Abstract:
:It appears that the literature on agonist maintenance therapies for opioid dependence pays more attention to outcomes during, rather than after, treatment. This review aims to (a) estimate to what extent opioid abstinence can be expected from former maintenance patients, (b) examine possible relationships between patient and treatment characteristics and abstinence rates and (c) assess the need for research in the field of abstinence-orientated maintenance treatment in general, and time-limited buprenorphine maintenance treatment in particular. Database searches supplemented by cross-references resulted in 12 studies included in the review. The studies were mostly naturalistic follow-up studies of former methadone maintenance patients, authored by US researchers in the 1970s. Buprenorphine was used in only one of the studies, and then as a transition between methadone and abstinence. There were considerable variations in definition and assessment of abstinence. Pooled abstinence rates ranged from 22% to 86%. The single factor associated most frequently with abstinence was voluntary participation in detoxification programmes with eligibility criteria ('therapeutic detoxification'). When 'therapeutic detoxification' was compared to 'non-therapeutic detoxification' the pooled abstinence rates were 48% and 22%, respectively. Abstinence-orientated maintenance therapy may be suitable for a subgroup of patients, but there is a substantial need for research updates.
journal_name
Drug Alcohol Revjournal_title
Drug and alcohol reviewauthors
Kornør H,Waal Hdoi
10.1080/09595230500170241subject
Has Abstractpub_date
2005-05-01 00:00:00pages
267-74issue
3eissn
0959-5236issn
1465-3362pii
Q658J3282J501P5Kjournal_volume
24pub_type
杂志文章,评审abstract:INTRODUCTION AND AIMS:Cannabis use rates in Australia have declined since 2001. No research to date has examined possible reasons, despite evident policy interest in understanding such a positive public health outcome. In a 'first pass' examination, five possible reasons are explored: (i) attitudinal shifts regarding t...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12553
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:Following the introduction of smoke-free policies in prisons in several countries, there have been anecdotal reports of prisoners creating cigarettes by mixing nicotine patches or lozenges with tea leaves ('teabacco'). Among a sample of people recently released from smoke-free prisons in Queenslan...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12848
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION AND AIMS:As alcohol use has decreased among Finnish adolescents, we aim to assess: (i) time trends in alcohol use, heavy episodic drinking (HED) and potential explanatory variables among adolescents; (ii) the relationship between trends of explanatory variables and trends in alcohol use and HED; and (iii) ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12697
更新日期:2018-04-01 00:00:00
abstract::Despite optimistic predictions when nicotine replacement therapy (NRT) was switched to over-the-counter (OTC) availability, population surveys have failed to demonstrate a positive impact on long-term smoking cessation. This review examined the strength of the evidence from randomised trials and comparison group studi...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1080/09595230802245527
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:The harm from alcohol and tobacco use in low- and middle-income countries includes substantial economic cost to the individual. Our aim was to describe the expenditure on concurrent alcohol and tobacco use in relation to family income in two districts in Sri Lanka. DESIGN AND METHODS:A community-...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2010.00202.x
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Clerks and servers at alcohol establishments often fail to verify age. Using mystery shoppers to provide performance feedback is one approach to improving age verification. Few controlled studies have evaluated mystery shop interventions. This paper reports on a cluster randomised cross-over trial...
journal_title:Drug and alcohol review
pub_type: 杂志文章,随机对照试验
doi:10.1111/dar.12839
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:This study describes levels and predictors of community attitudes towards alcohol, support for structural alterations to the drinking context, and intention to increase participation in community sports clubs. DESIGN AND METHODS:Cross-sectional data were obtained from the VicHealth Community Atti...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00388.x
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Acute harm from heavy drinking episodes is an increasing focus of public health policy, but capturing timely data on acute harms in the population is challenging. This study aimed to evaluate the precision of readily available administrative emergency department (ED) data in public health surveill...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12458
更新日期:2016-11-01 00:00:00
abstract:ISSUES:The toxicology of homicide offenders and victims, and homicide as a cause of death among psychoactive substance users. APPROACH:Review of the toxicology of homicide, and homicide as a cause of death among psychoactive substance users. KEY FINDINGS:A half or more of offenders are intoxicated by a psychoactive s...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/j.1465-3362.2009.00099.x
更新日期:2010-03-01 00:00:00
abstract::The objective of this study was to examine patterns and yearly trends in alcohol-related hospitalization rates during the period 1987/88-1995/96 for men and women living in metropolitan and rural/remote Victoria. Alcohol-related hospitalizations were extracted from the Victorian Inpatient Minimum Dataset (VMD) for the...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/713659421
更新日期:2000-12-01 00:00:00
abstract::Public support for the regulation of alcohol is central to government policies aimed at reducing consumption. This study uses a nationally representative population survey conducted in 1993 (n = 3500) to examine public support for 11 separate policies designed to reduce alcohol consumption. The results show that the r...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239500185241
更新日期:1995-01-01 00:00:00
abstract::The Eastside Illicit Drinkers Group for Education has been supportive of research dedicated to establishing the effectiveness of Managed Alcohol Programs since its inception. Dedicated funding for MAPs in Vancouver, British Columbia is contingent on the research demonstrating that alcohol-related harms are reduced whi...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12599
更新日期:2018-04-01 00:00:00
abstract:INTRODUCTION AND AIMS:The Australian Treatment Outcomes Profile (ATOP) is a brief clinical tool measuring recent substance use, health and wellbeing among clients attending alcohol and other drug (AOD) treatment services. It has previously been assessed for concurrent validity and inter-rater reliability. In this study...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13088
