Factores asociados al abandono temprano del tratamiento de trastornos por uso de sustancias en una institución de Medellín, Colombia / Factors Associated With the Temporary Abandonment of Treatment for Disorders Due to Substance Abuse in an Institution in Medellin, Colombia
Rev. colomb. psiquiatr
;
43(1): 7-17, ene.-mar. 2014. ilus, tab
Article
in Spanish
| LILACS, COLNAL
| ID: lil-715332
RESUMEN
Objetivo:
Determinar la frecuencia de abandono temprano del tratamiento y los factores asociados a este entre los pacientes atendidos en 2012 en un Centro de Atención de Drogodependencias de Medellín.Métodos:
Estudio de casos y controles. Los casos fueron los sujetos que abandonaron prematuramente el programa y los controles, quienes lo completaron. Se compararon ambos grupos en factores sociodemográficos, relacionados con el patrón de uso de sustancias, las comorbilidades y la decisión de ingreso al tratamiento.Resultados:
La frecuencia de abandono temprano del programa fue del 59%, pero una alta proporción de este abandono (47,5%) ocurrió en la transición de una etapa del programa a otra. Las variables asociadas con el abandono temprano fueron trastorno psicótico (odds ratio [OR] = 0,32; intervalo de confianza del 95% [IC95%], 0,11-0,91), trastorno bipolar (OR = 0,31; IC95%, 0,12-0,77), heroína como principal sustancia problema en comparación con alcohol (OR =6,68; IC95%, 1,52-29,4), toma de decisión del tratamiento por un familiar en comparación con la personal (OR = 3,02; IC95%, 1,28-7,17) y tratamientos previos (OR = 1,87; IC95%, 1,02-3,44).Conclusiones:
La frecuencia de abandono temprano del tratamiento hallada en este estudio es similar a la reportada en otros. Se encontraron factores asociados al abandono que se puede tener en cuenta al planear estrategias para mejorar los resultados del programa.ABSTRACT
Objective:
To determine the frequency and factors associated withtreatment drop-out in patients from a Substance User Treatment Center in Medellín, Colombia.Methods:
A case-control study was conducted, with patients with an early treatment dropout as cases, and patients who completed the treatment as controls. Demographic data, substance use pattern, concomitant diseases, and the decision to initiate treatment were compared between cases and controls.Results:
The frequency of early drop-out was 59%, but a high proportion of this drop-out (47.5%) occurred in the transition period between the program stages. The variables associated with drop-out were psychotic disorder (OR=0.32; 95% CI, 0.11-0.91), bipolar disorder (OR=0.31; 95% CI, 0.12-0.77), heroin as the principal substance compared to alcohol (OR=6.68; 95% CI, 1.52-29.4), decision to initiate the treatment by the family compared to personal decision (OR=3.02; 95% CI, 1.28-7.17), and previous treatments (OR=1.87; 95% CI, 1.02-3.44).Conclusions:
The drop-out frequency is similar to those reported in other studies. Associated factors were found, which could be considered in order to plan strategies to improve the program results.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Case-Control Studies
/
Substance-Related Disorders
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Humans
/
Male
Country/Region as subject:
South America
/
Colombia
Language:
Spanish
Journal:
Rev. colomb. psiquiatr
Journal subject:
Psychiatry
Year:
2014
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Universidad de Antioquia/CO
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