Blue Cross East, Oslo, Norway.
Faculty of Social Sciences, Department of Social Work, Child Welfare and Social Policy, OsloMet - Oslo Metropolitan University, Pb 4, St. Olavs plass, 0130, Oslo, Norway.
Subst Abuse Treat Prev Policy. 2019 May 3;14(1):16. doi: 10.1186/s13011-019-0210-9.
Among the adult population worldwide, about 0.5% has illicit drug use disorder (DUD) and about 5% has alcohol use disorder (AUD). Dependency on alcohol, medication or illicit drugs are recognised as risk factors for disabling disease and early death. Treatment for substance use disorders (SUD) is important in promoting persistent abstinence and may be perceived as a valuable public health measure. The current systematic review aims at exploring how psychosocial factors connected to recovery capital and coping behaviour, change after inpatient SUD treatment.
A systematic search was conducted in Campbell Collaboration Library, Cochrane Library, EMBASE, Epistemonikos, Medline, PsychINFO, Social Sciences Citation Index and SocINDEX. Cohort studies on psychosocial outcomes for adults who had attended to inpatient SUD treatment that exceeds 3 months, were included. The outcome of interest was change in psychosocial factors. The search results were identified as include, exclude or unclear by one author and then screened by the second author with a specific focus on studies recognised as unclear. Diverging evaluations of eligibility among the unclear studies were resolved by discussion. In case of disagreement, the third author decided the eligibility of the studies in question.
Findings imply an overall progress in mental health, and a potential improvement in employment status and perceived social support after inpatient SUD treatment. Additionally, findings indicate a decrease in substance use from admission to follow-up after discharge from inpatient SUD treatment. These findings are consistent with earlier research on important factors in recovering from SUD. Findings on change in self-efficacy, housing, education and Quality of Life (QoL) however, were scantly researched and were expected to be more prominent outcomes of interest among the included studies.
Due to the substantial resources used to provide SUD treatment, knowledge about recovery capital, like psychosocial factors that facilitate coping behaviour and reintegration to society, should be standardised and used by SUD treatment providers.
PROSPERO registration ID: CRD42018087408.
在全球成年人中，约有 0.5%患有非法药物使用障碍（DUD），约 5%患有酒精使用障碍（AUD）。对酒精、药物或非法药物的依赖被认为是导致残疾疾病和早逝的风险因素。治疗物质使用障碍（SUD）对于促进持续戒断很重要，并且可能被视为一项有价值的公共卫生措施。本系统评价旨在探讨与康复资本和应对行为相关的心理社会因素在住院 SUD 治疗后如何发生变化。
在 Campbell 协作图书馆、Cochrane 图书馆、EMBASE、Epistemonikos、Medline、PsychINFO、社会科学引文索引和 SocINDEX 中进行了系统搜索。纳入了参加住院 SUD 治疗超过 3 个月的成年人的心理社会结果的队列研究。感兴趣的结果是心理社会因素的变化。一位作者将搜索结果确定为包含、排除或不明确，然后由第二位作者根据研究的不明确程度进行筛选。对不明确研究中存在分歧的评估结果通过讨论来解决。在存在分歧的情况下，由第三位作者决定相关研究的资格。
研究结果表明，心理健康总体上有所改善，在接受住院 SUD 治疗后，就业状况和感知社会支持方面有潜在改善。此外，研究结果表明，在从住院 SUD 治疗中出院后的随访中，物质使用量有所减少。这些发现与早期关于 SUD 康复的重要因素的研究一致。然而，自我效能感、住房、教育和生活质量（QoL）的变化研究很少，预计在纳入的研究中，这些是更受关注的重要结果。
由于用于提供 SUD 治疗的资源巨大，因此应该将康复资本方面的知识，例如促进应对行为和重新融入社会的心理社会因素，标准化并由 SUD 治疗提供者使用。
PROSPERO 注册号：CRD42018087408。
