Objectives: The purpose of this study was to compare the functional disability and psychological distress, observed in patents with substance use disorder (SUD) and psychosis. Methods: As a multicenter study, 17 patients with SUD and 49 patients with psychosis, participated in this study. All participants were assessed using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS) as well as the Kessler Psychological Distress Scale (K10). Results: In patients with SUD, functional disability was observed in approximately 8.5%. In the WHODAS total and all sub-scales scores, patients with SUD showed less severe functional impairment, compared to patients with psychosis. However, psychological distress was more severe in patients with SUD, and was at a very high level. This study confirmed that the psychological distress of patients with SUD, had a significant correlation with functional disability of cognition, interacting with others, and participation. Conclusion: In this study, patients with SUD were identified with distinct clinical features, compared to patients with psychosis.
Objectives: To determine the effectiveness of an action plan that incorporates evidence-based community interventions in reducing alcohol-related harms in a community. Methods: The No More Alcohol to Drunken (NoMAD) project is a quasi-experimental study that aims to evaluate the impact of a community intervention for a district in reducing alcohol-related harms. The project incorporates evidence-based strategies, such as limiting alcohol in public areas, strengthening crackdown on drink-driving, responsible alcohol server program, screening and brief intervention for high-risk drinking at local clinics or pharmacies, mobile high-risk drinking management program, brain education at schools, and alcohol-free day campaign. The study will employ a difference-in-differences analysis to assess changes in alcohol-related harms 12 months after the implementation of the NoMAD project with non-intervention districts serving as a comparison group. Discussion: To our knowledge, this is the first trial in Korea to evaluate the effectiveness of evidence- and community-based interventions in reducing alcohol-related harms. Our study is expected to provide a prototype for community-environment strategies to prevent alcohol-related harms and establish scientific grounds for the efficacy of community interventions.
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