Network therapy: Decreased secondary opioid use during buprenorphine maintenance

被引：35

作者：

Galanter, M ^{[1
]}

Dermatis, H ^{[1
]}

Glickman, L ^{[1
]}

Maslansky, R ^{[1
]}

Sellers, MB ^{[1
]}

Neumann, E ^{[1
]}

Rahman-Dujarric, C ^{[1
]}

机构：

[1] NYU Med Ctr, Dept Psychiat, Div Alcoholism & Drug Abuse, New York, NY 10016 USA

来源：

JOURNAL OF SUBSTANCE ABUSE TREATMENT | 2004年 / 26卷 / 04期

关键词：

network therapy; buprenorphine; heroin; addiction treatment; social support;

D O I：

10.1016/j.jsat.2004.03.002

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

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.

引用

页码：313 / 318

页数：6

共 23 条

[1]

[Anonymous], PRACT GUID TREATM PS

[2] ALCOHOLISM-TREATMENT BY DISULFIRAM AND COMMUNITY REINFORCEMENT THERAPY [J].

AZRIN, NH ;

SISSON, RW ;

MEYERS, R ;

GODLEY, M .

JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY, 1982, 13 (02) :105-112

[3] Social behaviour and network therapy - Basic principles and early experiences [J].

Copello, A ;

Orford, J ;

Hodgson, R ;

Tober, G ;

Barrett, C .

ADDICTIVE BEHAVIORS, 2002, 27 (03) :345-366

[4]

Copello A, 2001, ALCOHOL ALCOHOLISM, V36, P11

[5]

FAWCETT J, 1987, PSYCHOPHARMACOL BULL, V23, P309

[6] Treatment of heroin dependence with buprenorphine in primary care [J].

Fiellin, DA ;

Pantalon, MV ;

Pakes, JP ;

O'Connor, PG ;

Chawarski, M ;

Schottenfeld, RS .

AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 2002, 28 (02) :231-241

[7] Office-based treatment of opiate addiction with a sublingual-tablet formulation of buprenorphine and naloxone [J].

Fudala, PJ ;

Bridge, TP ;

Herbert, S ;

Williford, WO ;

Chiang, CN ;

Jones, K ;

Collins, J ;

Raisch, D ;

Casadonte, P ;

Goldsmith, RJ ;

Ling, W ;

Malkerneker, U ;

McNicholas, L ;

Renner, J ;

Stine, S ;

Tusel, D .

NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (10) :949-958

[8]

GALANTER M, 1993, AM J PSYCHIAT, V150, P28

[9] Network therapy for cocaine abuse: Use of family and peer supports [J].

Galanter, M ;

Dermatis, H ;

Keller, D ;

Trujillo, M .

AMERICAN JOURNAL ON ADDICTIONS, 2002, 11 (02) :161-166

[10] Network therapy for addiction: Assessment of the clinical outcome of training [J].

Galanter, M ;

Keller, DS ;

Dermatis, H .

AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1997, 23 (03) :355-367

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