Historique
Périodique
Self-detoxification attempts among methadone maintenance patients. What methods and what success?
(Tentatives d'auto-désintoxication parmi les patients en traitement de maintenance à la méthadone. Quelles méthodes et quel réussite?)
Auteur(s) :
NOBLE, A. ;
BEST, D. ;
MAN, L. H. ;
GOSSOP, M. ;
STRANG, J.
Année
2002
Page(s) :
575-584
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
CURE DE DESINTOXICATION
;
DESINTOXICATION
;
ABSTINENCE
;
RECHUTE
;
EFFICACITE
Thésaurus géographique
ROYAUME-UNI
Note générale :
Addictive Behaviors, 2002, 27, (3), 575-584
Note de contenu :
tabl.
Résumé :
ENGLISH :
In a study of patients attending a methadone maintenance clinic in South London, 66 of 114 (58%) had previously attempted to detoxify themselves from opiates without medical assistance. The total number of self-detoxification attempts was 237, an average of 3.6 attempts per individual. Forty subjects (61%) reported attempting self-detoxification with the help of drugs or alcohol. The drugs most commonly used were diazepam, alcohol, and cannabis. The most commonly reported reasons for attempting self-detoxification were "fed-up with the lifestyle" (61%) and "for their family" (12%). The reasons given for why patients had decided to detoxify themselves rather than access treatment services included 23% who reported that "they could cope on their own and that they didn't need any help." The short-term success rate (abstinent for at least 24 hours) was moderate, at 41% (97/237). Patients who had been unsuccessful were asked why their last self-detoxification attempt had not resulted in abstinence, with 27% reporting that they were "tempted to use again" and 23% reported that they "didn't know why they started using again." The prevalence of both attempts and success suggests that, for some opiate users, self-detoxification may be a pathway to abstinence. (Editor's abstract.)
Affiliation :
Natl. Addict. Ctr., Maudsley Hosp., Inst. Psychiat., 4 Windsor Walk, Denmark Hill, London SE5 8AF. E-mail : d.best@iop.kcl.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.