People Who Use Drugs in Rehabilitation, from Chaos to Discipline: Advantages and Pitfalls: A Qualitative Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Feb 5

PMID 33544758

Citations 6

Authors

Nadine Mahboub

Gladys Honein-AbouHaidar

Rana Rizk

Nanne de Vries

Affiliations

Soon will be listed here.

Abstract

Evidence-based models emphasizing on lifestyle behaviours for the treatment of drug use is still in its infancy. The development of multicomponent effective drug use intervention programs as part of health promotion is crucial to decrease risk of relapse. This study aims at exploring the lifestyle practices including dietary intake, physical activity and sleep of people who use drugs undergoing residential rehabilitation treatment in Lebanon with its perceived benefits and pitfalls. A purposive sample of 18 males and 9 females at different stages of recovery from drug use in rehabilitation centers participated in the qualitative discussions. The six phases thematic analysis revealed three themes: chaotic lifestyle, structuredlifestyle, benefits and pitfalls, and suggestions for making rehabilitation a better experience. Participants discussed their chaotic lifestyle during addiction with poor food intake, disrupted sleep and low physical activity moving to a more disciplined routine enforcing normality in lifestyle practices with social and professionlprofessional support. The early phases of treatment were marked with increased food intake and weight gain perceived as a health indicator and the sole divergent from drugs, moving towards more structured meals and efforts to lose weight in later stages. Lack of variety of Physical activity programs taking into consideration the motivational differences among the participants was also highlighted. Measures for improving rehabilitation services in terms of promoting healthy eating behaviours and environmental control were thoroughly addressed. These findings shed the light on the challenges faced in maintaining a healthy lifestyle in rehabilitation centers and the necessities of addressing them to improve the overall rehabilitation experience, prevent relapse and inform the development of future targeted intervention programs tackling all aspects of behavioural changes.

Citing Articles

Metabolic Syndrome as a Risk Factor Among Lebanese Patients with Substance Use Disorder Undergoing Treatment for Recovery Through Rehabilitation or Opioid Substitution Treatment.

Mahboub N, Ayoub E, Mounzer C, Baltagi T, Papandreou D, de Vries N Clin Pract. 2024; 14(6):2661-2680.

PMID: 39727798 PMC: 11674342. DOI: 10.3390/clinpract14060210.

The Effect of Healthy Mental Lifestyle Package On Sleep Quality, Mental Health, and Lifestyle of Substance Users.

Amini F, Vaziri S, Amini Z Adv Biomed Res. 2023; 12:166.

PMID: 37564450 PMC: 10410435. DOI: 10.4103/abr.abr_186_22.

Predictors of Significant Liver Fibrosis in People with Chronic Hepatitis C Who Inject Drugs in the Czech Republic.

Frankova S, Uzlova N, Merta D, Pitova V, Sperl J Life (Basel). 2023; 13(4).

PMID: 37109461 PMC: 10144836. DOI: 10.3390/life13040932.

Patterns and Determinants of Weight Gain among People Who Use Drugs Undergoing Treatment for Recovery in Lebanon.

Mahboub N, Rizk R, Farsoun C, de Vries N Nutrients. 2023; 15(4).

PMID: 36839347 PMC: 9961335. DOI: 10.3390/nu15040990.

Risk of somatic diseases in patients with eating disorders: the role of comorbid substance use disorders.

Mellentin A, Nielsen D, Skot L, Stoving R, Guala M, Nielsen A Epidemiol Psychiatr Sci. 2022; 31:e73.

PMID: 36245431 PMC: 9583632. DOI: 10.1017/S204579602200052X.

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