Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance
Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance
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DOI：
10.1016/j.jsat.2014.08.002
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发表时间：
2015-01-01
影响因子：
3.9
通讯作者：
Harp, Kathi L. H.
中科院分区：
文献类型：
--
作者：
Oser, Carrie B.;Harp, Kathi L. H.
这是第一项已知的研究，旨在检查处方药滥用者样本中的地理差异（从家乡前往具有不同社会文化背景的县接受药物滥用治疗）作为临床和社会功能治疗结果（即复发、自助就诊、焦虑和监禁）的预测指标。治疗登记和 12 个月随访的客户级调查数据来自 187 名滥用处方药的客户，中心级调查数据来自客户所在治疗中心的主管。多变量模型显示，地理不一致显着增加了处方药滥用者在随访中报告处方阿片类药物滥用、焦虑和任何监禁复发的可能性。此外，排除其他个人和中心层面因素的影响，地理位置不一致的客户参加自助小组的可能性明显较小。提供了对临床实践和药物滥用治疗政策的影响。 (C) 2014 Elsevier Inc. 保留所有权利。
This is the first known study to examine geographic discordance (traveling from one's home residence to a county with a different socio-cultural context to receive substance abuse treatment) as a predictor of clinical and social functioning treatment outcomes (i.e., relapse, self-help attendance, anxiety, and incarceration) among a sample of prescription drug misusers. Treatment entry and 12-month follow-up client-level survey data were collected from 187 clients who misused prescription drugs, and center-level survey data were collected from the supervisors at treatment centers attended by the clients. Multivariate models reveal that geographic discordance significantly increased the odds that prescription drug misusers would report relapse to prescription opioid misuse, anxiety, and any incarceration at follow-up. Moreover, geographically discordant clients were significantly less likely to have attended a self-help group, net of the effect of other individual-and center-level factors. Implications for clinical practice and substance abuse treatment policy are provided. (C) 2014 Elsevier Inc. All rights reserved.