Factors associated with lapses to heroin use during methadone maintenance

Wasserman, David A.; Weinstein, Meryle; Havassy, Barbara E.; Hall, Sharon M.

doi:10.1016/s0376-8716(98)00092-1

Cited by 92 publications

(75 citation statements)

References 32 publications

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“…Wasserman et al 1998). There is considerably more consistent clinical evidence documenting an association between negative affect and relapse (e.g.…”

Section: Assessments Of Studies On Stressmentioning

confidence: 95%

The validity of the reinstatement model of craving and relapse to drug use

2003

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“…Wasserman et al 1998). There is considerably more consistent clinical evidence documenting an association between negative affect and relapse (e.g.…”

Section: Assessments Of Studies On Stressmentioning

confidence: 95%

The validity of the reinstatement model of craving and relapse to drug use

2003

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“…With regard to the process measures, those who received MET+CBT reported significantly greater desire for abstinence, greater expectations of success, and also expected greater difficulty in maintaining abstinence after quitting compared to those who received CBT, although these differences were not maintained by follow-up. Further, MET+CBT participants did not report higher commitment to abstinence, a factor associated with positive treatment outcome across substances of abuse (Hall et al, 1990(Hall et al, , 1991Elal-Lawrence et al, 1987;Wasserman et al, 1998). Finally, we did not demonstrate any differences in cocaine use.…”

Section: Discussionmentioning

confidence: 63%

Enhancing brief cognitive-behavioral therapy with motivational enhancement techniques in cocaine users

McKee

Carroll

Sinha

et al. 2007

Drug and Alcohol Dependence

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Background-We investigated the impact of enhancing brief cognitive behavioral therapy with motivational interviewing techniques for cocaine abuse or dependence, using a focused intervention paradigm.Methods-Participants (n=74) who met current criteria for cocaine abuse or dependence were randomized to 3-session cognitive behavioral therapy (CBT) or 3-session enhanced CBT (MET + CBT), which included an initial session of motivational enhancement therapy (MET). Outcome measures included treatment retention, process measures (e.g., commitment to abstinence, satisfaction with treatment), and cocaine use.Results-Participants who received the MET+CBT intervention attended more drug treatment sessions following the study interventions, reported significantly greater desire for abstinence and expectation of success, and they expected greater difficulty in maintaining abstinence compared to the CBT condition. There were no differences across treatment conditions on cocaine use.Conclusions-These findings offer mixed support for the addition of MET as an adjunctive approach to CBT for cocaine users. In addition, the study provides evidence for the feasibility of using short-term studies to test the effects of specific treatment components or refinements on measures of therapy process and outcome.

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“…With respect to the effect of cannabis on retention and other outcomes in MMT, a previous study from our clinic in TelAviv 23 as well as in others (see review 24 ) found no effect, but other investigators did. 25 The only drug that was more prevalent in Tel-Aviv compared with Las Vegas was benzodiazepine (55.8% vs. 27.8%). The retention was not related to the benzodiazepine abuse on admission in both clinics, but abuse after 1 year or in the last month in treatment was a predictor for a worse outcome (shorter retention) in Tel-Aviv only.…”

Section: Discussionmentioning

confidence: 99%

One-Year and Cumulative Retention as Predictors of Success in Methadone Maintenance Treatment: A Comparison of Two Clinics in the United States and Israel

Peles

Linzy²,

Kreek

et al. 2008

Journal of Addictive Diseases

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Outcome predictors between two methadone maintenance treatment clinics in Tel-Aviv, Israel, and Las Vegas, Nevada, were determined by comparing patients' characteristics. All patients admitted to the two clinics (302 from Las Vegas and 492 from Tel-Aviv) were studied with respect to variables at admission and follow-up. Las Vegas patients were older, contained more females, had more hepatitis C positive markers, and more urine analyses that were positive for cocaine, amphetamines, and tetrahydrocannabinol (THC) on admission than the Tel-Aviv patients. After 1 year, Tel-Aviv patients had higher retention (73.6% vs. 61.6%) and similar opiate abstinence (65.8% vs. 64.9%) compared to Las Vegas patients. Predictors for cumulative retention (Cox regression) for both clinics were higher methadone dosages greater than or equal to 100 mg/ day (Tel-Aviv OR [odds ratio] = 2.1, 95% confidence interval [CI] = 1.6-2.9; Las Vegas OR= 1.8, 95% CI = 1.3-2.5). Also, in Tel-Aviv, predictors were no opiate use after 1 year (OR = 1.7, 95% CI = 1.4-2.2) and no benzodiazepine after 1 year, and in Las Vegas no cocaine and no amphetamines after 1 year and age less than or equal to 30 years. The two major predictors in the two clinics were successful in both outcomes: 1 year retention and opiate abstinence.

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Factors associated with lapses to heroin use during methadone maintenance

Cited by 92 publications

References 32 publications

The validity of the reinstatement model of craving and relapse to drug use

The validity of the reinstatement model of craving and relapse to drug use

Enhancing brief cognitive-behavioral therapy with motivational enhancement techniques in cocaine users

One-Year and Cumulative Retention as Predictors of Success in Methadone Maintenance Treatment: A Comparison of Two Clinics in the United States and Israel

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