Buprenorphine Maintenance Treatment of Opiate Dependence: Correlations Between Prescriber Beliefs and Practices

Substance Use & Misuse
Kai MacDonaldWendy Khentigan

Abstract

Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. To understand community BMT practice patterns and discern their relationship to practitioner beliefs. Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. Practitioners generally followed standard treatment guidelines, though the most-common maintenance dosages of BMT (4-12 mg) were lower than recommended by some studies. Endorsement of belief in a "spiritual basis" of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are "in recovery." These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; an...Continue Reading

References

Oct 8, 1999·The American Psychologist·P W Corrigan, D L Penn
Mar 18, 2003·Trends in Cognitive Sciences·Pascal Boyer
Jun 17, 2005·The New England Journal of Medicine·Ronald C KesslerAlan M Zaslavsky
Nov 29, 2005·Progress in Neuro-psychopharmacology & Biological Psychiatry·Gilberto GerraAlfio Lucchini
Sep 25, 2007·Journal of Substance Abuse Treatment·UNKNOWN Betty Ford Institute Consensus Panel
Sep 1, 2009·Drug and Alcohol Dependence·T V ParranA G Mace
Dec 31, 2009·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Aaron C KayKyle Nash
Aug 11, 2011·Psychotherapy and Psychosomatics·Cynthia L Arfken, Richard Balon
Nov 2, 2011·Journal of Addiction Medicine·Mark L KrausUNKNOWN American Society Of Addiction Medicine
Apr 7, 2012·Journal of Opioid Management·Tyler L QuestRoger A Rosenblatt
Aug 10, 2012·Journal of Addictive Diseases·Gavin Bart
Oct 18, 2013·The American Journal on Addictions·Zev Schuman-OlivierRoger D Weiss
Nov 20, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·Cindy Parks ThomasMiriam E Delphin-Rittmon
Mar 1, 2014·JAMA : the Journal of the American Medical Association·Yngvild Olsen, Joshua M Sharfstein
Mar 13, 2014·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Kathleen CrapanzanoDixie Fisher
May 20, 2014·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Tony SoeyonggoPadraig Warde

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.