Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment

Q1 Psychology Addictive Behaviors Reports Pub Date : 2023-01-01 DOI:10.1016/j.abrep.2023.100502

Orrin D. Ware , Paul Sacco , John G. Cagle , Jodi J. Frey , Fernando A. Wagner , Alexandra S. Wimberly , Bernard Gyebi-Foster , Mayra Diaz , Kisun Peters , Sarah E. Zemore

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入院期间感知压力越高，短期住院药物使用障碍治疗的滞留时间越短

简介2020年，美国有100多万人因物质使用障碍（SUD）接受了住院治疗。更长的治疗保留期与更好的结果相关（例如，减少药物使用）。进入高应力治疗可能与较短的滞留时间有关。本文研究了入院时的感知压力对短期住院治疗中SUD治疗保留的影响。方法从大西洋中部城市一家为期28天的短期住院SUD治疗机构的未识别记录中收集2019年10月至2020年2月期间入院的271例治疗事件样本。完成治疗需要28天。分析了社会形态、物质使用、感知压力和治疗出院变量。双变量分析检验了治疗完成和早期出院之间的差异，Cox回归用协变量研究了感知压力对治疗保留的影响。结果样本主要为男性（73.8%）和非西班牙裔黑人（71.6%）。大多数人以海洛因为主要物质（54.6%），并报告了多物质使用（72.3%）。约一半（51.3%）完成了治疗，平均完成18.7天（SD=10.7）。那些提前出院的患者平均住院8.9天（SD=7.0）。Cox回归模型发现，更高的感知压力（调整后的危险比（AHR）=1.028；95%CI=[1.005，1.053]，p=.019）和非西班牙裔黑人以外的种族/民族（AHR=1.546，95%CI=[1.037，2.305]，p=.033）预测提前出院。结论入院时感受到的压力与较短的治疗保留期有关。早期压力管理干预措施可能有助于提高治疗保留率。

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

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.