Hser Y I, Maglione M, Polinsky M L, Anglin M D
Drug Abuse Research Center, Neuropsychiatric Institute, University of California, Los Angeles 90024-3511, USA.
J Subst Abuse Treat. 1998 May-Jun;15(3):213-20. doi: 10.1016/s0740-5472(97)00190-6.
This study examined factors related to drug treatment program entry among 276 drug abusers seeking treatment referral. Six-month follow-up interviews determined that 171 (62.0%) followed through with the treatment referral. The analyses indicated that treatment-entry and non-entry subjects did not differ in predisposing factors (age, gender, race/ethnicity, education), type of drug use, or years of use. A logistic regression analysis indicated that characteristics at baseline predicting subsequent treatment entry include legal pressure, lower levels of psychological distress and family or social problems, and prior successful treatment experience. Legal coercion was an effective factor promoting treatment entry. Drug abusers having prior successful treatment experience were also more likely to reenter treatment. However, those with more severe problems (drug related and others) seemed less likely to enter treatment, indicating that psychological distress and family problems may undermine motivation to follow through on treatment referral.
本研究调查了276名寻求治疗转介的药物滥用者中与进入药物治疗项目相关的因素。六个月的随访访谈确定,171人(62.0%)接受了治疗转介。分析表明,进入治疗组和未进入治疗组在诱发因素(年龄、性别、种族/民族、教育程度)、药物使用类型或使用年限方面没有差异。逻辑回归分析表明,预测后续治疗进入的基线特征包括法律压力、较低水平的心理困扰以及家庭或社会问题,以及先前成功的治疗经历。法律强制是促进治疗进入的一个有效因素。有先前成功治疗经历的药物滥用者也更有可能再次接受治疗。然而,那些问题更严重(与药物相关及其他问题)的人似乎进入治疗的可能性较小,这表明心理困扰和家庭问题可能会削弱遵循治疗转介的动机。