Quality of life, alcohol detoxification and relapse: Is quality of life a predictor of relapse or only a secondary outcome measure?

Picci, Rocco Luigi; Oliva, Francesco; Zuffranieri, Marco; Vizzuso, Paola; Ostacoli, Luca; Sodano, A Jaretti; Furlan, Pier Maria

doi:10.1007/s11136-014-0735-3

Cited by 30 publications

(33 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings confirm previous research which showed a decrease in psychological distress during the early alcohol detoxification period 6,11,35,36. It is well known that addiction is associated with negative affectivity (eg, anxiety and depression) and that alcohol use in many cases can be considered as an avoidance coping strategy to escape from negative internal states and to reduce self-focused attention 10,24,37.…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Fiabane¹,

Ottonello²,

Zavan³

et al. 2017

NDT

View full text Add to dashboard Cite

BackgroundAn inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink.MethodsWe assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change – alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment – outcome evaluation).ResultsResults showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence (p<0.001), readiness to change (p=0.01), and self-efficacy (p=0.05).ConclusionInpatients’ rehabilitation for alcohol dependence is associated with an overall improvement in motivation to change and a significant reduction of psychological distress. Treatments for alcohol-dependent patients should focus on motivation to change, negative moods, and relapse prevention strategies for the management of craving.

show abstract

Section: Discussionsupporting

confidence: 90%

“…Psychological health and quality of life tend to improve after detoxification and treatment and worsen during relapse 35,36. Therefore, interventions focused on coping skills are important to train patients to use in everyday life alternative responses to triggers (eg, emotional distress) in place of drinking 8…”

Section: Discussionmentioning

confidence: 99%

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Fiabane¹,

Ottonello²,

Zavan³

et al. 2017

NDT

View full text Add to dashboard Cite

show abstract

“…Some studies of SUD+ADHD individuals with stimulant SUD have reported associations between central stimulant treatment and improved SUD and ADHD symptoms (Konstenius et al, 2014;Levin et al, 2015). Although those studies did not consider QoL, research on ADHD and SUD suggest that QoL increases as the symptoms of these disorders abate (Laudet, 2011;Picci et al, 2014). In ADHD, psychopharmacological treatment is also associated with symptom reduction and improved QoL (Agarwal et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Quality of life in substance use disorder patients with and without attention deficit hyperactivity disorder 12 months after treatment: a naturalistic follow-up study

Flores-García

Lensing

Ytterstad

et al. 2019

ADHD Atten Def Hyp Disord

View full text Add to dashboard Cite

Background. There is sparse research on quality of life (QoL) as an outcome measure in patients with substance use disorders (SUD), with or without attention deficit hyperactivity disorder (ADHD). We aimed to investigate whether SUD patients with and without ADHD (SUD+ADHD vs. SUD-ADHD) differed in QoL at baseline and at a12month follow-up after SUD treatment. The groups were additionally compared with data from a national population sample (NPS). Methods. From a sample of 16 SUD+ADHD and 87 SUD-ADHD patients originally recruited between 2010 and 2012, eight SUD+ADHD (50.0%) and 28 SUD-ADHD (32.2%) patients were reached at followup. QoL was measured with the short version of the World Health Organization QoL instrument (WHOQOL-BREF). Cross-sectional data on QoL from NPS was utilized. Results. Compared to NPS, SUD patients reported significantly lower QoL at baseline and follow-up. Furthermore, QoL was similar at baseline in SUD+ADHD and SUD-ADHD patients. At a 12-month follow-up after SUD treatment, SUD+ADHD patients ' QoL had improved, however not significantly differing from SUD-ADHD patients or the NPS. SUD-ADHD patients' QoL remained significantly lower. Conclusions. At follow-up, SUD+ADHD patients' QoL improved nominally compared to SUD-ADHD patients, but not the NPS. The clinical and functional relevance of these findings should be investigated further.

show abstract

“…Given the chronic, relapsing nature of substance use disorder (SUD) [1,2] and the negative consequences in various life domains affected by drug use [3], there has been expanding interest in measuring patient-reported outcomes in people with SUDs in recent years. Numerous studies have included health-related quality of life (HRQoL) and quality of life (QoL) assessment as an important clinical and research tool, as an outcome for assessing the health of patients with SUDs and for evaluating drug programs [4][5][6]. Although QoL and HRQoL are different (QoL is an all-inclusive concept incorporating all factors that impact an individual's life, while HRQoL includes only those factors related to an individual's health), they both aim to capture a patient's subjective perception and assessment of his or her health and well-being [7,8].…”

Section: Introductionmentioning

confidence: 99%

Patient’s early satisfaction with care: a predictor of health-related quality of life change among outpatients with substance dependence

Müller¹,

Baumann

Patrizio³

et al. 2020

Health Qual Life Outcomes

View full text Add to dashboard Cite

Background: Although research on health-related quality of life (HRQoL) has increased in the addiction field, few studies have focused on the determinants of HRQoL changes. This study aimed to describe dependent patients' HRQoL changes at a 3-month follow-up and to assess whether satisfaction with care can predict those changes among outpatients starting care for alcohol or opioid dependence. Methods: HRQoL was measured with the SF-12 at baseline and 3 months later in a prospective cohort of dependent outpatients. Satisfaction was assessed with the EQS-C early after inclusion. Data on sociodemographics, clinical characteristics and patients' levels of anxiety and depression were also collected. A multivariable analysis was performed to identify factors associated with HRQoL changes in both the physical and mental component summary scores (PCS and MCS, respectively). Results: Of the 172 patients included at baseline, a total of 136 patients assessed their satisfaction with care. The mean PCS and MCS scores were initially low, and HRQoL improvement was significant after 3 months for both the PCS and MCS. Never having been married (β = 5.5; p = 0.001) and a lower baseline PCS score (β = − 0.6; p < 0.0001) were associated with significant PCS improvement, whereas being legally compelled to undergo drug treatment (β = − 5.9; p = 0.02) was associated with less PCS change. Higher early satisfaction with care (β = 0.1; p = 0.02) and a lower baseline MCS score (β = − 0.7; p < 0.0001) were associated with significant MCS improvement. Conclusion: The study supported the hypothesis that greater satisfaction with care may predict HRQoL improvement among dependent outpatients. Further studies are needed to understand the factors that affect patients' early satisfaction to identify areas of improvement and thus improve HRQoL.

show abstract

Quality of life, alcohol detoxification and relapse: Is quality of life a predictor of relapse or only a secondary outcome measure?

Cited by 30 publications

References 47 publications

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Motivation to change and posttreatment temptation to drink: a multicenter study among alcohol-dependent patients

Quality of life in substance use disorder patients with and without attention deficit hyperactivity disorder 12 months after treatment: a naturalistic follow-up study

Patient’s early satisfaction with care: a predictor of health-related quality of life change among outpatients with substance dependence

Contact Info

Product

Resources

About