Quality of life of individuals seeking treatment at specialist non-government alcohol and other drug treatment services: A latent class analysis
Quality of life of individuals seeking treatment at specialist non-government alcohol and other drug treatment services: A latent class analysis
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DOI：
10.1016/j.jsat.2018.08.007
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发表时间：
2018-11-01
影响因子：
3.9
通讯作者：
Hides, Leanne
中科院分区：
文献类型：
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作者：
Kelly, Peter J.;Robinson, Laura D.;Hides, Leanne
生活质量 (QOL) 越来越被认为是物质使用治疗恢复的重要指标。目前的研究旨在确定在接受专业非政府酒精和其他药物治疗服务的广大人群中是否存在不同的生活质量亚类，以及生活质量如何与这些人的物质使用、心理健康、治疗和人口特征相关。该样本包括 9958 名在澳大利亚新南威尔士州因酗酒或其他药物滥用而接受专业非政府治疗的人。收集了有关生活质量、药物使用、治疗变量、心理困扰和物质依赖严重程度的横断面数据。进行潜在类别分析以识别样本中的生活质量类别。然后进行回归分析，以确定哪些个体、治疗和健康结果与这些类别相关。确定了三种不同的生活质量等级，分别称为低生活质量（n = 3048）、中生活质量（n = 4211）和高生活质量（n = 2699）。班级在个人特征、药物使用和心理困扰方面存在差异。正如假设的那样，生活质量最低的人群中明显有更多的物质使用和更高的痛苦。生活质量是衡量个体在药物使用恢复过程中功能水平的重要指标。根据生活质量等级识别患有药物滥用障碍的个体亚组可能有助于指导干预措施，以改善其整体功能和治疗结果。
Quality of Life (QOL) is increasingly being recognised as an important indicator of recovery from substance use treatment. The current study aimed to determine if there are distinct subclasses of QOL among a broad range of people attending specialist non-government alcohol and other drug treatment services, and how QOL might be associated with substance use, mental health, treatment and demographic characteristics of these individuals. The sample included 9958 individuals attending specialist non-government treatment for alcohol or other substance use in New South Wales, Australia. Cross sectional data on quality of life, drug use, treatment variables, psychological distress and substance dependence severity was collected. Latent class analysis was conducted to identify quality of life classes within the sample. Regression analyses were then performed to identify which individual, treatment and health outcomes were associated with these classes. Three distinct quality of life classes were identified, and termed low (n = 3048), moderate (n = 4211) and high quality of life (n = 2699). Classes differed across individual characteristics, substance use and psychological distress. As hypothesised, greater substance use and higher distress was evident in the lowest quality of life class. Quality of life is an important measure of an individuals' level of functioning during recovery from substance use. The identification of subgroups of individuals with substance use disorders based on their quality of life classes may help guide interventions to improve their overall global functioning and treatment outcomes.