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Naltrexone and conventionality

F Suffet, D C Remine, E Taleporos

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1978
    PubMed
    Summary
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    Patient conventionality influences naltrexone adherence and treatment success in opiate addiction recovery. Higher conventionality correlates with naltrexone use and achieving an opiate-free status post-treatment.

    Area of Science:

    • Addiction Medicine
    • Psychiatry
    • Public Health

    Background:

    • Naltrexone is an opioid antagonist used in addiction treatment.
    • Patient adherence and factors influencing treatment outcomes are critical for recovery.
    • Conventionality, a measure of adherence to societal norms, has not been extensively studied in relation to naltrexone treatment.

    Purpose of the Study:

    • To investigate the impact of patient conventionality on naltrexone initiation and treatment outcomes.
    • To identify specific social and drug-related variables associated with naltrexone adherence.
    • To determine if changes in conventionality during treatment predict successful abstinence.

    Main Methods:

    • Analysis of admission and case record data for 147 male opiate addicts.

    Related Experiment Videos

  • Examination of naltrexone-taking against drug and social variables.
  • Development of a "conventionality index" based on employment, residence, arrests, and daily heroin expenditure.
  • Main Results:

    • Naltrexone-taking was strongly associated with higher levels of conventionality.
    • Key predictors of naltrexone adherence included daily heroin spending, arrest history, residence type, and employment status.
    • Patients who increased their conventionality during naltrexone therapy were more likely to complete treatment opiate-free.

    Conclusions:

    • Patient conventionality is a significant factor in naltrexone adherence for opiate addicts.
    • Treatment programs may enhance naltrexone effectiveness by addressing factors contributing to patient conventionality.
    • Promoting conventionality during treatment could improve long-term abstinence rates.