FACTORS PREDICTING OUTCOME AMONG OPIATE ADDICTS AFTER TREATMENT
FACTORS PREDICTING OUTCOME AMONG OPIATE ADDICTS AFTER TREATMENT
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DOI：
10.1111/j.2044-8260.1990.tb00871.x
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发表时间：
1990-05-01
影响因子：
3.1
通讯作者：
BRADLEY, B
中科院分区：
文献类型：
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作者：
GOSSOP, M;GREEN, L;BRADLEY, B
80 名成功戒毒的鸦片成瘾者在停止治疗后接受了为期六个月的随访。预期可能与随后的戒断或吸毒有关的变量根据结果指标进行回归。有两个变量始终作为结果的预测因素出现。受试者确定的保护因素的数量以及对能够保持不吸毒的信心的量度均与停止治疗后头两个月的吸毒频率、六个月的吸毒状态以及六个月期间的改善有关。此外，之前禁欲期的长度与六个月后的结果相关，治疗时间也与此相关，但在解释后一种效应时应谨慎行事。尽管已发现风险因素与复发有关，但感知风险和结果之间没有关系。此外，入院时确定的应对策略的数量仅与出院后的结果相关。这些发现的含义是根据复发模型进行讨论的。
Eighty opiate addicts who had been successfully withdrawn from drugs were followed up for a period of six months after leaving treatment. Variables which might have been expected to relate to subsequent abstinence or drug taking were regressed against measures of outcome. Two variables consistently emerged as predictors of outcome. The number of protective factors identified by the subject and a measure of confidence about being able to remain drug free were both related to frequency of drug use during the first two months after leaving treatment, to drug status at six months and to improvement during the six-month period. In addition, the length of previous periods of abstinence related to outcome at six months, as did time spent in treatment, though caution is urged in the interpretation of this latter effect. Although risk factors have been found to relate to relapse there was no relation between perceived risks and outcome. Also, the number of coping strategies identified at admission was only related to outcome during the immediate post-discharge period. The implications of these findings are discussed in terms of a model of relapse.