Patterns of substance use recovery following residential treatment: A repeated measures latent profile analysis

IF 3 3区医学 Q2 SUBSTANCE ABUSE Drug and alcohol review Pub Date : 2024-07-23 DOI:10.1111/dar.13904

Laura D. Robinson, Tayla J. Degan, Frank P. Deane, Peter J. Kelly

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Abstract

Introduction

Ongoing improvement to residential treatment for substance use disorders is critical as it typically targets people with the highest need. Assessing multiple recovery indicators, such as cravings and mental health, at intake and following discharge is important in evaluating treatment effectiveness. To refine services, research should explore whether there are subgroups of individuals with different patterns of recovery following treatment.

Methods

Participants (n = 554) were attending Australian Salvation Army residential treatment services for substance use issues. Data were collected by surveys at intake and 3-month post-discharge (‘early recovery’). Recovery indicators were cravings, confidence to resist substance use and the Depression, Anxiety and Stress Scale. Subgroups of individuals based on these recovery indicators (‘profiles’) were identified using repeated measures latent profile analysis.

Results

Five profiles were identified, three profiles improved over time (81.4%) and two (18.6%) deteriorated across all indicators. These two profiles had the poorest mental health and addiction scores at intake and reported shorter time in treatment compared to the three profiles showing improvement. There were no demographic or substance type differences between profiles.

Discussion and Conclusions

By considering initial severity and multiple recovery indicators at early recovery, this study suggests that individuals at-risk of poor early recovery can be identified at intake. This opens opportunities for tailored treatment approaches to address both mental health and substance use, thereby potentially improving treatment outcomes and reducing the risk of relapse.

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住院治疗后的药物使用康复模式：重复测量潜在特征分析。

导言：持续改善药物使用障碍的住院治疗至关重要，因为它通常针对的是需求最大的人群。在入院时和出院后评估多种康复指标（如渴望和心理健康）对于评估治疗效果非常重要。为了完善服务，研究应探讨是否存在治疗后康复模式不同的亚群体：参与者（n = 554）因药物使用问题接受了澳大利亚救世军的住院治疗服务。数据通过入院时和出院后 3 个月（"早期康复"）的调查收集。康复指标包括渴望程度、抵制药物使用的信心以及抑郁、焦虑和压力量表。根据这些康复指标（"特征"），采用重复测量潜特征分析法确定了个人的分组：结果：共确定了五个特征，其中三个特征随着时间的推移有所改善（81.4%），两个特征（18.6%）在所有指标上都有所恶化。这两例患者在入院时的心理健康和成瘾评分最差，与三例病情好转的患者相比，他们接受治疗的时间更短。不同情况之间没有人口统计或药物类型上的差异：通过考虑早期康复的初始严重程度和多种康复指标，本研究表明，可以在入院时识别出早期康复不佳的高危人群。这就为同时解决心理健康和药物使用问题的针对性治疗方法提供了机会，从而有可能改善治疗效果并降低复发风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol review SUBSTANCE ABUSE-

CiteScore

4.80

自引率

10.50%

发文量

151

期刊介绍： Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.