Perceived relapse risk and desire for medication assisted treatment among persons seeking inpatient opiate detoxification.
Perceived relapse risk and desire for medication assisted treatment among persons seeking inpatient opiate detoxification.
复制标题
DOI：
10.1016/j.jsat.2013.04.002
复制
发表时间：
2013-09
影响因子：
3.9
通讯作者：
Stein MD
中科院分区：
文献类型：
--
作者：
Bailey GL;Herman DS;Stein MD
大多数阿片类药物成瘾患者在短期住院戒毒计划出院时没有接受药物治疗，尽管复发的风险很高，并且有三种FDA批准的药物可用。我们调查了164例阿片类药物戒毒患者，以评估戒毒计划出院后对药物治疗的需求。参与者主要是男性（71.3%），80%过去曾戒毒。报告他们最近一次住院戒毒，27%在出院当天复发，65%在出院后一个月内复发，90%在出院后一年内复发。63%的人报告说，他们希望在出院后接受药物辅助治疗（MAT）。复发风险每增加1%，需要治疗药物的几率增加1.02倍（p <0.01）。这些数据表明，包括复发风险在内的患者偏好讨论可能会增加排毒后的禁欲。
Most patients with opioid addiction do not receive medication at the time of discharge from brief inpatient detoxification programs despite the high risk of relapse and the availability of three FDA-approved medications. We surveyed 164 inpatient opioid detoxification patients to assess desire for pharmacotherapy following detoxification program discharge. Participants were predominantly male (71.3%) and 80% had detoxed in the past. Reporting on their most recent previous inpatient detoxification, 27% had relapsed the day they were discharged, 65% within a month of discharge, and 90% within a year of discharge. 63% reported they wanted medication-assisted treatment (MAT) after discharge from the current admission. The odds of desiring a treatment medication increased by a factor of 1.02 for every 1% increase in perceived relapse risk (p < .01). These data suggest patient preference discussions including relapse risk could increase post-detox abstinence.