An Exploration of Quality of Life and its Predictors in Patients with Addictive Disorders: Gambling, Alcohol and Drugs

Manning, Victoria; Gomez, Brenda; Song, Guo; Low, Yee Deng; Koh, Puay Kee; Wong, KokSheik

doi:10.1007/s11469-011-9349-y

Cited by 30 publications

(29 citation statements)

References 39 publications

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“…Wellbeing (PWI) improved by 112% at 9 months post-exit from the TC. Wellbeing scores at baseline in this cohort (mean PWI = 25.2) were markedly lower than normative scores across 30 general population studies in Australia (mean PWI~75; n = 59,536; [45]), and about half of the typical baseline scores seen in treatment-seeking substance dependent individuals (mean PWI~50) [46][47][48]. Social Function scores improved by 34% at 9 months post TC.…”

Section: Discussioncontrasting

confidence: 55%

“…For those individuals with a primary alcohol problem, 77% of this subsample (n = 30) were considered severely alcohol dependent (scores above 30 on the SADQ). Baseline wellbeing in this cohort was markedly low, with only 7.2% of residents scoring within the range of normative Australian individual scores (50.4 to 100, across 30 studies, n = 59,536; [45]), and with a substantially lower group mean PWI score (mean = 25.2) than found in other substance misuse cohorts (means from 47.9 to 55.4; [46][47][48]) (see Table 3). Table S1 for regression tables and model parameters.…”

Section: Baseline Descriptive Statisticsmentioning

confidence: 87%

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Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence

Staiger

Liknaitzky

Lake

et al. 2020

JCM

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The Therapeutic Community (TC) model is considered an effective treatment for substance dependence, particularly for individuals with complex presentations. While a popular approach for this cohort across a number of countries, few studies have focussed on biopsychosocial and longer-term outcomes for this treatment modality. This study reports on substance use, dependence, and biopsychosocial outcomes up to 9 months post-exit from two TC sites. Methods: A longitudinal cohort study (n = 166) with two follow-up time points. Measures included substance use, dependence, subjective well-being, social functioning, and mental and physical health. Generalized Linear Models were employed to assess change over time. Results: At 9 months, 68% of participants reported complete 90-day drug abstinence. Alcohol frequency and quantity were reduced by over 50% at 9 months, with 32% of the sample recording 90-day abstinence at 9 months. Both alcohol and drug dependence scores were reduced by over 60%, and small to medium effect sizes were found for a range of psychosocial outcomes at 9 months follow-up, including a doubling of wellbeing scores, and a halving of psychiatric severity scores. Residents who remained in the TC for at least 9 months reported substantially better outcomes. Conclusions: With notably high study follow-up rates (over 90% at 9 months post-exit), these data demonstrate the value of the TC model in achieving substantial and sustained improvements in substance use and psychosocial outcomes for a cohort with severe substance dependence and complex presentations. Implications for optimal length of stay are discussed.

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Section: Discussioncontrasting

confidence: 55%

Section: Baseline Descriptive Statisticsmentioning

confidence: 87%

Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence

Staiger

Liknaitzky

Lake

et al. 2020

JCM

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“…In other words, recovery from AUD could be enhanced by a focus on improving patient QoL. In turn, the hope of a better life could incentivize and motivate patient recovery [39]. Therefore, improving QoL is recognized as an important therapeutic goal [12,13].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, the cost of transportation to AA meetings or treatment centers could be burdensome for low-income patients. A study of QoL in people treated for addiction in Singapore found that people addicted to gambling reported a lower QoL than those who had other addictions, suggesting that financial and material hardships are significant adverse factors for QoL [39].…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic resources and quality of life in alcohol use disorder patients: the mediating effects of social support and depression

Lee

Chung

Seo

et al. 2020

Subst Abuse Treat Prev Policy

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Background: Quality of life (QoL) has recently attracted increased attention as a major indicator of the recovery from alcohol use disorder (AUD). This study investigated the mediating effects of social support and depression for the relationship between socioeconomic resources and QoL among people with AUD in South Korea. Methods: Patients across South Korea who had been diagnosed with AUD in the previous year (n = 404) and were registered at hospitals and addiction management centers were surveyed. The participants ranged in age from 19 to 65 years. Structural equation modeling was performed, using stable residence, income, stable employment, social support, depression, and QoL as predictors. Bootstrapping analysis was performed to test for mediating effects. Results: The socioeconomic resources income (β = .297, p < .001), stable employment (β = .131, p < .01), and stable residence (β = .091, p < .05) showed statistically significant and positive relationships with social support. However, none of these were significantly related to depression. Social support showed a significant and negative relationship with depression (β = −.172, p < .001). Income positively and directly influenced QoL (β = .148, p < .001). All three socioeconomic resources indirectly influenced depression through social support, which, in turn, influenced QoL. This suggests that socioeconomic resources directly influence QoL and indirectly influence it through social support. Conclusion: These findings suggest that social support has an important role in improving the QoL of people with AUD. Furthermore, socioeconomic resources, such as having a stable residence, employment, and income, are necessary for recovery from alcohol addiction.

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“…For example, it has been applied to evaluate overall level of functioning, well-being and life satisfaction in the context of alcohol abuse and dependence (18,19). The accumulating evidence indicates that the relationship between QoL and alcohol consumption is unequivocal (20), with research evidence demonstrating a curvilinear relationship between the quantity and rate of alcohol consumption and QoL (21).…”

Section: Discussionmentioning

confidence: 99%

A validation study of the English version of the AlQol 9 to measure quality of life

Zúbaran

Zolfaghari

Foresti

et al. 2014

The American Journal of Drug and Alcohol Abuse

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An Exploration of Quality of Life and its Predictors in Patients with Addictive Disorders: Gambling, Alcohol and Drugs

Cited by 30 publications

References 39 publications

Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence

Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence

Socioeconomic resources and quality of life in alcohol use disorder patients: the mediating effects of social support and depression

A validation study of the English version of the AlQol 9 to measure quality of life

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