PDF(Pubmed)
Abstract：
UNASSIGNED: Longitudinal studies with annual follow-up including psychological and social variables in substance use disorder recovery are scarce. We investigated whether levels of substance use, satisfaction with life, and psychological distress fluctuate across five years in relation to having drug-free friends.
UNASSIGNED: A prospective naturalistic cohort study of change trajectories in a cohort of people diagnosed with substance use disorder and using multiple substances with quarterly and annual follow-up over five years. Two-hundred-and-eight patients were recruited from substance use disorder treatment in Rogaland, Norway. Out of these, 164 participants fulfilled the inclusion criteria. We used Bayesian two-level dynamic structural equation modelling. The variable \'drug-free friends\' was assessed by a self-reporting questionnaire, while psychological distress was assessed using the Symptoms Checklist 90 Revised. Satisfaction with life was assessed using the Satisfaction With Life Scale while drug use was assessed using the Drug Use Disorders Identification Test.
UNASSIGNED: The main findings are that higher-than-average psychological distress at a three-month lag credibly predicts higher-than-normal substance use at the concurrent time point t. Substance use and satisfaction with life seem to have synchronous trajectories over time, i.e. as the first decreases the latter increases and vice versa. During the five years after treatment, the participants mainly experienced a decrease in substance use and increase in satisfaction with life.
UNASSIGNED: Since the participants experienced positive and negative fluctuations for several years after treatment, it seems crucial to establish a dialogue with treatment professionals in order to create functional solutions for maintaining motivation and aiding recovery.
UNASSIGNED: A prospective naturalistic cohort study of change trajectories in a cohort of people diagnosed with substance use disorder and using multiple substances with quarterly and annual follow-up over five years. Two-hundred-and-eight patients were recruited from substance use disorder treatment in Rogaland, Norway. Out of these, 164 participants fulfilled the inclusion criteria. We used Bayesian two-level dynamic structural equation modelling. The variable \'drug-free friends\' was assessed by a self-reporting questionnaire, while psychological distress was assessed using the Symptoms Checklist 90 Revised. Satisfaction with life was assessed using the Satisfaction With Life Scale while drug use was assessed using the Drug Use Disorders Identification Test.
UNASSIGNED: The main findings are that higher-than-average psychological distress at a three-month lag credibly predicts higher-than-normal substance use at the concurrent time point t. Substance use and satisfaction with life seem to have synchronous trajectories over time, i.e. as the first decreases the latter increases and vice versa. During the five years after treatment, the participants mainly experienced a decrease in substance use and increase in satisfaction with life.
UNASSIGNED: Since the participants experienced positive and negative fluctuations for several years after treatment, it seems crucial to establish a dialogue with treatment professionals in order to create functional solutions for maintaining motivation and aiding recovery.
摘要：
■每年随访的纵向研究很少，包括药物使用障碍恢复的心理和社会变量。我们调查了物质使用水平，对生活的满意度，与没有毒品的朋友有关的心理困扰在五年内波动。
■一项前瞻性自然队列研究，对被诊断患有物质使用障碍并使用多种物质的人群的变化轨迹进行了为期五年的季度和年度随访。从Rogaland的物质使用障碍治疗中招募了200名患者，挪威。在这些中，164名参与者符合纳入标准。我们使用贝叶斯两级动态结构方程建模。变量“无毒品朋友”是通过自我报告问卷进行评估的，而心理困扰是使用症状清单90修订版进行评估的。使用生活满意度量表评估生活满意度，而使用药物使用障碍识别测试评估药物使用情况。
■主要发现是，在三个月的滞后时间内，高于平均水平的心理困扰可靠地预测了在并发时间点t的药物使用高于正常水平。随着时间的推移，药物使用和对生活的满意度似乎具有同步的轨迹，即，随着第一个减少，后者增加，反之亦然。在治疗后的五年里，参与者主要经历了药物使用减少和生活满意度增加。
■由于参与者在治疗后几年经历了积极和消极的波动，与治疗专业人员建立对话似乎至关重要，以创建维持动力和帮助康复的功能性解决方案。
■一项前瞻性自然队列研究，对被诊断患有物质使用障碍并使用多种物质的人群的变化轨迹进行了为期五年的季度和年度随访。从Rogaland的物质使用障碍治疗中招募了200名患者，挪威。在这些中，164名参与者符合纳入标准。我们使用贝叶斯两级动态结构方程建模。变量“无毒品朋友”是通过自我报告问卷进行评估的，而心理困扰是使用症状清单90修订版进行评估的。使用生活满意度量表评估生活满意度，而使用药物使用障碍识别测试评估药物使用情况。
■主要发现是，在三个月的滞后时间内，高于平均水平的心理困扰可靠地预测了在并发时间点t的药物使用高于正常水平。随着时间的推移，药物使用和对生活的满意度似乎具有同步的轨迹，即，随着第一个减少，后者增加，反之亦然。在治疗后的五年里，参与者主要经历了药物使用减少和生活满意度增加。
■由于参与者在治疗后几年经历了积极和消极的波动，与治疗专业人员建立对话似乎至关重要，以创建维持动力和帮助康复的功能性解决方案。
