Hystad Jacob, Wangensteen Turid
The Tyrili Foundation, Norway.
Nordisk Alkohol Nark. 2022 Apr;39(2):190-202. doi: 10.1177/14550725211050765. Epub 2021 Nov 22.
: The aim of this study was to explore the narratives of former substance use disorder (SUD) inpatients about substance use after their discharge from long-term SUD treatment in 2017. : We conducted semi-structured in-depth interviews with 11 former inpatients of SUD treatment. The data were analysed using a qualitative, thematic analysis model. : During the analysis, two main themes emerged pertaining to participant reflections on substance use - their experience of (that is, substance use without declining into pre-treatment levels of misuse behaviours) and (that is, substance use associated with destructive patterns). All participants except one had engaged in substance use after their discharge three to four years ago. The commonly used substance was alcohol, which also appeared to be the most common substance for which there was consensus among the informants regarding non-problematic use. : Most of the participants continued to use substances in some way, and some reported that such use did not affect them negatively. Healthcare providers and therapists in SUD treatment should avoid defining a relapse or failed treatment outcome in concrete terms. What is perceived as an actual relapse or a failed treatment outcome is highly subjective. Furthermore, complete sobriety might not necessarily be the best or the only way to measure the SUD treatment stay. An improvement in the quality of life and well-being, even when core symptoms are still present, may be considered a successful treatment outcome.
本研究的目的是探讨2017年长期物质使用障碍(SUD)治疗出院后, former substance use disorder (SUD) 住院患者关于物质使用的叙述。我们对11名SUD治疗的 former inpatients 进行了半结构化深度访谈。使用定性主题分析模型对数据进行分析。在分析过程中,出现了两个与参与者对物质使用的反思相关的主要主题——他们的“保持使用(即物质使用未退回到治疗前的滥用行为水平)”和“问题使用(即与破坏性模式相关的物质使用)”经历。除一名参与者外,所有参与者在三到四年前出院后都有过物质使用行为。常用物质是酒精,这似乎也是受访者在无问题使用方面达成共识的最常见物质。大多数参与者继续以某种方式使用物质,一些人报告说这种使用对他们没有负面影响。SUD治疗中的医疗保健提供者和治疗师应避免用具体术语定义复发或治疗失败的结果。被视为实际复发或治疗失败结果的情况具有高度主观性。此外,完全戒酒不一定是衡量SUD治疗效果的最佳或唯一方式。即使核心症状仍然存在,生活质量和幸福感的改善也可被视为成功的治疗结果。