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dc.contributor.authorFriendmann, Peter D.
dc.contributor.authorLemon, Stephenie C.
dc.contributor.authorAnderson, Bradley J.
dc.contributor.authorStein, Michael D.
dc.date2022-08-11T08:10:20.000
dc.date.accessioned2022-08-23T17:05:03Z
dc.date.available2022-08-23T17:05:03Z
dc.date.issued2003-04-14
dc.date.submitted2011-11-09
dc.identifier.citationDrug Alcohol Depend. 2003 Apr 1;69(3):243-51.
dc.identifier.issn0376-8716 (Linking)
dc.identifier.pmid12633910
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44772
dc.description.abstractThis study examined the predictors of self-reported health status at follow-up in the Drug Abuse Treatment Outcomes Study (DATOS), a longitudinal study of drug abuse treatment programs and patients in 1991-1993. Baseline and follow-up interviews of 2966 patients in 75 programs were performed. The follow-up assessment was targeted to occur 12 months after treatment terminated; long-term methadone patients in treatment for the entire 12-month period were interviewed 24 months after intake. A composite measure, developed through principal component analysis, assessed health status. A multivariate hierarchical linear regression model adjusted for identified independent baseline predictors of health status at follow-up. Poor physical health status (including the composite measure, comorbid conditions and pain) and greater severity of psychiatric symptoms at baseline were the strongest predictors of poor health status at follow-up. Other predictors of worse health status included older age, public insurance coverage and unemployment. We conclude that baseline health status and psychiatric symptoms predict the subsequent health status of patients in substance abuse treatment patients as in other clinical populations. Future research should examine whether early identification and treatment of physical and mental health problems among patients in addiction treatment programs might remediate their adverse effects on long-term health status outcomes.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=12633910&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1016/S0376-8716(02)00323-X
dc.subjectAdult
dc.subjectAlcoholism
dc.subjectChronic Disease
dc.subjectCohort Studies
dc.subjectComorbidity
dc.subjectFemale
dc.subject*Health Status
dc.subjectHumans
dc.subjectLinear Models
dc.subjectLongitudinal Studies
dc.subjectMale
dc.subjectMental Disorders
dc.subjectMiddle Aged
dc.subjectOutcome Assessment (Health Care)
dc.subject*Street Drugs
dc.subjectSubstance-Related Disorders
dc.subjectUnited States
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titlePredictors of follow-up health status in the Drug Abuse Treatment Outcome Study (DATOS)
dc.typeJournal Article
dc.source.journaltitleDrug and alcohol dependence
dc.source.volume69
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/191
dc.identifier.contextkey2340882
html.description.abstract<p>This study examined the predictors of self-reported health status at follow-up in the Drug Abuse Treatment Outcomes Study (DATOS), a longitudinal study of drug abuse treatment programs and patients in 1991-1993. Baseline and follow-up interviews of 2966 patients in 75 programs were performed. The follow-up assessment was targeted to occur 12 months after treatment terminated; long-term methadone patients in treatment for the entire 12-month period were interviewed 24 months after intake. A composite measure, developed through principal component analysis, assessed health status. A multivariate hierarchical linear regression model adjusted for identified independent baseline predictors of health status at follow-up. Poor physical health status (including the composite measure, comorbid conditions and pain) and greater severity of psychiatric symptoms at baseline were the strongest predictors of poor health status at follow-up. Other predictors of worse health status included older age, public insurance coverage and unemployment. We conclude that baseline health status and psychiatric symptoms predict the subsequent health status of patients in substance abuse treatment patients as in other clinical populations. Future research should examine whether early identification and treatment of physical and mental health problems among patients in addiction treatment programs might remediate their adverse effects on long-term health status outcomes.</p>
dc.identifier.submissionpathprevbeh_pp/191
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages243-51


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