• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >The “black box” of treatment: Patients’ perspective on what works in opioid maintenance treatment for opioid dependence
【24h】

The “black box” of treatment: Patients’ perspective on what works in opioid maintenance treatment for opioid dependence

机译：“黑匣子”治疗：患者对阿片类药物依赖的阿片类药物维持治疗中有效的观点

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A lack of conceptual modeling of how the components of opioid maintenance treatment (OMT) for opioid dependence (OD) work causes it to occasionally be labeled the “black-box” of treatment. This study had a two-fold objective: First, to analyze which factors related to OMT for OD contribute to the abstinence of problematic use of non-prescribed opioids and sustain recovery, from the patients’ perspective; second, to understand which changes OMT produced in the individuals’ lives might significantly contribute to relapse prevention. We used qualitative methods of design, inquiry, and analysis from a convenience sample of 19 individuals in a Swedish treatment setting. All the participants reported previous cycles of problematic use of non-prescribed opioids and other non-prescribed psychoactive substances, treatment, abstinence, recovery, and relapse before starting the current OMT program. During the pre-treatment stage, specific events, internal processes, and social environments enhanced motivation toward abstinence and seeking treatment. During the treatment stage, participants perceived the quality of the human relationships established with primary social groups as important as medication and the individual plan of care in sustaining recovery. From the participants’ perspective, OMT was a turning point in their life course, allowing them a sense of self-fulfillment and the reconstruction of personal and social identity. However, they still struggled with the stigmatization produced by a society that values abstinence-oriented over medication-assisted treatments. OMT is not an isolated event in individuals’ lives but rather a process occurring within a specific social context. Structural factors and the sense of acceptance and belonging are essential in supporting the transformation. Treatment achievements and the risk for relapse vary over time, so the objectives of the treatment plan must account for characteristics of the pre-treatment stage and the availability and capacity of individuals to restructure their social network, besides the opioid maintenance treatment and institutional social care.
机译：缺乏对阿片类药物依赖（OD）工作的阿片类维持治疗（OMT）的组分如何使其偶尔将其标记为“黑匣子”的治疗。本研究具有两倍的目标：首先，分析与OD的OD相关的因素有助于患有非规定阿片类药物的问题使用的禁欲和持续的患者的观点;其次，了解个人生活中产生的OMT的变化可能会显着有助于复发预防。我们在瑞典治疗环境中使用了19个人的便利样本来定义了设计，查询和分析。所有参与者报告了以前的非规定阿片类药物和其他非规定的心理物质，治疗，禁欲，恢复和复发前的问题使用的周期周期。在预处理阶段，特定事件，内部流程和社会环境中提高了对禁欲和寻求治疗的动力。在治疗阶段，参与者认为与主要社会群体建立的人际关系的质量视为药物和维持恢复的个人护理计划。从参与者的角度来看，OMT是他们的生命课程的转折点，让他们是自我实现的感觉和对个人和社会形式的重建。然而，他们仍然陷入困境，这些社会产生的社会产生的耻辱，这些社会造成的戒断疗法辅助治疗。 OMT不是个人生命中的孤立的事件，而是在特定的社会背景下发生的进程。结构因素和接受感和归属感对于支持转型至关重要。治疗成果和复发的风险随着时间的推移而变化，因此除了阿片类药维护处理和体制社会护理之外，待遇阶段的特征和个人的可用性和能力的特征也必须考虑到其社会网络的个人可用性和能力。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号