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Relapse in involuntary substance treatment: a transversal study
Walmir Teodoro Sant'Anna1, Sandro Sendin Mitsuhiro1, Neliana Buzi Figlie1
1Psychiatric Department, Federal University of São Paulo (UNIFESP), Brazil.
Substance dependence relapse is linked to lower income and contemplation stage. However, involuntary admissions showed no difference in relapse rates compared to voluntary admissions.
Area of Science:
- Addiction research
- Clinical psychology
- Public health
Background:
- Relapse is a significant challenge in substance dependence treatment.
- Understanding factors associated with relapse is crucial for improving patient outcomes.
- The distinction between voluntary and involuntary admissions may influence relapse trajectories.
Purpose of the Study:
- To investigate the relationship between relapse and admission type (voluntary vs. involuntary) in individuals with substance dependence.
- To identify sociodemographic and psychological factors associated with relapse in this population.
Main Methods:
- Cross-sectional study at a private therapeutic community in São Paulo, Brazil.
- Utilized sociodemographic data, URICA, SOCRATES, BAI, BDI, and SCID for assessment.
- Compared relapse rates between voluntary and involuntary admission groups.
Main Results:
- Relapse was significantly associated with lower family income (P=.006).
- The contemplation motivational stage was also linked to relapse (P<0.05).
- No significant difference in relapse rates was found between involuntary (64%) and voluntary (54%) admissions (P=0.683).
Conclusions:
- In this sample, the type of admission (voluntary or involuntary) did not significantly impact relapse outcomes.
- Low income and contemplation stage are identified as potential risk factors for relapse in substance dependence.
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