{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T08:06:08Z","timestamp":1776585968111,"version":"3.51.2"},"reference-count":72,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016145","name":"Ministerio de Sanidad, Consumo y Bienestar Social","doi-asserted-by":"publisher","award":["[2007 no.2007i078"],"award-info":[{"award-number":["[2007 no.2007i078"]}],"id":[{"id":"10.13039\/100016145","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Few studies have explored changes in quality of life during the first three months of admission to a therapeutic community for addictions. The objective of this study was to determine the relationship between these changes and treatment outcomes at discharge. Methods: We undertook a prospective longitudinal study of 142 cocaine-dependent patients treated at a therapeutics community. All of these patients reached the 3-month evaluation and were subsequently followed until discharge. All participants completed the following measures: Health-Related Quality of Life for Drug Abusers Test; Beck Depression Inventory; State\u2013Trait Anxiety Inventory; Opiate Treatment Index; Dual Diagnosis and Discharge Checklist. Results: At the 3-month assessment, scores on the Health-Related Quality of Life for Drug Abusers Test had increased significantly (Cohen\u2019s d: 0.92), while scores on the Opiate Treatment Index (Cohen\u2019s d: 0.86) and Beck Depression Inventory (Cohen\u2019s d: 0.20) scales both decreased significantly. A higher proportion of the patients considered to have achieved \u201cclinically relevant\u201d treatment outcomes at discharge versus those without clinically relevant outcomes were considered \u201crecovered\u201d according to the Reliable Change Index. Conclusions: An improvement in quality of life-related variables from baseline to the 3-month assessment was associated with better outcomes at discharge from the therapeutic community. The findings of this study may help us to optimise therapeutic interventions.<\/jats:p>","DOI":"10.3390\/ijerph18147442","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T21:56:37Z","timestamp":1626126997000},"page":"7442","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["In-Treatment Changes in Quality of Life-Related Variables in Therapeutic Communities for Cocaine Abusers: Are These Changes Associated with Clinical Outcomes?"],"prefix":"10.3390","volume":"18","author":[{"given":"Francisco","family":"Gonz\u00e1lez-Saiz","sequence":"first","affiliation":[{"name":"Departamento de Neurociencias, \u00c1rea de Psiquiatr\u00eda, Universidad de C\u00e1diz, Hospital Universitario de Jerez, 11407 C\u00e1diz, Spain"},{"name":"Instituto de Investigaci\u00f3n e Innovaci\u00f3n Biom\u00e9dica de C\u00e1diz (INiBICA), 11009 C\u00e1diz, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental (CIBERSAM), 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2669-631X","authenticated-orcid":false,"given":"Esperanza","family":"Vergara-Moragues","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n e Innovaci\u00f3n Biom\u00e9dica de C\u00e1diz (INiBICA), 11009 C\u00e1diz, Spain"},{"name":"Departamento de Psicobiolog\u00eda y Metodolog\u00eda en Ciencias del Comportamiento, Universidad Complutense de Madrid (UCM), 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1080\/15504263.2020.1849887","article-title":"Cocaine and Marijuana Polysubstance Use and Cocaine Use Disorder: Investigating Mediated Effects through Patterns of Cocaine Use","volume":"17","author":"Liu","year":"2021","journal-title":"J. Dual Diagn."},{"key":"ref_2","unstructured":"European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) (2021, July 01). European Drug Report 2020: Key Issues, Available online: https:\/\/www.emcdda.europa.eu\/publications\/edr\/key-issues\/2020_en."},{"key":"ref_3","unstructured":"United Nations Office on Drugs and Crime (2021, July 01). World Drug Report 2020; United Nations Publication. Available online: https:\/\/wdr.unodc.org\/wdr2020\/en\/drug-use-health.html."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.drugalcdep.2010.05.012","article-title":"Exposure to trauma: A comparison of cocaine dependent cases and a community-matched sample","volume":"112","author":"Afful","year":"2010","journal-title":"Drug Alcohol Depend."