Response to methadone maintenance and counseling in antisocial patients with and without major depression

被引:42
作者
Alterman, AI [1 ]
Rutherford, MJ [1 ]
Cacciola, JS [1 ]
McKay, JR [1 ]
Woody, GE [1 ]
机构
[1] VET AFFAIRS MED CTR,PHILADELPHIA,PA
关键词
D O I
10.1097/00005053-199611000-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study compared the treatment response of four groups of psychiatrically diverse opiate-dependent, methadone maintenance patients receiving drug counseling. The four groups were patients with no other nonsubstance abuse axis I psychiatric diagnoses (OF only; N = 65), patients with lifetime major depression (DEP; N = 60), patients with both antisocial personality disorder and Lifetime major depression (APD+DEP; N = 35), and patients with only APD (APD only; N = 24). Patients were assessed at intake, during treatment, and 7 months after treatment admission. No statistically significant differences were found among the groups in treatment retention/attendance. Few significant group differences were revealed during-treatment urine screens, except that barbiturate use was more common for the APD only group. The APD only group also had significantly more positive urine screens for benzodiazepines than the other three groups at 7-month follow-up. All groups reported considerable improvement in problem level at 7 months compared with admission status. The APD only group reported fewer gains in legal and employment problems than the other groups but reported greater improvement in the drug area. Thus, there was some limited support for a prior finding, based on individual psychotherapy, that the treatment response of APD only patients was inferior to that of APD+DEP patients or non-APD patients.
引用
收藏
页码:695 / 702
页数:8
相关论文
共 18 条
[1]   INTERVIEWER SEVERITY RATINGS AND COMPOSITE SCORES OF THE ASI - A FURTHER LOOK [J].
ALTERMAN, AI ;
BROWN, LS ;
ZABALLERO, A ;
MCKAY, JR .
DRUG AND ALCOHOL DEPENDENCE, 1994, 34 (03) :201-209
[2]   THE ANTISOCIAL PERSONALITY-DISORDER DIAGNOSIS IN SUBSTANCE-ABUSERS - PROBLEMS AND ISSUES [J].
ALTERMAN, AI ;
CACCIOLA, JS .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1991, 179 (07) :401-409
[3]  
[Anonymous], 1988, PERSONALITY DISORDER
[4]   TREATMENT RESPONSE OF ANTISOCIAL SUBSTANCE-ABUSERS [J].
CACCIOLA, JS ;
ALTERMAN, AI ;
RUTHERFORD, MJ ;
SNIDER, EC .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1995, 183 (03) :166-171
[5]   THE ADDICTION SEVERITY INDEX - RELIABILITY AND VALIDITY IN A DUTCH ADDICT POPULATION [J].
HENDRIKS, VM ;
KAPLAN, CD ;
VANLIMBEEK, J ;
GEERLINGS, P .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 1989, 6 (02) :133-141
[6]  
HODGINS DC, 1992, J NERV MENT DIS, V180, P197
[7]  
HOLLANDER M, 1973, NONPARAMETRIC STATIS
[8]   MATCHING ALCOHOLICS TO COPING SKILLS OR INTERACTIONAL THERAPIES - POSTTREATMENT RESULTS [J].
KADDEN, RM ;
GETTER, H ;
COONEY, NL ;
LITT, MD .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1989, 57 (06) :698-704
[9]   DRINKING OUTCOMES OF ALCOHOL ABUSERS DIAGNOSED AS ANTISOCIAL PERSONALITY-DISORDER [J].
LONGABAUGH, R ;
RUBIN, A ;
MALLOY, P ;
BEATTIE, M ;
CLIFFORD, PR ;
NOEL, N .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1994, 18 (04) :778-785
[10]   NEW DATA FROM THE ADDICTION SEVERITY INDEX - RELIABILITY AND VALIDITY IN 3 CENTERS [J].
MCLELLAN, AT ;
LUBORSKY, L ;
CACCIOLA, J ;
GRIFFITH, J ;
EVANS, F ;
BARR, HL ;
OBRIEN, CP .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1985, 173 (07) :412-423