Retention in substance dependence treatment: the relevance of in-treatment factors

Oene, G.H. de Weert-van; Schippers, Gerard M.; Jong, C.A.J. de; Schrijvers, Guus

doi:10.1016/s0740-5472(01)00160-x

Cited by 65 publications

(58 citation statements)

References 22 publications

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“…Apart from these psychological variables, better educated clients and older clients were more likely to be retained for at least 90 days, which confirms the findings of previous studies in finding these effects and extends the findings to a residential sample (De Weert-Van Oene et al, 2001;Joe et al, 1998;Sayre et al, 2002;Siqueland et al, 1998;Siqueland et al, 2002). …”

Section: Discussionsupporting

confidence: 87%

“…It would appear plausible that if clients rate their relationship as less successful, this would be more likely to predict dropout than therapist ratings because the clients are the ones making the decision to leave treatment. What is more, a number of studies in the drugs field have reported such positive associations between the client rated alliance and retention or completion (Barber et al, 1999;Barber et al, 2001;De Weert-Van Oene et al, 1999;De Weert-Van Oene et al, 2001;Petry and Bickel, 1999). As the alliance was assessed at a similar time as in these studies, it is not clear why the results differ and why in this study it is the counsellor rated alliance that shows the greater predictive capability.…”

Section: Discussionmentioning

confidence: 69%

“…client, counsellor or observer ratings of the alliance) should be used. For example, whilst observer, but not client and therapist, alliance ratings predicted retention in one study (Fenton et al, 2001), both client and therapist ratings predicted retention in other studies (Barber et al, 1999;Barber et al, 2001;De Weert-Van Oene et al, 1999;De Weert-Van Oene et al, 2001). In Petry & Bickel (1999)'s study, only therapist ratings, but not client ratings predicted the alliance.…”

Section: Introductionmentioning

confidence: 85%

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The role of the early therapeutic alliance in predicting drug treatment dropout

Meier

Donmall

McElduff

et al. 2006

Drug and Alcohol Dependence

128

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Background: To investigate the role of the therapeutic alliance in predicting length of retention in residential drug treatment. Methods:The study recruited 187 clients starting residential rehabilitation treatment for drug misuse in three UK services. Counsellor and client information was assessed at intake, and the average total scores of client and counsellor ratings on the WAI-S (obtained during weeks 1 to 3) were use as the alliance measure. Length of retention and treatment completion (stay beyond 90 days) were used as measures of retention.Results: Clients with weak counsellor rated alliances dropped out of treatment significantly sooner than clients with strong counsellor-rated therapeutic alliances, whether or not the model adjusted for individual counsellor effects and potential confounders including psychological wellbeing, treatment motivation and readiness, coping strategies, and attachment style. The client rated alliance did not predict length of retention. Apart from the alliance, pre-treatment crack use, secure attachment style and better coping strategies were associated with shorter retention, whereas greater confidence in treatment, older client age and better education predicted treatment completion. Counsellors with greater experience of delivering drug counselling retained clients longer. Conclusions:The findings of this study stress the importance of treatment professionals attending to the therapeutic alliance in drug treatment, as counsellors' alliance ratings were found to be amongst the strongest predictors of dropout. Using alliance measures as clinical tools may help treatment practitioners to become aware of the risk of disengagement early on. Prospective studies are needed to evaluate whether strategies of reallocating clients with poor alliances to different counsellors lead to improvements in retention.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 85%

See 1 more Smart Citation

The role of the early therapeutic alliance in predicting drug treatment dropout

Meier

Donmall

McElduff

et al. 2006

Drug and Alcohol Dependence

128

View full text Add to dashboard Cite

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“…This result may reflect the lack of control of a crucial variable, which has been related to treatment retention in SUDs and it has also been involved in engaging in mindfulness practices that refer to motivation. To explain in detail, lower motivation was related to a higher dropout rate [109][110][111]; it was also demonstrated how the personal intention in meditation practice is a core aspect in order to identify one of the potential mechanisms to explain how mindfulness affects positive change [112][113][114][115]. Further, Mascaro et al [116] showed how preexisting brain functioning predicts the consequent practice of mindfulness during a Cognitively-Based Compassion Training.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

2018

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Introduction:The current study aims to evaluate if and to what extent mindfulness-based interventions (MBIs) could promote an incremental effectiveness compared to interventions usually provided in clinical practice to treat Alcohol and Drugs Use Disorders. In line with this aim, we accomplished a meta-analytic review of randomized and nonrandomized controlled trials, considering primary and secondary outcomes that comprehensively operationalize treatment efficacy. Methods: We conducted the online research up to August 31st 2017. Adequate procedures for Cohen's d computation were applied. Heterogeneity indexes, moderators, bias of publication, and Orwin's fail-safe number were also estimated. Results: Thirty-seven studies were included (n = 3,531 patients). We observed null effect sizes for attrition rate and overall mental health. Small effect sizes were detected in abstinence, levels of perceived stress, and avoidance coping strategies. Moderate effect sizes were revealed in anxiety and depressive symptoms. Large effect sizes were associated to levels of perceived craving, negative affectivity, and post-traumatic symptoms. Conclusion: MBIs seemed to show clinically significant advantages compared to other clinical approaches in relation to specific primary and secondary outcomes. Conversely, treatment retention was independent of the therapeutic approach.

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“…The validity and reliability of the data collection tool was confirmed by different studies [22,23]. This tool has not been used in domestic research so far.…”

Section: Treatment Motivation Scale (Tms)mentioning

confidence: 88%

Relationship between treatment motivation, substance use, craving, withdrawal symptoms and health locus of control in addicted patients

Moshki¹,

Panahi-Shahri²,

Najarpour³

et al. 2018

J Research Health

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Increasing tendency to drug use is a major social problem, Treatment attempts, regardless of the motivation, are not complete. The study aimed to investigate the relationship between treatment motivation, substance use, craving, withdrawal symptoms and health locus of control in addicted patients. Research population this study included all male and female patients referring to the addiction treatment center. The convenience sampling was used to select the sample and the sample size was determined as 100 participants. Data collection tools consisted of questionnaires demographic characteristics, treatment motivation, craving, withdrawal symptoms and multidimensional Health Locus of Control. There was significant relationship between treatment motivation with craving, withdrawal symptoms and health locus of control and between treatment motivation with variables of sex, education, occupation and type of substance. There was no significant correlation between the components of the health locus of control, craving, withdrawal symptoms with sex, education, marriage and occupation. Regression results showed effective Perceived suitability of the treatment was 0.43 on the craving and Perceived suitability of the treatment and Problem recognition are respectively 0.40 and 0.23, on the Withdrawal Symptoms. Considering the role of treatment motivation in reducing the return to drugs and the more willingness to treat and relapse less in people with internal control of control in future plans to address the problem of addiction and pushing addicts to treatment, the relevant variables have paid particular attention.

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Retention in substance dependence treatment: the relevance of in-treatment factors

Cited by 65 publications

References 22 publications

The role of the early therapeutic alliance in predicting drug treatment dropout

The role of the early therapeutic alliance in predicting drug treatment dropout

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

Relationship between treatment motivation, substance use, craving, withdrawal symptoms and health locus of control in addicted patients

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