Don't wanna go through that madness no more: quality of life satisfaction as predictor of sustained remission from illicit drug misuse.
Don't wanna go through that madness no more: quality of life satisfaction as predictor of sustained remission from illicit drug misuse.
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DOI：
10.1080/10826080802714462
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发表时间：
2009
影响因子：
2
通讯作者：
White, William L.
中科院分区：
文献类型：
--
作者：
Laudet, Alexandre B.;Becker, Jeffrey B.;White, William L.
对药物和/或酒精产生临床依赖的人经常报告说，他们寻求帮助是因为他们“厌倦了生病和疲惫”。生活质量（QOL）仍然是成瘾竞技场中缺失的测量指标。迄今为止进行的少数研究表明，QOL在主动成瘾期间通常很差，并作为缓解的函数而改善。一个有趣的问题承担的作用，生活质量在随后的缓解状态。推理，更高的生活满意度可能会“增加价格”的未来使用，从而提高持续缓解的可能性，本探索性研究测试的假设，生活质量满意度前瞻性预测持续缓解，以及动机结构介导的关联。内城居民（N = 289，53.6%的男性，平均年龄43）缓解慢性和严重的依赖史，以裂纹和/或海洛因进行了采访，在每年的间隔在2003年4月开始的三次。Logistic回归结果普遍支持我们的假设：控制其他相关变量，基线生活满意度预测缓解状态的一年和两年后，该协会是部分介导的动机（承诺禁欲），虽然间接影响没有达到统计学意义。研究结果强调了检查缓解过程中的生活质量满意度的作用的重要性。本探索性研究的局限性进行了讨论，包括使用一个单一的项目全球生活满意度评级，对未来研究的建议进行了讨论，包括需要拥抱生活质量作为一个真正的临床结果，并使用全面的标准化生活质量的措施，说话的个人层面的功能。注意到的影响，特别是需要成瘾领域继续远离以病理学为中心的护理模式，走向一个更广泛的模式，包括积极健康的多个方面作为一个关键的成果。
Individuals who have developed a clinical dependence on drugs and/or alcohol often report that they sought help because they were “sick and tired of being sick and tired.” Quality of life (QOL) remains the missing measurement in the addictions arena. The few studies conducted to date show that QOL is typically poor during active addiction and improves as a function of remission. An intriguing question bears on the role of quality of life in subsequent remission status. Reasoning that higher life satisfaction may `increase the price' of future use and thus enhance the likelihood of sustained remission, this exploratory study tests the hypotheses that quality of life satisfaction prospectively predicts sustained remission, and that motivational constructs mediate the association. Inner city residents (N = 289, 53.6% male, mean age 43) remitting from chronic and severe histories of dependence to crack and/or heroin were interviewed three times at yearly interval beginning in April 2003. Logistic regression findings generally support our hypotheses: Controlling for other relevant variables, baseline life satisfaction predicted remission status one and two years later and the association was partially mediated by motivation (commitment to abstinence) although the indirect effect did not reach statistical significance. Findings underline the importance of examining the role of quality of life satisfaction in remission processes. Limitations of this exploratory study are discussed including the use of a single item global life satisfaction rating; suggestions for future studies are discussed including the need to embrace QOL as a bona fide clinical outcome and to use comprehensive standardized QOL measures that speak to individual dimensions of functioning. Implications are noted, especially the need for the addiction field to continue moving away from the pathology-focused model of care toward a broader model that embraces multiple dimensions of positive health as a key outcomes.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1016/s0899-3289(97)90005-5
发表时间：
1997-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
Burman, S
通讯作者：
Burman, S
影响因子：
3.7
作者：
Flynn, PM;Joe, GW;Brown, BS
通讯作者：
Brown, BS
影响因子：
2.7
作者：
Daeppen, JB;Krieg, MA;Yersin, B
通讯作者：
Yersin, B
影响因子：
2.9
作者：
Blomqvist, J
通讯作者：
Blomqvist, J