Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-20T05:20:31.168Z Has data issue: false hasContentIssue false
  • English
  • Français

Circumstances Surrounding the Initial Lapse to Opiate Use Following Detoxification

Published online by Cambridge University Press:  02 January 2018

Brendan P. Bradley ,
Grania Phillips ,
Lynette Green  and
Michael Gossop
Brendan P. Bradley*
Affiliation:
University of Cambridge
Grania Phillips
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
Lynette Green
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
Michael Gossop
Affiliation:
Drug Dependence Clinical Research and Treatment Unit, The Bethlem Royal and the Maudsley Hospital, London
*
∗Department of Experimental Psychology, Downing Street, Cambridge CB2 3EB
Get access Rights & Permissions [Opens in a new window]

Abstract

Seventy-eight opiate abusers were followed up after successful in-patient detoxification in order to examine renewed opiate use. The greatest number of initial lapses occurred within a week of subjects leaving in-patient treatment. Eleven categories of lapse precipitant were identified: cognitive, mood, external, withdrawal, interpersonal, leaving a protected environment, drug availability, drug-related cues, craving, priming, and social pressure. Cognitions, negative moods and external events emerged as the most commonly mentioned factors; these often occurred together, either in clusters or in a sequence. Implications of these results for models of relapse and for treatment approaches are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 3 , March 1989 , pp. 354 - 359
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A. T. & Emery, G. (1977) Cognitive Therapy of Substance Abuse. Philadelphia: Center for Cognitive Therapy.Google Scholar
Chaney, E., O'Leary, M. & Marlatt, G. A. (1978) Skill training with alcoholics. Journal of Consulting and Clinical Psychology, 46, 1092–1104.CrossRefGoogle ScholarPubMed
Cooney, N. L., Gillespie, R. A., Baker, L. H., et al (1987) Cognitive changes after alcohol cue exposure. Journal of Consulting and Clinical Psychology, 55, 150–155.CrossRefGoogle ScholarPubMed
Cummings, C., Gordon, J. R. & Marlatt, G. A. (1980) Relapse: prevention and prediction. In The Addictive Behaviors (ed. Miller, W.). New York: Plenum.Google Scholar
Gossop, M. R. & Eysenck, S. B. G. (1980) A further investigation into the personality of drug addicts in treatment. British Journal of Addiction, 75, 305–311.CrossRefGoogle ScholarPubMed
Gossop, M. R., Bradley, B. P. & Phillips, G. T. (1987) An investigation of withdrawal symptoms shown by opiate addicts during and subsequent to a 21-day in-patient methadone detoxification procedure. Addictive Behaviors, 12, 1–6.CrossRefGoogle ScholarPubMed
Gossop, M. R., Green, L., Phillips, G., et al (1989) Lapse, relapse and survival among opiate addicts after treatment: a prospective follow-up study. British Journal of Psychiatry, 154, 348–353.CrossRefGoogle ScholarPubMed
Hunt, W. A., Barnett, L. W. & Branch, L. G. (1971) Relapse rates in addiction programs. Journal of Clinical Psychology, 27, 455–456.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
Litman, G. K., Eiser, J. R. & Rawson, N. S. B. (1977) Towards a typology of relapse: a preliminary report. Drug and Alcohol Dependence, 2, 157–162.CrossRefGoogle ScholarPubMed
Litman, G. K., Stapleton, J., Oppenheim, A. N., et al (1983) Situations related to alcoholism relapse. British Journal of Addiction, 78, 381–389.CrossRefGoogle ScholarPubMed
Marlatt, G. A. (1978) Craving for alcohol, loss of control, and relapse: a cognitive behavioral analysis. In Cognitive-Behavioral Interventions: Theory, Research and Procedures (eds Kendall, P. C. & Hollon, S. P.). New York: Plenum.Google Scholar
Marlatt, G. A. & Gordon, J. R. (eds) (1985) Relapse Prevention: Maintenance Strategies in Addictive Behavior Change. New York: Guilford.Google Scholar
Platt, J. J. & Metzger, D. S. (1987) Cognitive interpersonal problem solving skills and the maintenance of treatment success in heroin addicts. Psychology of Addictive Behaviors, 1, 5–13.CrossRefGoogle Scholar
Wikler, A. (1960) Opioid Dependence and Treatment. New York: Plenum.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.