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International Journal of Mental Health and Addiction

Erschienen in:

09.11.2015

Predicting Outcome in Public Addiction Services Using Data Collected During Routinely Assessment Procedures

verfasst von: Pierpaolo Congia, Maria Germana Orrù, Mercedes Masia, Elisabetta Muscas, Sebastiana Manca

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 4/2016

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Abstract

The study examined the ability of several baseline variables to predict retention and treatment outcome in a cohort study that included 137 participants with heroin and cocaine addiction attending a public addiction service in Italy. Predictors included past drug use, intravenous use, initial urine drug screen results, cocaine and heroin craving and self-reported psychiatric symptoms. Severe depression and, in a lesser extent, anxiety symptoms, predicted lower retention. Only intravenous use was a significant predictor of cocaine use in the whole sample. Positive urine for cocaine and intravenous use predicted worse outcome among heroin addicts. Three Symptoms Checklist-90 (SCL-90) scales scores were associated with lower cocaine and heroin use. Multiple logistic regression showed that cocaine positivity and more structured psychosocial treatment predicted successful outcome. Results highlight the prognostic value of carefully assessing patterns of cocaine use and co-use, routes of administration and psychiatric symptoms at the beginning of treatment, especially in heroin addicts.

Agosti, V., Nunes, E., Stewart, J. W., & Quitkin, F. M. (1991). Patient factors related to early attrition from an outpatient cocaine research clinic: a preliminary report. International Journal of the Addictions, 26(3), 327–334.PubMedCrossRef

Aharonovich, E., Hasin, D. S., Brooks, A. C., Liu, X., Bisaga, A., & Nunes, E. V. (2006). Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug and Alcohol Dependence, 81(3), 313–322.PubMedCrossRef

Ahmadi, J., Kampman, K., & Dackis, C. (2006). Outcome predictors in cocaine dependence treatment trials. The American Journal on Addictions, 15(6), 434–439.PubMedCrossRef

Alterman, A. I., Kampman, K., Boardman, C. R., Cacciola, J. S., Rutherford, M. J., McKay, J. R., & Maany, I. (1997). A cocaine-positive baseline urine predicts outpatient treatment attrition and failure to attain initial abstinence. Drug and Alcohol Dependence, 46(1–2), 79–85.PubMedCrossRef

Backmund, M., Meyer, K., Eichenlaub, D., & Schutz, C. G. (2001). Predictors for completing an inpatient detoxification program among intravenous heroin users, methadone substituted and codeine substituted patients. Drug and Alcohol Dependence, 64(2), 173–180.PubMedCrossRef

Bandettini Di Poggio, A., Fornai, F., Paparelli, A., Pacini, M., Perugi, G., & Maremmani, I. (2006). Comparison between heroin and heroin-cocaine polyabusers: a psychopathological study. Annals of the New York Academy of Sciences, 1074, 438–445.PubMedCrossRef

Beck, A. T., Guth, D., Steer, R. A., & Ball, R. (1997). Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behaviour Research and Therapy, 35(8), 785–791.PubMedCrossRef

Brown, R. A., Monti, P. M., Myers, M. G., Martin, R. A., Rivinus, T., Dubreuil, M. E., & Rohsenow, D. J. (1998). Depression among cocaine abusers in treatment: relation to cocaine and alcohol use and treatment outcome. American Journal of Psychiatry, 155(2), 220–225.PubMed

Buckner, J. D., Proctor, S. L., Reynolds, E., Kopetz, C., & Lejuez, C. W. (2011). Cocaine dependence and anxiety sensitivity among patients presenting for residential drug use treatment. Journal of Cognitive Psychotherapy, 25(1), 22–30.CrossRef

Budney, A. J., Higgins, S. T., Bickel, W., & Kent, L. (1993). Relationship between intravenous use and achieving initial cocaine abstinence. Drug and Alcohol Dependence, 32(2), 133–142.PubMedCrossRef

