Addiction Relapse and Its Predictors: A Prospective Study

Mohammadpoorasl, Asghar; Fakhari, Ali; Akbari, Hossein

doi:10.4172/2155-6105.1000122

Cited by 23 publications

(18 citation statements)

References 7 publications

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“…Post‐treatment events, not measured in this study, could also facilitate relapse (e.g. exposure to drug cues and stress , staying connected with drug‐using peers ), while other factors may be protective (e.g. family support and participation in mutual support groups ).…”

Section: Discussionmentioning

confidence: 97%

Predicting abstinence from methamphetamine use after residential rehabilitation: Findings from the Methamphetamine Treatment Evaluation Study

McKetin

Kothe

Baker

et al. 2017

Drug and Alcohol Review

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Abstinence from methamphetamine use following residential rehabilitation could be significantly increased by providing individual counselling, maintaining good rapport with clients and ensuring longer stays for people who inject the drug. [McKetin R, Kothe A, Baker AL, Lee NK, Ross J, Lubman DI. Predicting abstinence from methamphetamine use after residential rehabilitation: Findings from the Methamphetamine Treatment Evaluation Study. Drug Alcohol Rev 2018;37:70-78].

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Section: Discussionmentioning

confidence: 97%

Predicting abstinence from methamphetamine use after residential rehabilitation: Findings from the Methamphetamine Treatment Evaluation Study

McKetin

Kothe

Baker

et al. 2017

Drug and Alcohol Review

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“…In addition, a previous study showed that 50 % of old friends influenced people with addiction to get the habit to retake drugs after discharge from rehabilitation centres [ 6 , 21 , 25 ]. It was also reported that people with SUD who have been discharged from rehabilitation centres and living in drug-free social environment had higher abstinence rates and are low in relapse to SUD [ 8 , 19 , 26 ]. On the other hand, multiple factors such as post-treatment incarceration, mental or other co-morbid disorders, craving for drugs were reportedly associated with relapse [ 7 , 10 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre

Kabisa

Biracyaza

Habagusenga

et al. 2021

Subst Abuse Treat Prev Policy

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Background Relapse to substance use after successful detoxication and rehabilitation is a public health concern worldwide. Forty to sixty percent of persons in general relapsed after completing detoxication and rehabilitation treatments. Although substance use remains a burden in Rwanda, very little is known about relapse among people with substance use disorder (SUD). Hence, this study aimed to examine prevalence and the factors associated with relapse to substance use at Icyizere Psychotherapeutic Centre (IPC), Rwanda. Methods Retrospective, cross-sectional survey was conducted among 391 patients with SUD at IPC. Multiple logistic regression models using STATA version 13 were used to determine the factors associated with relapse among the patients with SUD. Results Majority (84.1 %) of the participants were males. More than half (54.1 %) of them were aged between 18 and 30 years with the age average of 33 years (SD = 11.9 years). The results showed a higher prevalence of relapse among patients with SUD (59.9 %). The multivariate analyses indicated that people with SUD living only with their mothers had a greater risk of relapse compared to those with both biological parents [OR = 1.9, 95 % CI (1.02–3.6), p = 0.04]. Patients that were hospitalized between one to three months were more likely (11.2 times) to relapse after treatments compared to those who spent more than three months in hospitalization [OR = 9.2, 95 % CI (1.1–77.6), p = 0.02]. Furthermore, people that used more than two substances had 1.5 greater risk to relapse than those who consumed one substance. Participants were more likely to relapse if they lived with their peers [OR = 2.4, 95 % CI: (1.2–7.8), p = 0.01] or if they lived in a family with conflicts [OR = 2.1, 95 % CI (1.05–9.7), p = 0.02]. Conclusions This study is conducted at one institution caring for patients with SUD. The prevalence was 59.9 %. Future studies are recommended to investigate the effectiveness of the existing relapse prevention programs in order to adjust prevention strategies.

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“…A ten-year prospective follow-up study have showed that approximately one-third of clients who were in full remission relapsed in the first year 12 , which is similar to the results of this study. A few other studies show a much less relapse percentage of 8 to 10% 13,14 and some studies show a much higher relapse of 64% 15 . However, comparing relapse between studies must take into account the definition of relapse used in the study as it may indeed be the cause of discrepancy.…”

Section: Relapse In Mmtmentioning

confidence: 95%

Spiritual Influence Towards Relapse in Opioid Addicts in Therapy

Mh¹,

M²,

Cm³

et al. 2018

imjm

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Introduction: Substance abuse is both a social and public health problem with a substantial burden to society. Opioid dependence results in unemployment, crimes, family disruption, and transmission of diseases. In Malaysia, methadone maintenance therapy (MMT) has been introduced as a harm reduction method. However, relapse during treatment remains an issue to be resolved that hinders successful outcome in the therapy. Spirituality in the treatment of substance abuse disorders has yet to be fully explored. This study aims to examine how MMT clients who relapsed perceive spiritual deficits as an influence and association of spiritual practice with relapse. Methods: This is a cross-sectional study done from June-July 2016. All MMT clients undergoing therapy at 3 treatment centers in Terengganu, Malaysia who fulfilled the inclusion and exclusion criteria and consented were included in the study. A semi-structured questionnaire was filled via face to face interview and spiritual practice was assessed using Hatta Islamic Religiosity Scale. 121 questionnaires were assessed and data was analyzed using SPSS version 22 for quantitative data. Results: All respondents were males of Malay race and Islamic religion. Current relapse, defined as any episode of intake of opioid for the past one month after a period of abstinence was 34%. Only three out of 42 clients who relapsed had some spirituality theme in their perceived cause of their relapse. However, a significant majority of those relapsed had a spiritual practice score of less than the mean practice score. Conclusion: Relapse in opioid addiction remains high in those receiving MMT in Terengganu, Malaysia. Spirituality may have a subconscious influence towards relapse in addiction in MMT clients. Further effort should be taken to inculcate spirituality intervention effective to prevent relapse which may contribute towards achieving a more successful therapy outcomes.

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Addiction Relapse and Its Predictors: A Prospective Study

Cited by 23 publications

References 7 publications

Predicting abstinence from methamphetamine use after residential rehabilitation: Findings from the Methamphetamine Treatment Evaluation Study

Predicting abstinence from methamphetamine use after residential rehabilitation: Findings from the Methamphetamine Treatment Evaluation Study

Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre

Spiritual Influence Towards Relapse in Opioid Addicts in Therapy

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