Engelsk titel: Psychosocial interventions in drug-free treatment of opiate abuse
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Författare:
Hesse M
;
Fridell M
Email: mortenhesse@crf.dk
Språk: Dan
Antal referenser: 41
Dokumenttyp:
Översikt
UI-nummer: 06093627
Sammanfattning
Background: Methadone and buprenorphine are
well-documented treatment options
for opiate dependence, and there is
substantial evidence to support adjunct
psychosocial support for methadone
maintenance treatment. Although
drug-free treatment is preferred by
a large number of patients and has
considerable political support, less is
known about treatment to support and
maintain complete abstinence from all
opiates, both illicit and prescribed.
Method: We conducted a review of studies of
psychosocial interventions to support
complete abstinence from opiates, to
identify what conclusions, if any, can be
drawn based on the existing literature.
In total, 12 studies were identified. The
quality of many studies was excellent,
but follow-up was generally short, with
only half the studies reporting posttreatment
follow-up, and no follow-up
longer than 21 months.
Discussion: Given that drug free treatment aims
at lasting abstinence from opiates,
this is a serious shortcoming of the
literature. Among the few studies with
post-treatment follow-up, studies using
individual behaviour therapy showed
little advantage over the control group
with no individual behaviour therapy, and one study using
behavioural family therapy
showed an advantage
for the experimental
intervention over the
standard intervention.