Historique
Périodique
Context of relapse for substance-dependent adults with and without comorbid psychiatric disorders
(Contexte de rechute pour des adultes dépendants de substances psychoactives souffrant d'une comorbidité psychiatrique)
Auteur(s) :
TATE, S. R. ;
BROWN, S. A. ;
UNROD M. ;
RAMO, D. E.
Année
2004
Page(s) :
1707-1724
Langue(s) :
Anglais
Refs biblio. :
48
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
RECHUTE
;
FACTEUR PREDICTIF
;
COMORBIDITE
;
ABUS
;
PSYCHIATRIE
;
TROUBLES DE L'HUMEUR
;
TROUBLE DE STRESS POST-TRAUMATIQUE
;
SUIVI DU PATIENT
Note générale :
Addictive Behaviors, 2004, 29, (9), 1707-1724
Note de contenu :
tabl.
Résumé :
ENGLISH :
Objective: This study examined the context of initial posttreatment substance use episodes and 1-year treatment outcomes among substance abusers in relation to Axis I psychiatric diagnoses. Method: Of the 210 adults meeting DSM-III-R diagnostic criteria for a substance use disorder (SUD), 102 also met criteria for mood disorder, posttraumatic stress disorder (PTSD), or both (SUDPSY). Quarterly face-to-face interviews and monthly telephone contacts were conducted following treatment to ascertain outcomes. Results: Antecedents of initial posttreatment substance use differed for SUD adults compared to SUDPSY. Negative affective states preceded posttreatment use episodes more frequently among SUDPSY participants. The majority of SUDPSY adults reported intrapersonal/environmental antecedents whereas the majority of SUD adults reported interpersonal antecedents. Compared to SUD adults without an Axis I disorder, the SUDPSY group was more likely to resume substance use when alone. Participants drank more than twice as much alcohol when relapsing alone compared to those who resumed use with others. Negative affective state prior to initial use was predictive of more subsequent using days for comorbid adults but not SUD adults. Conclusions: These findings highlight differences in the process of resuming substance use for substance abusers with concomitant psychiatric disorders compared to SUD adults. Treatment implications are discussed. (Editor's abstract.)
Affiliation :
Department of Psychology (0109), University of California, San Diego and VA San Diego Healthcare System, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0109. E-mail : sanbrownucsd.edu
Etats-Unis. United States.
Etats-Unis. United States.