南非西开普省住宅物质使用治疗后的替代行为。
Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa.
机构信息
Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa.
Department of Special Needs Education, Ghent University, 9000 Ghent, Belgium.
出版信息
Int J Environ Res Public Health. 2021 Dec 5;18(23):12815. doi: 10.3390/ijerph182312815.
The dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk.
替代行为及其相关因素的动态在全球范围内仍未得到充分理解，尤其是在中低收入环境中。本前瞻性研究描述了在南非西开普省接受住院物质使用治疗的患者（n = 137）中替代行为的流行率和类型，以及与替代行为相关的预测因素、关联因素和动机。在治疗期间和治疗后，使用简短的恢复资本评估、总体生活满意度量表和改编的成瘾矩阵自我报告测量工具进行评估。结果表明，替代物是为了预期的快感、打发时间、（重新）与他人联系和享受而有意识地使用的。在随访时，36%的服务使用者已经用另一种物质或行为替代了他们的主要物质；23%的人复发，40%的人保持戒断。虽然一些服务使用者可能特别容易发展替代行为，但有针对性的预防和干预措施可以降低这种风险。
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