Substance use characteristics, treatment completion rates and related factors of patients in Gaziantep AMATEM in 2019; a retrospective study

Demir, Bahadır; Şahin, Şengül Kocamer; Elboğa, Gülçin; Altındağ, Abdurrahman; Ünal, Ahmet

doi:10.1080/14659891.2021.1912202

Cited by 6 publications

(5 citation statements)

References 11 publications

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“…A limited number of sociodemographic variables were included. Other sociodemographic variables, potentially predictive of SUD treatment outcome, such as for example employment status [49,50] and previous criminal problems [51] were not available in this study. We used self-report data of relapse as an outcome variable.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors

2023

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Background The characteristics of substance use disorder (SUD) inpatients with co-occurring psychiatric disorders (COD) have been scantly described in the extant literature. This study investigated psychological, demographic and substance use characteristics in these patients, along with predictors of relapse 3 months post-treatment. Methods Prospective data from a cohort of 611 inpatients were analyzed for demographics, motivation, mental distress, SUD diagnosis, psychiatric diagnoses (ICD-10) and relapse rate at 3 months post-treatment (retention rate = 70%). Results Compared to patients without COD (n = 322), those with COD (n = 289) were younger, had higher mental distress, lower education and higher likelihood of no permanent residence. The relapse rate was also higher in patients with COD (39.8%) relative to patients without COD (26.4%) (OR = 1.85, 95% CI: 1.23–2.78). The relapse rate was particularly high for patients with COD who were diagnosed with cannabis use disorder (53.3%). Multivariate analysis revealed that among patients with COD, relapse was more likely for individuals with a cannabis use disorder (OR = 2.31, 95% CI: 1.34-4.00), and less likely for older ages (OR = 0.97, 95% CI: 0.94-1.00), females (OR = 0.56, 95% CI: 0.33–0.98) and for those with higher intrinsic motivation (OR = 0.58, 95% CI: 0.42–0.81). Conclusion This study showed that among SUD inpatients, those with COD had relatively persistent high levels of mental distress and an increased risk of relapse. Enhanced measures aimed at COD patients’ mental health problems during the inpatient stay, along with close and personalized follow-up after discharge from residential SUD treatment may reduce the probability of relapse in this group.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors

2023

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“…This is very low as compared to the findings of a specialized Alcohol and Substance Addictions Treatment Center (AMATEM) Clinic in Turkey where opioid use disorder and amphetamine/methamphetamine use disorder accounted for prevalence of 47.1% and 13%, respectively. 41 The discrepancy may be due to differences in study settings and availability of substances.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of substance use disorders and associated characteristics among patients admitted to a psychiatric hospital in Botswana

Otlhapile

Gitau

Kuria

2023

Int J Psychiatry Med

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Objective Substance use disorders (SUDs) have risen substantially, especially in developing nations, and has become one of the world's most significant public health and socioeconomic challenge. This study aimed to determine the prevalence and patterns of substance use disorders among patients admitted at the main psychiatric hospital, Sbrana Psychiatric Hospital in Botswana. Method The study design was descriptive cross-sectional, involving patients admitted to a psychiatric hospital. SUDs were assessed using the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) v13.0. Bivariate analysis was conducted to determine the association between socio-demographic characteristics and SUDs. Multivariate logistic regression was performed to rule out the effect of confounders. Results The final analysis involved one hundred and one (101) participants. Participants ages ranged from 18-60 years with over half (59.4%) being male. Majority of participants (85.1%) had ever used studied substances; with 63.4% found to have substance use disorders. The most frequently used substances were tobacco, cannabis, alcohol and cocaine at 58.4%, 42.6%, 34.7% and 12.8% respectively. SUDs were more common among participants who were male, younger age of 18–35 years, single, tertiary education and unemployed. Conclusions There is a high prevalence of substance use and SUDs among psychiatric patients in Botswana. Structured screening and interventions to manage substance use disorders should be part of routine care at the psychiatric health care facilities in Botswana. Consideration should be given to screening all patients admitted to psychiatric hospitals in Botswana for SUDs using the ASSIST.

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“…The causes of drug-related hospital admissions are varied. It might be voluntary treatment applications, under probation, or compulsory hospitalizations [ 42 , 43 ]; however, this aspect wasn’t included in the clinical characteristics of the studied patients. Finally, our work only tested the correlation between the interesting variables, so we did not have enough social interaction data in the current study to test the hypothesis that craving led to reduced interoceptive awareness of social acceptance.…”

Section: Discussionmentioning

confidence: 99%

Relationship between craving to drugs, emotional manipulation and interoceptive awareness for social acceptance: the addictive perspective

Khedr,

El-Ashry,

Ali

et al. 2023

BMC Nurs

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Background Drug addiction (DA) is a global psychiatric worldwide problem. Patients with substance use disorder are more likely to use the numerous defenses at their disposal to control their surroundings emotionally. This could virtually cause a tidal wave of social rejection of them in the community. The study aims to investigate drug craving, emotional manipulation, and interoceptive awareness for social acceptance among patients with substance use disorder. Methods This study followed a descriptive correlational design on a sample of 110 patients with substance use disorder who were recruited to complete the Penn Alcohol Craving Scale, the Emotion Manipulation Questionnaire, and the Perceived Acceptance Scale. Results Most respondents recorded high levels of PACS and emotional manipulation ability. A highly positive and significant correlation was found between scores on emotional manipulation ability and PACS. Conclusion Craving for drugs was a significant predictor of emotional manipulation ability. Incorporation of effective nursing interventions to enable patients with substance use disorder to engage in self-reflection related to how their cravings for drugs may lead them to prioritize their needs over others.

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Substance use characteristics, treatment completion rates and related factors of patients in Gaziantep AMATEM in 2019; a retrospective study

Cited by 6 publications

References 11 publications

Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors

Inpatients in substance use treatment with co-occurring psychiatric disorders: a prospective cohort study of characteristics and relapse predictors

The prevalence of substance use disorders and associated characteristics among patients admitted to a psychiatric hospital in Botswana

Relationship between craving to drugs, emotional manipulation and interoceptive awareness for social acceptance: the addictive perspective

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