Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164, USA.
Drug Alcohol Depend. 2012 Aug 1;124(3):242-9. doi: 10.1016/j.drugalcdep.2012.01.010. Epub 2012 Feb 12.
Quality of life (QOL) is increasingly recognized as central to the broad construct of recovery in substance abuse services. QOL measures can supplement more objective symptom measures, identify specific service needs and document changes in functioning that are associated with substance use patterns. To date however, QOL remains an under investigated area in the addictions field, especially in the United States.
This study examines patterns and predictors of QOL at 1 and 6 months post treatment intake among 240 women enrolled in substance abuse treatment in Cleveland, Ohio. The World Health Organization Quality of Life (WHOQOL-BREF) measure was used to assess physical, psychological, social and environmental domains. Hierarchical multiple regressions were conducted to identify correlates of QOL at 6 months post treatment intake.
All QOL domains across the follow up time points improved significantly. However, QOL scores across domains remained below those of healthy population norms. Trauma symptoms significantly predicted Physical and Psychological QOL. Among treatment process variables, alcohol use was the sole significant factor associated with QOL and only for Environmental QOL. Recovery support and friends support for abstinence were consistently associated with QOL across all four domains.
This study suggests the usefulness of the WHOQOL measure as an indicator of functioning in substance abusing populations. Findings underline the importance of helping women deal with trauma symptoms and develop support for recovery. Further research is needed on the longitudinal relationship between QOL and substance use patterns.
生活质量（QOL）越来越被认为是物质滥用服务中广泛康复结构的核心。QOL 衡量标准可以补充更客观的症状衡量标准，确定特定的服务需求，并记录与物质使用模式相关的功能变化。然而，迄今为止，QOL 在成瘾领域仍然是一个研究不足的领域，尤其是在美国。
本研究考察了 240 名在俄亥俄州克利夫兰接受物质滥用治疗的女性在治疗摄入后 1 个月和 6 个月的 QOL 模式和预测因素。使用世界卫生组织生活质量（WHOQOL-BREF）量表评估身体、心理、社会和环境领域。进行分层多元回归分析，以确定治疗摄入后 6 个月时 QOL 的相关性。
所有 QOL 领域在随访时间点均显著改善。然而，各领域的 QOL 评分仍低于健康人群的正常值。创伤症状显著预测身体和心理 QOL。在治疗过程变量中，饮酒是唯一与 QOL 相关的显著因素，仅与环境 QOL 相关。康复支持和朋友对戒断的支持与所有四个领域的 QOL 始终相关。
本研究表明，WHOQOL 量表作为物质滥用人群功能的指标具有一定的作用。研究结果强调了帮助女性处理创伤症状和发展康复支持的重要性。需要进一步研究 QOL 与物质使用模式之间的纵向关系。
