Cocaine abuse among methadone maintenance patients: are there effective treatment strategies?
Cocaine abuse among methadone maintenance patients: are there effective treatment strategies?
复制标题
美沙酮维持治疗患者可卡因滥用：有有效的治疗策略吗？
DOI：
10.1080/02791072.1994.10472260
复制
发表时间：
1994
影响因子：
2.8
通讯作者：
Ling,W
中科院分区：
文献类型：
--
作者：
Rawson,RA;McCann,MJ;Hasson,AJ;Ling,W
在过去十年中，美沙酮维持治疗患者滥用可卡因的情况大幅增加。没有标准的治疗方法来解决这个问题。已经收集了关于治疗这一问题的几类技术的有效性的经验证据，包括药物治疗、行为方法（应急管理和预防复发）和美沙酮剂量调整。这些技术的有效性的数据进行了总结。此外，其他治疗干预措施，可能是有效的这一人群，包括日间治疗和清醒的生活设施，进行了说明。最后，美沙酮诊所的管理程序，可能有助于减少可卡因滥用美沙酮患者进行了讨论。虽然这些努力中有许多还处于早期评估阶段，但有一些理由对这些患者的治疗发展持乐观态度。
Cocaine abuse among patients in methadone maintenance treatment has substantially increased in the past decade. No standard treatment approaches exist to address this problem. Empirical evidence has been collected on the effective ness of several categories of techniques for treating this problem, including pharmacotherapies, behavioral methods (contingency management and relapse prevention), and methadone dose adjustment. Data on the effectiveness of these techniques is summarized. In addition, other treatment interventions that may be efficacious for this population, including day treatment and sober-living facilities, are described. Finally, methadone clinic management procedures that may aid in the reduction of cocaine abuse by methadone patients are discussed. Although many of these efforts are in early stages of evaluation, there are some reasons for optimism in the development of treatment for these patients.