Carpenter, M. J., Chutuape, M. A., & Stitzer, M. L. (1998). Heroin snorters versus injectors: comparison on drug use and treatment outcome in age-matched samples. Drug and Alcohol Dependence, 53(1), 11–15.PubMedCrossRef

Charney, D. A., Palacios-Boix, J., Negrete, J. C., Dobkin, P. L., & Gill, K. J. (2005). Association between concurrent depression and anxiety and six-month outcome of addiction treatment. Psychiatric Services, 56(8), 927–933.PubMedCrossRef

Craib, K. J., Spittal, P. M., Wood, E., Laliberte, N., Hogg, R. S., Li, K., & Schechter, M. T. (2003). Risk factors for elevated HIV incidence among Aboriginal injection drug users in Vancouver. Canadian Medical Association Journal, 168(1), 19–24.PubMedPubMedCentral

Crum, R. M., & Anthony, J. C. (1993). Cocaine use and other suspected risk factors for obsessive-compulsive disorder: a prospective study with data from the Epidemiologic Catchment Area surveys. Drug and Alcohol Dependence, 31(3), 281–295.PubMedCrossRef

Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). SCL-90: an outpatient psychiatric rating scale--preliminary report. Psychopharmacology Bulletin, 9(1), 13–28.PubMed

Ehrman, R. N., Robbins, S. J., & Cornish, J. W. (2001). Results of a baseline urine test predict levels of cocaine use during treatment. Drug and Alcohol Dependence, 62(1), 1–7.PubMedCrossRef

Elman, I., Karlsgodt, K. H., & Gastfriend, D. R. (2001). Gender differences in cocaine craving among non-treatment-seeking individuals with cocaine dependence. American Journal of Drug and Alcohol Abuse, 27(2), 193–202.PubMedCrossRef

Elman, I., Karlsgodt, K. H., Gastfriend, D. R., Chabris, C. F., & Breiter, H. C. (2002). Cocaine-primed craving and its relationship to depressive symptomatology in individuals with cocaine dependence. Journal of Psychopharmacology, 16(2), 163–167.PubMedCrossRef

Fernandez-Montalvo, J., & López-Goñi, J. J. (2009). Comparison of completers and dropouts in psychological treatment for cocaine addiction. Addiction Research and Theory, 18(4), 433–441.CrossRef

Gawin, F. H., & Kleber, H. D. (1986). Abstinence symptomatology and psychiatric diagnosis in cocaine abusers. Clinical observations. Archives of General Psychiatry, 43(2), 107–113.PubMedCrossRef

Goodwin, R. D., Stayner, D. A., Chinman, M. J., Wu, P., Tebes, J. K., & Davidson, L. (2002). The relationship between anxiety and substance use disorders among individuals with severe affective disorders. Comprehensive Psychiatry, 43(4), 245–252.PubMedCrossRef

Helmus, T. C., Downey, K. K., Wang, L. M., Rhodes, G. L., & Schuster, C. R. (2001). The relationship between self-reported cocaine withdrawal symptoms and history of depression. Addictive Behaviors, 26(3), 461–467.PubMedCrossRef

Highfield, D. A., Schwartz, R. P., Jaffe, J. H., & O’Grady, K. E. (2007). Intravenous and intranasal heroin-dependent treatment-seekers: characteristics and treatment outcome. Addiction, 102(11), 1816–1823.PubMedCrossRef

Kampman, K. M., Volpicelli, J. R., Mulvaney, F., Rukstalis, M., Alterman, A. I., Pettinati, H., & O’Brien, C. P. (2002). Cocaine withdrawal severity and urine toxicology results from treatment entry predict outcome in medication trials for cocaine dependence. Addictive Behaviors, 27(2), 251–260.PubMedCrossRef

Kjome, K. L., Lane, S. D., Schmitz, J. M., Green, C., Ma, L., Prasla, I., & Moeller, F. G. (2010). Relationship between impulsivity and decision making in cocaine dependence. Psychiatry Research, 178(2), 299–304.PubMedPubMedCentralCrossRef

