RELAPSE IN INVOLUNTARY SUBSTANCE TREATMENT: A TRANSVERSAL STUDY

[pic 4][pic 5]r e v   c o l o m b   p s i q u i a t . 2 0 1 9;x x x(x x):xxx–xxx[pic 6][pic 7]

[pic 8]

Original article

Relapse in involuntary substance treatment: a transversal study

Walmir Teodoro Sant’Annaa,∗, Sandro Sendin Mitsuhiroa, Neliana Buzi Figliea,

Alessandra Diehla, Sandra Cristina Pillonb,c, Ronaldo Laranjeiraa

a  Psychiatric Department, Federal University of São Paulo (UNIFESP), Brazil

b  Psychiatric Nursing and Human Science Department, Faculty of Nursing at Ribeirão Preto, University of São Paulo (USP), Brazil

c  PAHO/WHO Collaborating Centre for Nursing Research Development

[pic 9]

a  r  t  i  c  l  e        i  n  f  o        a  b  s  t  r  a  c  t

[pic 10]        [pic 11]

Article history:

Received 23 December 2018

Accepted 17 February 2019 Available online xxx

[pic 12]

Keywords:

Commitment of the mentally ill Substance-related disorders Therapeutic community Relapse

Crack Cocaine

---

Objective: To evaluate the associations between relapse and admissions (voluntary and invol- untary) in a sample of patients with substance dependence.

Methods: This is a cross-sectional study undertaken at a private medical therapeutic com- munity specialised in treating addiction, located in a rural area of São Paulo, Brazil. Sociodemographic characteristics, the University of Rhode Island Change Assessment Scale (URICA), Stages Readiness and Treatment Eagerness Scale (SOCRATES), Beck Anxi- ety Inventory (BAI) and Beck Depression Inventory (BDI) and Structured Clinical Interview for DSM-IV-SCID were used.

Results: Relapse was associated with low family income (P = .006) and contemplation moti- vational stage (P< 0.05). Nevertheless, no significant differences between individuals who were admitted involuntarily (64%) and voluntarily (54%) were observed (P = 0.683) in terms of relapses.

Conclusions: In this sample, the relapse outcome in involuntary admissions was no different from the voluntary ones.

© 2019 Asociacio´ n Colombiana de Psiquiatr´ıa. Published by Elsevier Espan˜ a, S.L.U. All

rights reserved.

[pic 13]        [pic 14]

Recaída en el tratamiento involuntario de sustancias: un estudio transversal

r  e  s  u  m  e  n

[pic 15]        [pic 16]

Palabras clave:

Compromiso del enfermo mental Trastornos relacionados con sustancias

Comunidad terapéutica

---

Objetivo: Evaluar las asociaciones entre recaída y admisiones (voluntarias e involuntarias) en una muestra de dependientes de sustancias.

Métodos: Este es un estudio transversal realizado en una comunidad médica terapéutica privada, especializada en el tratamiento de la adicción, ubicada en una zona rural de São Paulo, Brasil. Se utilizaron las características sociodemográficas, la Escala de Evaluación de

[pic 17]

∗  Corresponding author.

E-mail address: [e-mail] (W.T. Sant’Anna). https://doi.org/10.1016/j.rcp.2019.02.004

0034-7450/© 2019 Asociacio´ n Colombiana de Psiquiatr´ıa. Published by Elsevier Espan˜ a, S.L.U. All rights reserved.

2        r e v   c o l o m b   p s i q u i a t . 2 0 1 9;x x x(x x):xxx–xxx

[pic 18]

Recaída Crack Cocaína

---

Cambios de la Universidad de Rhode Island (URICA), la Escala de Evaluación de la Etapa de Preparación y Tratamiento (SOCRATES), el Inventario de Ansiedad de Beck (BAI), el Inventario de Depresión de Beck (BDI) y la Entrevista Clínica Estructurada para DSM-IV-SCID. Resultados:   La recaída se asoció con bajos ingresos familiares (p = 0,006) y contemplación de la etapa motivacional (p < 0,05). Sin embargo, no se observaron diferencias significati- vas  entre  los  individuos  que  ingresaron  involuntariamente  (64%)  y  los  voluntarios  (54%) (p = 0,683) en términos de recaídas.