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The association between self-reported mental health status and alcohol and drug abstinence 5 years post-assessment for an addiction disorder in US and Swedish samples
Center for Addictions Research and Services , Boston University School of Social Work, Boston, Massachusetts, USA.
Center for Addictions Research and Services , Boston University School of Social Work, Boston, Massachusetts, USA.
Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm.
Department of Psychiatry, University of California–San Francisco, San Francisco, California, USA.
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2013 (English)In: Journal of Addictive Diseases, ISSN 1055-0887, E-ISSN 1545-0848, Vol. 32, no 2, 180-193 p.Article in journal (Refereed) Published
Abstract [en]

This study compared whether self-reported mental health status was associated with likelihood of being abstinent from alcohol and drugs five years after baseline assessment for an addiction disorder in two representative samples; one from Sweden (n = 469) and one from the US (n = 667). Self-reported mental health status was measured through the ASI score of mental health symptoms and history of inpatient and/or outpatient treatment. Through logistic regression modeling the study controlled for demographic characteristics including age, gender, employment status and social network connection with individuals who do not use alcohol/drugs. For both the US and Swedish samples employment status and having a social network that does not use alcohol and drugs were associated with being likely to be abstinent from alcohol and drugs five years after initial assessment. For the US sample only, individuals who reported symptoms of anxiety were 50% more likely not to be abstinent from alcohol and drugs at follow-up. For the Swedish sample, current mental health status was not significantly associated with abstinence. However, reporting a lifetime history of inpatient psychiatric treatment at the baseline assessment was significantly associated with not being abstinent at 5 years post assessment; those with a lifetime history of inpatient mental health treatment were 47% less likely to report abstinence. While specific variables differ across Sweden and the US, psychiatric comorbid status, employment and social network are each associated with drug and alcohol abstinence cross-nationally.

Place, publisher, year, edition, pages
Taylor & Francis, 2013. Vol. 32, no 2, 180-193 p.
Keyword [en]
Comorbid mental health and substance use disorders, changes in substance use, cross-national, Sweden, US
National Category
Social Work Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-86520DOI: 10.1080/10550887.2013.795468OAI: oai:DiVA.org:umu-86520DiVA: diva2:699751
Available from: 2014-02-28 Created: 2014-02-28 Last updated: 2017-12-05Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
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  • nn-NO
  • nn-NB
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More languages
Output format
  • html
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  • asciidoc
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