Research into alcohol-dependent persons in treatment during the COVID-19 pandemic. Part one – the mental health of patients

J. Chodkiewicz, K. Morawska, K. Łukowska
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Abstract

Introduction: Although it is widely acknowl-edged that the COVID-19 pandemic has negative-ly affected the populations mental health, there has been little research into its effect on those with alcohol dependence, or those in addiction therapy during the period. The aim of the pres-ent study was to determine the level of mental performance of patients receiving treatment for alcohol dependence during the COVID-19 pan-demic.Material and methods: The study included 454 people (351 men and 103 women) completing inpatient, day-care and outpatient therapy in various dependence treatment centres in Po-land in 2021. All were surveyed with the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Questionnaire (GAD-7), the Penn Alco-hol Craving Scale (PACS), the Suicidal Behavior Questionnaire-Revised (SBQ-R), the International Trauma Questionnaire (ITQ) and the Satisfaction with Life Scale (SWLS).Results: The alcohol dependent patients finish-ing therapy demonstrated an intermediate level of mental performance, while about 20% exhib-ited serious disorders (elevated levels of depres-sion, anxiety, suicidal tendencies and alcohol craving). The patients completing inpatient ther-apy demonstrated more intense disorders than those completing day-care and outpatient thera-py. Intense disorders characterised also women, people with accompanying mental disorders and those who had previously used drugs in addition to alcohol.Discussion: Around 20% of those completing therapy displayed serious mental disorders, i.e. less than those identified in the research on the func-tioning of the general population during the pan-demic. The weaker performance of women and people with co-occurring mental disorders was confirmed.Conclusions: People completing therapy during a pandemic generally display an intermediate level of mental performance and life satisfaction. However, our findings regarding the more intense disorders require confirmation in further studies conducted after the end of the pandemic.
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COVID-19大流行期间酒精依赖者治疗研究第一部分——病人的心理健康
导语:虽然人们普遍认为COVID-19大流行对人群的心理健康产生了负面影响,但在此期间,关于其对酒精依赖者或成瘾治疗者的影响的研究很少。本研究的目的是确定在COVID-19大流行期间接受酒精依赖治疗的患者的精神表现水平。材料和方法:该研究包括454人(351名男性和103名女性),于2021年在波兰的各种依赖治疗中心完成住院、日托和门诊治疗。采用患者健康问卷(PHQ-9)、广泛性焦虑问卷(GAD-7)、Penn酒精渴望量表(PACS)、自杀行为修正问卷(SBQ-R)、国际创伤问卷(ITQ)和生活满意度量表(SWLS)进行调查。结果:酒精依赖患者在治疗结束后表现出中等水平的精神表现,而约20%的患者表现出严重的障碍(抑郁、焦虑、自杀倾向和酒精渴望水平升高)。完成住院治疗的患者比完成日托和门诊治疗的患者表现出更强烈的障碍。妇女、伴有精神障碍的人以及以前除酗酒外还吸毒的人也有严重失调的特点。讨论:在完成治疗的患者中,约有20%表现出严重的精神障碍,即低于大流行期间关于普通人群功能的研究中确定的精神障碍。研究证实,女性和同时患有精神障碍的人表现较差。结论:在大流行期间完成治疗的人通常表现出中等水平的精神表现和生活满意度。然而,我们关于更严重疾病的发现需要在大流行结束后进行的进一步研究中得到证实。
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5
审稿时长
13 weeks
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