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1111\/j.1360-0443.2011.03389.x","article-title":"Effects of major depression on crack use and arrests among women in drug court","volume":"106","author":"Johnson","year":"2011","journal-title":"Addiction"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.drugalcdep.2017.08.031","article-title":"Trends and correlates of cocaine use and cocaine use disorder in the United States from 2011 to 2015","volume":"180","author":"John","year":"2017","journal-title":"Drug Alcohol Depend."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.drugalcdep.2017.08.036","article-title":"Health outcomes associated with crack-cocaine use: Systematic review and meta-analyses","volume":"180","author":"Butler","year":"2017","journal-title":"Drug Alcohol Depend."},{"key":"ref_8","first-page":"134","article-title":"Order in the court? The association between substance use, exposure to violence, risky sexual behaviors & observed court behaviors among women involved in the criminal justice system","volume":"111","author":"Jones","year":"2019","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_9","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA) (2021, July 01). Key Substance Use and Mental Health Indicators in the United States: Results from the 2019 National Survey on Drug Use and Health, Available online: https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt29393\/2019NSDUHFFRPDFWHTML\/2019NSDUHFFR090120.htm."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1001\/archpsyc.56.6.493","article-title":"Psychosocial treatments for cocaine dependence","volume":"56","author":"Siqueland","year":"1999","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/j.drugpo.2015.01.002","article-title":"Effectiveness of secondary prevention and treatment interventions for crack-cocaine abuse: A comprehensive narrative overview of English-language studies","volume":"26","author":"Fischer","year":"2015","journal-title":"Int. J. Drug Policy"},{"key":"ref_12","first-page":"45","article-title":"Association between executive function and outcome measure of treatment in therapeutic community among cocaine dependent individuals","volume":"78","author":"Lozano","year":"2017","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"De Crescenzo, F., Ciabattini, M., D\u2019Al\u00f3, G.L., De Giorgi, R., Del Giovane, C., Cassar, C., Janiri, L., Clark, N., Ostacher, M.J., and Cipriani, A. (2018). Comparative efficacy and acceptability of psychosocial interventions for individuals with cocaine and amphetamine addiction: A systematic review and network meta-analysis. PLoS Med., 15.","DOI":"10.1371\/journal.pmed.1002715"},{"key":"ref_14","first-page":"233","article-title":"Psychosocial interventions in stimulant use disorders: A systematic review and qualitative synthesis of randomized controlled trials","volume":"53","author":"Cassar","year":"2018","journal-title":"Riv. Psichiatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.addbeh.2018.11.008","article-title":"Relapse after inpatient substance use treatment: A prospective cohort study among users of illicit substances","volume":"90","author":"Andersson","year":"2019","journal-title":"Addict. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"108349","DOI":"10.1016\/j.drugalcdep.2020.108349","article-title":"Profiles of patients with cocaine and alcohol use disorder based on cognitive domains and their relationship with relapse","volume":"218","year":"2021","journal-title":"Drug Alcohol Depend."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000331007","article-title":"Effectiveness of therapeutic communities: A systematic review","volume":"18","author":"Malivert","year":"2012","journal-title":"Eur. Addict. Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0376-8716(02)00014-5","article-title":"The effectiveness of drug abuse treatment: A meta-analysis of comparison group studies","volume":"61","author":"Prendergast","year":"2002","journal-title":"Drug Alcohol Depend."},{"key":"ref_19","first-page":"CD005338","article-title":"Therapeutic communities for substance related disorders","volume":"1","author":"Smith","year":"2006","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Vanderplasschen, W., Colpaert, K., Autrique, M., Rapp, R.C., Pearce, S., Broekaert, E., and Vandevelde, S. (2013). Therapeutic communities for addictions: A review of their effectiveness from a recovery-oriented perspective. Sci. World J., 1\u201322.","DOI":"10.1155\/2013\/427817"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1108\/TC-07-2013-0024","article-title":"A systematic review of studies examining effectiveness of therapeutic communities","volume":"35","author":"Bhullar","year":"2014","journal-title":"Ther. Communities"},{"key":"ref_22","first-page":"9","article-title":"Methadone-treated patients after switching to buprenorphine in residential therapeutic communities: An addiction-specific assessment of quality of life","volume":"11","year":"2009","journal-title":"Heroin Addict. Relat. Clin. Probl."