Social support and abstinence from opiates and cocaine during opioid maintenance treatment
Social support and abstinence from opiates and cocaine during opioid maintenance treatment
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DOI：
10.1016/s0376-8716(01)00151-x
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发表时间：
2001-12-01
影响因子：
4.2
通讯作者：
Delucchi, KL
中科院分区：
文献类型：
--
作者：
Wasserman, DA;Stewart, AL;Delucchi, KL
社会支持可能在帮助吸毒者实现戒毒方面发挥重要作用；然而，这些好处可能取决于所经历的支持类型。在这项前瞻性观察研究中。我们检查了接受美沙酮或LAAM的128名阿片类药物维持患者的一般支持和戒断特定支持，无论是结构性的还是功能性的，预测阿片类药物和可卡因戒断的程度。为这项研究开发了一种新的多维自我报告工具，用于评估特定于禁欲的功能支持。以前经过验证的措施被用来评估其余类型的支助。在调整了基线禁欲和其他统计上重要的协变量后，分层Logistic回归分析表明，研究基线时的社会支持与3个月后生化确认的戒烟之间的关联因支持类型和药物而异。更大的戒除特定的结构性支持(随着社会网络中吸毒者的减少而运作)和三种消极的戒除特定功能支持的减少(关于药物使用的投诉、药物暴露和士气低落)可以预测可卡因，但不能预测鸦片戒断。一般的支持，无论是结构上的还是功能上的，对戒断这两种药物都没有影响，专注于改变患者对戒断的特定支持的干预措施可能有助于降低这一人群中可卡因使用障碍的高发生率。(C)2001爱思唯尔科学爱尔兰有限公司，保留所有权利。
Social support may play an important role in helping drug users achieve abstinence; however these benefits may depend on the type of support experienced. In this prospective observational study. we examined the extent to which general and abstinence-specific support, both structural and functional, predicted opiate and cocaine abstinence in 128 opioid maintenance patients receiving either methadone or LAAM. A new multidimensional self-report instrument assessing abstinence-specific functional support was developed for the study. Previously validated measures were used to assess the remaining types of support. With baseline abstinence and other statistically important covariates adjusted, hierarchical logistic regression analyses demonstrated that the associations between social support at study baseline and biochemically confirmed abstinence 3 months later varied by type of support and by drug. Greater abstinence-specific structural support (operationalized as fewer drug users in the social network) and decreases in three types of negative abstinence-specific functional support (Complaints about Drug Use, Drug Exposure, and Demoralization) predicted cocaine, but not opiate abstinence. There were no effects for general support, whether structural or functional, on abstinence from either drug, Interventions that focus on modifying patients' abstinence-specific support may be helpful in reducing the high rates of cocaine use disorders in this population. (C) 2001 Elsevier Science Ireland Ltd, All rights reserved.