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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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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. |
format | Online Article Text |
id | pubmed-6780566 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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