},{"key":"ref_23","first-page":"81","article-title":"Psychiatric comorbidity in a sample of opiate-dependent patient treated with sublingual buprenorphine in a therapeutic community regime","volume":"4","year":"2011","journal-title":"Rev. Psiquiatr. Salud Ment."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"889","DOI":"10.3109\/10826084.2012.663279","article-title":"Evaluation of the therapeutic community treatment model in Thailand: Policy Implications for compulsory and prison-based treatment","volume":"47","author":"Johnson","year":"2012","journal-title":"Subst. Use Misuse"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s11126-014-9318-2","article-title":"Rates and correlations of change in three dimensions of recovery within a recovery model oriented therapeutic community","volume":"86","author":"Snyder","year":"2015","journal-title":"Psychiatr. Q."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1080\/1556035X.2017.1307155","article-title":"Quality of life in therapeutic communities for addictions: A positive search for wellbeing and happiness","volume":"12","author":"Broekaert","year":"2017","journal-title":"J. Groups Addict. Recovery"},{"key":"ref_27","unstructured":"De Leon, G., and Ziegenfuss, J.T. (1986). Measuring process in drug abuse treatment research. Therapeutic Communities for Addictions, Charles C. Thomas."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/02791072.1995.10471676","article-title":"Residential drug abuse treatment research: Are conventional control designs appropriate for assessing treatment effectiveness?","volume":"27","author":"Inciardi","year":"1995","journal-title":"J. Psychoact. Drugs"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1001\/archpsyc.1979.01780070050005","article-title":"Follow-up evaluation of treatment of drug abuse during 1969 to 1972","volume":"36","author":"Simpson","year":"1979","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1001\/archpsyc.1981.01780330033003","article-title":"Treatment for drug abuse: Follow-up outcomes and length of time spent","volume":"38","author":"Simpson","year":"1981","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1001\/archpsyc.1980.01780150069008","article-title":"Therapeutic communities vs. methadone maintenance. A prospective study of narcotic addiction treatment: Design and one year follow-up results","volume":"37","author":"Bale","year":"1980","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_32","unstructured":"De Leon, G., and Ziegenfuss, J.T. (1986). The therapeutic community for substance abuse: Perspective and approach. Therapeutic Communities for Addictions, Charles C. Thomas."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"729","DOI":"10.3109\/10826089409047906","article-title":"Relationship between treatment length and outcome in a therapeutic community","volume":"29","author":"Bleiberg","year":"1994","journal-title":"Int. J. Addict."},{"key":"ref_34","unstructured":"Tims, F.M., De Leon, G., and Jainchill, N. (1994). Client outcomes from therapeutic communities. Therapeutic Community: Advances in Research and Application, NIDA Research Monographs."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"329","DOI":"10.20882\/adicciones.612","article-title":"Comunidades terap\u00e9uticas. Situaci\u00f3n actual y perspectivas de futuro","volume":"11","year":"1999","journal-title":"Adicciones"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1176\/appi.ps.52.4.526","article-title":"A comparison of long-term and short-term residential treatment programs for dual diagnosis patients","volume":"52","author":"Brunette","year":"2001","journal-title":"Psychiatr. Serv."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1081\/ADA-200032290","article-title":"Effectiveness of long-term residential substance abuse treatment for women: Findings from three national studies","volume":"30","author":"Greenfield","year":"2004","journal-title":"Am. J. Drug Alcohol Abus."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1080\/08897077.2013.812544","article-title":"Impact of psychiatric comorbidity on the in-treatment outcomes of cocaine-dependent patients on therapeutic community","volume":"35","year":"2014","journal-title":"Subst. Abus."