Extended-release naltrexone for treatment of alcohol dependence in primary care.

Abstract:

:The feasibility of using extended-release injectable naltrexone (XR-NTX) to treat alcohol dependence in routine primary care settings is unknown. An open-label, observational cohort study evaluated 3-month treatment retention, patient satisfaction, and alcohol use among alcohol-dependent patients in two urban public hospital medical clinics. Adults seeking treatment were offered monthly medical management (MM) and three XR-NTX injections (380 mg, intramuscular). Physician-delivered MM emphasized alcohol abstinence, medication effects, and accessing mutual help and counseling resources. Seventy-two alcohol-dependent patients were enrolled; 90% (65 of 72) of eligible subjects received the first XR-NTX injection; 75% (49 of 65) initiating treatment received the second XR-NTX injection; 62% (40 of 65), the third. Among the 56% (n = 40) receiving three injections, median drinks per day decreased from 4.1 (95% confidence interval = 2.9-6) at baseline to 0.5 (0-1.7) during Month 3. Extended-release naltrexone delivered in a primary care MM model appears a feasible and acceptable treatment for alcohol dependence.

journal_name

J Subst Abuse Treat

authors

Lee JD,Grossman E,DiRocco D,Truncali A,Hanley K,Stevens D,Rotrosen J,Gourevitch MN

doi

10.1016/j.jsat.2010.03.005

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

14-21

issue

1

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(10)00066-8

journal_volume

39

pub_type

杂志文章
  • Has Malaysia's antidrug effort been effective?

    abstract::It is a common belief that a massive effort in law enforcement, preventive education and rehabilitation will result in the elimination of a country's drug problem. Based on this premise. Malaysia in 1983 implemented such a multifaceted anti-drug strategy, and the results of a 1987 study by the author suggested that Ma...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(92)90087-5

    authors: Scorzelli JF

    更新日期:1992-01-01 00:00:00

  • Altered states of consciousness therapy. A missing component in alcohol and drug rehabilitation treatment.

    abstract::Attaining altered states of consciousness is described as a basic human motive. The substance dependent population is distinguished from other populations because they pursue these states destructively by inappropriate use of alcohol and drugs. Despite a body of literature supporting the benefits of altered states of ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(91)90030-e

    authors: McPeake JD,Kennedy BP,Gordon SM

    更新日期:1991-01-01 00:00:00

  • Pathways in the relapse--treatment--recovery cycle over 3 years.

    abstract::For many individuals, substance use leads to a chronic cycle of relapse, treatment reentry, and recovery, often lasting for decades. This study replicates earlier work, documents the transition patterns within the cycle during a 3-year period, and identifies variables that predict these transitions. Data are from 1,32...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2004.09.006

    authors: Scott CK,Foss MA,Dennis ML

    更新日期:2005-01-01 00:00:00

  • G. Alan Marlatt: 1941-2011.

    abstract::In his extraordinarily productive research career, G. Alan Marlatt contributed to and anticipated by decades a variety of major changes in the treatment of substance use disorders. This article briefly reviews and comments on his contributions to addiction psychology, cognitive-behavior therapy, alcohol expectancies, ...

    journal_title:Journal of substance abuse treatment

    pub_type: 传,历史文章,杂志文章

    doi:10.1016/j.jsat.2011.06.004

    authors: Miller WR,McLellan AT

    更新日期:2011-12-01 00:00:00

  • The contribution of consensus within staff and client groups as well as concordance between staff and clients to treatment engagement.

    abstract::Two nonspecific organizational factors-consensus, defined as agreement within staff and client groups, and concordance, defined as agreement between staff and client groups-were shown to influence client engagement in treatment in a national sample of 80 residential substance abuse treatment programs including 595 sta...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jsat.2006.05.002

    authors: Melnick G,Wexler HK,Chaple M,Banks S

    更新日期:2006-10-01 00:00:00

  • The relationship of Medicaid expansion to psychiatric comorbidity care within substance use disorder treatment programs.

    abstract:BACKGROUND:Co-occurring mental health disorders are common among substance use disorder (SUD) patients. Medicaid expansion aimed to reduce barriers to SUD and mental health care and thereby improve treatment outcomes. METHODS:We estimated change in the proportion of United States SUD treatment sites offering treatment...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2019.07.012

    authors: Shover CL,Abraham A,D'Aunno T,Friedmann PD,Humphreys K

    更新日期:2019-10-01 00:00:00

  • A randomized clinical trial of motivational enhancement therapy for alcohol problems in partner violent men.

