor citalopram attenuates ethanol intake. Clin Pharmacol Ther 41: 266–274.
Nathan PE, Skinstad A-H (1987) Outcomes of treatment for alcohol problems: cuirrent methods, problems and results. J Consult Clin Psychol 55 (3): 332–340
Nordström G, Berglund M (1986) Successfully adjusted alcoholics lost to long-term follow-up. A prospective study. Drug Alcohol Depend 18: 116–122
Pelc I, Van Wijnsberghe J (1988) Nouveaux éléments pour une thérapie dynamicocomportementale de l’alcoolisme. Actual Psychiatri 7: 78–82
Sobell LC, Sobell MB (1980) Frequent follow-up as data gathering and continued care with alcoholics. Int J Addict 16: 1077–1086
Sogliero-Gilbert G, Mosher K, Zubkoff A (1986) Procedure for the simplification and assessment of lab parameters in clinical trials. Drug Inform J 20: 279–296
Vaillant GE (1988) What can long-term follow-up teach us about relapse and prevention of relapse in addiction. Br J Addict 83: 1147–1157
Verbanck P, Barrias J, Besson J, Borg S (1993) Pharmacological approach of the treatment of drinking problems: a critical overview. Alcohol Alcohol [Suppl 2]: 139–144
Waisberg JL (1990) Patient characteristics and outcome of inpatient treatment for alcoholism. Adv Alcohol Subst Abuse 8 (3/4): 9–32
Wallace J, McNeil D, Gilfillan D, MacLean K, Fanella F (1988) Six month treatment outcomes in socially stable alcoholics: abstinence rates. J Subst Abuse Treat 5: 247–252
Zeise ML, Kasparow S, Capogna M, Zieglgänsberger W (1990) Calciumdiacetylhomotaurinate (Ca-aota) decreases the action of excitatory amino acids in the rat neocortex in vitro. Prog Clin Biol Res 351: 237–242
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Pelc, I., Le Bon, O., Lehert, P., Verbanck, P. (1996). Acamprosate in the Treatment of Alcohol Dependence: A 6-Month Postdetoxification Study. In: Soyka, M. (eds) Acamprosate in Relapse Prevention of Alcoholism. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80193-8_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-80193-8_10
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-80195-2
Online ISBN: 978-3-642-80193-8
eBook Packages: Springer Book Archive