Predictors of Dropout From Inpatient Substance Use Treatment: A Prospective Cohort Study

被引：77
作者：
Andersson, Helle Wessel [1 ]
Steinsbekk, Aslak [2 ]
Walderhaug, Espen [3 ]
Otterholt, Eli [4 ]
Nordfjaern, Trond [1 ]
机构：
[1] St Olavs Univ Hosp, Clin Subst Use & Addict Med, Dept Res & Dev, POB 3250 Sluppen, N-7006 Trondheim, Norway
[2] NTNU Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, Trondheim, Norway
[3] Oslo Univ Hosp, Dept Addict Treatment, Oslo, Norway
[4] More & Romsdal Hosp Trust, Clin Mental Hlth & Subst Abuse Treatment, Dept Subst Abuse Treatment, Alesund, Norway
来源：
SUBSTANCE ABUSE-RESEARCH AND TREATMENT | 2018年 / 12卷
关键词：
Drug treatment; substance use disorder; dropout; motivation; mental health;
D O I：
10.1177/1178221818760551
中图分类号：
R194 [卫生标准、卫生检查、医药管理];
学科分类号：
摘要：
INTRODUCTION: Dropout from inpatient treatment for substance use disorder (SUD) is an ongoing challenge. The aim of this study was to identify demographic, substance use, and psychological factors that predict dropout from postdetoxification inpatient SUD treatment. MATERIALS AND METHODS : A total of 454 patients from 5 inpatient SUD centers in Central Norway were consecutively included in this naturalistic, prospective cohort study. RESULTS : A total of 132 patients (28%) did not complete the planned treatment stay (dropped out). Cox regression analysis showed that higher levels of intrinsic motivation for changing personal substance use reduced the dropout risk (adjusted hazard ratio [adjHR]: 0.62, 95% confidence interval [CI]: 0.48-0.79). Higher levels of mental distress were associated with an increased risk for dropout (adjHR: 1.48, 95% CI: 1.11-1.97). CONCLUSIONS: The role of mental health and motivation in reducing dropout risk from inpatient SUD treatment should be targeted in future prospective intervention studies.
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页数：10
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