Historique
Périodique
Relationship of depressive symptoms and mental health functioning to repeat detoxification
(Relation entre symptômes dépressifs (SD), fonctionnement psychique et désintoxications répétées)
Auteur(s) :
SHANAHAN, C. W. ;
LINCOLN, A. ;
HORTON, N. J. ;
SAITZ, R. ;
WINTER, M. ;
SAMET, J. H.
Année
2005
Page(s) :
117-123
Langue(s) :
Anglais
Refs biblio. :
55
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
CURE DE DESINTOXICATION
;
DESINTOXICATION
;
PRISE EN CHARGE
;
PSYCHOPATHOLOGIE
;
DEPRESSION
;
REPETITION
;
TRAITEMENT RESIDENTIEL
Note générale :
Journal of Substance Abuse Treatment, 2005, 29, (2), 117-123
Note de contenu :
tabl.
Résumé :
ENGLISH :
To better understand residential detoxification use, we assessed the roles of depressive symptoms (DS) and mental health functioning (MHF) on repeat detoxification. A prospective cohort of residential detoxification patients (N = 400) without primary medical care was followed over 2 years at 6-month intervals. Subsequent detoxification admissions were examined using a statewide administrative database and DS (Center for Epidemiologic Studies Depression Scale) and MHF (SF-36 mental component summary subscale) measurements at follow-up. Incidence rate ratios of return to detoxification were estimated using multivariable longitudinal Poisson regression. In separate analyses, greater DS and worse MHF predicted higher detoxification use rates. Clinically significant worsening (10 points) of DS and MHF on objective scales predicted a 20% increased rate of detoxification readmission. Male sex, heroin as a problem substance, and race/ethnicity each predicted detoxification use. These data suggest that identifying individuals with DS or worse MHF after detoxification may provide opportunities for clinical intervention to reduce recurrent residential detoxification. (Editor's abstract.)
Affiliation :
Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Bonston University School of Medicine and Boston Medical Center, Boston, MA 02118. E-mail : cshanahabu.edu
Etats-Unis. United States.
Etats-Unis. United States.