更新日期:2020-07-01 00:00:00
abstract:INTRODUCTION AND AIMS:Researchers in a number of countries have recently identified major changes in adolescent alcohol consumption since the early 2000s, with the prevalence of teenage drinking more than halving in some countries. The major aims of the current study are to examine if there are sub-groups among non-dri...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12663
更新日期:2018-04-01 00:00:00
abstract::Demographic, drug use and criminal correlates of risky drug practices were examined among 279 detained youth in NSW Juvenile Justice Centres. Binge drinking was common, with 63% reporting the consumption of at least five drinks in a row in the 2 weeks prior to incarceration. It was associated with being older, being f...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239700186431
更新日期:1997-06-01 00:00:00
abstract::Windows of opportunity for changing drug laws open infrequently and they often close without legislative change being affected. In this paper the author, who has been intimately involved in the process, describes how evidence-based recommendations to 'decriminalize' cannabis have recently been progressed through publi...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230410001704226
更新日期:2004-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Once involved in the criminal justice system, people who inject drugs (PWID) have a high probability of multiple system encounters. Imprisonment typically fails to rehabilitate PWID, who upon return to the community are at considerable risk of returning to injecting drug use (IDU) and poor health ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12881
更新日期:2019-03-01 00:00:00
abstract::Increasingly, it seems, legal and political debates regarding the granting of new liquor licences are turning to the issue of whether the number and density of alcohol outlets makes a difference in rates of alcohol consumption and alcohol-related harm. But what is the state of the evidence on this question? In this Ha...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1080/09595230701499191
更新日期:2007-09-01 00:00:00
abstract::The range of tobacco control activities should be viewed as essential parts of a complex multi-component puzzle. Intervention strategies designed to address tobacco control should be comprehensive and include both primary and secondary prevention activities and be multi-faceted and capable of bringing about change at ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239300185641
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Smoking is a major cause of preventable illness for Indigenous peoples. As most regular smoking is established during adolescence when other substances are often first used, effective tobacco prevention requires an understanding of the patterns of related substance use for Indigenous youth. DESIG...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13130
更新日期:2021-01-01 00:00:00
abstract::As with other addictions, human alcoholism is characterised as a chronically relapsing condition. Consequently, the therapeutic goal is the development of clinically effective, safe drugs that promote high adherence rates and prevent relapse. These products can then be used in conjunction with psychosocial approaches....
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1080/09595230601036937
更新日期:2007-01-01 00:00:00
abstract::New amendments to child welfare policy in New South Wales turn a spotlight on parents who use drugs and raise concerns about adequate provision of services for families facing issues with alcohol and other drug use. Sections of the new legislation are explicitly focused on parents who use illicit drugs, expanding the ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12219
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Alcohol use during adolescence is associated with the onset of alcohol use disorders, mental health disorders, substance abuse as well as socially and physically damaging behaviours, the effects of which last well into adulthood. Nevertheless, alcohol use remains prevalent in this population. Unde...
journal_title:Drug and alcohol review
pub_type: 杂志文章,随机对照试验
doi:10.1111/dar.12034
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION AND AIMS:Novel ways of accessing and engaging smokers who are socially and economically disadvantaged may help reduce socioeconomic disparities in smoking rates. This study assessed the feasibility and acceptability of integrating smoking cessation support into usual care at a social and community service ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00391.x
更新日期:2012-07-01 00:00:00
abstract::In response to the rising concerns about the rate of heroin-related fatalities, overdose prevention campaigns, run by both users' organizations and government agencies, have been implemented in a number of states across Australia. In Western Australia (WA) in mid-1997, various overdose prevention initiatives were impl...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/0959523021000023162
更新日期:2002-12-01 00:00:00
abstract:AIM:To report patterns of use of ready to drinks (RTDs) and to assess if RTD consumers have heavier drinking patterns. RTDs were introduced in 1995. METHOD:Data from a general population sample of 7201 respondents aged 14-65 years, in New Zealand in 2004, were modelled. RESULTS:Nineteen per cent of respondents consum...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230802093802
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION AND AIM:This study, which builds on previous research demonstrating that drinking motives are associated with adverse consequences, investigates the associations between drinking motives and non-alcohol-attributed adverse consequences and disentangles alcohol-related and direct effects. DESIGN AND METHOD:...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12572
更新日期:2017-11-01 00:00:00
abstract::In this Harm Reduction Digest two observers and scholars of the 2001 Portuguese drug policy reform consider divergent accounts of the reform which viewed it as a 'resounding success' or a 'disastrous failure'. Acknowledging from their own experience the inherent difficulties in studying drug law reform, Caitlin Hughes...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00383.x
更新日期:2012-01-01 00:00:00
abstract:ISSUES:Today's teenagers have been described as a sober generation and we asked: 'What is known about the recent decline in youth drinking?' APPROACH:A literature review (2005-2017). KEY FINDINGS:Research from wealthier parts of the world provides solid evidence of less alcohol use by youth since the millennium shift...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/dar.12695
更新日期:2018-04-01 00:00:00
abstract:INTRODUCTION AND AIMS:To study (i) whether the children of substance-abusing mothers are hospitalised because of injury or illness more often than other children; (ii) how often these children are placed out of home; and (iii) how the type of substance used by the mother affects her children. DESIGN AND METHODS:This w...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12121
更新日期:2015-01-01 00:00:00