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Quality of Life Research

, Volume 25, Issue 9, pp 2315–2322

First Online: 19 March 2016Accepted: 12 March 2016DOI: 10.1007-s11136-016-1272-z

Cite this article as: Vederhus, JK., Birkeland, B. & Clausen, T. Qual Life Res 2016 25: 2315. doi:10.1007-s11136-016-1272-z

Abstract

PurposePatients with a substance use disorder SUD, admitted for detoxification, often suffer from a poor quality of life QoL. We set out to monitor QoL, together with substance use, in a departure from the usual norm of measuring substance use alone as a treatment outcome. Literature searches revealed scant knowledge of how QoL is influenced. With this in mind, we aimed to investigate whether total abstinence, prior to follow-up, could influence QoL.

MethodsWe studied a prospective cohort of 140 patients admitted for inpatient detoxification treatment at Sørlandet Hospital Norway, from September 2008 to August 2010. QoL was measured by a generic five-item questionnaire, the QoL-5. The extremes of this scale ranged from the worst possible rating of 0.1 to 0.9, as the best. A norm for the general population was benchmarked at 0.69. Change in QoL was calculated by subtracting baseline QoL from that achieved at the 6-month follow-up interview; linear regression modeling was used to study the influence of individual QoL predictors.

ResultsThe mean QoL at baseline was 0.46, 39 % below that of the general reference population. By applying the clinical interpretation of the scale, we found a modest overall mean improvement in QoL at follow-up 0.11 points; the greatest increases were seen for patients with the lowest baseline QoL scores. Abstinence prior to follow-up correlated with improved QoL, while living alone and psychological distress were negative influences.

ConclusionsFor patients with a SUD, clinicians should emphasize that abstinence may help to improve their QoL.

KeywordsSubstance use disorders Treatment outcome Norway  Download fulltext PDF



Autor: John-Kåre Vederhus - Bente Birkeland - Thomas Clausen

Fuente: https://link.springer.com/







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