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Monday, September 26, 2011

The Case for Considering Quality of Life in Addiction Research and Clinical Practice



Substance use disorders (SUDs) are characterized as “maladaptive pat-terns of substance use leading to clinically severe impairment or distress” potentially affecting physical or psychological functioning; personal safety; social relations, roles, and obligations; work; and other areas (American Psychiatric Association, 1994). Substance abusers seek help quitting drugs not as an end in itself, but as a means to escape these negative consequences and to gain a better life. Accordingly, while substance abuse treatment seeks to promote abstinence or at least significant reductions in substance use, its ultimate aim is to improve the patient’s quality of life (QOL). In this paper, I present current concepts of QOL and tools used to measure it, summarize recent paradigmatic shifts in the SUD field that are leading to an emerging interest in QOL, and review the evidence bearing on QOL in the treatment of addiction. Finally, I present the implications of incorporating QOL concepts into clinical practice and research.
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