Improving detoxification outcomes from methadone maintenance treatment: The interrelationship of affective states and protracted withdrawal

Journal of Psychoactive Drugs

Volumn 28, Issue 3, 1996, Pages 251-257

  Latowsky, Mark ^a  

^a UNIVERSITY OF TORONTO   (Canada)

Author keywords

Affective states; Aftercare; Detoxification; Methadone maintenance; Withdrawal

Indexed keywords

METHADONE; OPIATE DERIVATIVE;

DRUG EFFICACY; DRUG WITHDRAWAL; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION PREVENTION; OPIATE ADDICTION; REVIEW; TREATMENT OUTCOME; WITHDRAWAL SYNDROME;

EID: 0029814904     PISSN: 02791072     EISSN: 21599777     Source Type: Journal    
DOI: 10.1080/02791072.1996.10472486     Document Type: Article

References (88)

1. Anglin, M.D. & McGlothlin, E.H. 1984. Outcome of narcotic addict treatment in California. In: F.M. Tims & J.P. Ludford (Eds.)Drug Abuse Treatment Evaluation: Strategies, Progress, and Prospects. NIDA Research Monograph 51. Rockville, Maryland: National Institute on Drug Abuse.
2. Bale, R.N.; Van Stone, W.W.; Kuldau, J.M.; Engelsing, T.M.J.; Elashoft, R.M. & Zarcone, V.R 1980. Therapeutic communities vs. methadone maintenance. A prospective controlled study of narcotic addiction treatment: Design and one-year follow-up. Archives of General Psychiatry37:179-93.
3. Ball, J.C.; Myers, C.P. & Friedman, S.R. 1988. Reducing the risk of AIDS through methadone maintenance treatment. Journal of Health and Social Behavior29:214-26.
4. Ball, J.C. & Ross, A. 1991. The Effectiveness of Methadone Maintenance Therapy.New York: Springer-Verlag.
5. Blix, O. & Gronbladh, L. 1991. The impact of methadone maintenance treatment on the spread of HIV among IV heroin addicts in Sweden. In: N. Loimer, R. Schmid & A. Springer (Eds.) Drug Addiction and AIDS.Vienna: Springer-Verlag.
6. Bradley, B.; Phillips, G.; Green, L. & Gosspo, M. 1989. Circumstances surrounding the initial lapse to opiate use following detoxification. British Journal of Psychiatry154:354-59.
7. Carr, K.D. 1984. The physiology of opiate hedonic effects and the role of opioids in motivated behavior. Advances in Alcohol and Substance Abuse3:5-18.
8. Cooper, J.R. 1989. Methadone and AIDS. Journal of the American Medical Association 262:1664-668.
9. Cooper, J.R.; Altman, F.; Brown, B.S. & Czechowitz, M. 1983. Research on the Treatment of Narcotic Addiction.Washington D.C.: U.S. GPO.
10. Craig, R.J. 1979a. Personality characteristics of heroin addicts: A review of empirical literature with critique. Part 1. International Journal of the Addictions14:513-23.
11. Craig, R.J. 1979b. Personality characteristics of heroin addicts: A review of empirical literature with critique. Part 2. International Journal of the Addictions14:607-26.
12. Cushman, P. 1978. Abstinence following detoxification and methadone maintenance treatment.American Journal of Medicine65:46-52.
13. Cushman, P. 1974. Detoxification of rehabilitated methadone patients: Frequency and predictors of long term success. American Journal of Drug and Alcohol Abuse1:393-408.
14. Cushman, P. & Dole, V.P. 1973. Detoxification of rehabilitated methadone maintenance patients. Journal of the American Medical Association226:747-52.
15. Davoli, M.; Perucci, C.A.; Forastire, F.; Doyle, P.; Rapiti, E.; Zaccarelli, M. & Abeni, D.D. 1993. Risk factors for overdose mortality: A case-control study within a cohort of intravenous drug users. International Journal of Epidemiology22:273-77.
16. Des Jarlais, D.C.; Joseph, H.J. & Dole, V.P. 1981. Long term outcomes after termination from methadone maintenance treatment. Annals of the New York Academy of Science362:231-38.
17. Dole, V.P. 1968. Implications of methadone maintenance for theories of narcotic addiction. Journal of the American Medical Association260:3025-29.
18. Dole, V.P. & Joseph, H.J. 1978. Long term outcome of patients treated with methadone maintenance. Annals of the New York Academy of Science311:181-89.
19. Dole, V.P. & Joseph, H.J. 1977. Methadone maintenance: Outcome after termination. New York State Journal of Medicine77:1409-412.
