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Psychosocial problems among individuals with substance use disorders in drug rehabilitation centers, Nepal

机译：尼泊尔戒毒所的药物滥用症患者的社会心理问题

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Background Substance use is associated with numerous undesirable short and long term consequences. The individual not only suffer from physical and psychological problems but also loses the ability to interact with family, peers and society. The present study aims to identify the psychosocial problems and associated factors among individuals with substance use disorders. Methods The study was conducted using descriptive cross sectional research design in different drug rehabilitation centers of Nepal. Probability proportional to size sampling technique was used to select the drug rehabilitation centers and individuals diagnosed with substance use disorder but free from any substance withdrawal features, admitted in rehabilitation centers within 3 months and clients above 15?years of age were included in the study ( N =?204). A standard tool Drug Use Screening Inventory-Revised was used to assess the psychosocial problems and the scores ranged from 0 to 100. The data were analyzed using descriptive and inferential statistics. Linear regression analysis was conducted to identify the predictors of psychosocial problems. Results The mean and standard deviation of overall psychosocial problems scores was 60.42?±?19.44. Among different domains, more problems were found in substance use domain (75.00?±?21.43) followed by school performance (64.60?±?25.53), behavior pattern (64.53?±?24.44), peer relationship (64.49?±?24.91), social competence (61.30?±?22.60), psychiatric disorder (56.83?±?23.39), family system (48.28?±?23.72) and work adjustment (45.90?±?29.88) domains. Types of substance use, mode of substance use and age of initiation of substance use were the significant predictors of overall and most of the domains of psychosocial problems. Conclusion Substance use poses significant impact on individual’s psychological and social wellbeing. Individuals using injecting drugs, initiating substances early in life, using substances many times in a day and using both licit and illicit substances had more psychosocial problems. Hence, treatment centers should take this into account.
机译：背景物质的使用与许多不良的短期和长期后果有关。个人不仅遭受身体和心理问题的困扰，而且丧失了与家庭，同伴和社会互动的能力。本研究旨在确定物质滥用障碍患者的社会心理问题和相关因素。方法本研究采用描述性横断面研究设计在尼泊尔不同的戒毒所进行。比例抽样技术的概率用于选择药物康复中心和被诊断患有药物滥用障碍但没有任何药物戒断特征的个体，研究对象包括在三个月内进入康复中心且年龄在15岁以上的客户（ N =？204）。使用修订后的标准工具《药物使用筛查清单》评估心理社会问题，评分范围为0到100。使用描述性和推断性统计数据对数据进行分析。进行线性回归分析以确定心理社会问题的预测因素。结果总体社会心理问题得分的均值和标准差为60.42±19.44。在不同的领域中，在物质使用领域（75.00？±？21.43）中发现更多的问题，其次是学校表现（64.60？±？25.53），行为模式（64.53？±？24.44），同伴关系（64.49？±？24.91）。 ，社交能力（61.30±±22.60），精神病（56.83±±23.39），家庭系统（48.28±±23.72）和工作调整（45.90±±29.88）域。药物使用的类型，药物使用的方式和药物使用的起始年龄是心理社会问题的整体和大部分领域的重要预测指标。结论物质的使用会对个人的心理和社会福祉产生重大影响。使用注射药物，在生命早期就开始使用毒品，一天使用多次毒品以及同时使用合法和非法物质的个人在心理方面存在更多问题。因此，治疗中心应考虑到这一点。

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