在阿片类药物使用障碍治疗期间复发:一项试点研究,以了解在治疗期间使用阿片类药物的原因
Virendra V Singh1, Anju Dhawan2, Siddhartha Sarkar2
1Department of Psychiatry, Army College of Medical Sciences and Base Hospital, Delhi Cantt, Delhi, India.
Industrial psychiatry journal
|January 1, 2024
概括
在阿片类药物使用障碍 (OUD) 中复发是常见的. 诸如家庭冲突,较高的基线药物使用和情绪/社会问题等因素预测复发,突出了改善OUD治疗和复发预防策略的领域.
科学领域:
- 药物中毒药物 药物中毒药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的全球健康问题,影响了大约2.1%的印度人口.
- 印度的注射药物使用主要与阿片类药物有关,复发仍然是OUD治疗的挑战.
- 了解导致复发的因素对于开发有效的OUD管理和复发预防计划至关重要.
研究的目的:
- 确定与阿片类药物使用障碍患者复发相关的基线和潜在因素.
- 为了比较复发患者和90天随访期间保持戒断的患者的特征.
主要方法:
- 一组120名OUD患者完成了基线评估,包括社会人口统计数据和莫德斯利成概况 (MAP).
- 通过电话采访对患者进行了90天的随访,以评估阿片类药物使用情况.
- 复发患者使用复发原因问卷 (RRQ) 进行评估,并与戒断患者进行比较.
主要成果:
- 40名参与者 (33.3%) 在90天的研究期间复发.
- 复发的患者报告了更多的家庭冲突日,更高的基线海洛因和大麻使用,并且不太可能在布普伦诺芬下出院.
- 与暗示/渴望或感觉不舒服相比,情绪和社会原因更频繁地被引用为复发.
结论:
- 无论是基线特征还是前景因素,都会显著影响OUD的复发率.
- 针对已识别的因素,如家庭冲突,物质使用模式和心理社会问题,可以帮助减少OUD患者的复发.
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