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S0740-5472(96)00189-4","article-title":"Participation in community residential treatment and substance abuse patients\u2019 outcomes at discharge","volume":"14","author":"Moos","year":"1997","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1176\/appi.ps.55.7.767","article-title":"Relationship between drug treatment services, retention, and outcomes","volume":"55","author":"Hser","year":"2004","journal-title":"Psychiatr. Serv."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Pickens, R.W., Leukefeld, C.G., and Schuster, C.R. (1991). Retention in drug-free therapeutic communities. Improving Drug Abuse Treatment, NIDA Research Monograph.","DOI":"10.1037\/e496292006-026"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/0740-5472(93)90093-H","article-title":"Fixed and dynamic predictors of client retention in therapeutic communities","volume":"10","author":"Condelli","year":"1993","journal-title":"J. Subst. Abus. Treat."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1037\/0893-164X.11.4.261","article-title":"Overview of 1-year follow-up outcomes in the Drug Abuse Treatment Outcome Study (DATOS)","volume":"11","author":"Hubbard","year":"1997","journal-title":"Psychol. Addict. Behav."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1081\/ADA-100100601","article-title":"Predictors of treatment outcomes in men and women admitted to a therapeutic community","volume":"26","author":"Messina","year":"2000","journal-title":"Am. J. Drug Alcohol Abus."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/j.1465-3362.2009.00050.x","article-title":"Predictors of 3-month retention in a drug treatment therapeutic community","volume":"28","author":"Mulder","year":"2009","journal-title":"Drug Alcohol Rev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"452","DOI":"10.15288\/jsad.2013.74.452","article-title":"Psychiatric profile of three-month retention in cocaine-dependent patients treated in a therapeutic community","volume":"74","author":"Lozano","year":"2013","journal-title":"J. Stud. Alcohol Drugs"},{"key":"ref_47","first-page":"136","article-title":"Impact of social anxiety in a \u201ctherapeutic community\u201d-oriented cocaine treatment clinic","volume":"7","author":"Egelko","year":"1998","journal-title":"Am. J. Addict."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1300\/J069v21n02_07","article-title":"Improved psychological status in a modified therapeutic community for homeless MICA men","volume":"21","author":"Egelko","year":"2002","journal-title":"J. Addict. Dis."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/j.1465-3362.2010.00175.x","article-title":"Mental health improvement of substance-dependent clients after 4 months in a therapeutic community","volume":"29","author":"Polimeni","year":"2010","journal-title":"Drug Alcohol Rev."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/15504263.2013.807073","article-title":"Implementing residential integrated treatment for co-occurring disorders","volume":"9","author":"McKee","year":"2013","journal-title":"J. Dual Diagn."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1037\/0022-006X.59.1.12","article-title":"Clinical significance: A statistical approach to denning meaningful change in psychotherapy research","volume":"59","author":"Jacobson","year":"1991","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_52","unstructured":"Arenas, F., del Valle, M., L\u00f3pez, R., Mart\u00edn, J., and Tirado, P. (2003). Programa de Intervenci\u00f3n. Comunidad Terap\u00e9utica en Andaluc\u00eda, Junta de Andaluc\u00eda. Consejer\u00eda de Asuntos Sociales. Comisionado para las Drogodependencias."},{"key":"ref_53","unstructured":"American Psychiatric Association (APA) (2004). Diagnosis Statistical Manual of Mental Disorders (DSM-IV-R), American Psychiatry Association. [4th ed.]."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.4088\/JCP.v67n1010","article-title":"Independent versus substance-induced mayor depressive disorders in substance-dependent patients: Observational study of course during follow-up","volume":"67","author":"Nunes","year":"2006","journal-title":"J. Clin. Psychiatry"},{"key":"ref_55","first-page":"99","article-title":"Test para la Evaluaci\u00f3n de la Calidad de Vida en Adictos a Sustancias (TECVASP): Estudios de fiabilidad y validez","volume":"9","author":"Lozano","year":"2007","journal-title":"Trastor. Adict."