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美沙酮维持治疗脱失中的戒断恐惧:停用美沙酮的一个潜在障碍。

Abstinence fear in methadone maintenance withdrawal: a possible obstacle for getting off methadone.

作者信息

Eklund C, Hiltunen A J, Melin L, Borg S

机构信息

Department of Clinical Psychology, University of Uppsala, Sweden.

出版信息

Subst Use Misuse. 1997 May;32(6):779-92. doi: 10.3109/10826089709039377.

DOI:10.3109/10826089709039377
PMID:9178443
Abstract

The present study attempts to shed light on methadone maintenance patients expectations regarding withdrawal symptoms during voluntary methadone detoxification. The study includes two groups of subjects; one group who have tried on their own initiative to terminate their methadone maintenance treatment (Group 1) and one group that contains rehabilitated patients who have not tried to quit using methadone (Group 2). Two main results have emerged. Group 1 has negative expectations beforehand about the intensity of withdrawal which significantly exceed the later, actual experience. Group 2 has negative expectations about the intensity of withdrawal that significantly exceed the negative expectations of Group 1. The clinical implications of these results are discussed.

摘要

本研究试图阐明美沙酮维持治疗患者在自愿美沙酮戒毒期间对戒断症状的期望。该研究包括两组受试者:一组是主动尝试终止美沙酮维持治疗的患者(第一组),另一组是已康复但未尝试停用美沙酮的患者(第二组)。出现了两个主要结果。第一组事先对戒断强度的负面期望显著超过后来的实际体验。第二组对戒断强度的负面期望显著超过第一组的负面期望。本文讨论了这些结果的临床意义。

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