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dc.contributor.authorJones, Steven
dc.contributor.authorJack, Barbara
dc.contributor.authorKirby, Julie
dc.contributor.authorWilson, Thomas
dc.contributor.authorMurphy, Philip
dc.date.accessioned2020-05-20T12:52:10Z
dc.date.available2020-05-20T12:52:10Z
dc.identifierhttps://chesterrep.openrepository.com/bitstream/handle/10034/623427/Methadone%20assisted%20opiate%20paper.pdf?sequence=1
dc.identifier.citationJones, S., Jack, B., Kirby, J., Wilson, T., Murphy, P. (2020). Methadone‐Assisted Opiate Withdrawal and Subsequent Heroin Abstinence: The Importance of Psychological Preparedness.en_US
dc.identifier.urihttp://hdl.handle.net/10034/623427
dc.descriptionThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly citeden_US
dc.description.abstractBackground and Objectives: Treatment guidelines emphasize patients’ readiness for transitioning from opiate substitution treatment (OST) to opiate withdrawal and abstinence. Psychological preparedness indicators for this transition were examined. Methods: Patients (all male) were recruited from three treatment settings: prison, an inpatient detoxification unit, and an outpatient clinic. Time 1 (T1) was admission to methadone‐assisted withdrawal in all settings. Time 2 (T2) was a 6‐month follow‐up. With n = 24 at T1 for each group (N = 72), a battery of instruments relevant to psychological preparedness was administered. Results: At T1, inpatients had higher self‐efficacy beliefs for successful treatment completion than prison patients. For patients contactable at T2, T1 self‐efficacy positively predicted T2 opiate abstinence. No other variable improved prediction. T1 SOCRATES (Stages of Change Readiness and Treatment Eagerness Scale) ambivalence scores, age, and lifetime heroin use duration predicted maintenance of contact or not with treatment services and contactability by the researcher. Measures of mood did not differ between groups at T1 or predict T2 outcomes. Discussion and Conclusions: Self‐efficacy beliefs are a potentially useful indicator of readiness for transitioning from OST to a medically assisted opiate withdrawal and subsequent abstinence. Ambivalence regarding change, age, and lifetime heroin use duration are potentially useful predictors of patients maintaining contact with services, and of being retained in research. Scientific Significance: These findings advance existing literature and knowledge by highlighting the importance of self‐efficacy in psychological preparedness for opiate abstinence, and the predictive utility to clinicians of this and other variables measurable at admission, in the clinical management of opiate usersen_US
dc.publisherWileyen_US
dc.rightsAttribution-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/en_US
dc.subjectOpiate withdrawalen_US
dc.subjectPhysiological preparednessen_US
dc.subjectSelf-efficacyen_US
dc.subjectMethadoneen_US
dc.titleMethadone‐Assisted Opiate Withdrawal and Subsequent Heroin Abstinence: The Importance of Psychological Preparednessen_US
dc.typeArticleen_US
dc.identifier.eissn1521-0391en_US
dc.contributor.departmentUniversity of Chesteren_US
dc.identifier.journalAmerican Journal on Addictionsen_US
or.grant.openaccessYesen_US
rioxxterms.funderThis study was part of a successful partially self‐funded project undertaken by the lead author (SJ). Additional financial support was provided by the Faculty of Health and Social Care at Edge Hill Universityen_US
rioxxterms.identifier.projectNAen_US
rioxxterms.versionAMen_US
rioxxterms.versionofrecord10.1111/ajad.13062en_US
rioxxterms.licenseref.startdate2020-05-19
refterms.dateFCD2020-05-19T10:49:27Z
refterms.versionFCDAM
rioxxterms.publicationdate2020-05-19
dc.dateAccepted2020-05-06
dc.date.deposited2020-05-20en_US
dc.indentifier.issn1055-0496en_US


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Except where otherwise noted, this item's license is described as Attribution-NoDerivatives 4.0 International