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康复与麻醉品成瘾者:一项美沙酮脱瘾比较项目的结果

Rehabilitation and the narcotic addict: results of a comparative methadone withdrawal program.

作者信息

Paulus I, Halliday R

出版信息

Can Med Assoc J. 1967 Mar 18;96(11):655-9.

Abstract

The purpose of this retrospective study was to compare (1) regular methadone withdrawal treatment and (2) prolonged methadone withdrawal treatment in 105 and 71 voluntary patients respectively, who attended the Narcotic Addiction Foundation (N.A.F.) between 1959 and mid-1964. Treatment consisted of individual counselling and medical care for all, and only residential care and psychiatric assessment for selected cases. The number of treatment sessions and the details of drug therapy are described.One hundred and fifty-three of 176 patients (87%) were interviewed approximately one to five years after the first clinic contact. Forty-three per cent showed some overall improvement in their behaviour. Rehabilitation was defined as change in a specific area-drug use, work, criminal behaviour, community associations, friendship patterns and family relationships-rather than in terms of abstention from drugs only. Age affected comparative results.

摘要

这项回顾性研究的目的是比较1959年至1964年年中期间,分别在戒毒所接受治疗的105名和71名自愿患者的(1)常规美沙酮戒断治疗和(2)延长美沙酮戒断治疗。所有患者均接受了个体咨询和医疗护理,部分患者还接受了住院护理和精神病学评估。文中描述了治疗疗程的数量和药物治疗的细节。176名患者中有153名(87%)在首次就诊后约一至五年接受了随访。43%的患者行为有了整体改善。康复的定义是在特定领域发生变化,如药物使用、工作、犯罪行为、社区交往、交友模式和家庭关系,而不仅仅是戒毒。年龄影响了比较结果。

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