Factors affecting treatment motivation among Turkish patients receiving inpatient treatment due to alcohol/substance use disorder

IntroductionMuch is known about factors associated with coping with abstinence from substance use. The planned systematic review aims to summarise available studies exploring the change in psychosocial factors associated with coping after long-term (≥3 months) inpatient treatment for substance use disorder (SUD). Examples ofpsychosocial factorsof interest are social support, housing, activity (eg, employment and education) mental health and quality of life.Coping behaviourcan be understood as responses or actions taken in a stressful situation, particularly how psychosocial factors affect a person’s coping behaviour with abstinence from substances in everyday life (characterised as a stressful situation).Methods and analysisA set of text words were developed based on the population (people with SUD), exposure (long-term inpatient SUD treatment), outcome (psychosocial factors) and study design (prospective cohort studies) of interest. A systematic search will be conducted in eight electronic databases: Campbell Collaboration Library, Cochrane Library, EMBASE, Epistemonikos, Medline, PsychINFO, Social Sciences Citation Index and SocINDEX. The titles and abstracts will be screened for relevance before a pre-piloted data collection form will be used to evaluate eligibility and extract data from the search results. The planned review will include peer-reviewed study reports published in English or Scandinavian language.Ethics and disseminationThe target group, people with SUD, might be considered as vulnerable. Based on this, the population will be the group of interest in the planned systematic review of studies that have already been conducted. Patients and the general public will not be involved in the development of this systematic review. The results will be summarised in a study report and submitted to a peer-reviewed international journal. Additionally, results will be disseminated in the mass media and at international research conferences.PROSPERO registration numberCRD42018087408.

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The Impact of an Inpatient Treatment on the Psychodynamic and Symptomatology in Couples Concordant for Substance Use: A Qualitative Study

10.21203/rs.2.19604/v1 ◽

2020 ◽

Author(s):

Aksel Hansen ◽

Stefan Brokatzky ◽

Kai Thomas ◽

Christina Sternbauer ◽

Myriam Rudaz ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

Couples Therapy ◽

Inpatient Treatment ◽

Brief Symptom Inventory ◽

Inpatient Setting ◽

Drug Rehabilitation ◽

Psychosocial Situation ◽

The Impact

Abstract Background: Much literature is devoted to describing the psychosocial situation of patients with a substance use disorder and the course of their families and healthy partners. Couples where both partners have a substance use disorder are less well described and even less often studied. Method: This study described the psychodynamic and symptomatology, as measured by the Brief Symptom Inventory (BSI), of five concordant couples treated simultaneously as inpatients at the same specialized substance use disorder ward. Results: The psychodynamic characterization of the couples revealed that the female was often the organizer, whereas the male was either the motivator or the lackey. In addition, the female was often emotionally dependent on the male. Most individuals showed symptom reductions from pre- to post-treatment, although the men seemed to benefit to a greater extent than the women. Moreover, the patients did not necessarily desire couples therapy. Conclusion: Treating couples concordant for substance use together in the same inpatient setting is unusual, but possible. The dynamics of couples in drug rehabilitation should be further investigated taking into account possible gender differences.

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Prescription Stimulant Nonmedical Use Among Adolescents Evaluated for Substance Use Disorder Treatment (CHAT™)

Journal of Attention Disorders ◽

10.1177/1087054720943283 ◽

2020 ◽

pp. 108705472094328

Author(s):

