Department of Psychology, Gediz University, Izmir, Turkey.
J Psychoactive Drugs. 2013 Jul-Aug;45(3):233-40. doi: 10.1080/02791072.2013.805977.
The aim of this study was to examine the prevalence of illicit substance use, alcohol consumption, and psychosocial distress among Norwegian patients on waiting lists for substance use disorder treatment.
Patients on waiting lists at 16 Norwegian treatment clinics for substance use disorders received a mailed questionnaire or were recruited during pre-treatment meetings (response rate 40%, n = 203). The patients completed a questionnaire consisting of validated screening tools of substance use and psychosocial distress. When available, Norwegian norm data were used as a reference group in analyses.
Among patients who reported use of illicit substances in the last month, 40% reported scores above cut-off. About 50% of those who had consumed alcohol reported a severe pattern of alcohol consumption. A total of 60% of the sample reported severe symptom loads and nearly 70% of the sample reported interpersonal problems above cut-off. Compared to the norm data, patients on waiting lists reported more psychosocial distress on all the symptom dimensions, as expected.
Patients on waiting lists reported substantial substance use and psychosocial burden. Pre-treatment interventions should be conducted among these patients. Treatment could benefit from more standardized screening routines and clinical assessments before patients enter treatment. The findings may challenge the Norwegian policy of supply-driven treatment services.
本研究旨在调查挪威等待药物滥用障碍治疗的患者中非法药物使用、酒精消费和心理社会困扰的流行情况。
16 家挪威药物滥用障碍治疗诊所的等候名单上的患者收到了邮寄的问卷，或在治疗前会议上被招募（响应率为 40%，n=203）。患者完成了一份包含药物使用和心理社会困扰的经过验证的筛查工具的问卷。在分析中，使用了挪威的常模数据作为参考组。
在报告过去一个月内使用非法药物的患者中，有 40%的人报告了超过临界值的分数。约 50%的有饮酒行为的人报告了严重的饮酒模式。样本中共有 60%的人报告了严重的症状负荷，近 70%的人报告了人际关系问题超过临界值。与常模数据相比，等候名单上的患者在所有症状维度上报告了更多的心理社会困扰，这是预期的。
等候名单上的患者报告了大量的药物使用和心理社会负担。应该对这些患者进行治疗前干预。在患者进入治疗之前，治疗可能会受益于更标准化的筛查程序和临床评估。这些发现可能会对挪威供应驱动的治疗服务政策构成挑战。
