Section of General Internal Medicine, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA.
Department of Psychiatry, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA.
J Gen Intern Med. 2022 Mar;37(4):816-822. doi: 10.1007/s11606-021-06934-y. Epub 2021 Jun 7.
While substance use disorder remains a leading cause of morbidity and mortality for young adults, low rates of treatment engagement and retention persist. One explanation is that substance use disorder treatment approaches do not match young adults' expectations for recovery. While the concept of recovery has been explored among adult populations, less is known about how young adults think about recovery.
To describe perspectives of recovery among young adults with substance use disorder.
Qualitative, in-depth interviews exploring young adults' definitions of recovery.
Twenty English-speaking young adults (7 women; 21-29 years old) diagnosed with substance use disorder recruited from an urban safety net hospital in Massachusetts.
Interviews were recorded and transcribed verbatim. An iterative categorization analytic approach was used to identify and interpret themes.
Four themes related to recovery were identified. First, young adults described recovery as a way to grow up and live a normal life not defined by the substance use. A second theme was recovery had to include multiple components, such as mental health treatment, to be successful. Third, young adults described recovery as a self-motivated process, and it was important that young adults had agency in recovery decision-making. Fourth, recovery was described as a lifelong pursuit that required vigilance and commitment.
In this qualitative study of young adults with substance use disorder, participants identified themes that have implications for treatment models. Participants recognized recovery as a complex and individually motivated process that includes multiple components such as mental health treatment and re-engagement in regular daily activities. Models of care for young adults should consider incorporating these treatment elements to improve engagement and retention.
尽管物质使用障碍仍然是导致年轻人发病和死亡的主要原因，但接受治疗的比例和保留率仍然很低。一个解释是，物质使用障碍的治疗方法不符合年轻人对康复的期望。虽然成人人群中的康复概念已经得到了探讨，但年轻人对康复的看法知之甚少。
描述物质使用障碍的年轻人对康复的看法。
定性、深入访谈，探讨年轻人对康复的定义。
20 名讲英语的年轻人（7 名女性；21-29 岁），他们在马萨诸塞州的一家城市安全网医院被诊断出患有物质使用障碍。
访谈进行了录音并逐字转录。采用迭代分类分析方法来识别和解释主题。
确定了与康复相关的四个主题。首先，年轻人将康复描述为一种成长和过正常生活的方式，不受物质使用的限制。第二个主题是康复必须包括多个组成部分，如心理健康治疗，才能成功。第三，年轻人将康复描述为一个自我激励的过程，年轻人在康复决策中有自主权非常重要。第四，康复被描述为一个终身追求，需要警惕和承诺。
在这项对物质使用障碍的年轻人进行的定性研究中，参与者确定了对治疗模式有影响的主题。参与者认识到康复是一个复杂的、由个人动机驱动的过程，包括心理健康治疗和重新参与日常活动等多个组成部分。针对年轻人的护理模式应考虑纳入这些治疗要素，以提高参与度和保留率。
