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Article

In-Treatment Changes in Quality of Life-Related Variables in Therapeutic Communities for Cocaine Abusers: Are These Changes Associated with Clinical Outcomes?

1
Departamento de Neurociencias, Área de Psiquiatría, Universidad de Cádiz, Hospital Universitario de Jerez, 11407 Cádiz, Spain
2
Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), 11009 Cádiz, Spain
3
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain
4
Departamento de Psicobiología y Metodología en Ciencias del Comportamiento, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain
*
Author to whom correspondence should be addressed.
These authors contributed equally to this study.
Academic Editor: Elisardo Becoña Iglesias
Int. J. Environ. Res. Public Health 2021, 18(14), 7442; https://doi.org/10.3390/ijerph18147442
Received: 21 June 2021 / Accepted: 30 June 2021 / Published: 12 July 2021
(This article belongs to the Special Issue Psychosocial Treatments in Routine Mental Health Care)
Background: Few studies have explored changes in quality of life during the first three months of admission to a therapeutic community for addictions. The objective of this study was to determine the relationship between these changes and treatment outcomes at discharge. Methods: We undertook a prospective longitudinal study of 142 cocaine-dependent patients treated at a therapeutics community. All of these patients reached the 3-month evaluation and were subsequently followed until discharge. All participants completed the following measures: Health-Related Quality of Life for Drug Abusers Test; Beck Depression Inventory; State–Trait Anxiety Inventory; Opiate Treatment Index; Dual Diagnosis and Discharge Checklist. Results: At the 3-month assessment, scores on the Health-Related Quality of Life for Drug Abusers Test had increased significantly (Cohen’s d: 0.92), while scores on the Opiate Treatment Index (Cohen’s d: 0.86) and Beck Depression Inventory (Cohen’s d: 0.20) scales both decreased significantly. A higher proportion of the patients considered to have achieved “clinically relevant” treatment outcomes at discharge versus those without clinically relevant outcomes were considered “recovered” according to the Reliable Change Index. Conclusions: An improvement in quality of life-related variables from baseline to the 3-month assessment was associated with better outcomes at discharge from the therapeutic community. The findings of this study may help us to optimise therapeutic interventions. View Full-Text
Keywords: therapeutic communities; quality of life; addiction; treatment outcome; reliable change index therapeutic communities; quality of life; addiction; treatment outcome; reliable change index
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MDPI and ACS Style

González-Saiz, F.; Vergara-Moragues, E. In-Treatment Changes in Quality of Life-Related Variables in Therapeutic Communities for Cocaine Abusers: Are These Changes Associated with Clinical Outcomes? Int. J. Environ. Res. Public Health 2021, 18, 7442. https://doi.org/10.3390/ijerph18147442

AMA Style

González-Saiz F, Vergara-Moragues E. In-Treatment Changes in Quality of Life-Related Variables in Therapeutic Communities for Cocaine Abusers: Are These Changes Associated with Clinical Outcomes? International Journal of Environmental Research and Public Health. 2021; 18(14):7442. https://doi.org/10.3390/ijerph18147442

Chicago/Turabian Style

González-Saiz, Francisco, and Esperanza Vergara-Moragues. 2021. "In-Treatment Changes in Quality of Life-Related Variables in Therapeutic Communities for Cocaine Abusers: Are These Changes Associated with Clinical Outcomes?" International Journal of Environmental Research and Public Health 18, no. 14: 7442. https://doi.org/10.3390/ijerph18147442

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