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document
Social support and abstinence from opiates and cocaine during opioid maintenance treatment . Social support may play an important role in helping drug users achieve abstinence ; however these benefits may depend on the type of support experienced . In this prospective observational study , we examined the extent to which general and abstinence-specific support , both structural and functional , predicted opiate and cocaine abstinence in 128 opioid maintenance patients receiving either methadone or LAAM . A new multidimensional self-report instrument assessing abstinence-specific functional support was developed for the study . Previously validated measures were used to assess the remaining types of support . With baseline abstinence and other statistically important covariates adjusted , hierarchical logistic regression analyses demonstrated that the associations between social support at study baseline and biochemically confirmed abstinence 3 months later varied by type of support and by drug . Greater abstinence-specific structural support ( operationalized as fewer drug users in the social network ) and decreases in three types of negative abstinence-specific functional support ( Complaints about Drug Use , Drug Exposure , and Demoralization ) predicted cocaine , but not opiate abstinence . There were no effects for general support , whether structural or functional , on abstinence from either drug . Interventions that focus on modifying patients ' abstinence-specific support may be helpful in reducing the high rates of cocaine use disorders in this population .
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Intervention_Educational
Social support
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Intervention_Educational
abstinence
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Intervention_Pharmacological
opioid maintenance treatment
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Intervention_Educational
Social support
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Intervention_Educational
general and abstinence-specific support
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Intervention_Other
both structural and functional
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Intervention_Pharmacological
methadone
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Intervention_Pharmacological
LAAM
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Intervention_Educational
abstinence-specific
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Intervention_Educational
abstinence-specific
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Intervention_Educational
abstinence-specific
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Intervention_Educational
abstinence-specific
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Outcome_Mental
Social support
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Outcome_Mental
abstinence
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Outcome_Mental
abstinence ;
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Outcome_Mental
social support
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Outcome_Mental
abstinence-specific structural support
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Outcome_Mental
negative abstinence-specific functional support ( Complaints about Drug Use , Drug Exposure , and Demoralization ) predicted cocaine
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Outcome_Mental
opiate abstinence .
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Outcome_Mental
general support
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Outcome_Mental
abstinence
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Outcome_Mental
rates of cocaine use disorders
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Participant_Condition
opioid maintenance treatment
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Participant_Condition
drug users
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Participant_Sample-size
128
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Participant_Condition
opioid maintenance patients