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العنوان
Assessment of Addiction Management Programme and Predictors of Relapse among Inpatients of the Psychiatric Institute at Ain Shams University Hospital/
المؤلف
Tohamy,Arwa Ahmed Fouad
هيئة الاعداد
باحث / أروى أحمد فؤاد تهامى
مشرف / نهـــلة السيـــد نـــــاجى
مشرف / إيمــــان إبراهيم ابو العـلا
مشرف / إيمــــان محمــــد شورب
مشرف / محمد حسام الدين عبد المنعم
تاريخ النشر
2022
عدد الصفحات
258.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - Psychiatry
الفهرس
Only 14 pages are availabe for public view

from 310

from 310

Abstract

Background: Rehabilitation programs targeted to patients with substance use disorder (SUD) following successful detoxification constitute a global public health concern. This study aimed to examine the effectiveness of a combined pharmacotherapy/cognitive behavior therapy (CBT) model through assessing abstinence/relapse rate and quality of life (QOL) in a sample of patients with SUD. Indeed, we aimed to identify the relapse predictors.
Results: Relapse rate in the inpatient group was 45.33%, compared to 56% in the outpatient group. Multivariate analysis revealed that patients with educational level less than secondary school, rural residency, being single or divorced, having craving lasting for 6 weeks from detoxification, legal history, presence of borderline, antisocial and multiple personality disorder could predict relapse in patients with SUD. Moreover, there was a statistically significant difference between the legal, substance, and social domains of ASI (X2= 12.525, p=0.014; X2= 12.525, p=0.023; and X2= 6.335, p=0.042 respectively), majority of QOL domains and relapse.
Conclusions: Socio-demographic data, legal history, craving, and presence of co-morbid personality disorders along with, legal, substance, and social domains of ASI might be implicated in relapse, suggesting that addiction rehabilitation programs targeting these topics would reduce the risk of relapse.