Kenney Shannon R, Bailey Genie L, Anderson Bradley J, Stein Michael D
Behavioral Medicine Department, Butler Hospital, Providence, RI 02906, United States; Warren Alpert Medical School of Brown University, Providence, RI 02912, United States.
Warren Alpert Medical School of Brown University, Providence, RI 02912, United States; Stanley Street Treatment and Resources, Inc., Fall River, MA 02720, United States.
Addict Behav. 2017 Oct;73:124-128. doi: 10.1016/j.addbeh.2017.05.009. Epub 2017 May 9.
An individual's self-efficacy to refuse using heroin in high-risk situations is believed to minimize the likelihood for relapse. However, among individuals completing inpatient heroin detoxification, perceived refusal self-efficacy may also reduce one's perceived need for medication-assisted treatment (MAT), an effective and recommended treatment for opioid use disorder. In the current study, we examined the relationship between heroin refusal self-efficacy and preference for MAT following inpatient detoxification.
Participants (N=397) were interviewed at the start of brief inpatient opioid detoxification. Multiple logistic regression was used to estimate the adjusted association of background characteristics, depressed mood, and perceived heroin refusal self-efficacy with preference for MAT.
Controlling for other covariates, depressed mood and lower perceived refusal self-efficacy were associated with a significantly greater likelihood of expressing preference for MAT (versus no MAT).
Perceived ability to refuse heroin after leaving detox is inversely associated with a heroin user's desire for MAT. An effective continuum of care model may benefit from greater attention to patient's perceived refusal self-efficacy during detoxification which may impact preference for MAT and long-term recovery.
人们认为，个体在高危情境中拒绝使用海洛因的自我效能感能够降低复发的可能性。然而，在完成住院海洛因脱毒治疗的个体中，感知到的拒绝自我效能感也可能会降低个体对药物辅助治疗（MAT）的需求，而MAT是治疗阿片类物质使用障碍的一种有效且推荐的治疗方法。在本研究中，我们考察了住院脱毒治疗后海洛因拒绝自我效能感与对MAT的偏好之间的关系。
在短期住院阿片类物质脱毒治疗开始时，对参与者（N = 397）进行访谈。使用多元逻辑回归来估计背景特征、抑郁情绪和感知到的海洛因拒绝自我效能感与对MAT的偏好之间的校正关联。
在控制其他协变量的情况下，抑郁情绪和较低的感知拒绝自我效能感与表达对MAT的偏好（相对于不使用MAT）的可能性显著增加相关。
脱毒后感知到的拒绝海洛因的能力与海洛因使用者对MAT的渴望呈负相关。一个有效的连续护理模式可能会受益于在脱毒治疗期间更加关注患者感知到的拒绝自我效能感，这可能会影响对MAT的偏好和长期康复。
