Health-related Quality of Life for Adults Participating in Outpatient Substance Abuse Treatment

Columbia University, New York, New York, United States
American Journal on Addictions (Impact Factor: 1.74). 05/2003; 12(3):198-210. DOI: 10.1111/j.1521-0391.2003.tb00648.x
Source: PubMed


Interest exists in assessing health-related quality of life as one aspect of treatment effectiveness with substance abuse clients. The SF-36 Health Survey is a self-report measure assessing subjective health status along physical and mental health dimensions. Subjects were 252 adults in an outpatient, randomized clinical trial for substance abuse treatment. Subjects reported significantly more impairments in functioning when compared to U.S. population norms, but differences disappeared after three months of treatment. There was little support that quality of life functioning was significantly related to substance use during treatment. Results highlight the importance of using the SF-36 to facilitate treatment planning.

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Available from: Thomas Morgan, Jun 24, 2015
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    • "These findings suggest that anxiety disorders have a negative impact on QOL in a number of areas. Several studies have compared QOL in subjects with substance use disorders to general population norms for QOL (Daeppen et al., 1998; Morgan et al., 2004; Smith and Larson, 2003). Alcohol dependent patients reported poorer QOL, especially in psychological and role dimensions (Daeppen et al., 1998), social functioning, and in limitations in physical and emotional roles (Morgan et al., 2004). "
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    ABSTRACT: Little is known about the relative impact of different mental disorders on adult quality of life (QOL). This study estimated associations between several mental disorders and QOL in a representative American community sample. The QOL instrument was administered to 640 adult participants in the Children in the Community Study, a population-based longitudinal study. DSM-Axis I and Axis II mental disorder diagnoses were assessed by psychiatric interview. Poorer QOL was strongly associated with having a mood disorder, especially major depression disorder (MDD) (effect size, ES = -0.57, p < 0.01), whereas poorer quality social relationships were associated with having dysthymia and bipolar disorders (ES = -0.92, p < 0.01; ES = -0.80, p < 0.05, respectively). Most anxiety disorders were not independently related to QOL with the exception of post traumatic stress disorder (PTSD), which was significantly related to poorer physical health (ES = -0.78, p < 0.01) and psychological well-being (ES = -0.73, p < 0.01) and to less overall QOL (ES = -0.57, p < 0.01). MDD and PTSD are independently related to impaired QOL and dysthymia and bipolar disorder negatively influence social relationships.
    Preview · Article · Jun 2011 · Journal of Affective Disorders
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    • "HRQL is a multidimensional subjective measure which includes physical, psychological, social and occupational wellbeing (Donovan et al., 2005). The majority of the studies which have assessed the relationship between alcohol and functional impairment using HRQL scales have been based on patients seeking treatment for alcohol problems (Donovan et al., 2005; Morgan et al., 2003; Smith and Larson, 2003; Stein et al., 1998) or from primary care studies (Spitzer et al., 1995; Volk et al., 1997). A large population study in civilians found that heavy drinkers had lower "
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    • "In a review of the literature, we were able to find several factors that are predictive of improved QoL in alcohol-dependent patients over several weeks of residential care and in outpatients. These include regular psychosocial support, presence of a close family circle or neighbours and effective control of alcohol intake 16, 17, 43. Our results are difficult to compare with these, since our follow-up period was limited by the length of hospitalisation and was therefore much shorter. "
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    ABSTRACT: To investigate the improvement in quality of life (QoL) of alcohol-dependent patients during a 3-week inpatient withdrawal programme, and to identify the sociodemographic, clinical and alcohol-related variables associated with baseline QoL on admission and with improvement of QoL during residential treatment. This prospective, observational study included 414 alcohol-dependent patients, hospitalised for a period of 3 weeks. QoL was measured on admission and at discharge using the French version of the Medical Outcome Study SF-36. The mean scores for each dimension and for the Physical and Mental Component Summary scores were calculated. The mean scores per dimension and the mean Physical and Mental Component Summary scores were significantly lower on admission than at discharge; the lowest scores being observed for social functioning and role limitations due to emotional problems. At discharge, the mean scores per dimension were similar to those observed in the French general population. Female gender, age > 45 years, living alone, working as a labourer or employee, somatic comorbidity, and the existence of at least five criteria for alcohol dependence according to the DSM-IV classification were associated with a low Physical Component Summary score on admission; psychiatric comorbidity, the presence of at least five DSM-IV dependence criteria, smoking and suicidality were associated with a low Mental Component Summary score on admission. The increase in Physical and Mental Component Summary scores during hospitalisation was more marked when the initial scores were low. Apart from the initial score, the greatest improvement in Physical Component Summary score was seen in patients with a high alcohol intake and in those without a somatic comorbidity; the increase in Mental Component Summary score was greatest in patients without psychotic symptoms and in those who abused or were dependent on illegal drugs. QoL improvement after a residential treatment was related to low QoL scores at admission. Improvement in physical component of QoL was related to baseline alcohol intake and good somatic status. Improvement in mental component of QoL was related to other drugs abuse/dependence.
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