tailieunhanh - Báo cáo y học: " Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile | ồhlin et al. BMC Psychiatry 2011 11 81 http 1471-244X 11 81 BMC Psychiatry RESEARCH ARTICLE Open Access Poly-substance use and antisocial personality traits at admission predict cumulative retention in a buprenorphine programme with mandatory work and high compliance profile Leif Ohlin1 Morten Hesse2 Mats Fridell3 and Per Tatting4 Abstract Background Continuous abstinence and retention in treatment for alcohol and drug use disorders are central challenges for the treatment providers. The literature has failed to show consistent strong predictors of retention. Predictors and treatment structure may differ across treatment modalities. In this study the structure was reinforced by the addition of supervised urine samples three times a week and mandatory daily work structured education activities as a prerequisite of inclusion in the program. Methods Of 128 patients consecutively admitted to buprenorphine maintenance treatment five patients dropped out within the first week. Of the remaining 123 demographic data and psychiatric assessment were used to predict involuntary discharge from treatment and corresponding cumulative abstinence probability. All subjects were administered the Structured Clinical Interview for DSM-IV-TR and the Symptom Checklist 90 SCL-90 the Alcohol Use Disorder Identification Test AUDIT the Swedish universities Scales of Personality SSP and the Sense of Coherence Scale SOC all self-report measures. Some measures were repeated every third month in addition to interviews. Results Of 123 patients admitted 86 70 remained in treatment after six months and 61 50 remained in treatment after 12 months. Of those discharged involuntarily 34 62 individuals were readmitted after a suspension period of three months. Younger age at intake poly-substance abuse at intake number of drugs in urine and number of conduct disorder criteria on the SCID Screen were independently associated with an increased risk of involuntary discharge. There .