title: Changes in mental and physical well-being among problematic alcohol and drug users in 12-month Internet-based intervention trials.
abstract: Twelve-month well-being outcomes were investigated for 835 participants in 1 of 2 randomized controlled trials offering online assessment and brief intervention for either problematic alcohol (n = 633) or drug use (n = 202). The well-being of participants who had reduced their substance use to a less problematic level (regardless of intervention) over 12 months was compared with that of participants who had maintained or increased their use. At a 12-month follow-up, the 227 alcohol trial participants with reduced use showed better well-being in comparison to the 406 with stable or increased use, in physical health and sleep quality, as well as general well-being, ability to concentrate, lower stress, better social life satisfaction and sense of control, and a lower rate of depressed mood. Among the 70 drug trial participants who had reduced their drug use over 12 months, 80% had ceased all drug use, and at follow-up they had fewer alcohol-related problems than the stable group. No differences in well-being between these groups were identified. Self-reported access to additional treatment modalities beyond the trial interventions (e.g., speaking to someone about problematic use and accessing additional Internet-based interventions) was higher among participants in both cohorts with reduced substance use in comparison to those with stable/increased use. Drug users who reduced their use accessed prescribed medication to a larger extent than those whose use remained stable or increased. Points to consider when conducting future research on well-being and problematic substance use are discussed.
authors: Department of Clinical Neuroscience, Center for Psychiatric Research, Karolinska Institutet.
authors: Anne H
authors: AH
authors: Berman
authors: Centre for Social Research on Alcohol and Drugs, Stockholm University.
authors: Peter
authors: P
authors: Wennberg
authors: Department of Clinical Neuroscience, Center for Psychiatric Research, Karolinska Institutet.
authors: Kristina
authors: K
authors: Sinadinovic
mesh_terms: D000328:Adult; D000339:Affect; D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D003863:Depression / Q000523:psychology; D055030:Drug Users; D005260:Female; D006304:Health Status; D006801:Humans; D020407:Internet; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010549:Personal Satisfaction; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*