Network therapy: Decreased secondary opioid use during buprenorphine maintenance
Network therapy: Decreased secondary opioid use during buprenorphine maintenance
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DOI：
10.1016/j.jsat.2004.03.002
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发表时间：
2004-06-01
影响因子：
3.9
通讯作者：
Rahman-Dujarric, C
中科院分区：
文献类型：
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作者：
Galanter, M;Dermatis, H;Rahman-Dujarric, C
网络治疗（NT）雇用家庭成员和/或朋友来支持在办公室实践中进行的成瘾治疗。本研究旨在确定相对于对照治疗，NT 是否是一种有用的社会心理辅助剂，可减少丁丙诺啡维持治疗患者非法海洛因的使用。同意随机分配至 NT（N = 33）或药物管理（MM，N = 33）的患者接受短期丁丙诺啡维持治疗，然后逐渐减少至零剂量。 NT 导致阿片类药物呈阴性的尿液毒理学结果显着高于 MM（65% 比 45%），并且在治疗结束时，NT 比 MM 患者（50% 比 23%）相对于二次海洛因使用经历了积极的结果。因此，在办公室实践中使用 NT 可能会提高消除丁丙诺啡维持期间二次使用海洛因的有效性。它也可能有助于提高其他情况下成瘾治疗方案的依从性。 (C) 2004 Elsevier Inc. 保留所有权利。
Network therapy (NT) employs family members and/or friends to support compliance with an addiction treatment carried out in office practice. This study was designed to ascertain whether NT is a useful psychosocial adjunct, relative to a control treatment, for achieving diminished illicit heroin use for patients on buprenorphine maintenance. Patients agreeing to randomization to either NT (N = 33) or medication management (MM, N = 33) were inducted onto short-term buprenorphine maintenance and then tapered to zero dose. NT resulted in significantly more urine toxicologies negative for opioids than MM (65% vs. 45%) and more NT than MM patients (50% vs. 23%) experienced a positive outcome relative to secondary heroin use by the end of treatment. The use of NT in office practice may therefore improve the effectiveness of eliminating secondary heroin use during buprenorphine maintenance. It may also be useful in enhancing compliance with an addiction treatment regimen in other contexts. (C) 2004 Elsevier Inc. All rights reserved.