Relapse after inpatient substance use treatment: A prospective cohort study among users of illicit substances

Andersson, Helle Wessel; Wenaas, Merethe; Nordfjærn, Trond

doi:10.1016/j.addbeh.2018.11.008

Cited by 142 publications

(114 citation statements)

References 49 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…Fixed Previous studies have found that higher levels of pretreatment mental distress and psychiatric disorders predict relapse and these leading authors recommend screening for psychological symptoms at the onset of treatment (Andersson, Wenaas, et al 2019). In our sample, however, the relapse and unstable abstinence groups did not significantly differ in initial psychological distress.…”

Section: Outcomecontrasting

confidence: 74%

Trajectories of psychological distress during recovery from polysubstance use disorder

Erga

Hønsi

Anda

et al. 2020

Addiction Research & Theory

View full text Add to dashboard Cite

Introduction: Polysubstance use is a prevalent substance use pattern with adverse effects on psychological distress and diminished treatment outcomes. Although polysubstance use often dominates clinical practice, the trajectories of substance use and psychological distress in the initial phase of treatment have been subject to few empirical investigations. Material and Methods: 141 patients initiating inpatient or outpatient treatment for substance use disorder were followed for 12 months, using multiple assessments. We assessed psychological distress and substance use at baseline and at 3-, 6-, and 12-month follow-up visits. We implemented an SMS tracker of substance use during follow-up to reduce the impact of missing data. Results: Stable abstinence was associated with a lower baseline SCL-90-R score, as well as a more rapid symptomatic decline during the first 3 months of abstinence. Unstable abstinence was associated with higher GSI scores at baseline, but also with a significant drop in scores across the follow-up period. Relapse was associated with an initial drop in GSI scores, but a subsequent increase in GSI scores at later follow-ups. Conclusions: Most participants had a rapid reduction of psychological distress during the first 3 months of abstinence. Elevated levels of psychological distress may indicate an increased risk of drug use or relapse and should be monitored carefully. Our findings highlight the importance of early screening for psychological distress in SUD treatment, and advocate the use of tentative diagnostic procedures in the early phase of treatment of PSUD.

show abstract

Section: Outcomecontrasting

confidence: 74%

Trajectories of psychological distress during recovery from polysubstance use disorder

Erga

Hønsi

Anda

et al. 2020

Addiction Research & Theory

View full text Add to dashboard Cite

show abstract

“…Noteworthy strengths of this study are the high rates of baseline recruitment (90% of eligible residents) and follow-up (95% and 90% at 3 months and 9 months, respectively), which are higher than similar studies of complex polydrug users [13,54]. Substantial effort by investigators to follow up with participants contributed to the low attrition rates.…”

Section: Study Design Strengths and Limitationsmentioning

confidence: 94%

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

Staiger

Liknaitzky

Lake

et al. 2020

JCM

View full text Add to dashboard Cite

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.

show abstract

“…Ein vorzeitiger Behandlungsabbruch erhöht die Rückfallwahr scheinlichkeit [7], hat einen negativen Einfluss auf die Deliktrück fälligkeit sowie die Kriminalitätsrate [8] und beeinflusst negativ die Prognose künftiger Entgiftungsbehandlungen [4]. Weiterhin gibt es Zusammenhänge zwischen der Anzahl an suchtspezifischen Be handlungen sowie Behandlungsabbrüchen in der Vergangenheit [9] und der verminderten Wahrscheinlichkeit für einen erneuten erfolgreichen Behandlungsabschluss.…”

Section: Folgen Eines Vorzeitigen Behandlungsabbruchsunclassified

Lohnt es sich an meiner Sucht zu arbeiten?

et al. 2020

View full text Add to dashboard Cite

Zusammenfassung Fragestellung Ein vorzeitiger Behandlungsabbruch stellt eines der häufigsten Probleme in der stationären Entgiftungsbehandlung dar. Die vorliegende Studie ist der Frage nach der Rolle motivationaler Faktoren nachgegangen. Methode Es wurden 85 PatientInnen neben den routinemäßig erhobenen Befunddaten, zum Zeitpunkt der Aufnahme als auch der Entlassung verschiedene Fragebögen zur Symptomschwere psychischer Störungen, Funktionsbeeinträchtigungen sowie Veränderungsmotivation vorgelegt. Ergebnisse PatientInnen, die die Behandlung abgeschlossen haben, gaben eine signifikant höhere Veränderungsmotivation an, als PatientInnen, die die Behandlung vorzeitig abgebrochen haben. Dabei hatte die Contemplations-Phase einen prädiktiven Wert (OR: 3,472) auf einen Behandlungsabbruch. Eine erfolgreich absolvierte Behandlung reduziert signifikant die Symptomschwere psychischer Störungen sowie Funktionsbeeinträchtigungen. Auf der Ebene der Veränderungsmotivation zeichnet sich ein signifikanter Zuwachs. Schlussfolgerung Neben den bekannten Risiken für einen Abbruch scheint die messbare Veränderungsmotivation zu Beginn der Behandlung einen möglichen Marker für den Behandlungsverlauf darzustellen. Implikationen für die klinische Praxis werden abgeleitet.

show abstract

Relapse after inpatient substance use treatment: A prospective cohort study among users of illicit substances

Cited by 142 publications

References 49 publications

Trajectories of psychological distress during recovery from polysubstance use disorder

Trajectories of psychological distress during recovery from polysubstance use disorder

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

Lohnt es sich an meiner Sucht zu arbeiten?

Contact Info

Product

Resources

About