Abstinence symptomatology associated with cessation of chronic cocaine abuse among methadone-maintained patients

被引:12
作者
Margolin, A [1 ]
Avants, SK [1 ]
Kosten, TR [1 ]
机构
[1] YALE UNIV, SCH MED, DEPT PSYCHIAT, SUBST ABUSE CTR, NEW HAVEN, CT 06519 USA
关键词
cocaine; withdrawal; methadone; abstinence;
D O I
10.3109/00952999609001666
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We assessed cocaine abstinence symptomatology in a sample of 100 cocaine-abusing, methadone-maintained patients who completed an anonymous questionnaire retrospectively rating the intensity of 18 symptoms at six time points, from 30 minutes to 2 weeks, post-cocaine use. We found that a majority of patients endorsed symptoms related to dysphoria 24 hours post-binge. However, these symptoms tended to be mild to moderate in intensity and relatively short-lived. Principal components analyses extracted four factors accounting for 64% of the variance: psychoticism, exhaustion, agitation, recovery. Early post-binge period was dominated by psychoticism and agitation, followed by recovery for the duration of the period assessed.
引用
收藏
页码:377 / 388
页数:12
相关论文
共 15 条
[1]  
[Anonymous], 1992, SUBSTANCE ABUSE COMP
[2]  
BATTJES RJ, 1988, NIDA RES MONOGRAPH, V80
[3]   A COMPARISON OF SELF-REPORTED SYMPTOMS AND DSM-III-R CRITERIA FOR COCAINE WITHDRAWAL [J].
BROWER, KJ ;
MADDAHIAN, E ;
BLOW, FC ;
BERESFORD, TP .
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1988, 14 (03) :347-356
[4]  
COMPTON WM, 1993, NIDA RES MONOGRAPH, V169
[5]   COCAINE USE BY CLIENTS IN METHADONE PROGRAMS - SIGNIFICANCE, SCOPE, AND BEHAVIORAL INTERVENTIONS [J].
CONDELLI, WS ;
FAIRBANK, JA ;
DENNIS, ML ;
RACHAL, JV .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 1991, 8 (04) :203-212
[6]   SUBJECTIVE REPORTS OF WITHDRAWAL AMONG COCAINE USERS - RECOMMENDATIONS FOR DSM-IV [J].
COTTLER, LB ;
SHILLINGTON, AM ;
COMPTON, WM ;
MAGER, D ;
SPITZNAGEL, EL .
DRUG AND ALCOHOL DEPENDENCE, 1993, 33 (02) :97-104
[7]  
GAWIN FH, 1986, ARCH GEN PSYCHIAT, V43, P107
[8]  
GAWIN FH, 1992, NIDA RES MONOGRAPH, V442
[9]   DOPAMINERGIC SENSITIVITY AND COCAINE ABUSE - RESPONSE TO APOMORPHINE [J].
HOLLANDER, E ;
NUNES, E ;
DECARIA, CM ;
QUITKIN, FM ;
COOPER, T ;
WAGER, S ;
KLEIN, DF .
PSYCHIATRY RESEARCH, 1990, 33 (02) :161-169
[10]   CLINICAL RATINGS AND PLASMA HVA DURING COCAINE ABSTINENCE [J].
MARTIN, SD ;
YERAGANI, VK ;
LODHI, R ;
GALLOWAY, MP .
BIOLOGICAL PSYCHIATRY, 1989, 26 (04) :356-362