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

Abstract

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.

The Risk Assessment of Relapse among Newly-enrolled Participants in Methadone Maintenance Treatment: A Group-Lasso Based Bayesian Networks Study

“…Relapse is a multifactorial outcome 35 , and factors such as sex, marital status, living status, the relationship with family, and drug use behavior have been proved to be correlated with it 12,16,36,37 . In this study, we provide evidence that these factors were in uential for participants who completed 6-month MMT.…”

História De Familiares Sobre O Cuidado Da Pessoa Com Dependência Química

“…O tempo de hospitalização foi, também, comentado por alguns colaboradores como insuficiente para o tratamento do dependente químico, levando-os a acreditar que, após a alta, o familiar terá recaídas. Um estudo realizado na Ruanda, em 2021 15 , revelou resultados semelhantes em que o tempo de hospitalização foi significantemente associado à recaída e aqueles que são internados de um a três meses tiveram maior risco de recaída em comparação com os que foram hospitalizados por tempo superior a três meses. Estudos que examinam o tempo de permanência nas taxas de abstinência pós-tratamento encontraram relação direta entre a maior duração da estadia e as taxas de abstinência mais altas [16][17] .…”

Resultados De Un Curso-Taller Sobre Prevención De Recaídas en Un Centro De Rehabilitación De Adicciones

“…El análisis de eficacia en cuanto al sostenimiento de la abstinencia del programa terapéutico utilizado dentro de los centros de internamiento de Proyecto Hombre-Galicia (Luengo y col., 2004) mostraron 0% de recaídas a cuatro meses, argumentando que los primeros consumos suceden en periodos más extensos, mientras que en otros estudios (Moreno-Pedraza, 2012) se reporta que el 72% de las recaídas suceden durante los primeros seis meses; Kabisa et al (2021) informan que las recaídas se presentan generalmente entre el 40 y 60 % de los pacientes después de completar su tratamiento de rehabilitación; López-Rosa et al ( 2017) reportaron en su estudio recaídas extremadamente altas durante el primer y tercer mes, 65.9% y 86.4%, respectivamente. Así mismo, el trabajo de Blanco y Jiménez (2015) señala que el promedio del tiempo sin consumir antes de la recaída fue de tres meses y medio, resultado similar al obtenido en este taller ya que 33 % de las recaídas se presentaron en un seguimiento a 4 meses, porcentaje que podría verse aumentado o mantenido de haberse realizado un tercer seguimiento a los 6 meses, lo que puede considerarse una limitante del estudio.…”