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. 2024 Dec 30;36(4):379-388.
doi: 10.20882/adicciones.1898.

Relapse rates after treatment in Therapeutic Communities: A systematic review

[Article in English, Spanish]
Daniel Suárez-Castro  1 , Diana Moreira  2 , Andreia Azeredo  3 , Paulo C Dias  4
Affiliations

Relapse rates after treatment in Therapeutic Communities: A systematic review

[Article in English, Spanish]
Daniel Suárez-Castro et al. Adicciones. .

Abstract
in English, Spanish

Therapeutic Communities (TC) are residential settings that provide psychosocial rehabilitation for substance-using individuals. In general, TCs have been proven effective, although a large part of the evidence is from studies with methodological shortcomings. Therefore, the aim of this systematic review was to evaluate the effectiveness of TCs in terms of relapse rates. The search used EBSCO, PubMed, and Web of Science up to July 29, 2021 and was based on the international Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Of the 94 studies, eight met selection criteria including a total of 2,064 participants from 40 TCs. Of the eight studies, seven were cohort studies and one was a randomized controlled trial (RCT). Findings reveal that TCs were effective in reducing substance use, although some uncertainty remains regarding the long-term persistence of the improvements. Thus, further research is necessary to compare relapse rates in TC programs for substance-related disorders.

Las Comunidades Terapéuticas (CT) son entornos residenciales que brindan rehabilitación psicosocial a las personas que consumen sustancias. En general, estas han demostrado su eficacia, aunque gran parte de la evidencia proviene de estudios con limitaciones metodológicas. Por tanto, el objetivo de la presente revisión sistemática fue evaluar los resultados de las CT en relación con las tasas de recaída. La búsqueda se realizó en EBSCO, PubMed y Web of Science con fecha límite del 29 de julio de 2021 y se basó en la declaración Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). De los 94 estudios encontrados, ocho cumplieron los criterios de selección, con un total de 2064 participantes de 40 CT. De los ocho estudios, siete eran estudios de cohortes y uno era un ensayo controlado aleatorizado. Los resultados revelan que las CT eran efectivas para reducir el consumo de sustancias, aunque persiste cierta incertidumbre con respecto a la persistencia a largo plazo. Se necesita más investigación que evalúe las tasas de recaída tras finalizar el tratamiento en las CT.

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