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archpsyc.1961.01710120031004","article-title":"An inventory for measuring depression","volume":"4","author":"Beck","year":"1961","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_57","unstructured":"Beck, A.T., Rush, A.J., Shaw, B.F., and Emery, G. (1979). Cognitive Therapy of Depression, Guilford."},{"key":"ref_58","first-page":"191","article-title":"An\u00e1lisis psicom\u00e9trico de las versiones breves del \u201cInventario para la Depresi\u00f3n de Beck\u201d de 1978 (BDI-IA)","volume":"15","author":"Sanz","year":"2007","journal-title":"Psicol. Conduct."},{"key":"ref_59","unstructured":"Spielberger, C.D., Gorsuch, R.L., and Lushene, R.E. (1970). Manual for the State-Trait Anxiety Inventory, Consulting Psychologist Press."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.ijchp.2017.07.003","article-title":"Short form of the Spanish adaptation of the State-Trait Anxiety Inventory","volume":"17","year":"2017","journal-title":"Int. J. Clin. Health Psychol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1111\/j.1360-0443.1992.tb02719.x","article-title":"Development and validation of a multidimensional instrument for assessing outcome of treatment among opiate users: The Opiate Treatment Index","volume":"87","author":"Darke","year":"1992","journal-title":"Br. J. Addict."},{"key":"ref_62","unstructured":"Gonz\u00e1lez-Saiz, F. (1997). Estandarizaci\u00f3n de un Instrumento de Evaluaci\u00f3n Multidimensional en los Trastornos Adictivos. [Ph.D. Thesis, Universidad de C\u00e1diz]."},{"key":"ref_63","first-page":"19","article-title":"The Opiate Treatment Index (OTI) clinical interview: New evidence of its reliability and validity","volume":"14","year":"2012","journal-title":"Heroin Addict Relat. Clin. Probl."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1176\/ajp.153.9.1195","article-title":"Psychiatric Research Interview for Substance and Mental Disorders (PRISM): Reliability for substance abusers","volume":"153","author":"Hasin","year":"1996","journal-title":"Am. J. Psychiatry"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1176\/appi.ajp.161.7.1231","article-title":"Diagnosing comorbid psychiatric disorders in substance abusers: Validity of the Spanish versions of the Psychiatric Research Interview for Substance and Mental Disorders and the Structured Clinical Interview for DSM-IV","volume":"161","author":"Torrens","year":"2004","journal-title":"Am. J. Psychiatry"},{"key":"ref_66","unstructured":"Conners, C.K., Erhardt, D., and Sparrow, E. (1999). Conners\u2019 Adult ADHD Rating Scales, Multi-Health Systems."},{"key":"ref_67","unstructured":"Saez-Franc\u00e0s, N., Bosch, R., Ramos-Quiroga, J.A., Valero, S., Nogueira, M., G\u00f3mez, N., Palomar, G., and Casas, M. (2008, January 3). Validaci\u00f3n de la versi\u00f3n espa\u00f1ola de la Conners\u2019 Adult ADHD Diagnostic Interview for DSM-IV. In Proceeding of the National Congress of Psychiatry, Valencia, Spain."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.rpsm.2012.05.004","article-title":"Validez de criterio y concurrente de la versi\u00f3n espa\u00f1ola de la Conners\u2019 Adult ADHD Diagnostic Interview for DSM-IV","volume":"5","author":"Bosch","year":"2012","journal-title":"Rev. Psiquiatr. Salud Ment."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1177\/008124630903900402","article-title":"Subjective well-being: A general overview","volume":"39","author":"Diener","year":"2009","journal-title":"S. Afr. J. Psychol."},{"key":"ref_70","first-page":"105","article-title":"Evaluaci\u00f3n de resultados cl\u00ednicos (y III): \u00cdndices de Cambio Fiable (ICF) como estimadores del cambio cl\u00ednicamente significativo","volume":"8","year":"2010","journal-title":"Norte Salud Ment."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1046\/j.1360-0443.2002.00127.x","article-title":"Have we evaluated addiction treatment correctly? Implications from a chronic care perspective","volume":"97","author":"McLellan","year":"2002","journal-title":"Addiction"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1001\/jama.1993.03500150065028","article-title":"The effects of psychosocial services in substance abuse treatment","volume":"269","author":"McLellan","year":"1993","journal-title":"JAMA"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7442\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:29:25Z","timestamp":1760164165000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,12]]},"references-count":72,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["ijerph18147442"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18147442","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,12]]}}}