20. Dole, V.P. & Nyswander, M. 1980. Methadone maintenance: A theoretical perspective. In: D.J. Lettiere (Ed.)Theories of Drug Abuse: Selected Contemporary Perspectives.Rockville, Maryland: National Institute on Drug Abuse.
21. Dole, V.P. & Nyswander, M.E. 1967. Heroin addiction: A metabolic disease. Archives of Internal Medicine120:19-24.
22. Dole, V.P. & Nyswander, M.E. 1965. A medical treatment for diacetylmorphine (heroin) addiction. Journal of the American Medical Association193:80-84.
23. Dole, V.P.; Robinson, J.W.; Orraaca, J.; Towns, E.; Searcy, P. & Caine, E. 1969. Methadone treatment of randomly selected criminal addicts. New England Journal of Medicine280:1372-375.
24. Eklund, C.; Mellin, L.; Hiltunen, A. B.; Borg, S. 1994. Detoxification from methadone maintenance in Sweden: Long term outcome and effects on quality of life and life situation. International Journal of the Addictions29 (5): 627-44.
25. Gearing, F.R. & Schweitzer, M.D. 1974. An epidemiologic evaluation of long term methadone maintenance treatment for heroin addiction. American Journal of Epidemiology100:101-12.
26. Gold, M.L.; Sorensen, J.L. & McCanlies, N. 1988. Tapering from methadone maintenance: Attitudes of clients and staff. Journal of Substance Abuse Treatment5:37-44.
27. Goldsmith, D.; Hunt, D.; Lipton, D.S. & Strug, D.L. 1984. Methadone folklore: Beliefs about side effects and their impact on treatment. Human Organization43 (4): 330-40.
28. Gossop, M.; Green, L.; Phillips, G. & Bradley, B. 1989. Lapse, relapse, and survival among opiate addicts after treatment. A prospective study.British Journal of Psychiatry154:348-54.
29. Gossop, M.; Powell, J.; Avery, S.; Grey, S. & Hajek, P. 1990. What do opiate addicts and cigarette smokers mean by “craving”? A pilot study. Drug and Alcohol Dependence26:85-87.
30. Grabowski, J. & O’Brien, C.P. 1981. Conditioning factors in opiate use. In: N. Mello (Ed.)Advances in Substance Abuse: Behavioral and Biological Research.Greenwich, Connecticut: JAI Press.
31. Green, L. & Gossop, M. 1988. The effects of information on the opiate withdrawal syndrome. British Journal of Addiction83:304-9.
32. Gronbladh, L.; Ohlund, L.S. & Gunne, L.M. 1990. Mortality in heroin addiction: Impact of methadone treatment. Acta Psychiatrica Scandinavica82:223-27.
33. Gunne, L.M. & Gronbladh, L. 1981. The Swedish methadone maintenance program: A controlled study. Drug and Alcohol Dependence7:249-56.
34. Hall, S.M.; Loeb, P.C. & Kushner, M. 1984. Methadone dose decreases and anxiety reduction. Addictive Behaviors9:11-19.
35. Handelsman, L. & Aronson, M.J. 1992. The dysphoria of heroin addiction. American Journal of Alcohol Abuse18 (3): 275-87.
36. Hubbard, R.L. & Marsdcn, M.E. 1989. Drug abuse treatment: A national study of effectiveness. Chapel Hill: University of North Carolina Press.
37. Kanof, P.D; Aronson, M.J. & Ness, R. 1993. Organic mood syndrome associated with detoxification from methadone maintenance. American Journal of Psychiatry150:423-28.
38. Khantzian, E.J. & Treece, C. 1985. DSM-III psychiatric diagnosis of narcotic addicts. Archives of General Psychiatry42:1087-71.
39. Kleber, H.D. 1977. Detoxification from methadone maintenance: The state of the art. International Journal of the Addictions12 (7): 807-20.
40. Kleber, H.D. & Riordan, C.E. 1982. The treatment of narcotic withdrawal: A historical review. Journal of Clinical Psychiatry43:30-34.
41. Kosten, T.R. & Rounsaville, B.J. 1986. Psychopathology in opioid addicts. Psychiatric Clinics of North America9 (3): 515-32.
42. Kosten, T.R.; Rounsaville, B.J. & Kleber, H.D. 1982. DSM-III personality disorders in opiate addicts. Comprehensive Psychiatry23:572-81.
43. Maddux, J.; Desmond, D. & Costello, R. 1987. Depression in opioid users varies with substance use status. American Journal of Drug and Alcohol Abuse13 (4): 375-85.
44. Marlatt, G.A. & Gordon, J.R. 1985. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors.New York: Guilford.
45. Marmor, M.; Des Jarlais, D.C. & Cohen H. 1987. Risk factors for infection of human immunodeficiency virus among intravenous drug abusers in New York City. AIDS1:39-44.
