Summary

In Mexico, excessive alcohol consumption represents one of the main public health challenges at the national level. Although there are a number of intervention strategies that seek to affect this problem, there is also a large gap as to whether such interventions are a causal factor in the change produced by the consumer and the way in which such change occurs after treatment. One way to get to know him is to evaluate his results. Solution-Centered Therapy (SCD) is an alternative to those traditionally used to treat alcohol consumption. Its results have been documented in different countries of America and the European Community, but not in Hispanic populations. Objective To Evaluate the results of Solution-Centered Therapy in ethanol dependents and determine the differences between those seeking to modify the problems associated with alcohol consumption and those who sought to change the way they drank. Method It worked with a longitudinal design of type O1-X-O2, comparative, with a follow-up to twelve months. The sample was integrated with 60 alcohol users aged 18 to 50 who attended the Alcoholic and Family Aid Center (CAAF) of the National Institute of Psychiatry Ramón de la Fuente. All were intentionally selected, consumed alcohol in the last year, met the criteria for alcohol dependence according to DSM-IV and provided their informed consent in writing. The sample was divided into 30 ethanol-dependents who went to the CAAF to change their level of consumption and 30 dependents who intended to modify the problems associated with their consumption. In this research, the results of the intervention were defined from the time elapsed from when a dependent attended the last therapy session until he had a relapse and continued with the problems associated with alcohol consumption. The history of alcohol consumption of subjects was characterized by the pattern of consumption, level of dependence, number of DSM-IV criteria, treatment history, problems of alcohol consumption in the family of origin in two previous generations and problems associated with alcohol consumption. The number of additional sessions, services and treatments was considered as mediator of the results of the intervention. Results Of the total sample, 78% were married; 38% had basic instruction; the average age was 35.5 years; most belonged to a low socioeconomic level; 39% were high-level consumers; 43% were at a substantial level of dependence and 70% had a history of treatment. The need for higher treatment was recorded in the family problems associated with alcohol consumption with 48%. Of the total sample, 63% attended one to two sessions and the remaining attended more than two, with a follow-up of 83% of the sample. In the survival analysis, the first four months after treatment were identified as the most risky months to relapse. It was noted that TCS performed better in dependents seeking to change the problems associated with alcohol consumption. These were at the lowest socioeconomic levels and had a significant level of deterioration due to alcohol consumption