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Feasibility Study of Assist-Linked Brief Intervention for Substance Use Disorders in a Rural Community of Plateau State, Nigeria

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Open Journal of Psychiatry 2024年第3期14卷 206-222页

作者： Nwoga Charles Nnaemeka Audu Moses David Sambo Jacob Dusu Mafai Danboyi Kwei dakwak samuel joseph Ndak Andarawus Zuhumnan Babatunde Stephen Psychiatry Department Faculty of Clinical Sciences College of Health Sciences University of Jos Jos Nigeria Department of Community Medicine Jos University Teaching Hospital Jos Nigeria Psychology Department Quintessential Healthcare Centre Jos Plateau State Nigeria Psychology Department University of Jos Jos Nigeria Plateau State Hospital Management Board Jos Plateau State Nigeria Department of Psychology Olabisi Onabanjo University Ago-Iwoye Ogun State Nigeria

Objective: We studied the feasibility of using Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) linked with Brief Intervention (ALBI) in treating Substance Use Disorder in Nigeria. There is a clear gap in meeting the needs for treatment and care for people with drug use disorders in Nigeria with many users reporting a self-perceived need for treatment and about 40% of them wanting to receive drug treatment but were unable to access such services. Methods: ASSIST questionnaire was used to gather baseline data, and ALBI along with Motivational Interviewing (MI) was used to intervene for 6 weeks following which ASSIST score was repeated and compared with baseline. Results: Majority of the participants were aged 21 - 30 years, mostly males with (61.3%) lacking steady jobs. Lifetime prevalence of any drug use was (88.2%). Three months prevalence was nicotine (72.0%), alcohol (66.7%), cannabis (47.3%), opioids (11.8%) among others. The ASSIST scores were mostly on the severe ranges. ASSIST result after six weeks showed marked reduction. The Mean Difference (MD) in the ASSIST scores after intervention was significant for tobacco, opioids, alcohol, and cannabis. The Cohen’s D effect size was large for tobacco (1.08), alcohol (0.92) and cannabis (0.73) but low for other substances. Conclusion: ALBI along with MI was helpful in combating the menace of substance use.

关键词： ASSIST ALBI SUD Rural Community Nigeria

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Substance Use Pattern among Nursing Students in Jos, North Central Nigeria

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Open Journal of Psychiatry 2021年第2期11卷 80-90页

作者： Nwoga Charles Ndak Zuhumnan Danboyi Mafai dakwak samuel Piwuna Christopher Armiyau Aishetu Department of Psychiatry University of Jos Jos Plateau State Nigeria Hospital Management Board Jos Plateau State Nigeria Quintessential Healthcare Centre Jos Plateau State Nigeria Department of Psychology University of Jos Jos Plateau State Nigeria Jos University Teaching Hospital Jos Plateau State Nigeria

Aim: To establish the substance use pattern and psychological distress among the in-coming nursing students of the College with a view towards recommending ways to prevent or reduce complications of substance use disorder in the college. Study design: A cross-sectional design was used. Place and duration: The study took place at the College of Nursing and Midwifery, Jos, Plateau state between the 3rd and 14th of February, 2020. Methodology: The study was carried out during the orientation program of the 206 first-year students of the college. Following approval, a health talk and explanation of the aims and objectives, their consent was obtained in writing. Two-staged sampling with a sociodemographic questionnaire and Hopkins Symptom Checklist-25 followed by urine drug testing was done. The participants were debriefed on the findings while maintaining strict confidentiality. There were 65 males and 141 females. Results: Lifetime prevalence rate of any substance use was 21.8%. More females 33 (23.4%) than males 12 (18.5%) used substances. Only 9 (4.5%) volunteered their substance use, the rest was revealed by the urine testing. Prevalence of alcohol was 23 (11.2%), ketamine 13 (6.3%), nicotine 3 (1.5%), benzodiazepines 3 (1.5%), cannabis 2 (1.0%) and opiods 1 (0.5%). Symptoms of psychological distress were high as 118 (57.3%) and 82 (38.8%) were symptomatic for anxiety and depression respectively. Alcohol use was significantly related with having symptomatic anxiety (P = 0.02) and depression (P = 0.00) in the study. Conclusion: Considering the high prevalence of substance use among the participants, educational intervention and policies should be designed to prevent substance dependence with its complications within the students.

关键词： Substance Use Students Jos Nigeria

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