عوامل ریسک در طول پیش درمانی و درمان برای ترک تحصیل در میان بیماران مبتلا به اختلالات ناشی از مواد مخدر

Objective The aim of this study was to use pretreatment and treatment factors to predict dropout from residential substance use disorder program and to examine how the treatment environment modifies the risk for dropout. Method This study assessed 3649 male patients at entry to residential substance use disorder treatment and obtained information about their perceptions of the treatment environment. Results Baseline factors that predicted dropout included younger age, greater cognitive dysfunction, more drug use, and lower severity of alcohol dependence. Patients in treatment environments appraised as low in support or high in control also were more likely to drop out. Further, patients at high risk of dropout were especially likely to dropout when treated in a highly controlling treatment environment. Conclusion Better screening of risk factors for dropout and efforts to create a less controlling treatment environment may result in increased retention in substance use disorder treatment.

Studies of treatment-seeking individuals with substance use disorders (SUD) suggest that, on average, treatment is beneficial (Moyer & Finney, 2002 and Weisner et al., 2003) and that time spent in treatment is one of the strongest predictors of posttreatment outcomes (McLellan et al., 1983, Moos & Moos, 2003 and Simpson, 1981). Patients who have shorter stays or elect not to complete treatment are at increased risk of readmissions (Moos, Pettit, & Gruber, 1995). Accordingly, it is distressing to note that 10% to 30% of individuals with SUD drop out of treatment (De Leon, 1991 and Rabinowitz & Marjefsky, 1998).