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甲基苯丙胺使用障碍的体验和复吸的负面影响——一项定性研究。

The experience of methamphetamine use disorder and the negative consequences of relapse - a qualitative study.

机构信息

Institute of Health and Wellbeing, Federation University Australia, Berwick, Australia.

出版信息

J Addict Dis. 2024 Apr-Jun;42(2):147-153. doi: 10.1080/10550887.2023.2165870. Epub 2023 Jan 19.

Abstract

BACKGROUND

The rate of relapse for people in recovery for substance use disorder is as high as 85% within the first 12 months of recovery, however, research on the lived experience of relapse is limited.

OBJECTIVE

The present qualitative study investigated the experience of relapse with people who have Methamphetamine use disorder and the reasons why they returned to recovery.

METHODS

The exploratory study recruited five (n = 5) adults who identified as having Methamphetamine use disorder. All participants had sought treatment for more than 12 months, they were attending an addiction support service, and had experienced a relapse within the past 15 months. Interviews were conducted in which participants were asked an open-ended question about their most recent relapse and the negative consequences associated with their drug use. Data were analyzed using thematic analysis.

RESULTS

A return to daily drug use led to negative consequences such as relationship breakdowns, poor mental health and acting in ways that went against the participant's morals and values. This study provides an insight into the types of experiences people who relapse after seeking treatment for Methamphetamine use disorder may have and how these experiences can influence their decision to return to recovery.

CONCLUSIONS

People who regularly attend a recovery program are still susceptible to relapse. Those who have maintained abstinence for a period of time prior to relapse may be able to assess the negative consequences of their drug use more easily. This prior experience of recovery might influence their decision to stop using again.

摘要

背景

物质使用障碍康复者在康复后的头 12 个月内,复发率高达 85%,然而,关于复发的实际经历的研究有限。

目的

本定性研究调查了有甲基苯丙胺使用障碍的人复发的经历,以及他们为什么重新恢复治疗的原因。

方法

这项探索性研究招募了 5 名(n=5)自认为有甲基苯丙胺使用障碍的成年人。所有参与者都接受了超过 12 个月的治疗,他们正在参加一个成瘾支持服务,并在过去 15 个月内经历了复发。在访谈中,参与者被问到一个关于他们最近一次复发的开放式问题,以及与他们的药物使用相关的负面后果。使用主题分析对数据进行分析。

结果

恢复每日吸毒导致了负面后果,如人际关系破裂、心理健康状况不佳以及行为违反参与者的道德和价值观。这项研究深入了解了那些在寻求治疗甲基苯丙胺使用障碍后复发的人的经历类型,以及这些经历如何影响他们恢复治疗的决定。

结论

经常参加康复计划的人仍然容易复发。那些在复发前已经有一段时间保持禁欲的人可能能够更容易地评估他们药物使用的负面后果。这种先前的康复经历可能会影响他们再次停止使用药物的决定。

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