Psychosocial factors related to dropout in substance use disorder inpatient treatment: a longitudinal study

Background: Substance use disorder (SUD) is associated with psychological, biological, and social problems. To date, existing treatments have a high dropout rate. Objective: This study aimed to investigate the psychosocial factors related to dropout from prolonged inpatient treatment due to SUD. Methods: A nine-week longitudinal follow-up study of 148 adult men inpatient for treatment for SUD. Psychosocial measures, aspects related to treatment, substance use, and sociodemographic data were collected using self-completed questionnaires. The main outcome was treatment dropout nine weeks after initial contact. Binomial logistic regression was used to evaluate the association of variables with dropout. Results: Prolonged inpatient treatment dropout was related to anxiety, depression, stress, self-judgment, expression of anger, positive and negative affect, negative urgency, lack of perseverance, and impulsivity, but not to sociodemographic characteristics or characteristics related to the substances consumed and the history of use. Conclusion: Psychological factors, such as negative emotional states and impulsivity, were the main predictors of dropout. These results highlight the relevance of emotional management skills to a male population in preventing the treatment dropout associated with SUD

Estrategias de afrontamiento en craving de dependiente de crack em tratamiento en Comunidades Terapéuticas

OBJETIVOS: el objetivo del estudio fue identificar y describir las estratégias de afrontamiento utilizadas frente al craving por consumidores de crack que estaban em tratamiento internados en Comunidades Terapéuticas.MÉTODO: la muestra consistió en 133 hombres. Los instrumentos fueron: cuestionario sociodemográfico y la detección del consumo de drogas; Mini Examen del Estado Mental y Craving Cuestionario. El análisis utilizada fue descriptiva y las estadísticas de frecuencia para el análisis exploratorio con un nivel de significación del 5%.RESULTADOS: los resultados muestran el predominio de la categoría de fuerza de voluntad y el comportamiento de Esquivar en respuesta a las ansias.CONCLUSIÓN: estos resultados son importantes contribuciones en la comprensión de la cofia antojo, lo que indica la importancia de la labor de prevención de recaídas, la familia y los tratamientos eficaces.OBJETIVOS: identificar e descrever as estratégias de enfrentamento utilizadas perante o craving por usuários de crack que estavam em tratamento internados em Comunidades Terapêuticas.MÉTODO: a amostra foi composta por 133 homens. Os instrumentos utilizados foram: Questionário sociodemográfico e rastreio do uso de drogas, Mini-Exame do Estado Mental e uma Escala de Perguntas sobre craving. A análise utilizada foi a estatística descritiva e de frequências para análise exploratória com nível de significância de 5%.RESULTADOS: os participantes relataram um predomínio da categoria Força de Vontade e de comportamento de Esquiva em resposta ao craving.CONCLUSÃO: esses resultados são importantes contribuições na compreensão do enfrentamento do craving, sinalizando a importância do trabalho da prevenção de recaídas, da família e tratamentos eficazes.OBJECTIVES: to identify and describe the coping strategies used in the face of craving by crack-cocaine users who were under treatment in the Therapeutic Communities.METHOD: the sample consisted of 133 men. The instruments were a socio-demographic questionnaire and on drug use screening, the Mini-Mental State Examination and the scale of questions on craving. The analysis used was descriptive and frequency statistics for exploratory analysis with significance level of 5%.RESULTS: the results demonstrate a predominance of the Willpower category and Dodge in response to craving.CONCLUSION: these results are important contributions in understanding the coping of craving, signaling the importance of relapse prevention work, of the family and of effective treatments