Historique
Périodique
Network therapy: Decreased secondary opioid use during buprenorphine maintenance
(Impliquer des membres de la famille pour soutenir l'observance des traitements prescrits en cabinet médical : baisse de l'usage d'héroïne pendant le maintien sous buprénorphine)
Auteur(s) :
GALANTER, M. ;
DERMATIS, H. ;
GLICKMAN, L. ;
MASLANSKY R. ;
SELLERS M. B. ;
NEUMANN E. ;
RAHMAN-DUJARRIC, C.
Année
2004
Page(s) :
313-318
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TRAITEMENT AMBULATOIRE
;
OBSERVANCE DU TRAITEMENT
;
BUPRENORPHINE
;
CONSOMMATION
;
OPIOIDES
;
FAMILLE
;
PRISE EN CHARGE
;
EFFICACITE
Note générale :
Journal of Substance Abuse Treatment, 2004, 26, (4), 313-318
Résumé :
ENGLISH :
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. (Editor's abstract.)
Affiliation :
Division of Alcoholism and Drug Abuse, New York University Department of Psychiatry, NYU Medical Center, New York, NY. E-mail : marcgalanternyu.edu
Etats-Unis. United States.
Etats-Unis. United States.