The role of depression symptoms in predicting drug abstinence in outpatient substance abuse treatment
Abstract
Objective This study examined the role of depressive symptoms in the context of specific demographic and individual treatment characteristics in predicting drug abstinence at discharge from outpatient substance abuse treatment.Methods Data from 827 clients entering a large public funded outpatient substance abuse treatment program were analyzed using logistic regression to assess the effects of depressive symptoms on drug abstinence status at discharge. Analyses on the effects of gender, race, age, education level, frequency of drug use, insurance status, referral source, and length of stay in treatment on drug abstinence status at discharge were also conducted.Results Higher depressive symptom scores significantly predicted a decreased likelihood of clients' abstinence at discharge even after accounting for other significant demographic and treatment variables such as insurance status, race, age, primary drug of choice, frequency of drug use at admission and length of stay in treatment.Conclusion The findings suggest that depression symptoms are an important factor affecting successful substance abuse treatment outcomes. Treatment approaches that address depressive symptoms are likely to enhance substance abuse treatment outcomes in real world clinical settings.
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Anxiety and depression are known to increase the risk of relapse in substance use.
“two emotions known to increase the risk of relapse in substance use (115, 116).”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [115]
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- Authors
- Dodge, R., Sindelar, J., & Sinha, R.
- Affiliations
- Yale University (US)
- Corresponding author
- Dodge, Rebecca
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 28
- Issue
- 2
- Pages
- 189-196
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2085629496
- Cited by
- 89
- References
- 50
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 4 · 2019: 8 · 2018: 2 · 2017: 4 · 2016: 3 · 2014: 12 · 2013: 7 · 2012: 6
- FWCI
- 4.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- depressive symptoms, drug abstinence, outpatient substance abuse treatment, treatment outcomes, demographic predictors, insurance status, referral sources, length of hospital stay
- MeSH terms
- Adult, Ambulatory Care, Connecticut, Cross-Sectional Studies, Depression, Female, Financing, Government, Humans, Male, Middle Aged, Motivation, Patient Compliance, Patient Discharge, Public Assistance, Regression Analysis, Socioeconomic Factors, Substance Abuse Detection, Comorbidity, Treatment Outcome, Substance-Related Disorders, Secondary Prevention
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