{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:16:12Z","timestamp":1789438572534,"version":"build-2803163510"},"reference-count":37,"publisher":"Consortium Erudit","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["smq"],"abstract":"<jats:p>Cette \u00e9tude est un suivi r\u00e9trospectif sur cinq ans qui examine les variations dans la consommation de substances psychoactives et les d\u00e9terminants de ces variations. Il s\u2019agit d\u2019une recherche exploratoire aupr\u00e8s d\u2019un sous-\u00e9chantillon de 22 participants, s\u00e9lectionn\u00e9s \u00e0 partir d\u2019un \u00e9chantillon initial de 197 patients, pr\u00e9sentant \u00e0 la fois des probl\u00e8mes de consommation probl\u00e9matique de substances et de sant\u00e9 mentale. Au niveau quantitatif, la comparaison statistique entre les deux temps de mesure montre une am\u00e9lioration de la consommation probl\u00e9matique d\u2019alcool et de drogues et une absence de changement au niveau de l\u2019\u00e9tat psychologique, de la sant\u00e9, des relations familiales\/interpersonnelles et de l\u2019emploi. Au niveau qualitatif, l\u2019analyse de la perspective subjective des participants indique que les deux principaux \u00e9l\u00e9ments de progression de la consommation sont les effets et la disponibilit\u00e9 des substances. Les principaux \u00e9l\u00e9ments de diminution de la consommation sont l\u2019utilisation des services, des techniques personnelles mises au point par les participants, le r\u00e9seau familial, les atteintes \u00e0 la sant\u00e9 physique, le manque de ressources financi\u00e8res, les activit\u00e9s \u00ab\u00a0occupationnelles\u00a0\u00bb et un processus de maturation.<\/jats:p>","DOI":"10.7202\/017797ar","type":"journal-article","created":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T01:06:04Z","timestamp":1342573564000},"page":"59-82","source":"Crossref","is-referenced-by-count":4,"title":["Processus de changement chez des patients avec une concomitance toxicomanie\u2013sant\u00e9 mentale"],"prefix":"10.7202","volume":"32","author":[{"given":"Didier","family":"Acier","sequence":"first","affiliation":[{"name":"Psychologue-chercheur, Centre Dollard-Cormier, Universit\u00e9 de Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Nadeau","sequence":"additional","affiliation":[{"name":"Professeure titulaire, Groupe de recherche et d\u2019intervention sur les substances psychoactives (RISQ), Centre Dollard-Cormier, Institut universitaire sur les d\u00e9pendances, D\u00e9partement de psychologie, Universit\u00e9 de Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Landry","sequence":"additional","affiliation":[{"name":"Directeur de la recherche et du d\u00e9veloppement universitaire, Centre Dollard-Cormier, RISQ, Professeur associ\u00e9, Universit\u00e9 de Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4194","published-online":{"date-parts":[[2008,3,25]]},"reference":[{"key":"rb1","unstructured":"Acier, D., Nadeau, L., 2005, Troubles mentaux et troubles li\u00e9s \u00e0 une substance, Addictologie et Alcoologie, 27, 4, 315-324."},{"key":"rb2","unstructured":"American Psychiatric Association, 1994, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Washington, D.C."},{"key":"rb3","doi-asserted-by":"publisher","unstructured":"Battjes, R., Onken, L.\u00a0S., Delany, P. 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