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

Aim. To evaluate the association between coping self‐efficacy and persistent use of heroin by patients enrolled in a methadone treatment program. Design and Methods. Cross‐sectional survey. One hundred and ninety‐one patients attending outpatient methadone clinics in South‐East England, United Kingd...

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Bibliographic Details
Published in:Drug and alcohol review 2009-11, Vol.28 (6), p.608-615
Main Authors: SENBANJO, RICHARD, WOLFF, KIM, MARSHALL, E. JANE, STRANG, JOHN
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Anxiety-Depression
cocaine use
Coping
coping self-efficacy
Cross-Sectional Studies
Dosage
England - epidemiology
Female
Forecasting
Heroin
Heroin Dependence - drug therapy
Heroin Dependence - epidemiology
Heroin Dependence - psychology
heroin use
Humans
low mood
Male
Methadone
Methadone - therapeutic use
methadone treatment
Self Efficacy
Selfefficacy
Treatment Outcome
Young Adult
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Summary:Aim. To evaluate the association between coping self‐efficacy and persistent use of heroin by patients enrolled in a methadone treatment program. Design and Methods. 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). Results. 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 
ISSN:0959-5236
1465-3362
DOI:10.1111/j.1465-3362.2009.00064.x