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The difference between inpatient and outpatient programs regarding trait -anxiety, social support and state-anxiety in during the covid-19 pandemic in Israel

Amnon Michael (University of Haifa, Haifa, Israel and Haderech TCs and Recovery Center, Haifa, Israel)
Paola Roska (Department for the Treatment of Substance Abuse, Ministry of Health, Jerusalem, Israel and Hebrew University, Jerusalem, Israel)

Therapeutic Communities: The International Journal of Therapeutic Communities

ISSN: 0964-1866

Article publication date: 21 December 2021

Issue publication date: 6 April 2022

57

Abstract

Purpose

COVID-19 pandemic is affecting the well-being and the psychological resilience of different populations, particularly in the addiction field. This study aims to assess anxiety and its severity among patients and staff from different types of addiction services in Israel during this emergency.

Design/methodology/approach

The study was conducted during the period from March–July 2020. Participants included patients and staff (N = 282) from three different types of addiction services, were administered the State-Trait Anxiety Inventory, the multi-dimensional scale of perceived social support and demographic variables. In addition, a logistic regression model was applied to identify predictors of state anxiety by using statistical package for the social sciences software.

Findings

The results show that therapeutic communities clients reported more social support compared to other subjects. State anxiety has a positive strong correlation with trait anxiety both among patients and staff, and it was found as a crucial predictor of state anxiety in the regression equation. There is no statistically significant correlation between state anxiety and social support, gender or education among clients and staff as one. The state anxiety remains relatively stable and characterizes most people, staff and patients, men and women, medical staff members and other professionals.

Research limitations/implications

The current study has some contributions to the addiction field by understanding the psychological distress of a vulnerable population: substance users in treatment settings. The study population relied on convenient samples and future studies should be planned using a cross-sectional design and should take into account substance use measures. The findings are reinforcing the assumption that state anxiety was likely to increase during the coronavirus pandemic.

Practical implications

Adequate services should be planned to avoid relapse or mental deterioration of people who use drugs during health emergencies.

Originality/value

The research points out the unique and real difficulties of SUD clients, as well as the complexity and risks in their staff members’ works. The authors also saw that staff members need attention and maintenance; they are in the front line.

Keywords

Acknowledgements

Acknowledgment: The authors wish to thank the staff of the substance use treatment centers for their essential help in administering the questionnaires and to the patients who agreed to cooperate with our research.Declaration of conflicting interests: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.Funding: The author(s) received no financial support for the research, authorship and/or publication of this article.

Citation

Michael, A. and Roska, P. (2022), "The difference between inpatient and outpatient programs regarding trait -anxiety, social support and state-anxiety in during the covid-19 pandemic in Israel", Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. 43 No. 1, pp. 12-24. https://doi.org/10.1108/TC-03-2021-0008

Publisher

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Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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