Assessing Treatment Barriers And Sleep Quality In Drug Dependent Inpatients

Objective:1.To explore the barriers to treatment in a clinical sample of drug dependent inpatients.2.To assess the sleep quality in a clinical sample of drug dependent inpatients.3.To evaluate the frequency of sympotms in drug dependent inpatients.Methods:1.Twenty-five items of the Barriers to Treatment Inventory (BTI) were used to assess the treatment barriers of 143 drug dependent patients in three clinic treatment units.2.Using the Pittsburgh Sleep Quality Index (PSQI), A self-report survey design was used to collect the 143 drug dependent inpatients data in three clinic treatment units.3. Using Symptom Questionnaire on drug dependent patients to evaluate frequency of symptoms in substance dependence inpatient.Results:1.We found the most common reported barriers to treatments were:I hate being asked personal questions(64.3%); I do not like to talk about my personal life with other people(53.8%); I do not like to talk in groups(46.9%); I am moving too far away to get treatment(35.0%); my drug use is not causing any problems(31.5%); I have had a bad experience with treatment(30.1%); I can handle my drug use on my own(23.8%). It showed that most of the barriers are privacy concerns.2. PSQI results revealed that poor sleep quality (PSQI≥8) was noted in 73.3% heroin dependent inpatients and 31.8% recreational drugs dependent inpatients. Those who displayed long-term histories of drug use, more drug use related symptoms and heavy craving had poorer sleep quality than those who did not.3.The frequency of psychotic symptoms on drug dependent inpatient during one month before admitted to hospital are cognition impairment(88.8%), sleeping disorder(81.8%), anxiety(72.2%), depression(70.6%) and irritability(56%). The frequency of physical symptoms on drug dependent inpatient during one month before admitted to hospital are lost appetite (86%),Lack or loss of sexual desire (853%), sweating (73.4%), nausea and vomitting (56.6%) and constipation or diarrhea (51%)。Conclusion:1.Most of drug dependent inpatients from this sample reported their treatment barriers, especially barriers from privacy concerns, and those barriers have negative impact on their treatment.2.The majority of heroin-dependent patients reported poor sleep quality. Several drug use related factors were associated with poor sleep quality in drug dependent inpatients. The assessment of sleep quality and drug use related factors, such as how long with drug use, drug use related symptoms and degree of craving, will be an important consideration as part of a comprehensive and more effective substance-dependent intervention program.3.There are different occurrence on drug dependent inpatients' symptoms, individual treatment plan should be made.