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首页> 外文期刊>Journal of substance abuse treatment >Pathways in the relapse--treatment--recovery cycle over 3 years.
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Pathways in the relapse--treatment--recovery cycle over 3 years.

机译：复发-治疗-恢复周期超过3年的途径。

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For many individuals, substance use leads to a chronic cycle of relapse, treatment reentry, and recovery, often lasting for decades. This study replicates earlier work, documents the transition patterns within the cycle during a 3-year period, and identifies variables that predict these transitions. Data are from 1,326 adults recruited from sequential admissions to 12 substance abuse treatment facilities in Chicago, IL, between 1996 and 1998. Participants were predominantly female (60%) and African American (88%) adults. Participants were interviewed at intake, and at 6, 24, and 36 months post-intake follow-up rates ranged from 94% to 98% per wave. At each observation, participants' current status in the cycle was classified as (1) in the community using, (2) incarcerated, (3) in treatment, or (4) in the community not using. The transitional probabilities and correlates of pathways between these states were estimated. Over 83% of the participants transitioned from one point in the cycle to another during the 3 years (including 36% two times, 14% three times). For the people in the community, about half remained in the same status (either using or abstinent) and just under half transitioned. The majority of people whose beginning status was incarceration or in-treatment also transitioned by the end of the observation period. While there was some overlap, predictors typically varied by pathway and direction (e.g., using to not using vs. not using to using). These results help demonstrate the need to adopt a chronic vs. acute care model for substance use. While exploratory and observational, several of the predictors are time-dependent and identify promising targets for interventions designed to shorten the cycle and increase the long-term effectiveness of treatment.
机译：对于许多人而言，滥用药物会导致复发，治疗再进入和恢复的慢性循环，通常持续数十年。这项研究重复了早期的工作，记录了3年周期内周期内的过渡模式，并确定了预测这些过渡的变量。数据来自1996年至1998年之间从伊利诺伊州芝加哥市的12个药物滥用治疗机构连续入院的1326名成年人中。参与者主要是女性（60％）和非裔美国人（88％）。在入院时以及入院后6、24和36个月对参与者进行了访谈，每波的随访率从94％到98％不等。在每次观察时，参与者在周期中的当前状态被分类为（1）在社区中使用，（2）被监禁，（3）在治疗中或（4）在社区中不使用。估计了这些状态之间的过渡概率和路径相关性。在过去的三年中，超过83％的参与者从周期中的一个点过渡到另一点（包括36％两次，14％三次）。对于社区中的人们来说，大约一半的人保持相同的状态（使用或戒酒），而只有不到一半的人处于过渡状态。在观察期结束时，大多数最初状态为监禁或接受治疗的人也已过渡。虽然存在一些重叠，但预测变量通常会随路径和方向而变化（例如，使用到不使用与不使用到使用）。这些结果有助于证明需要采用慢性与急性护理模式进行物质使用。在进行探索性和观察性研究时，有几个预测因素是时间依赖性的，它们确定了有希望的干预目标，旨在缩短周期并提高治疗的长期有效性。

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