Examining Factors Influencing Length of Stay for Inpatients at Alcohol and Substance Addiction Treatment Center

Authors : Oğuz Peker

Pages : 81-96

Doi:10.19127/mbsjohs.1428367

View : 33 | Download : 51

Publication Date : 2024-03-28

Article Type : Research

Abstract :Objective: The aim of this study is to determine the impact of impulsivity, treatment motivation, anxiety, and cognitive distortions on the duration of inpatient treatment for substance use. Methods: The sample for the study consisted of 200 volunteer patients receiving inpatient treatment at the Alcohol and Substance Addiction Treatment Center. Participants underwent a general psychopathological evaluation using the Structured Clinical Interview for DSM-5 (SCID-5) administered by the clinician. All participants were given the Case Report Form prepared by the clinician along with the Barratt Impulsivity Scale-11 Short Form (BIS), Automatic Thoughts Scale (ATS), State and Trait Anxiety Inventory (STAI-I, STAI-II) and Treatment Motivation Questionnaire (TMQ). Results: A significant distinction was noted in discharge statuses when comparing scores on the Barratt Impulsiveness Scale and nonplaning impulsiveness subscale, and the State and Trait Anxiety Inventory and Automatic Thoughts Scale. Those who were discharged with remission had notably lower scores compared to those who left voluntarily or were discharged due to rule violation (p< 0.001). Negative significant correlations were found between length of stay and Barratt Impulsiveness Scale and its subscales [BIS-T (p<0.001), BIS-NI (p<0.001), BD-MI (p=0.002), BD-AI (p<0.001)], State-Trait Anxiety Inventory (p<0.001), and Automatic Thoughts Scale (p<0.001) scores. Positive significant correlations were observed between duration of substance use and Barratt Impulsiveness Scale and its subscales [BIS-T (p<0.001), BIS-NI (p<0.001), BD-MI (p=0.003), BD-AI (p=0.021)], State-Trait Anxiety Inventory (p<0.001), and Automatic Thoughts Scale (p=0.035) scores. Conclusion: This study demonstrates a relationship between the length of time spent in inpatient treatment, discharge outcomes, and certain substance use behaviors, impulsivity, automatic thoughts, and anxiety in substance abuse patients.
Keywords : Anxiety, Automatic Thought, Impulsivity, Motivation, Substance