    abstract::This study examined the efficacy of brief alcohol intervention in the context of community-based treatment for partner violence. In a randomized clinical trial, 228 partner-violent men with hazardous or problem drinking were recruited at three Intimate Partner Violence (IPV) treatment agencies and randomly assigned to...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2018.03.004

    authors: Murphy CM,Ting LA,Jordan LC,Musser PH,Winters JJ,Poole GM,Pitts SC

    更新日期:2018-06-01 00:00:00

  • Sustained attention but not effort-based decision-making predicts treatment motivation change in people with methamphetamine dependence.

    abstract:BACKGROUND:Early treatment motivation is a meaningful predictor of clinical outcomes in the context of methamphetamine dependence (MD). Cognitive deficits associated with MD can have a significant impact on motivational fluctuations during early treatment. We specifically examined if sustained attention and effort-base...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2018.09.007

    authors: Rubenis AJ,Fitzpatrick RE,Lubman DI,Verdejo-Garcia A

    更新日期:2018-12-01 00:00:00

  • Opioid overdose prevention with intranasal naloxone among people who take methadone.

    abstract::Overdose education and naloxone distribution (OEND) is an intervention that addresses overdose, but has not been studied among people who take methadone, a drug involved in increasing numbers of overdoses. This study describes the implementation of OEND among people taking methadone in the previous 30 days in various ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2012.07.004

    authors: Walley AY,Doe-Simkins M,Quinn E,Pierce C,Xuan Z,Ozonoff A

    更新日期:2013-02-01 00:00:00

  • Does Alcoholics Anonymous involvement predict treatment outcome?

    abstract::Patients receiving inpatient treatment for alcohol dependence were followed for 31 weeks after discharge. Alcoholics Anonymous (AA) attenders, when compared with nonattenders, were not distinguishable on pretreatment patient characteristics. Posttreatment attendance of AA was not predictive of drinking outcomes. Howev...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(95)00018-z

    authors: Montgomery HA,Miller WR,Tonigan JS

    更新日期:1995-07-01 00:00:00

  • Managing MICA clients in a modified therapeutic community with enhanced staffing.

    abstract::To determine how effective a modified therapeutic community (TC) with enhanced mental health staffing would be in treating mentally ill chemical abusing (MICA) clients in a "mainstream" program, Project Return Foundation, Inc. (PRF) conducted a treatment outcome evaluation study involving 438 residents. Client admissi...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(98)00005-1

    authors: Carroll JF,McGinley JJ

    更新日期:1998-11-01 00:00:00

  • Relapse in outpatient treatment for marijuana dependence.

    abstract::The current study provides an initial examination of lapse and relapse to marijuana use among 82 individuals who achieved at least 2 weeks of abstinence during outpatient treatment for marijuana dependence. Seventy-one percent used marijuana at least once (i.e., lapsed) within 6 months of initial abstinence, averaging...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(03)00083-7

    authors: Moore BA,Budney AJ

    更新日期:2003-09-01 00:00:00

  • Alcoholic and spouse concordance on attributions about relapse to drinking.

    abstract::The purpose of this paper is to report a descriptive study of the degree of concordance between male alcoholics' and their wives' perceptions of the alcoholics' relapse to drinking within two years of their participation in an outcome study of behavioral marital therapy for alcoholism. At the end of a two-year follow-...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(88)90007-4

    authors: Maisto SA,O'Farrell TJ,McKay JR,Connors GJ,Pelcovits M

    更新日期:1988-01-01 00:00:00

  • What aspects of treatment matter to the patient in the treatment of cocaine dependence?

    abstract::Patient views of the helpful aspects of treatment were examined in the NIDA Collaborative Cocaine Treatment Study, a multi-site trial comparing four psychosocial treatments: individual cognitive therapy (CT), individual supportive expressive dynamic therapy (SE), individual drug counseling, and group drug counseling o...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jsat.2004.06.007

    authors: Siqueland L,Crits-Christoph P,Barber JP,Connolly Gibbons MB,Gallop R,Griffin M,Frank A,Thase ME,Luborsky L,Liese B

