Looking back on cocaine dependence: Reasons for recovery
Looking back on cocaine dependence: Reasons for recovery
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DOI：
10.1080/10550490390240774
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发表时间：
2003-10-01
影响因子：
3.7
通讯作者：
Brown, BS
中科院分区：
文献类型：
--
作者：
Flynn, PM;Joe, GW;Brown, BS
对美国8个城市45个治疗项目的708名患者进行了为期5年的全国性随访研究，研究了可卡因依赖长期恢复的因素。在随访中，33%的样本的结果非常有利，包括在尿液或头发标本中没有检测到药物，没有自我报告使用任何药物，少于每日饮酒，并且在过去一年中没有非法活动或逮捕。这些改善的主要原因是改变的动机、家庭的积极影响、宗教和精神的力量以及药物治疗的帮助。“康复”被视为一个持续的过程，是一个从治疗中吸取教训的过程。这些回顾性归因证实了许多来自前瞻性结局研究的相同发现，并为治疗过程和恢复提供了概念框架。
Factors that contributed to long-term recovery from cocaine dependence were examined aspart of a 5-year national follow-up study of 708 patients from 45 treatment programs in eight U.S. cities. Outcomes from 33% of the sample were highly favorable at follow-up, including no drugs detected in urine or hair specimens, no self-reported use of any drugs, less than daily alcohol use, and no illegal activity or arrests during the past year. Major reasons cited for these improvements were motivations to change, positive influences of family, strength from religion and spirituality, and help from drug treatment. "Recovery" was viewed as a continuous process and one that benefits from lessons learned in treatment. These retrospective attributions affirm many of the same findings from prospective outcome studies and contribute to a conceptual framework for treatment process and recovery.