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Subst Abuse. 2018 Feb 07;12:1178221817752678. doi: 10.1177/1178221817752678. eCollection 2018.

Why Do Those With Long-Term Substance Use Disorders Stop Abusing Substances? A Qualitative Study.

Substance abuse : research and treatment

Henning Pettersen, Anne Landheim, Ivar Skeie, Stian Biong, Morten Brodahl, Victoria Benson, Larry Davidson

Affiliations

  1. Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Mental Health Division, Innlandet Hospital Trust, Brumunddal, Norway.
  2. SERAF - Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway.
  3. Inland Norway University of Applied Sciences, Elverum, Norway.
  4. District Psychiatric Centre Gjøvik, Innlandet Hospital Trust, Gjøvik, Norway.
  5. Faculty of Health and Social Sciences, University College of Southeast Norway, Kongsberg, Norway.
  6. Program for Recovery and Community Health, School of Medicine, Yale University, New Haven, CT, USA.

PMID: 29449778 PMCID: PMC5808961 DOI: 10.1177/1178221817752678

Abstract

Although a significant proportion of adults recover from substance use disorders (SUDs), little is known about how they reach this turning point or why they stop using. The purpose of the study was to explore the factors that influence reasoning and decision making about quitting substance use after a long-term SUD. Semistructured interviews were conducted with 18 participants, each of whom had been diagnosed with a SUD and had been abstinent for at least 5 years. A resource group of peer consultants in long-term recovery from SUDs contributed to the study's planning, preparation, and initial analyses. Participants recalled harmful consequences and significant events during their years of substance use. Pressure and concern from close family members were important in their initial efforts to abstain from substance use. Being able to imagine a different life, and the awareness of existing treatment options, promoted hope and further reinforced their motivation to quit. Greater focus on why those with SUDs want to quit may help direct treatment matching; treatment completion may be more likely if the person's reasons for seeking help are addressed.

Keywords: Substance use disorder; collaborative research; qualitative study; reasons to quit substance use

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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