Nine-Year Psychiatric Trajectories and Substance Use Outcomes : An Application of the Group-Based Modeling Approach  

Oleh:

Chi, Felicia W. ; Weisner, Contance M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Evaluation Review vol. 32 no. 1 (Feb. 2008), page 39-58.
Topik: longitudinal substance use outcomes; psychiatric trajectories; group-based modeling; managed care; adult chemical dependency patients
Fulltext: 39ER321.pdf (145.27KB)

Isi artikel

This study identifies longitudinal psychiatric trajectories of 934 adult individuals entering chemical dependency treatment in a private, managed care health plan and examines the relationship of these trajectories with substance use (SU) outcomes. The authors apply a group-based modeling approach to identify trajectory groups based on repeated measures of psychiatric severity for 9 years and identify four distinct groups. Results of multivariate logistic generalized estimating equation models find an association between psychiatric trajectories and long-term SU. Older cohorts and life course measures of marital status and employment status as individuals changed over time are related to drug and some alcohol outcomes.

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