Depression and hostility as predictors of long-term outcomes among opiate users
Depression and hostility as predictors of long-term outcomes among opiate users
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DOI：
10.1111/j.1360-0443.2004.00686.x
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发表时间：
2004-05-01
期刊：
影响因子：
6
通讯作者：
Simpson, DD
中科院分区：
文献类型：
--
作者：
Rao, SR;Broome, KM;Simpson, DD
目的本研究使用国家药物滥用治疗结果研究（DATOS）的数据，调查协会治疗前抑郁症和敌意与药物使用和犯罪行为，在1年和5年的随访患者，并没有额外的治疗参与前一年，每个follow-up.Design的协会。非实验性评估设计，接受美沙酮治疗的患者在大约1年和5年后进行随访。数据分析采用多元逻辑回归分析。设置18个程序从DATOS被包括在内。参与者分析样本包括727例患者在1年的后续行动和432例患者在5年的后续行动。结果多元逻辑回归分析显示，更大的抑郁症预测较少的药物使用前一年，每个后续行动，而敌意越大，每次随访时吸毒和被捕的人数就越多。此外，这些预测关系只出现在个人不参与额外的treatment.Conclusions抑郁症和敌意表现出相反的协会与结果。强调需要分别评估这些心理状况，并适当调整治疗计划。
Aims This study used data from the national Drug Abuse Treatment Outcome Studies (DATOS) to investigate the associations that pre-treatment depression and hostility have with drug use and criminal behavior at 1 year and 5 year follow-up in patients with and without additional treatment involvement in the year prior to each follow-up.Design Following a naturalistic. non-experimental evaluation design, admissions to methadone treatment were followed up approximately 1 and 5 years later. Data analysis was conducted using multiple logistic regression.Setting Eighteen programs from DATOS were included.Participants An analytic sample consisting of 727 patients at 1 year follow-up and 432 patients at 5 year follow-up was included.Findings Multiple logistic regression analyses revealed that greater depression predicted less drug use in the year preceding each follow-up, whereas greater hostility predicted increased drug use and more arrests at each follow-up. Furthermore, these predictive relationships appeared only among individuals not involved in additional treatment.Conclusions Depression and hostility showed opposite associations with outcomes. underscoring the need to assess these psychological conditions separately and tailor treatment plans appropriately.