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Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use

People seeking treatment for substance use disorders (SUD) ultimately aspire to improve their quality of life (QOL) through reducing or ceasing their substance use, however the association between these treatment outcomes has received scant research attention. In a prospective, multi-site treatment...

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Autores principales: Manning, Victoria, Garfield, Joshua B. B., Lam, Tina, Allsop, Steve, Berends, Lynda, Best, David, Buykx, Penny, Room, Robin, Lubman, Dan I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780566/
https://www.ncbi.nlm.nih.gov/pubmed/31500211
http://dx.doi.org/10.3390/jcm8091407
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author Manning, Victoria
Garfield, Joshua B. B.
Lam, Tina
Allsop, Steve
Berends, Lynda
Best, David
Buykx, Penny
Room, Robin
Lubman, Dan I.
author_facet Manning, Victoria
Garfield, Joshua B. B.
Lam, Tina
Allsop, Steve
Berends, Lynda
Best, David
Buykx, Penny
Room, Robin
Lubman, Dan I.
author_sort Manning, Victoria
collection PubMed
description People seeking treatment for substance use disorders (SUD) ultimately aspire to improve their quality of life (QOL) through reducing or ceasing their substance use, however the association between these treatment outcomes has received scant research attention. In a prospective, multi-site treatment outcome study (‘Patient Pathways’), we recruited 796 clients within one month of intake from 21 publicly funded addiction treatment services in two Australian states, 555 (70%) of whom were followed-up 12 months later. We measured QOL at baseline and follow-up using the WHOQOL-BREF (physical, psychological, social and environmental domains) and determined rates of “SUD treatment success” (past-month abstinence or a statistically reliable reduction in substance use) at follow-up. Mixed effects linear regression analyses indicated that people who achieved SUD treatment success also achieved significantly greater improvements in QOL, relative to treatment non-responders (all four domains p < 0.001). Paired t-tests indicated that non-responders significantly improved their social (p = 0.007) and environmental (p = 0.033) QOL; however, their psychological (p = 0.088) and physical (p = 0.841) QOL did not significantly improve. The findings indicate that following treatment, QOL improved in at least some domains, but that reduced substance use was associated with both stronger and broader improvements in QOL. Addressing physical and psychological co-morbidities during treatment may facilitate reductions in substance use.
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spelling pubmed-67805662019-10-30 Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use Manning, Victoria Garfield, Joshua B. B. Lam, Tina Allsop, Steve Berends, Lynda Best, David Buykx, Penny Room, Robin Lubman, Dan I. J Clin Med Brief Report People seeking treatment for substance use disorders (SUD) ultimately aspire to improve their quality of life (QOL) through reducing or ceasing their substance use, however the association between these treatment outcomes has received scant research attention. In a prospective, multi-site treatment outcome study (‘Patient Pathways’), we recruited 796 clients within one month of intake from 21 publicly funded addiction treatment services in two Australian states, 555 (70%) of whom were followed-up 12 months later. We measured QOL at baseline and follow-up using the WHOQOL-BREF (physical, psychological, social and environmental domains) and determined rates of “SUD treatment success” (past-month abstinence or a statistically reliable reduction in substance use) at follow-up. Mixed effects linear regression analyses indicated that people who achieved SUD treatment success also achieved significantly greater improvements in QOL, relative to treatment non-responders (all four domains p < 0.001). Paired t-tests indicated that non-responders significantly improved their social (p = 0.007) and environmental (p = 0.033) QOL; however, their psychological (p = 0.088) and physical (p = 0.841) QOL did not significantly improve. The findings indicate that following treatment, QOL improved in at least some domains, but that reduced substance use was associated with both stronger and broader improvements in QOL. Addressing physical and psychological co-morbidities during treatment may facilitate reductions in substance use. MDPI 2019-09-06 /pmc/articles/PMC6780566/ /pubmed/31500211 http://dx.doi.org/10.3390/jcm8091407 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Manning, Victoria
Garfield, Joshua B. B.
Lam, Tina
Allsop, Steve
Berends, Lynda
Best, David
Buykx, Penny
Room, Robin
Lubman, Dan I.
Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title_full Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title_fullStr Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title_full_unstemmed Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title_short Improved Quality of Life Following Addiction Treatment Is Associated with Reductions in Substance Use
title_sort improved quality of life following addiction treatment is associated with reductions in substance use
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780566/
https://www.ncbi.nlm.nih.gov/pubmed/31500211
http://dx.doi.org/10.3390/jcm8091407
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