Young adults' reasons for dropout from residential substance use disorder treatment
Young adults' reasons for dropout from residential substance use disorder treatment
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DOI：
10.1177/1473325016654559
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发表时间：
2018-01-01
影响因子：
1.7
通讯作者：
Duckert, Fanny
中科院分区：
文献类型：
--
作者：
Nordheim, Kristoffer;Walderhaug, Espen;Duckert, Fanny
物质使用障碍治疗中的辍学通常是从定量的患者相关因素的角度进行调查和理解的。很少报道患者自己的观点(用户观点)。因此，这项研究的目的是探索患者自己对居住物质使用障碍治疗中辍学的理解。参与者为15名男性和女性，年龄19-29岁，在挪威奥斯陆大学医院成瘾治疗科辍学。采用半结构访谈的定性研究方法，探讨受试者如何描述他们的退学情况以及他们这样做的原因。主题分析被用作分析访谈数据的框架。对于不同的参与者来说，辍学有不同的含义。它被理解为脱离治疗、结束治疗或降低治疗强度的一种手段。在此背景下，发现了辍学的四个主要主题：对毒品的渴望、负面情绪、人际交往和活动。当参与者探索他们辍学的原因时，患者和治疗因素似乎相互作用。这涉及到一种复杂的变数模式。作为补救措施，与会者建议，物质使用障碍的治疗应该更多地关注药物渴望和培训，以理解和容忍情绪不适。他们还希望在治疗期间与工作人员有更密切的接触，更多的活动，以及严格的治疗后随访。从使用者的角度来看，这些发现对物质使用障碍的治疗、临床和社会工作实践、管理和研究具有重要意义。
Dropout from substance use disorder treatment is usually investigated and understood from a perspective of quantitative patient-related factors. Patients' own perspectives (user perspective) are rarely reported. This study, therefore, aimed to explore patients' own understanding of their dropout from residential substance use disorder treatment. The participants were 15 males and females, aged 19-29 years, who had dropped out of residential substance use disorder treatment at the Department of Addiction Treatment, Oslo University Hospital, Norway. Qualitative methodology with semistructured interviews was used to explore how the participants described their dropout and their reasons for doing so. Thematic analysis was used as the framework for analyzing the data derived from the interviews. Dropout had different meanings for different participants. It was understood as a break from treatment, as an end to treatment, or as a means of reduced treatment intensity. Against that background, four main themes for dropout were found: drug craving, negative emotions, personal contact, and activity. Patient and treatment factors seem to interact when participants explore reasons for their dropout. A complex pattern of variables is involved. As remedies, participants suggested that substance use disorder treatment should provide more focus on drug craving and training to understand and tolerate emotional discomfort. They also wanted closer contact with the staff during treatment, more activities, and rigorous posttreatment follow-up. These findings from the user perspective have important implications for substance use disorder treatment, clinical and social work practice, management, and research.