Suzanne K. Vosburg ◽

Stephen V. Faraone ◽

Jeffrey H. Newcorn ◽

Anthony L. Rostain ◽

Robert L. Findling ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

Inpatient Treatment ◽

Assessment Tool ◽

Health Assessment ◽

Learning Disorders ◽

Learning Disorder ◽

Prescription Stimulants ◽

Routes Of Administration ◽

Alternate Routes

Objective: The purpose of the present study was to characterize prescription stimulant non-medical use (NMU) in adolescents between the ages of 13 and 18 years seeking treatment for substance use disorder (SUD) with the Comprehensive Health Assessment Tool for Teens (CHAT™). Method: Adolescents being evaluated for SUD treatment between Q1 2010 and Q3 2017 ( n = 20,189) completed the CHAT™. Results: About 4.3% of the sample ( N = 867) of adolescents in SUD treatment reported past 30-day prescription stimulant NMU. Compared to those without past 30-day prescription stimulant NMU, more reported a lifetime diagnosis of learning disorder or ADHD, more took medication for emotional, behavioral, or learning disorders, received past-month inpatient treatment, or were currently not enrolled in school. Prescription stimulants were most often taken orally for NMU, however, approximately half reported using alternate routes of administration, the most prominent of which was intranasal use. Conclusion: About 4.3% of adolescents in SUD treatment evaluation reported past 30-day prescription stimulant NMU. Greater percentages of lifetime learning disorder, medication use, past-month inpatient treatment, school unenrollment, and overall substance misuse were associated with prescription stimulant NMU, as were alternate routes of administration. These data reveal an ongoing, persistent level of past-30-day NMU of prescription stimulants among adolescents being evaluated for SUD treatment.

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Change in psychosocial factors connected to coping after inpatient treatment for substance use disorder: a systematic review

Substance Abuse Treatment Prevention and Policy ◽

10.1186/s13011-019-0210-9 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 2

Author(s):

Dagny Adriaenssen Johannessen ◽

Trond Nordfjærn ◽

Amy Østertun Geirdal

Keyword(s):

Systematic Review ◽

Substance Use ◽

Psychosocial Factors ◽

Substance Use Disorder ◽

Inpatient Treatment

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Factors Affecting Hospital Length of Stay: Is Substance Use Disorder One of Them? A Study in a Greek Public Psychiatric Hospital

American Journal on Addictions ◽

10.1080/10550490802269106 ◽

2008 ◽

Vol 17 (5) ◽

pp. 447-451 ◽

Cited By ~ 6

Author(s):

Athanasios Xafenias ◽

Ioannis Diakogiannis ◽

Apostolos Iacovides ◽

Konstantinos Fokas ◽

Georgios Kaprinis

Keyword(s):

Substance Use ◽

Length Of Stay ◽

Psychiatric Hospital ◽

Substance Use Disorder ◽

Hospital Length ◽

Hospital Length Of Stay ◽

Factors Affecting

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Investigating the factor structure of a translated recovery-orientation instrument in inpatient treatment for substance use disorder

Substance Abuse Treatment Prevention and Policy ◽

10.1186/s13011-021-00363-0 ◽

2021 ◽

Vol 16 (1) ◽

Cited By ~ 1

Author(s):

Dagny Adriaenssen Johannessen ◽

Amy Østertun Geirdal ◽

Trond Nordfjærn

Keyword(s):

Substance Use ◽

Factor Structure ◽

Substance Use Disorder ◽

Inpatient Treatment ◽

Mental Health Problems ◽

Current Data ◽

Self Assessment ◽

Recovery Orientation ◽

Using Data ◽

Three Factor

Abstract Background Recovery has been outlined as a process of change through which involvement and empowerment enables individuals to reach their goals and aspirations. Recovery self-assessment (RSA) is an instrument that has been acknowledged as an applicable measure of recovery-orientation in services for people with mental health problems or substance use disorder (SUD). This study aimed to translate RSA from US English to Norwegian and to investigate the factor structure of the translated version (RSA-N). Methods A translate/back-translate procedure was used. Confirmatory factor analysis (CFA) was applied to investigate the factor structure of RSA-N in a sample of clinicians (n = 407) working in inpatient SUD treatment facilities. Results The results suggested that the hypothesised five-factor structure originally obtained by the developers showed an inadequate fit with the current data sample. RSA-N was modified and restructured by removing twelve misfitting items and combining factors with high covariance using data from one subsample. The alternative three-factor structure yielded an acceptable fit for the data from a second subsample. Acceptable alpha coefficients, suggesting good internal consistency, supported the adequacy of the three-factor structure. Conclusions Results from the present study are in line with previous findings, which have failed to replicate the hypothesised five-factor structure without modifications. Knowledge about the degree to which SUD services are recovery-oriented may contribute to SUD services’ pursuit of establishing an inpatient treatment environment that fosters change and development of inpatients. The present study’s findings imply RSA-N’s potential as an instrument to assess recovery-orientation in inpatient SUD treatment.

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