    更新日期:2004-09-01 00:00:00

  • Integrated Cognitive Behavioral Therapy Versus Cognitive Processing Therapy for Adults With Depression, Substance Use Disorder, and Trauma.

    abstract::The comorbidity of substance use disorder (SUD), depression, and PTSD is common among veterans. Prior research has shown that among veterans with SUD and depression, those with PTSD did not maintain cognitive-behavioral treatment gains as well as those without PTSD. Thus, the current study was designed to evaluate whe...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2015.11.005

    authors: Haller M,Norman SB,Cummins K,Trim RS,Xu X,Cui R,Allard CB,Brown SA,Tate SR

    更新日期:2016-03-01 00:00:00

  • Computer simulation games as an adjunct for treatment in male veterans with alcohol use disorder.

    abstract::This study examined the impact of a computer simulation designed to provide the opportunity for individuals with alcohol use disorders (AUDs) to practice relapse prevention skills. Participants were 41 male veterans enrolled in an intensive outpatient substance abuse treatment program. Participants were randomly assig...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jsat.2012.08.006

    authors: Verduin ML,LaRowe SD,Myrick H,Cannon-Bowers J,Bowers C

    更新日期:2013-03-01 00:00:00

  • Twelve-month maintenance treatment of opium-dependent patients.

    abstract::The goal of this study was to compare the effects of 1, 3 and 8 mg per day doses of buprenorphine in the maintenance treatment of opium-dependent subjects in Iran over a treatment period of 12 months. Participants were randomized to three equal groups (171 subjects per group) of opium-dependent individuals who met the...

    journal_title:Journal of substance abuse treatment

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0740-5472(03)00141-7

    authors: Ahmadi J,Babaee-Beigi M,Alishahi M,Maany I,Hidari T

    更新日期:2004-01-01 00:00:00

  • The relative effectiveness of women-only and mixed-gender treatment for substance-abusing women.

    abstract::Following research indicating that the treatment needs of women are different from those of men, researchers and clinicians have argued that drug treatment programs for women should be designed to take their needs into account. Such programs tend to admit only women and incorporate philosophies and activities that are...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2010.12.001

    authors: Prendergast ML,Messina NP,Hall EA,Warda US

    更新日期:2011-06-01 00:00:00

  • Narcotic addiction and family process: death wish or countertransference.

    abstract::This article critically examines the literature which suggests that families of narcotic addicts push their addicted member toward death. Following an overview of the conventional literature on the family treatment of drug addiction, an alternative perspective is proposed to more fully understand how these families ar...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(87)90007-9

    authors: Turner FN,Saltz L

    更新日期:1987-01-01 00:00:00

  • Benzodiazepines: a major problem. Introduction.

    abstract::Benzodiazepine use is prevalent. Moreover, benzodiazepine abuse, addiction, tolerance, and dependence occur commonly with benzodiazepine use. Confusion arises in assessing the nature and magnitude of benzodiazepine use and its consequences. Abuse, addiction, tolerance, and dependence occur in medical and nonmedical po...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(91)90021-2

    authors: Miller NS,Gold MS

    更新日期:1991-01-01 00:00:00

  • Low Rates of Adoption and Implementation of Rapid HIV Testing in Substance Use Disorder Treatment Programs.

    abstract:INTRODUCTION:Rapid HIV testing (RHT) greatly increases the proportion of clients who learn their test results. However, existing studies have not examined the adoption and implementation of RHT in programs treating persons with substance use disorders, one of the population groups at higher risk for HIV infection. MET...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2015.12.001

    authors: Frimpong JA,D'Aunno T,Helleringer S,Metsch LR

    更新日期:2016-04-01 00:00:00

  • Cocaine psychosis and AIDS: a contemporary diagnostic dilemma.

    abstract::This article examines some of the differential diagnostic considerations associated with the interaction between advanced cocaine psychosis and the neuropsychiatric manifestations of AIDS-Spectrum Disorders. A clinical case is presented to illustrate the potential for institutional countertransference in the treatment...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(88)90031-1

    authors: Shaffer HJ,Costikyan NS

    更新日期:1988-01-01 00:00:00

  • Establishing the feasibility of performance measures for alcohol and other drugs.

