Kidorf Michael, King Van L, Neufeld Karin, Stoller Kenneth B, Peirce Jessica, Brooner Robert K
Department of Psychiatry and Behavioral Sciences, Johns Hopkins Bayview Medical Center, The Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
J Subst Abuse Treat. 2005 Jul;29(1):19-27. doi: 10.1016/j.jsat.2005.03.006.
Positive, abstinence-oriented, social support is associated with good substance abuse treatment outcome but few interventions are designed to help patients improve their social supports. This article reports on a behavioral intervention designed to encourage opioid-dependent patients receiving methadone to include drug-free family members or friends in treatment and to use these individuals to facilitate development of a supportive, non-drug-using social network. This report uses data from a quality assurance program review of the treatment response of 59 opioid-dependent outpatients who identified a drug-free significant other to participate in their treatment. Fifty-five (93.2%) brought a significant other (most often the patient's mother, 29%) to both the initial evaluation session and at least one joint session. Social support activities were family- (33%), church- (28%), and self-help group-related (30%). Approximately 78% of patients who participated in the social support intervention achieved at least four consecutive weeks of abstinence. Women responded better than men. We conclude that methadone-maintained patients can and will include non-drug-using family members and friends in treatment, and these individuals can be mobilized to help patients improve their recovery.
积极的、以戒断为导向的社会支持与良好的药物滥用治疗结果相关，但很少有干预措施旨在帮助患者改善其社会支持。本文报道了一项行为干预措施，旨在鼓励接受美沙酮治疗的阿片类药物依赖患者让不吸毒的家庭成员或朋友参与治疗，并利用这些人促进建立一个支持性的、不吸毒的社会网络。本报告使用了来自一项质量保证项目审查的数据，该审查涉及59名阿片类药物依赖门诊患者的治疗反应，这些患者确定了一名不吸毒的重要他人参与他们的治疗。55名（93.2%）患者带了一名重要他人（大多数情况下是患者的母亲，占29%）参加初始评估 session 以及至少一次联合 session。社会支持活动与家庭（33%）、教会（28%）和自助团体相关（30%）。参与社会支持干预的患者中，约78%实现了至少连续四周的戒断。女性的反应比男性更好。我们得出结论，接受美沙酮维持治疗的患者能够且愿意让不吸毒的家庭成员和朋友参与治疗，并且可以动员这些人帮助患者改善康复情况。 注：原文中“session”未明确具体意思，暂保留英文。
