Best David, Noble Alison, Ridge Gayle, Gossop Michael, Farrell Michael, Strang John
National Addiction Centre/The Maudsley Institute of Psychiatry, Denmark Hill, London, UK.
Addict Biol. 2002 Jan;7(1):67-74. doi: 10.1080/135562101200100607.
One hundred and twenty-three treatment-seeking substance misusers were recruited to a study assessing the early impact of treatment. Participants were interviewed at treatment entry and 3 and 6 months later, regardless of their treatment status (i.e. including those who had dropped out of treatment), while additional data were obtained from the two assessment interviews carried out prior to the initiation of treatment. Three consistent observations can be applied to both the opiate misuser (n = 61) and problem drinker samples (n = 62): (1) the period of pre-treatment wait (mean of 8 weeks) was characterized by stable patterns of substance misuse with no significant 'spontaneous' improvement in indices of severity of drug or alcohol problems; (2) the period immediately following initiation of treatment was associated with substantial reductions in the quantity and frequency of substance use, an effect not influenced by the length of time for treatment initiation; (3) these benefits are maintained to 6 months after treatment initiation. The waiting period for treatment initiation does not seem to be characterized by significant changes in drug or alcohol use patterns, at least among those who made it into treatment, with clear and sustained improvements irrespective of the length of treatment wait.
123名寻求治疗的药物滥用者被招募到一项评估治疗早期影响的研究中。参与者在进入治疗时、3个月后和6个月后接受访谈，无论其治疗状态如何（即包括那些退出治疗的人），同时从治疗开始前进行的两次评估访谈中获取额外数据。有三个一致的观察结果适用于阿片类药物滥用者样本（n = 61）和问题饮酒者样本（n = 62）：（1）治疗前等待期（平均8周）的特点是药物滥用模式稳定，药物或酒精问题严重程度指标没有显著的“自发”改善；（2）治疗开始后的一段时间内，物质使用的数量和频率大幅减少，这一效果不受治疗开始时间长短的影响；（3）这些益处会在治疗开始后持续到6个月。治疗开始的等待期似乎没有明显的药物或酒精使用模式变化，至少在那些进入治疗的人中是这样，无论治疗等待时间长短，都会有明显且持续的改善。
