Daou Lea, Rached Ahmad, Jrad Manal, Naja Wadih, Haddad Ramzi
Faculty of Medical Sciences, Lebanese University, Betchay, Mount Lebanon, Lebanon.
Faculty of Medical Sciences, Lebanese University, Betchay, Mount Lebanon, Lebanon.
Encephale. 2024 Oct;50(5):483-489. doi: 10.1016/j.encep.2023.08.013. Epub 2023 Nov 18.
Substance use disorder (SUD) is related to the interplay of various factors. The primary objective of this study was to assess the variation in substance use (SU) among a set of Lebanese people undergoing treatment for SUD during the Lebanese economic crisis, COVID-19 pandemic, and Beirut Blast.
A cross-sectional study including Lebanese adults previously diagnosed with and being treated for SUD at the Skoun center was conducted. Data collection was done using a paper-based Arabic questionnaire tackling the economic crisis, the Covid-19 pandemic, and the Beirut Blast, as well as the following scores: APGAR, PHQ-9, GAD-7 and PCL-6. Data were analyzed using SPSS version 25.0 with P value<0.05 considered significant. A bivariate analysis was conducted to study the association between the use of substances and study variables and scores.
The sample included 126 men and 10 women. Most participants had a stable consumption of illicit drugs (58.8%), alcohol (76.5%), prescription drugs (70.6%) and non-prescription drugs (89%). Additionally, most participants had concomitant mild or moderate depression (55.1%), mild or moderate anxiety (50.7%), and PTSD (61.8%). Factors found to significantly increase SU were economic distress, change in employment status, and decrease in working hours. PTSD was also identified as a risk factor for increased illicit drug and alcohol use. Furthermore, severe anxiety was found to be a risk factor for increased alcohol consumption.
Most participants were able to maintain a stable pattern of SU despite the quadruple crisis in Lebanon highlighting the important role played by Lebanese Non-Governmental Organizations (NGOs) and efforts employed to control SUD.
物质使用障碍（SUD）与多种因素的相互作用有关。本研究的主要目的是评估在黎巴嫩经济危机、新冠疫情和贝鲁特爆炸期间，一组接受SUD治疗的黎巴嫩人中物质使用（SU）的变化情况。
开展了一项横断面研究，纳入了此前在Skoun中心被诊断为SUD并正在接受治疗的黎巴嫩成年人。使用纸质阿拉伯语问卷进行数据收集，该问卷涉及经济危机、新冠疫情和贝鲁特爆炸，以及以下评分：APGAR、PHQ-9、GAD-7和PCL-6。使用SPSS 25.0版本进行数据分析，P值<0.05被认为具有统计学意义。进行双变量分析以研究物质使用与研究变量及评分之间的关联。
样本包括126名男性和10名女性。大多数参与者非法药物（58.8%）、酒精（76.5%）、处方药（70.6%）和非处方药（89%）的消费稳定。此外，大多数参与者伴有轻度或中度抑郁（55.1%）、轻度或中度焦虑（50.7%）和创伤后应激障碍（61.8%）。被发现显著增加SU的因素包括经济困境、就业状况变化和工作时间减少。创伤后应激障碍也被确定为非法药物和酒精使用增加的风险因素。此外，严重焦虑被发现是酒精消费增加的风险因素。
尽管黎巴嫩面临四重危机，但大多数参与者能够维持稳定的SU模式，这凸显了黎巴嫩非政府组织所发挥的重要作用以及为控制SUD所做的努力。
