Elmquist JoAnna, Shorey Ryan C, Anderson Scott E, Stuart Gregory L
a Psychology Department , University of Tennessee , Knoxville , Tennessee , USA.
b Department of Psychology , Ohio University , Athens , Ohio , USA.
Subst Use Misuse. 2016 Jun 6;51(7):835-9. doi: 10.3109/10826084.2016.1155612. Epub 2016 Apr 20.
Generalized anxiety disorder (GAD) co-occurs with substance use disorders (SUDs) at an alarmingly high rate, and the presence of anxiety is associated with an increased risk for relapse to substance use following treatment. Furthermore, comorbid SUDs and other forms of psychopathology are associated with an increased risk for leaving treatment against medical advice (AMA).
Research has yet to examine whether the presence of GAD symptoms is associated with leaving treatment AMA in SUDs populations. Thus, the current study sought to address this important gap in the literature by examining this relationship among a sample of 122 women in residential treatment for SUDs.
Results demonstrated that GAD symptoms were significantly associated with the decision to leave treatment AMA after controlling for age, education, problematic alcohol and drug use, and depression symptoms.
CONCLUSIONS/IMPORTANCE: Our finding indicates the potential importance of assessing and targeting GAD in treatment for SUDs, which may increase treatment compliance.
广泛性焦虑障碍（GAD）与物质使用障碍（SUDs）同时出现的比例高得惊人，并且焦虑的存在与治疗后物质使用复发风险增加有关。此外，共病的物质使用障碍和其他形式的精神病理学与违背医嘱（AMA）离开治疗的风险增加有关。
研究尚未检验广泛性焦虑障碍症状的存在是否与物质使用障碍人群中违背医嘱离开治疗有关。因此，本研究试图通过在122名接受物质使用障碍住院治疗的女性样本中检验这种关系，来填补文献中的这一重要空白。
结果表明，在控制了年龄、教育程度、有问题的酒精和药物使用以及抑郁症状后，广泛性焦虑障碍症状与违背医嘱离开治疗的决定显著相关。
结论/重要性：我们的发现表明在物质使用障碍治疗中评估和针对广泛性焦虑障碍的潜在重要性，这可能会提高治疗依从性。