46. Martin, W.R. & Jasinski, D.R. 1969. Physiological parameters of morphine dependence in man: Tolerance, early abstinence, protracted abstinence. Journal of Psychiatric Research7:9-17.
47. McAuliffe, W.E. 1982. A test of Winkler's theory of relapse: The frequency of relapse due to conditioned withdrawal sickness. International Journal of the Addictions17:19-33.
48. McAuliff, W.E. & Chien, S.M.N. 1986. Recovery training and self help: A relapse prevention program for treated opiate addicts. Journal of Substance Abuse Treatment3:9-20.
49. McAuliff, W.E.; Rohman, M.; Feldmen, B. & Launer, E.K. 1985. The role of euphoric efforts in the opiate addictions of heroin addicts, medical patients, and impaired health professionals. Journal of Drug Issues15:203-24.
50. McAuliff, W.E. & Gordon, R.A. 1980. Reinforcement and the combination of effects: Summary of a theory of opiate addiction. In: D.J. Lettieri, S. Sayers & H. Pearson (Eds.)Theories on Drug Abuse: Selected Contemporary Perspectives. NIDA Research Monograph 30. Rockville, Maryland: National Institute on Drug Abuse.
51. McLellan, A.T.; Luborsky, L.; Woody, G.E.; O’Brien, C.P. & Orvley, K.A. 1983. Predicting response to alcohol and drug abuse treatments: Role of psychiatric severity. Archives of General Psychiatry40:620-25.
52. McLellan, A.T.; MacGahan, J.A. & Druly, K.A. 1979. Changes in drag abuse clients 1972-1978: Implications for treatment. American Journal of Drug and Alcohol Abuse6:151-62.
53. Meyer, R.E.; McNamee, H.B.; Mirin, S.M. & Altman, J.L. 1976. Analysis and modification of opiate reinforcement. International Journal of the Addictions11:467-84.
54. Milby, J.B. 1988. Methadone maintenance to abstinence: How many make it?Journal of Nervous and Mental Disorders176 (7): 807-20.
55. Milby, J.B.; Gurowitch, A.; Hohmann, A. & Wiebe, D.J. 1987. Assessing pathological detoxification fear among methadone maintenance patients: The DFSS. Journal of Clinical Psychology43 (5): 528-38.
56. Milby, J.B.; Gurwitch, R.H.; Wiebe, D.J.; Ling, W.; McLellan, A T. & Woody, G.E. 1986. Methadone maintenance detoxification fear: Prevalence and diagnostic reliability. American Journal of Psychiatry143:739-43.
57. Muraskin, W. 1988. The silent epidemic: The social, ethical, and medical problems surrounding the fight against hepatitis. British Journal of Social History22:277-98.
58. Murphy, S. & Irwin, J. 1992. “Living with the dirty secret": Problems of disclosure for methadone maintenance clients. Journal of Psychoactive Drugs 24 (3): 257-64.
59. Newman, R.G. 1983. The need to redefine “addiction."New England Journal of Medicine308:1096-2010.
60. Newman, R.G. & Whitehell, E.B. 1979. Double blind comparison of methadone and placebo maintenance treatments of narcotic addicts in Hong Kong. Lancet8:485-88.
61. Novick, D.M.; Joseph, H. & Salsitz, E.A. 1994. Outcome of treatment of socially rehabilitated methadone maintenance patients in physicians offices: Follow-up at three and a half to nine and a forth years. Journal of General Internal Medicine9 (3): 127-30.
62. Novick, D.M.; Pascarelli, E.F.; Joseph, H.; Salsitz, E.A.; Richman, B.L.; Des Jarlais, D.C.; Anderson, M.S.; Dole, V.P. & Nyswander, M.E. 1988. Methadone maintenance patients in general practice: A preliminary report. Journal of the American Medical Association259 (22): 3299-302.
63. O’Brien, C.P.; Testa, T.; O’Brien, R.J.; Brady, J.P. & Wells, B. 1977. Conditioned narcotic withdrawal in humans. Science195:1000-2.
64. Patti, A.M.; Santi, A.L.; Pompa, M.; Giustini, C.; Vescia, N.; Mastroeni, I. & Fara, G.M. 1993. Viral hepatitis and drags: A continuing problem. International Journal of Epidemiology22:135-39.
65. Riordan, C.E.; Mezritz, M. & Slobetz, F. 1976. Successful detoxification from methadone maintenance. A follow-up study of 38 patients. Journal of the American Medical Association235 (24): 2604-607.
66. Rosenbaum, M. 1991. Staying off methadone maintenance. Journal of Psychoactive Drugs23 (3): 251-60.