    abstract::The Washington Circle (a multiple-disciplinary group of providers, researchers, managed care representatives, and public policy representatives) examined three performance measures for alcohol and other drug (AOD) services. These measures, which were developed and applied to managed care organizations' administrative ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/s0740-5472(02)00303-3

    authors: Garnick DW,Lee MT,Chalk M,Gastfriend D,Horgan CM,McCorry F,McLellan AT,Merrick EL

    更新日期:2002-12-01 00:00:00

  • Impulsivity is associated with treatment non-completion in cocaine- and methamphetamine-dependent patients but differs in nature as a function of stimulant-dependence diagnosis.

    abstract::Greater impulsivity, assessed by the Barratt Impulsiveness Scale-11 (BIS-11) and Stroop interference scores, has been associated with treatment completion in cocaine-dependent patients. This study evaluated the relationships among impulsivity, stimulant-dependence diagnosis, and treatment completion. Six sites evaluat...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jsat.2012.12.005

    authors: Winhusen T,Lewis D,Adinoff B,Brigham G,Kropp F,Donovan DM,Seamans CL,Hodgkins CC,Dicenzo JC,Botero CL,Jones DR,Somoza E

    更新日期:2013-05-01 00:00:00

  • Increased flexibility in methadone take-home scheduling during the COVID-19 pandemic: Should this practice be incorporated into routine clinical care?

    abstract::In the context of the COVID-19 pandemic and the state of emergency that the government of Spain declared, the rapid adaptation of health services is of paramount importance to preserve access to and continuity of service delivery. This research note underscores the importance of ensuring a sufficient quantity of metha...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2020.108154

    authors: Trujols J,Larrabeiti A,Sànchez O,Madrid M,De Andrés S,Duran-Sindreu S

    更新日期:2020-12-01 00:00:00

  • Association of methadone dose with substance use and treatment retention in pregnant and postpartum women with opioid use disorder.

    abstract:BACKGROUND:In non-pregnant individuals being treated for opioid use disorder (OUD) with methadone, doses ≥60mg per day are associated with improved treatment retention and decreased illicit opioid use. Although methadone remains the first line treatment for OUD in pregnant women, there are no studies replicating this f...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2017.06.005

    authors: Wilder CM,Hosta D,Winhusen T

    更新日期:2017-09-01 00:00:00

  • Self-preservation: confronting the issue of nurse impairment.

    abstract::Recognition of valuable natural resources suggests a need to accept a degree of responsibility to preserve and nurture the commodity, and to prevent its destruction. Health care professionals generally embrace such an ethic with reference to the environment, the quality of living for clients, and the need to assume pr...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/0740-5472(84)90032-1

    authors: Patrick PK

    更新日期:1984-01-01 00:00:00

  • Rethinking parenting interventions for drug-dependent mothers: from behavior management to fostering emotional bonds.

    abstract::Mothers who are physically and/or psychologically dependent upon alcohol and illicit drugs are at risk for a wide range of parenting deficits beginning when their children are infants and continuing as their children move through school-age and adolescent years. Behavioral parent training programs for drug-dependent m...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章

    doi:10.1016/j.jsat.2004.06.008

    authors: Suchman N,Mayes L,Conti J,Slade A,Rounsaville B

    更新日期:2004-10-01 00:00:00

  • The Special Treatment Team: an inpatient approach to the mentally ill alcoholic patient.

    abstract::We review the problems unique to the diagnosis and treatment of patients who suffer both major mental illness and alcohol/drug abuse. We describe the experience and the approach evolved in the Special Treatment Team, a State Hospital unit that has specialized in this work. We discuss in detail the assessment and stabi...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/0740-5472(88)90044-x

    authors: Levy MS,Mann DW

    更新日期:1988-01-01 00:00:00

  • Attachment transition, addiction and therapeutic bonding--an integrative approach.

    abstract::In the light of the attachment theory and research outlines the authors develop the concept that addiction is a delayed maladaptive attachment transition in young adults. They look into the relevance of this theoretical framework for therapy in adulthood, especially addiction therapy, connect it with an approach, that...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审

    doi:10.1016/s0740-5472(96)00156-0

    authors: Höfler DZ,Kooyman M

    更新日期:1996-11-01 00:00:00