Document Detail


Methadone maintenance outcome as a function of detoxification phobia.
MedLine Citation:
PMID:  8010360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Methadone maintenance outcome as a function of detoxification phobia was examined. METHOD: Opiate addicts (N = 271) in a 1983 random sample of methadone maintenance patients from three diverse populations were studied. Subjects from an individually assessed follow-up sample (N = 102) were compared on detoxification phobia. Logistic regression analysis yielded best predictors of the phobia. RESULTS: Phobic patients were more likely to be white, female, and abstinent; to have had fewer detoxification attempts and longer periods on maintenance; to show persistence of the phobia; to meet diagnostic criteria for depressive or anxiety disorders; and to have Addiction Severity Index scores above the 75th percentile for psychological problems. CONCLUSIONS: Detoxification phobia has a complex relationship to methadone maintenance outcome. It is associated with greater abstinence for patients in methadone maintenance treatment. However, for rehabilitated phobic patients it presents a barrier to successful detoxification and a drug-free adjustment that is often associated with other psychopathology but could be ameliorated by targeted assessment and treatment.
Authors:
J B Milby; A A Hohmann; M Gentile; N Huggins; M K Sims; A T McLellan; G Woody; N Haas
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  151     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-07-15     Completed Date:  1994-07-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1031-7     Citation Subset:  AIM; IM    
Affiliation:
Psychology Service (116-B), VA Medical Center, Birmingham, AL 35233.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Anxiety Disorders / diagnosis,  epidemiology,  psychology
Attitude to Health
Comorbidity
Continental Population Groups
Depressive Disorder / diagnosis,  epidemiology,  psychology
Educational Status
Female
Follow-Up Studies
Humans
Male
Methadone / therapeutic use*
Middle Aged
Opioid-Related Disorders / epidemiology,  psychology,  rehabilitation*
Phobic Disorders / diagnosis*,  epidemiology,  psychology
Psychotherapy
Risk Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
DA-05502/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
76-99-3/Methadone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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