ABSTRACT

Background

Patients entering substance use disorder treatment perceive the quality of life as low and have high levels of psychological distress. Some suffer from impaired cognitive functioning. The prevalence of traumatic experiences is high. We aimed to determine whether there had been improvements from admission to discharge and explore the relationships between the improvements and experiences of traumatic abuse.

Methods

We recruited 138 inpatients from long-term treatment for substance use disorders in Norway. 98 participants completed the questionnaires on quality of life, psychological distress, and cognitive functioning at admission and discharge.

Results

We found significant improvements in quality of life and cognitive functioning, and the psychological distress decreased from admission to discharge. Patients with experiences of traumatic abuse improved less in cognitive functioning.

Conclusion

Measurements of quality of life, psychological distress, and cognitive functioning may be useful to assess improvements during treatment. Health providers must be aware of the high prevalence of mild cognitive impairment and psychological distress, and low quality of life in patients at admission to treatment. Patients with experiences of traumatic abuse improved less in cognitive functioning and treatment should target this, as it could hinder drop-out and enhance the success of substance use disorder treatment.

中文翻译：

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物质使用障碍治疗的改进和创伤经历的影响

摘要

背景

接受物质使用障碍治疗的患者认为生活质量低下，心理困扰程度高。有些人患有认知功能受损。创伤经历的流行率很高。我们旨在确定从入院到出院是否有改善，并探讨改善与创伤性虐待经历之间的关系。

方法

我们从挪威的物质使用障碍长期治疗中招募了 138 名住院患者。98 名参与者在入院和出院时完成了关于生活质量、心理困扰和认知功能的问卷调查。

结果

我们发现生活质量和认知功能显着改善，并且心理困扰从入院到出院有所减少。有创伤性虐待经历的患者认知功能改善较少。

结论

生活质量、心理困扰和认知功能的测量可能有助于评估治疗期间的改善。医疗服务提供者必须意识到轻度认知障碍和心理困扰的高发病率，以及患者入院治疗时的低生活质量。有创伤性虐待经历的患者在认知功能和治疗方面的改善较少，应该以此为目标，因为它可能会阻碍辍学并提高物质使用障碍治疗的成功率。