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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre
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Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre

机译：物质使用障碍患者复发的决定因素和患病症：冰冷的心理治疗中心的情况

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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. 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. 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]. 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.
机译：成功的解毒后，复发到物质用途，康复是全世界的公共卫生问题。在完成解毒和康复治疗后，一般在一般复发的人群中的四十至六十百分之一。虽然物质使用仍然是卢旺达的负担，但在物质使用障碍（SUD）的人群中，众所周知。因此，本研究旨在研究患病率和与冰冷的心理治疗中心（IPC），卢旺达的物质使用相关的因素。回顾性的，在IPC的391例SUD患者中进行了横断面调查。使用STATA版本13的多元逻辑回归模型用于确定苏打患者复发相关的因素。参与者的大多数（84.1？％）是男性。其中一半以上（54.1？％）？年龄在18至30岁之间，年龄平均为33岁？年（SD？= 11.9？年）。结果表明，抑菌患者的复发患病率较高（59.9？％）。多变量分析表明，与母亲的苏打水平的人有与具有生物父母的人相比的患者更大的复发风险[或吗？=？1.9,95？％ci（1.02-3.6），p？= 0.04]。与住院治疗超过三个月的人相比，在一到三个月内住院的患者更有可能（11.2倍）复发[或吗？=？9.2,95？％ci（1.1-77.6），p？ = 0.02]。此外，使用超过两种物质的人的复发风险比消耗一种物质的人更高。如果他们与同龄人住在一起[或？2.4,95？％ci：（1.2-7.8），p？= 0.01]或者如果他们在一个受冲突的家庭中生活[或吗？ 2.1,95？％CI（1.05-9.7），p？= 0.02]。这项研究是在一个机构关注苏打患者的一个机构进行。患病率为59.9？％。建议未来的研究调查现有复发防治计划的有效性，以调整预防策略。

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