Basting Evan J, Medenblik Alyssa M, Switalska Kaja, Garner Alisa R, Shorey Ryan C, Stuart Gregory L
Department of Psychology, University of Tennessee, Knoxville, TN, USA.
Cornerstone of Recovery, Louisville, TN, USA.
Subst Use. 2024 Apr 14;18:29768357241245827. doi: 10.1177/29768357241245827. eCollection 2024 Jan-Dec.
Residential treatment for substance use disorders (SUDs) is effective at reducing substance use, dependence, and other related problems. However, dropout from treatment against medical advice (AMA) is common in residential treatment settings. Studies have shown that impulsivity is associated with substance misuse and treatment dropout in predominately male samples, but less is known regarding whether impulsivity dimensions predict treatment dropout among women. This study examined impulsivity dimensions (ie, negative urgency, positive urgency, lack of perseverance, lack of premeditation, and sensation seeking) as predictors of dropout AMA among women in a residential substance use treatment facility (N = 229). Logistic regression results demonstrated that elevations in lack of perseverance and sensation seeking were associated with an increased odds of treatment dropout AMA and that lack of premeditation was associated with a odds of treatment dropout AMA. Study findings suggest that early evidence-based interventions for sensation seeking and lack of perseverance may improve retention of women in residential treatment.
针对物质使用障碍（SUDs）的住院治疗在减少物质使用、成瘾及其他相关问题方面是有效的。然而，在住院治疗环境中，未经医嘱擅自出院（AMA）的情况很常见。研究表明，在以男性为主的样本中，冲动性与物质滥用及治疗中断有关，但对于冲动性维度是否能预测女性的治疗中断情况，人们了解较少。本研究在一家住院物质使用治疗机构中（N = 229），检验了冲动性维度（即消极紧迫性、积极紧迫性、缺乏毅力、缺乏预谋和寻求刺激）作为女性AMA出院预测因素的情况。逻辑回归结果表明，缺乏毅力和寻求刺激程度的提高与AMA出院几率增加有关，而缺乏预谋与AMA出院几率有关。研究结果表明，针对寻求刺激和缺乏毅力的早期循证干预措施可能会提高女性在住院治疗中的留存率。
