Quality of Life and Risk of Relapse in Substance Use Disorder

Document Type : Original Article

Authors

1 Demonstrator of Psychiatric & Mental Health Nursing, Faculty of Nursing, South Valley University, Egypt.

2 Professor of Psychiatric & Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Professor of Psychiatry, Faculty of Medicine, Assiut University, Egypt.

4 Lecturer of Psychiatric & Mental Health Nursing, Faculty of Nursing, Assiut University, Egypt.

Abstract

Background: Substance use disorders (SUDs) are chronic, relapsing conditions that impair physical, psychological, and social well-being. Patients with SUD often face multiple challenges, including high relapse risk and psychological difficulties. Aim: The study aimed to assess quality of life and risk of relapse among patients with substance use disorder. Research design: A descriptive correlational research design was used in this study. Setting: The study was carried out at the outpatient and inpatient addiction management unit of Assiut University Neuropsychiatry Hospital and Assiut Mental Health and Addiction Treatment Hospital. Subjects: Convenient sample of patients with substance use disorder collected for six months. Tools: An interview questionnaire about socio-demographic and clinical data, quality of life scale, addiction severity index, and an advance warning of relapse questionnaire. Results: The most prevalent substance used was amphetamine (27.3%), followed by hashish (24%). Moreover, nearly two-thirds of patients (61%) were classified as having a high risk of relapse. There is highly statistically significant negative correlation was observed between quality of life and risk of relapse, whereas a highly statistically significant positive correlation was found between quality of life and socioeconomic status. Conclusion: Most patients with substance use disorder used single type of substance; the most prevalent substance used was amphetamines. A highly statistically significant negative correlation was observed between quality of life and risk of relapse Recommendation: Provide sustained post-treatment support to reduce the risk of relapse, introduce structured psycho-educational programs as part of treatment and aftercare services.

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