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Predicting alcohol treatment program drop-outs.

M R O'Leary, D A Calsyn, E F Chaney

    Diseases of the Nervous System
    |December 1, 1977
    PubMed
    Summary
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    Psychological tests can predict drop-outs from alcohol treatment. The Rotter Locus of Control scale (I-E) effectively identified patients likely to leave outpatient care, achieving 82% accuracy in predictions.

    Area of Science:

    • Psychology
    • Addiction Medicine
    • Clinical Psychology

    Background:

    • Patient drop-out is a significant challenge in addiction treatment programs.
    • Predictive factors for treatment attrition are crucial for improving patient outcomes.
    • Understanding patient adherence in alcohol treatment is vital for program efficacy.

    Purpose of the Study:

    • To assess the feasibility of using psychological tests to predict patient drop-outs from an alcohol treatment program.
    • To identify specific psychological measures that correlate with treatment completion or attrition.

    Main Methods:

    • Eighty-four male veterans in an inpatient alcohol treatment program were administered the Rotter Locus of Control scale (I-E) and the MMPI-168.
    • Patients were categorized based on completion of both inpatient and outpatient phases versus those dropping out during outpatient treatment.

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  • Discriminant analysis was employed to develop a predictive equation for drop-outs.
  • Main Results:

    • A significant difference was found between completers and drop-outs solely on the Rotter Locus of Control (I-E) scale.
    • The developed prediction equation demonstrated an 82% accuracy rate in classifying patients who would drop out.

    Conclusions:

    • The Rotter Locus of Control scale is a feasible tool for predicting drop-outs in alcohol treatment programs.
    • Locus of control may be a key psychological factor influencing patient adherence in long-term addiction recovery.
    • The findings support the integration of psychological assessments for proactive intervention strategies in addiction treatment.