Persistence of heroin use despite methadone treatment: poor coping self-efficacy predicts continued heroin use

Drug and Alcohol Review
Richard SenbanjoJ Strang

Abstract

To evaluate the association between coping self-efficacy and persistent use of heroin by patients enrolled in a methadone treatment program. Cross-sectional survey. One hundred and ninety-one patients attending outpatient methadone clinics in South-East England, United Kingdom. Validated questionnaires were used to assess drug use (Maudsley Addiction Profile), alcohol use (Alcohol Use Disorders Identification Test), mental health (Hospital Anxiety and Depression Scale) and coping self-efficacy (brief 8-item Drug Taking Confidence Questionnaire). Half of the participants (95/191) reported heroin use in the preceding 14-day period. Heroin use during methadone treatment was associated with financial problems (P = 0.008), spending time with other drug users (P < 0.001), cocaine use (P = 0.002), low mood (P = 0.002) and dissatisfaction with the daily methadone dose (P = 0.014). Compared with 'Heroin-abstinent' patients, the 'Heroin' group reported significantly lower mean coping self-efficacy scores (t = 9.8, d.f. = 182, P < 0.001, effect size 1.17). After correcting for the effects of co-variants in a logistic regression model, the main determinants of persistent heroin use were 'coping self-efficacy' [B -0.05; standard error (SE) ...Continue Reading

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Citations

Apr 1, 2014·Revista colombiana de psiquiatría·Carlos IsazaAna Sepúlveda
Jan 20, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Alana M RojewskiUNKNOWN Comorbidities Workgroup of the Society for Research on Nicotine and Tobacco (SRNT) Treatment Network
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May 20, 2016·BMC Medical Research Methodology·Selene Cordeiro VasconcelosMurilo Duarte da Costa Lima
Jan 16, 2018·The American Journal of Drug and Alcohol Abuse·Richard C CristWade H Berrettini
Jan 31, 2016·Journal of Clinical Psychopharmacology·Jose Perez de Los CobosFrancesca Batlle
Mar 24, 2020·Drug and Alcohol Review·Ryan McNeilWill Small
Dec 15, 2018·The American Journal on Addictions·Shannon R KenneyMichael D Stein
Jan 15, 2021·Substance Abuse Treatment, Prevention, and Policy·Penghui CaoNi Fan
Jan 22, 2021·Journal of Ethnicity in Substance Abuse·Syazilawaty Ab LlohImran Ahmad
Jan 7, 2021·Addiction·Jordan P DavisJohn F Kelly
May 25, 2021·Addiction Research & Theory·Alexandra PorcaroLeonard Jason

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