Aims:

Treatment retention is associated with addiction treatment outcomes. Research regarding predictors of retention at inpatient detoxification treatment is limited. The aim of this study was to investigate whether psychosocial difficulties (PSDs) are associated with treatment retention among Finnish inpatients undergoing detoxification treatment.

Design:

This register-based study included real-life data on detoxification treatment episodes (n = 2,752) between February of 2016 and May of 2019 from several inpatient treatment units in Finland. The PARADISE24fin instrument was used to assess PSDs. Socio-demographic and substance use related variables, as well as PSDs, were analysed with regard to treatment retention. Multiple logistic regression models were used to identify predictors of treatment incompletion.

Results:

Of the 2,752 detoxification treatment episodes, 80.3% (n = 2,209) were completed. Men and women differed with regard to the variables associated with treatment retention. After adjusting for confounders, younger age (≤ 35 years), being less educated (≤ 9 years), being unemployed, using opioids, polysubstance use and more severe dependence were associated with treatment incompletion. Overall severity of PSDs (PARADISE24fin mean score) became non-significant after adjusting for confounders. However, having more severe cognitive difficulties was significantly associated with treatment incompletion, while more severe difficulties in daily activities was associated with treatment completion.

Conclusions:

Special attention should be paid to younger individuals with opioid and/or polysubstance use, as well as those with cognitive difficulties, in order to retain people in treatment.

中文翻译：

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住院患者戒毒计划中的心理社会困难和治疗保留

目标：

治疗保留与成瘾治疗结果相关。关于住院患者戒毒治疗中保留的预测因素的研究是有限的。本研究的目的是调查心理社会困难 (PSDs) 是否与接受解毒治疗的芬兰住院患者的治疗保留有关。

设计：

这项基于登记的研究包括来自芬兰几个住院治疗单位的 2016 年 2 月至 2019 年 5 月期间的解毒治疗事件 ( n = 2,752)的真实数据。PARADISE24fin 仪器用于评估 PSD。分析了与治疗保留相关的社会人口和物质使用相关变量以及 PSD。多元逻辑回归模型用于确定治疗不完全的预测因素。

结果：

在 2,752 次排毒治疗中，完成了 80.3%（n = 2,209）。男性和女性在与治疗保留相关的变量方面存在差异。在调整混杂因素后，年龄较小（≤ 35 岁）、受教育程度较低（≤ 9 岁）、失业、使用阿片类药物、使用多种物质和更严重的依赖与治疗不完全有关。调整混杂因素后，PSD 的总体严重程度（PARADISE24fin 平均得分）变得不显着。然而，更严重的认知困难与治疗不完全相关，而更严重的日常活动困难与治疗完成相关。

结论：

应特别注意使用阿片类药物和/或多种物质的年轻人以及有认知障碍的年轻人，以留住患者接受治疗。