2012′s most popular posts #3 – Hazelden to start opioid maintenance

This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013.  This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading 2012′s most popular posts #3 – Hazelden to start opioid maintenance

More evidence for 12-step approaches

Another study finding the 12-step involvement is associated with continuous abstinence: Abstract A longitudinal analysis of 12-step involvement was conducted among a U.S. sample of patients exiting treatment for substance dependence. Categorical involvement in a set of 12-step activities and summary scores of involvement from the Alcoholics Anonymous Affiliation Scale were examined in relation to … Continue reading More evidence for 12-step approaches

Changes in brain gray matter in abstinent heroin addicts

A few years ago, Bill White called for research on the neurobiology of recovery. (He noted that all of our research efforts have been focused on understanding addiction without any research on understanding recovery.) Well, some Chinese researchers have made a contribution. Good news for heroin addicts. Background Previous neuroimaging studies have documented changes in … Continue reading Changes in brain gray matter in abstinent heroin addicts

Cognitive performance of opioid maintenance vs. abstinence

  A new study finds lower cognitive functioning in maintenance patients compared with abstinent former users. It also found no difference between methadone patients and buprenorphine patients.   Background To compare the cognitive performances of maintenance patients (MAIN), abstinent ex-users (ABST) and healthy non-heroin using controls (CON). Methods Case control study of 125 MAIN (94 … Continue reading Cognitive performance of opioid maintenance vs. abstinence

They’ve got hope for something. But, what?

Stimulant maintenance therapy did not work 😦 This study did not find a significant main effect of modafinil on the rate or duration of cocaine use among cocaine-dependent patients. Now they decide to polish the turd: Although these results are disappointing, we did find that modafinil-treated patients had nonsignificantly higher odds of attaining abstinence across … Continue reading They’ve got hope for something. But, what?

Group treatment has long term benefits

From the journal, Alcoholism: Clinical and Experimental Research: Background:  Group psychotherapy (PT) is one of the most common interventions used to treat alcohol dependence (AD), and it is assumed to be effective. Despite its common clinical use, long-term trials that have been conducted to examine the efficacy of group PT in the treatment of outpatients with AD … Continue reading Group treatment has long term benefits

12-step involvement and continuous abstinence at 2 years

More support for twelve step facilitation and sober housing: Participants who were categorically involved in 12-step activities were significantly more likely to maintain continuous abstinence at 2 years compared with those who were less involved, predicting a greater likelihood of complete abstinence than summary scores of involvement. In addition, participants in the Oxford House condition … Continue reading 12-step involvement and continuous abstinence at 2 years