Psychological and behavioural factors associated with relapse among heroin abusers treated in therapeutic communities

Pozo, Juan Miguel Llorente del; G”Mez, C.Fern¡Ndez; Fraile, M.Guti...Rrez; P...Rez, I.Vielva

doi:10.1016/s0306-4603(97)00037-3

Cited by 17 publications

(6 citation statements)

References 32 publications

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“…Poor social functioning has been noted previously among heroin users who also use cocaine [24]. As both unemployment [30] and homelessness [31] have been linked to poor treatment outcome, this pattern is a cause for concern. While rates of criminal involvement halved over the follow-up period, CU remained more likely than NCU to report criminal activity.…”

Section: Discussionmentioning

confidence: 84%

The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS)

Williamson¹,

Darke²,

Ross³

et al. 2006

Drug and Alcohol Review

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The aim of this study was to determine the prevalence of cocaine use among individuals presenting for treatment for heroin dependence, describe the clinical profile of heroin users who also use cocaine and to establish the effects of cocaine use on short term outcomes for the treatment for heroin dependence. A longitudinal follow-up of 549 heroin users recruited in Sydney for the Australian Treatment Outcome Study was conducted at 3-month post-baseline interview. At baseline, current cocaine use was common (39%) and was associated with increased drug use, needle risk taking and criminality. The 3-month prevalence of cocaine use declined significantly to 19%. Thirty-five per cent of those who had used cocaine at baseline continued to use at 3 months, while 9% of the sample had commenced cocaine use. Those who entered residential rehabilitation at baseline were less likely than other treatment entrants and the non-treatment group to have used cocaine at follow-up. Treatment retention was not affected by baseline cocaine use status; however, baseline cocaine users (CU) displayed higher levels of heroin use, polydrug use and drug-related problems. A poorer outcome was associated with the commencement or continuation of cocaine use, while cessation of cocaine use resulted in significant improvements on these measures. Cocaine use was common among individuals seeking treatment for heroin dependence and was an important moderator of treatment outcome. It appears that cocaine use has a strong negative effect on treatment outcome over and above that caused by polydrug use generally.

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Section: Discussionmentioning

confidence: 84%

The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS)

Williamson¹,

Darke²,

Ross³

et al. 2006

Drug and Alcohol Review

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show abstract

“…This is an important finding, as unemployment has been linked to premature mortality (Harlow, 1990) and relapse (Llorente del Pozo, Gomez, Fraile, & Perez, 1998) among heroin users. In addition, this finding further illustrates the psychosocial dysfunction that has previously been noted among cocaine users (Bux et al, 1995;Condelli, Fairbank, Dennis, & Rachal, 1991;Kosten et al, 1988).…”

Section: Discussionmentioning

confidence: 92%

The effect of baseline cocaine use on treatment outcomes for heroin dependence over 24 months: Findings from the Australian Treatment Outcome Study

Williamson

Darke

Ross

et al. 2007

Journal of Substance Abuse Treatment

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“…Moreover, the additional consumption of alcohol in OA may affect the experience of reward and relief craving. Llorente del Pozo et al [44] found that relapsed heroin-dependent patients more frequently consumed alcohol and other drugs, suffered from more heroin craving, and used fewer coping strategies to overcome the craving than abstinent patients. Similar interactive effects of alcohol consumption on the craving for cocaine have been reported [45] .…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Stress, Coping, Effect Expectancies and Craving

Grüsser

Mörsen²,

Wölfling³

et al. 2006

Eur Addict Res

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Based on theoretical models of craving and addiction, this study investigated the association between stress-related variables and negatively and positively reinforcing dimensions of craving (relief and reward craving) in 150 opiate addicts, 150 alcohol addicts and 150 non-addicted controls. Stress-distress was the most powerful predictor of both dimensions of craving, followed by a lack of positive coping strategies whereas expectancies of substance effects seemed to be less important. Positive coping strategies were related to reduced craving only when they were accompanied by low stress-distress. In non-addicted subjects, only positive coping strategies were negatively related to craving. This study confirms the important role of stress-distress for the occurrence of craving in addicts.

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Psychological and behavioural factors associated with relapse among heroin abusers treated in therapeutic communities

Cited by 17 publications

References 32 publications

The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS)

The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS)

The effect of baseline cocaine use on treatment outcomes for heroin dependence over 24 months: Findings from the Australian Treatment Outcome Study

The Relationship of Stress, Coping, Effect Expectancies and Craving

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