67. Rounsaville, B.J.; Kosten, T.R. & Kleber, H.D. 1986. Long term changes in current psychiatric diagnoses of treated opiate addicts. Comprehensive Psychiatry27 (5): 480-98.
68. Rounsaville, B.J.; Weissman, M.M.; Kleber, H.D.; & Wilber, C. 1982. Heterogeneity of psychiatric diagnosis in treated opiate addicts. Archives of General Psychiatry39:161-66.
69. Satel, S.; Kosten, T.R.; Schuckit, M.; & Fischman, M.W. 1993. Should protracted withdrawal from drugs be included in DSM-IV?American Journal 'of Psychiatry150 (5): 695-704.
70. Schoenbaum, E.E.; Hartel, D.; Selwyn, P.A.; Klein, R.S.; Davenny, K.; Rogers, M.; Feiner, C. & Friedland, G. 1989. Risk factors for human immunodeficiency virus infection in intravenous drug users. New England Journal of Medicine321:874-79.
71. Senay, E.C. 1985. Methadone maintenance treatment. International Journal of the Addictions20:803-21.
72. Senay, E.C.; Doras, W.; Goldberg, F. & Thorton, W. 1977. Withdrawal from methadone maintenance. Archives of General Psychiatry34:361-67.
73. Simpson, D.D.; Joe, G.W. & Bracey, S.A. 1982. Six-year follow-up of opiate addicts after admission to treatment. Archives of General Psychiatry39:1318-323.
74. Sorenson, J.L.; Brummett, S.; Gold, M.L. & Dumontet, R. 1988. Withdrawal from methadone maintenance: Impact of a tapering network support program. Journal of Substance Abuse Treatment5:37-44.
75. Stimmell, B.; Goldberg, J.; Rotkopf, E. & Cohen, M. 1977. Ability to remain abstinent after methadone detoxification. A six-year study. Journal of the American Medical Association237:1216-220.
76. Stimmell, B. & Rabin, J. 1974. The successful detoxification from methadone maintenance. A prospective study. American Journal of Alcohol Abuse1 (3): 379-91.
77. Stimmell, B.; Rabin, J. & Engel, C. 1973. The prognosis of patients detoxified from methadone maintenance: A follow-up study. In: Proceedings of the 5lh National Conference on Methadone Treatment.New York: NAPAN.
78. Strain, E.C.; Stitzer, M.L. & Bigelow, G.E. 1991. Early treatment time course of depressive symptoms in opiate addicts. Journal of Nervous and Mental Diseases179:215-21.
79. Strain, E.C.; Stitzer, M.L., Liebson, I.A. & Bigelow, G.E. 1993. Dose-response effects of methadone in the treatment of opioid dependence. Annals of Internal Medicine119:23-27.
80. Thompson, T. 1981. Behavioral mechanisms and loci of drag dependence. In: T. Thompson & C.E. Johanson (Eds.)Behavioral Pharmacology of Human Drug Dependence. NIDA Research Monograph 37. Rockville, Maryland: National Institute on Drag Abuse.
81. Tims, F.M. & Ludford, J.P. 1984. Drug Abuse Treatment Evaluation: Strategies, Process and Prospects Rockville, Maryland: National Institute on Drug Abuse.
82. Vanichseni, S.; Wongsuwan, B.; Staff of the BMA Narcotics Clinic No. 6; Choopanya, K. & Wongpanich, K. 1991. A controlled trial of methadone maintenance in a population of intravenous drug users in Bangkok: Implications for prevention of HIV. International Journal of the Addictions26:1313-320.
83. Weber, M.M. & Emrich, H.M. 1988. Current and historical concepts of opiate treatment in psychiatric disorders. International Clinical Psychopharmacology3:255-66.
84. Weddington, W.W. 1990-1991. Towards a rehabilitation of methadone maintenance: Integration of relapse prevention and aftercare. International Journal of the Addictions 25 (9A-10A): 1201-224.
85. Wermuth, L. & Brummett, S. 1987. Bridges and barriers to recovery: Clinical observations from an opiate recovery project. Journal of Substance Abuse Treatment4:189-96.
86. Wikler, A. 1973. Dynamics of drug dependence. Implication of a conditioning theory for research and treatment. Archives of General Psychiatry28:611-16.
87. Woody, G.E.; McLellan, A.T.; Luborsky, L.; O’Brien, C.P.; Blain, J.; Fox, S.; Hemian, I. & Beck, A.T. 1984. Psychiatric severity as a predictor of benefits from psychotherapy: The Penn-VA Study. American Journal of Psychiatry141:1172-177.
88. Yankovitz, S.R.; Des Jarlais, D.C.; Peyser, N.P.; Drew, E.; Friedmann, P.; Trigg, H.L. & Robinson, J.W. 1991. A randomized trial of an interim methadone maintenance clinic. American Journal of Public Health81:1185-91.