在接受药物使用障碍住院治疗的女性中,冲动性维度可预测治疗辍学情况。

Substance use : research and treatment Pub Date : 2024-04-14 eCollection Date: 2024-01-01 DOI:10.1177/29768357241245827
Evan J Basting, Alyssa M Medenblik, Kaja Switalska, Alisa R Garner, Ryan C Shorey, Gregory L Stuart
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引用次数: 0

摘要

药物使用失调(SUD)的住院治疗能有效减少药物使用、依赖和其他相关问题。然而,在住院治疗环境中,违背医嘱(AMA)而放弃治疗的情况很常见。研究表明,在以男性为主的样本中,冲动性与药物滥用和治疗辍学有关,但对于冲动性是否能预测女性的治疗辍学,目前还知之甚少。本研究将冲动性维度(即消极紧迫感、积极紧迫感、缺乏毅力、缺乏预谋和寻求感觉)作为药物使用住院治疗机构中女性(N = 229)的辍学预测因素。逻辑回归结果表明,缺乏毅力和寻求感觉与AMA治疗辍学几率增加有关,而缺乏预谋与AMA治疗辍学几率降低有关。研究结果表明,针对寻求感觉和缺乏毅力的早期循证干预措施可能会提高住院治疗妇女的保留率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impulsivity Dimensions Predict Treatment Dropout Among Women in Residential Treatment for Substance Use Disorders.

Residential treatment for substance use disorders (SUDs) is effective at reducing substance use, dependence, and other related problems. However, dropout from treatment against medical advice (AMA) is common in residential treatment settings. Studies have shown that impulsivity is associated with substance misuse and treatment dropout in predominately male samples, but less is known regarding whether impulsivity dimensions predict treatment dropout among women. This study examined impulsivity dimensions (ie, negative urgency, positive urgency, lack of perseverance, lack of premeditation, and sensation seeking) as predictors of dropout AMA among women in a residential substance use treatment facility (N = 229). Logistic regression results demonstrated that elevations in lack of perseverance and sensation seeking were associated with an increased odds of treatment dropout AMA and that lack of premeditation was associated with a decreased odds of treatment dropout AMA. Study findings suggest that early evidence-based interventions for sensation seeking and lack of perseverance may improve retention of women in residential treatment.

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