The clients’ perspective on change during treatment for an alcohol problem: qualitative analysis of follow‐up interviews in the UK Alcohol Treatment Trial

Orford, Jim; Hodgson, Ray; Copello, Alex; John, Bev; Smith, Michael; Black, Rachel; Fryer, Kate; Handforth, Linda; Alwyn, Tina; Kerr, Cicely; Thistlethwaite, Gill; Slegg, Gary

doi:10.1111/j.1360-0443.2005.01291.x

Cited by 138 publications

(166 citation statements)

References 27 publications

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“…Troublesome states of abstaining were more prevalent in our study than in similar research on individuals who had not been diagnosed with SMI [25][26][27]. This may indicate that individuals with comorbid SMI and substance use are more vulnerable while in the state of abstinence than are individuals without SMI.…”

Section: Discussioncontrasting

confidence: 54%

“…However, research on substance use by clients without the comorbidity of mental illness indicates that social support is important to changing behaviour successfully [25,26]. Clients claim that they benefit from interventions that address their multiple recovery issues as opposed to ones that emphasize recovery strictly in sobriety terms [27].…”

Section: Introductionmentioning

confidence: 99%

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Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Pettersen

Ruud²,

Ravndal³

et al. 2014

J Addict Res Ther

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Individuals diagnosed with severe mental illness (SMI) are more vulnerable to substances than are other people. Many people with SMI tend to attain full remission of their substance use, but others relapse frequently. There is more research on the reasons for substance use than on the reasons for abstaining among these individuals. Information from the latter may contribute to a better understanding of how individuals with SMI experience abstaining from substance use. Objective: The aim of this explorative study was to examine experiences of abstaining from substances of persons diagnosed with SMI. We examined both the reasons given and the requirements and strategies used when abstaining. Methods:A qualitative study with semi-structured interviews was conducted, and a descriptive and explorative design was applied. This study included a purposeful sample of 11 patients with SMI and substance use being treated by assertive community treatment teams. Results:The main reasons for quitting substance use were social relationships and meaningful activities. The stated requirements and strategies used in the search for sobriety were detachment towards people and places, positive thinking, controlling feelings and emotions, and fear of dependency. Conclusion:Our results are consistent with those from other qualitative studies on the importance of social relationships and meaningful activities as expressed reasons for abstaining. The strategy of actively avoiding a former adverse milieu to reach sobriety is consistent with findings from one similar study. The strategies of fear of adverse consequences, positive thinking, and controlling feelings and emotions found in the present study have not been reported by other qualitative studies.

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Pettersen

Ruud²,

Ravndal³

et al. 2014

J Addict Res Ther

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“…Part of the authors' rationale for this work was the suggestion that regular checkups might be beneficial, and the very word 'check-up' in the name of their method suggests that research followups might in themselves be effective. Certainly some of our participants in the UK Alcohol Treatment Trial thought so [5]. However, Scott & Dennis's results suggest that the thoughtful, protocol-led work of re-engaging participants with treatment, if that were necessary, had significant effects beyond the check-up itself.…”

mentioning

confidence: 73%

[Commentary]‘LET'S KEEP IN TOUCH: YOU KNOW IT MAKES SENSE’

ORFORD

2009

Addiction

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“…riitta lappalainen-lehto, anja koski-jännes, mauri aalto, juhani sand, järvinen satu, isto nordback, kaija seppä JOHDANTO Alkoholin käytön seuraukset terveyteen ovat tut kimusten mukaan tärkeä syy alkoholin käytön lopettamiseen tai vähentämiseen (1)(2)(3)(4)(5)(6). Moni sairaus voi uusia tai pahentua alkoholin käytön takia ja sairastuminen on nähty otollisena hetke nä muutokseen motivoitumisessa (7)(8)(9)(10).…”

Section: Asiasanat: Laadullinen Pitkittäistutkimus Raittius Juomiseunclassified

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

Lappalainen-Lehto¹,

Koski-Jännes²,

Aalto³

et al. 2017

SLA

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Alkoholihaimatulehdus voi olla henkeä uhkaava ja alkoholin käytön lopettamista pidetään keskeisenä keinona ehkäistä uudelleen sairastumista. Tässä yhdeksän vuoden laadullisessaseurantatutkimuksessa kuvataan ensimmäiseen alkoholihaimatulehdukseen sairastuneiden (n=43) alkoholin käytölle asettamia tavoitteita, niiden toteutumista sekä kokemuksia muutokseen vaikuttaneista tekijöistä. Muutosta kuvataan kulkemisena erilaisilla poluilla (raittius, lähes raittius, kohtuus, kivikko). Raittiustavoitteen alussa valinneilla oli vähemmän runsasta alkoholin käyttöä ja enemmän raittiutta, vaikka heistä vain kolmannes säilytti raittiustavoitteen koko seurannan ajan. Myös juomisen vähentämisen valinneilla käyttö väheni ja lähes puolet heistä pysyi kohtuudessa seurannan ajan. Terveysongelmat koettiin keskeiseksi syyksi raittiuteen sitoutumiseen ja halu elää normaalia sosiaalista elämää syyksi raittiuden tavoittelusta luopumiseen. Pelko haimatulehduksen uusimisesta voi hillitä alkoholin käyttöä myös pitkällä aikavälillä vaikka henkilö ei haluaisi tai pystyisi sitoutumaan raittiuteen. Vuosittaiset seurantakäynnit sairaalassa saattoivat muistuttaa sairastumisesta ja siten edistää tavoitteen saavuttamista. Jatkossa tarvitaan lisää pitkän aikavälin tutkimusta alkoholiongelmasta selviytymiskeinoista alkoholihaimatulehdukseen sairastumisen jälkeen.

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The clients’ perspective on change during treatment for an alcohol problem: qualitative analysis of follow‐up interviews in the UK Alcohol Treatment Trial

Cited by 138 publications

References 27 publications

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

[Commentary]‘LET'S KEEP IN TOUCH: YOU KNOW IT MAKES SENSE’

Muutoksen polku alkoholin käytössä alkoholihaimatulehduksen jälkeen – yhdeksän vuoden seurantatutkimus

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