Effectiveness and Utility of Mobile Device Assessment of Subjective Craving during Residential Opioid Dependence Treatment.
Effectiveness and Utility of Mobile Device Assessment of Subjective Craving during Residential Opioid Dependence Treatment.
复制标题
移动设备评估在住宅阿片类药物依赖治疗过程中的有效性和效用。
DOI：
10.1080/10826084.2021.1921808
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发表时间：
2021
影响因子：
2
通讯作者：
Bunce SC
中科院分区：
文献类型：
--
作者：
Cleveland HH;Knapp KS;Brick TR;Russell MA;Gajos JM;Bunce SC
渴望是一种动态状态，在理论上和经验上都与成瘾复发有关。静态措施不能充分捕捉渴望的动态性质，研究表明，这些措施将渴望与治疗结果联系起来的能力有限。目前的研究报告了从73名住院治疗阿片类药物依赖的患者那里收集的为期12天的4x天渴望评估。分析调查了个人评估是否产生了预期的跨日和日内变异性，渴望程度是否在不同天和几天内发生了变化，最后，渴望变异性的个体差异是否预示着住院治疗后的复发。初步分析发现，数据录入合规性和可靠性达到了可接受的水平。与预期一致的是，渴望在人与人之间(46%)存在差异，其中大多数人内差异(超过40%)存在于几天内。其他出现的模式表明，平均而言，渴望在12天的评估期间有所下降，通常在中午最强烈。分析还发现，患者个人层面的渴望变异性预测治疗后复发，高于和超过他们的平均渴望水平。总之，分析支持在住院治疗期间测量渴求的4x天、12天评估方案的可靠性、敏感性和潜在的实用性。
Craving is a dynamic state that is both theoretically and empirically linked to relapse in addiction. Static measures cannot adequately capture the dynamic nature of craving, and research has shown that these measures are limited in their capacity to link craving to treatment outcomes. The current study reports on assessments of craving collected 4x-day across 12 days from 73 patients in residential treatment for opioid dependence. Analyses investigated whether the within-person assessments yielded expected across- and within-day variability, whether levels of craving changed across and within days, and, finally, whether individual differences in craving variability predicted post-residential treatment relapse. Preliminary analyses found acceptable levels of data entry compliance and reliability. Consistent with expectations, craving varied both between (46%) and within persons, with most within-person variance (over 40%) existing within days. Other patterns that emerged indicated that, on average, craving declined across the 12-days of assessment, and was generally strongest at mid-day. Analyses also found that patients’ person-level craving variability predicted post-treatment relapse, above and beyond their mean levels of craving. In sum, analyses support the reliability, sensitivity, and potential utility of the 4x-day, 12-day assessment protocol for measuring craving during residential treatment.
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影响因子：
2.3
作者：
Bujarski, Spencer;Roche, Daniel J. O.;Ray, Lara A.
通讯作者：
Ray, Lara A.
影响因子：
3.7
作者：
Dmitrieva, Natalia O.;Almeida, David M.;Pieper, Carl F.
通讯作者：
Pieper, Carl F.
影响因子：
4.1
作者：
Tiffany, ST;Carter, BL
通讯作者：
Carter, BL
DOI：
10.1097/01.alc.0000091227.26627.75
发表时间：
2003-10-01
影响因子：
3.2
作者：
Sobell, LC;Sobell, MB;Agrawal, S
通讯作者：
Agrawal, S
影响因子：
6
作者：
McEvoy, PM;Stritzke, WGK;Ketterman, RL
通讯作者：
Ketterman, RL