IMPORTANCE OF SUBSTANCE CUES IN RELAPSE AMONG HEROIN USERS - COMPARISON OF 2 METHODS OF INVESTIGATION
IMPORTANCE OF SUBSTANCE CUES IN RELAPSE AMONG HEROIN USERS - COMPARISON OF 2 METHODS OF INVESTIGATION
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DOI：
10.1016/0306-4603(91)90038-j
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发表时间：
1991-01-01
影响因子：
4.4
通讯作者：
TEBBUTT, J
中科院分区：
文献类型：
--
作者：
HEATHER, N;STALLARD, A;TEBBUTT, J
93名接受治疗的海洛因使用者评定了Marlatt和Gordon（1985年）确定的13类复吸原因及其亚类对其最近一次复吸的重要性。将这些受试者评级与两名独立法官的一致分类进行比较，这两名法官对受试者对相同复发事件的描述进行了编码。结果表明，当法官对受试者对有关他们上次复发的问题的开放式回答进行分类时，物质线索存在时的诱惑或冲动作为复发的原因并不重要，这些分类在这方面与以前报道的结果相似。相比之下，当受试者自己直接量化各种复发类别在促成他们最后一次复发中的重要性时，与物质有关的诱惑或冲动在所有类别中获得了最高的平均评分。
Ninety-three heroin users in treatment rated the importance to their last relapse to heroin use of the 13 categories and subcategories of reasons for relapse identified by Marlatt and Gordon (1985). These subject ratings were compared with the consensual categorizations of two independent judges who coded subjects' descriptions of the same relapse episodes. The results showed that, when judges categorized subjects' open-ended responses to questions about their last relapse, temptations or urges in the presence of substance cues were accorded no importance as a reason for relapse, and these categorizations were similar in this respect to previously reported findings. In contrast, when subjects themselves directly quantified the importance of the various relapse categories in precipitating their last relapse, substance-related temptations or urges obtained the highest mean rating of all categories.