Tabugan Dana Cătălina, Bredicean Ana Cristina, Anghel Teodora, Dumache Raluca, Muresan Camelia, Corsaro Leonardo, Hogea Lavinia
Neuroscience Department, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Neuropsychology and Behavioral Medicine Center, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Medicina (Kaunas). 2025 Mar 28;61(4):619. doi: 10.3390/medicina61040619.
: Addiction and relapse prevention of alcohol and drug users is a real problem globally. Studies report different pharmacological and non-pharmacological methods in preventing relapse with varying ranges of results across the time of relapse. The study aims to identify novel insights into relapse prevention for high-risk alcohol and drug addiction across diverse global populations, ages, and intervention types during detoxification. : This meta-analysis followed PRISMA guidelines, synthesizing 12 eligible studies published between 2013 and 2023, totaling 2162 participants. Data extraction and statistical analysis were conducted using Python-based libraries. Regression models were applied to examine the influence of age, gender, and intervention type on the mean relapse period. : 12 studies with 2162 patients were identified. These studies examined substances, interventions, and demographics, highlighting male predominance in addictive behaviors. OSL regression assessed factors influencing mean relapse periods, finding that age explained 44.2% of the variability ( = 0.0131). The male percentage explained 17.1%, but the significance was inconclusive, as was the female gender's negligible impact (14.7% variability). Intervention types significantly influenced relapse periods, supported by a large F-statistic. Linear regression showed no consistent trend in relapse periods, with declining research post-2018. Forest plots indicated disparities in relapse periods due to treatment or methodology. Most participants were high-risk drug users, though alcohol use was also represented. A declining trend in publication rates after 2018 was observed. : Age and intervention type were identified as key factors influencing relapse duration, while gender and substance-specific effects require further study. The findings underscore the need for more targeted, gender-sensitive, and context-aware treatment strategies.
酒精和药物使用者的成瘾及预防复吸是一个全球性的现实问题。研究报告了不同的药理学和非药理学方法来预防复吸,在复吸期间的不同时间段内结果范围各异。该研究旨在确定在戒毒期间针对全球不同人群、年龄和干预类型的高危酒精和药物成瘾预防复吸的新见解。
这项荟萃分析遵循PRISMA指南,综合了2013年至2023年期间发表的12项符合条件的研究,共有2162名参与者。使用基于Python的库进行数据提取和统计分析。应用回归模型来检验年龄、性别和干预类型对平均复吸期的影响。
确定了12项研究,涉及2162名患者。这些研究考察了物质、干预措施和人口统计学特征,突出了成瘾行为中男性占主导地位。OSL回归评估了影响平均复吸期的因素,发现年龄解释了44.2%的变异性( = 0.0131)。男性比例解释了17.1%,但显著性不确定,女性的影响可忽略不计(14.7%的变异性)。干预类型对复吸期有显著影响,这得到了较大F统计量的支持。线性回归显示复吸期没有一致的趋势,2018年后研究数量有所下降。森林图表明由于治疗或方法不同,复吸期存在差异。大多数参与者是高危药物使用者,不过也有酒精使用情况的体现。观察到2018年后发表率呈下降趋势。
年龄和干预类型被确定为影响复吸持续时间的关键因素,而性别和特定物质的影响需要进一步研究。研究结果强调需要更有针对性、对性别敏感且考虑具体情况的治疗策略。