Kleinman, P. H., Miller, A. B., Millman, R. B., Woody, G. E., Todd, T., Kemp, J., & Lipton, D. S. (1990). Psychopathology among cocaine abusers entering treatment. Journal of Nervous and Mental Disease, 178(7), 442–447.PubMedCrossRef

Kohn, C. S., Mertens, J. R., & Weisner, C. M. (2002). Coping among individuals seeking private chemical dependence treatment: gender differences and impact on length of stay in treatment. Alcoholism, Clinical and Experimental Research, 26(8), 1228–1233.PubMedCrossRef

Ling, W., Shoptaw, S., Wesson, D., Rawson, R. A., Compton, M., & Klett, C. J. (1997). Treatment effectiveness score as an outcome measure in clinical trials. In B. Tai, N. Chiang, & P. Bridge (Eds.), Medication development for the treatment of cocaine dependence: issues in clinical efficacy trials (pp. 208–220). Rockville: NIDA.

Maremmani, I., Pani, P. P., Mellini, A., Pacini, M., Marini, G., Lovrecic, M., & Shinderman, M. (2007). Alcohol and cocaine use and abuse among opioid addicts engaged in a methadone maintenance treatment program. Journal of Addictive Diseases, 26(1), 61–70.PubMedCrossRef

Marrero, C. A., Robles, R. R., Colon, H. M., Reyes, J. C., Matos, T. D., Sahai, H., & Shepard, E. W. (2005). Factors associated with drug treatment dropout among injection drug users in Puerto Rico. Addictive Behaviors, 30(2), 397–402.PubMedCrossRef

McKay, J. R., Merikle, E., Mulvaney, F. D., Weiss, R. V., & Koppenhaver, J. M. (2001). Factors accounting for cocaine use two years following initiation of continuing care. Addiction, 96(2), 213–225.PubMedCrossRef

McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., & Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199–213.PubMedCrossRef

Moeller, F. G., Dougherty, D. M., Barratt, E. S., Schmitz, J. M., Swann, A. C., & Grabowski, J. (2001). The impact of impulsivity on cocaine use and retention in treatment. Journal of Substance Abuse Treatment, 21(4), 193–198.PubMedCrossRef

O’Leary, T. A., Rohsenow, D. J., Martin, R., Colby, S. M., Eaton, C. A., & Monti, P. M. (2000). The relationship between anxiety levels and outcome of cocaine abuse treatment. American Journal of Drug and Alcohol Abuse, 26(2), 179–194.PubMedCrossRef

Ochoa, K. C., Hahn, J. A., Seal, K. H., & Moss, A. R. (2001). Overdosing among young injection drug users in San Francisco. Addictive Behaviors, 26(3), 453–460.PubMedCrossRef

Pattison, L. P., Bonin, K. D., Hemby, S. E., & Budygin, E. A. (2011). Speedball induced changes in electrically stimulated dopamine overflow in rat nucleus accumbens. Neuropharmacology, 60(2–3), 312–317.PubMedCrossRef

Reed, S. C., Haney, M., Evans, S. M., Vadhan, N. P., Rubin, E., & Foltin, R. W. (2009). Cardiovascular and subjective effects of repeated smoked cocaine administration in experienced cocaine users. Drug and Alcohol Dependence, 102(1–3), 102–107.PubMedPubMedCentralCrossRef

Rounsaville, B. J., Weissman, M. M., Crits-Christoph, K., Wilber, C., & Kleber, H. (1982). Diagnosis and symptoms of depression in opiate addicts. Course and relationship to treatment outcome. Archives of General Psychiatry, 39(2), 151–156.PubMedCrossRef

Rounsaville, B. J., Kosten, T. R., Weissman, M. M., & Kleber, H. D. (1986). Prognostic significance of psychopathology in treated opiate addicts. A 2.5-year follow-up study. Archives of General Psychiatry, 43(8), 739–745.PubMedCrossRef

