Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment
Introduction: Over one million people in the U.S. received residential treatment for a substance use disorder (SUD) in 2020. Longer treatment retention is associated with better outcomes (e.g., reduced substance use). Entering treatment with higher stress may be associated with shorter retention. Th...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Addictive Behaviors Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235285322300024X |
| _version_ | 1797390446066925568 |
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| author | Orrin D. Ware Paul Sacco John G. Cagle Jodi J. Frey Fernando A. Wagner Alexandra S. Wimberly Bernard Gyebi-Foster Mayra Diaz Kisun Peters Sarah E. Zemore |
| author_facet | Orrin D. Ware Paul Sacco John G. Cagle Jodi J. Frey Fernando A. Wagner Alexandra S. Wimberly Bernard Gyebi-Foster Mayra Diaz Kisun Peters Sarah E. Zemore |
| author_sort | Orrin D. Ware |
| collection | DOAJ |
| description | Introduction: Over one million people in the U.S. received residential treatment for a substance use disorder (SUD) in 2020. Longer treatment retention is associated with better outcomes (e.g., reduced substance use). Entering treatment with higher stress may be associated with shorter retention. This paper examines the impact of perceived stress at admission on SUD treatment retention in short-term residential treatment. Methods: A sample of 271 treatment episodes with admissions between October 2019 and February 2020 were collected from de-identified records of an urban mid-Atlantic adult 28-day short-term residential SUD treatment facility. Treatment completion involved finishing 28 days. Sociodemographic, substance use, perceived stress, and treatment discharge variables were analyzed. Bivariate analyses examined differences between treatment completion and early discharge, and Cox regression investigated the effect of perceived stress on treatment retention with covariates. Results: The sample was primarily male (73.8%) and non-Hispanic Black (71.6%). A majority used heroin as their primary substance (54.6%) and reported polysubstance use (72.3%). About half (51.3%) completed treatment, and completed an average of 18.7 (SD = 10.7) days. Those who prematurely discharged from treatment stayed an average of 8.9 (SD = 7.0) days. The Cox regression model found that higher perceived stress (adjusted hazard ratio (AHR) = 1.028; 95% CI = [1.005, 1.053], p =.019) and a race/ethnicity other than non-Hispanic Black (AHR = 1.546, 95% CI = [1.037, 2.305], p =.033) predicted premature discharge. Conclusions: Perceived stress at admission is associated with shorter treatment retention. Early stress management interventions may help increase treatment retention. |
| first_indexed | 2024-03-08T23:11:57Z |
| format | Article |
| id | doaj.art-da3e3488fa0d495ba5ea839a7fee150a |
| institution | Directory Open Access Journal |
| issn | 2352-8532 |
| language | English |
| last_indexed | 2024-03-08T23:11:57Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj.art-da3e3488fa0d495ba5ea839a7fee150a2023-12-15T07:24:54ZengElsevierAddictive Behaviors Reports2352-85322023-12-0118100502Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatmentOrrin D. Ware0Paul Sacco1John G. Cagle2Jodi J. Frey3Fernando A. Wagner4Alexandra S. Wimberly5Bernard Gyebi-Foster6Mayra Diaz7Kisun Peters8Sarah E. Zemore9University of North Carolina at Chapel Hill School of Social Work, United States; Corresponding author at: University of North Carolina at Chapel Hill School of Social Work, 325 Pittsboro Street, Chapel Hill, NC 27599, United States.University of Maryland School of Social Work, United StatesUniversity of Maryland School of Social Work, United StatesUniversity of Maryland School of Social Work, United StatesUniversity of Maryland School of Social Work, United StatesUniversity of Maryland School of Social Work, United StatesTuerk House Inc, United StatesTuerk House Inc, United StatesTuerk House Inc, United StatesAlcohol Research Group, United StatesIntroduction: Over one million people in the U.S. received residential treatment for a substance use disorder (SUD) in 2020. Longer treatment retention is associated with better outcomes (e.g., reduced substance use). Entering treatment with higher stress may be associated with shorter retention. This paper examines the impact of perceived stress at admission on SUD treatment retention in short-term residential treatment. Methods: A sample of 271 treatment episodes with admissions between October 2019 and February 2020 were collected from de-identified records of an urban mid-Atlantic adult 28-day short-term residential SUD treatment facility. Treatment completion involved finishing 28 days. Sociodemographic, substance use, perceived stress, and treatment discharge variables were analyzed. Bivariate analyses examined differences between treatment completion and early discharge, and Cox regression investigated the effect of perceived stress on treatment retention with covariates. Results: The sample was primarily male (73.8%) and non-Hispanic Black (71.6%). A majority used heroin as their primary substance (54.6%) and reported polysubstance use (72.3%). About half (51.3%) completed treatment, and completed an average of 18.7 (SD = 10.7) days. Those who prematurely discharged from treatment stayed an average of 8.9 (SD = 7.0) days. The Cox regression model found that higher perceived stress (adjusted hazard ratio (AHR) = 1.028; 95% CI = [1.005, 1.053], p =.019) and a race/ethnicity other than non-Hispanic Black (AHR = 1.546, 95% CI = [1.037, 2.305], p =.033) predicted premature discharge. Conclusions: Perceived stress at admission is associated with shorter treatment retention. Early stress management interventions may help increase treatment retention.http://www.sciencedirect.com/science/article/pii/S235285322300024XPerceived stressResidentialRetentionShort-termSubstance use disorderTreatment completion |
| spellingShingle | Orrin D. Ware Paul Sacco John G. Cagle Jodi J. Frey Fernando A. Wagner Alexandra S. Wimberly Bernard Gyebi-Foster Mayra Diaz Kisun Peters Sarah E. Zemore Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment Addictive Behaviors Reports Perceived stress Residential Retention Short-term Substance use disorder Treatment completion |
| title | Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment |
| title_full | Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment |
| title_fullStr | Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment |
| title_full_unstemmed | Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment |
| title_short | Higher perceived stress during admission is associated with shorter retention in short-term residential substance use disorder treatment |
| title_sort | higher perceived stress during admission is associated with shorter retention in short term residential substance use disorder treatment |
| topic | Perceived stress Residential Retention Short-term Substance use disorder Treatment completion |
| url | http://www.sciencedirect.com/science/article/pii/S235285322300024X |
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