Gossop M, Green L, Phillips G, Bradley B
Drug Dependence Clinical Research and Treatment Unit, Bethlem Royal Hospital, Beckenham, Kent.
Br J Psychiatry. 1989 Mar;154:348-53. doi: 10.1192/bjp.154.3.348.
This paper presents data from the first British prospective study to investigate relapse among opiate addicts after treatment. Eighty subjects were followed up over the six-month period immediately after discharge from treatment and were interviewed on several occasions. Large numbers of subjects used opiates within a very short time after discharge; 71% used them within the first six weeks. However, this first lapse to opiate use did not herald a full-blown relapse to dependent use. There was a gradual increase in the number of abstinent subjects, with 45% abstinent and living in the community at the six-month point. The practical and theoretical implications may be regarded as broadly encouraging.
本文展示了英国首个关于调查阿片类成瘾者治疗后复发情况的前瞻性研究的数据。八十名受试者在治疗出院后的六个月内接受随访，并接受了多次访谈。大量受试者在出院后的很短时间内就使用了阿片类药物；71%的人在头六周内就使用了。然而，首次使用阿片类药物并不预示着会全面复发到依赖使用状态。戒断的受试者数量逐渐增加，到六个月时，有45%的人戒断并生活在社区中。其实际和理论意义可被视为大体上是鼓舞人心的。