Rounsaville, B. J., Anton, S. F., Carroll, K., Budde, D., Prusoff, B. A., & Gawin, F. (1991). Psychiatric diagnoses of treatment-seeking cocaine abusers. Archives of General Psychiatry, 48(1), 43–51.PubMedCrossRef

Sofuoglu, M., Gonzalez, G., Poling, J., & Kosten, T. R. (2003). Prediction of treatment outcome by baseline urine cocaine results and self-reported cocaine use for cocaine and opioid dependence. American Journal of Drug and Alcohol Abuse, 29(4), 713–727.PubMedCrossRef

Sofuoglu, M., Dudish-Poulsen, S., Poling, J., Mooney, M., & Hatsukami, D. K. (2005). The effect of individual cocaine withdrawal symptoms on outcomes in cocaine users. Addictive Behaviors, 30(6), 1125–1134.PubMedCrossRef

Stein, M. D., Herman, D. S., Kettavong, M., Cioe, P. A., Friedmann, P. D., Tellioglu, T., & Anderson, B. J. (2010). Antidepressant treatment does not improve buprenorphine retention among opioid-dependent persons. Journal of Substance Abuse Treatment, 39(2), 157–166.PubMedPubMedCentralCrossRef

Sullivan, L. E., Moore, B. A., O’Connor, P. G., Barry, D. T., Chawarski, M. C., Schottenfeld, R. S., & Fiellin, D. A. (2010). The association between cocaine use and treatment outcomes in patients receiving office-based buprenorphine/naloxone for the treatment of opioid dependence. American Journal on Addictions, 19(1), 53–58.PubMedPubMedCentralCrossRef

Tull, M. T., Schulzinger, D., Schmidt, N. B., Zvolensky, M. J., & Lejuez, C. W. (2007). Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users. Behavior Modification, 31(2), 220–242.PubMedCrossRef

Tziortzis, D., Mahoney, J. J. I., Kalechstein, A. D., Newton, T. F., & De la, G. R. (2011). The relationship between impulsivity and craving in cocaine- and methamphetamine-dependent volunteers. Pharmacology Biochemistry and Behavior, 98(2), 196–202.CrossRef

Verdejo-Garcia, A. J., Perales, J. C., & Perez-Garcia, M. (2007). Cognitive impulsivity in cocaine and heroin polysubstance abusers. Addictive Behaviors, 32(5), 950–966.PubMedCrossRef

Ward, A. S., Haney, M., Fischman, M. W., & Foltin, R. W. (1997). Binge cocaine self-administration by humans: smoked cocaine. Behavioural Pharmacology, 8(8), 736–744.PubMedCrossRef

Williamson, A., Darke, S., Ross, J., & Teesson, M. (2006a). The association between cocaine use and short-term outcomes for the treatment of heroin dependence: findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Review, 25(2), 141–148.PubMedCrossRef

Williamson, A., Darke, S., Ross, J., & Teesson, M. (2006b). The effect of persistence of cocaine use on 12-month outcomes for the treatment of heroin dependence. Drug and Alcohol Dependence, 81(3), 293–300.PubMedCrossRef

Williamson, A., Darke, S., Ross, J., & Teesson, M. (2007). The effect of baseline cocaine use on treatment outcomes for heroin dependence over 24 months: findings from the Australian Treatment Outcome Study. Journal of Substance Abuse Treatment, 33(3), 287–293.PubMedCrossRef

Woicik, P. A., Moeller, S. J., Alia-Klein, N., Maloney, T., Lukasik, T. M., Yeliosof, O., & Goldstein, R. Z. (2009). The neuropsychology of cocaine addiction: recent cocaine use masks impairment. Neuropsychopharmacology, 34(5), 1112–1122.PubMedCrossRef

Titel: Predicting Outcome in Public Addiction Services Using Data Collected During Routinely Assessment Procedures
verfasst von: Pierpaolo Congia
Maria Germana Orrù
Mercedes Masia
Elisabetta Muscas
Sebastiana Manca
Publikationsdatum: 09.11.2015
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 4/2016
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-015-9587-5

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