Titre : | Context of relapse for substance-dependent adults with and without comorbid psychiatric disorders |
Titre traduit : | (Contexte de rechute pour des adultes dépendants de substances psychoactives souffrant d'une comorbidité psychiatrique) |
Auteurs : | S. R. TATE ; S. A. BROWN ; UNROD M. ; D. E. RAMO |
Type de document : | Périodique |
Année de publication : | 2004 |
Format : | 1707-1724 / tabl. |
Note générale : |
Addictive Behaviors, 2004, 29, (9), 1707-1724 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés RECHUTE ; FACTEUR PREDICTIF ; COMORBIDITE ; ABUS ; PSYCHIATRIE ; TROUBLES DE L'HUMEUR ; ETAT DE STRESS POST-TRAUMATIQUE ; SUIVI DU PATIENT |
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.) |
Note de contenu : | tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 48 |
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. |
Numéro Toxibase : | 404634 |
Centre Emetteur : | 04 CIRDD-51 |
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