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Br J Psychiatry. 1989 Mar;154:354-9.

Circumstances surrounding the initial lapse to opiate use following detoxification.

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  • 1University of Cambridge.

Abstract

Seventy-eight opiate abusers were followed up after successful in-patient detoxification in order to examine renewed opiate use. The greatest number of initial lapses occurred within a week of subjects leaving in-patient treatment. Eleven categories of lapse precipitant were identified: cognitive, mood, external, withdrawal, interpersonal, leaving a protected environment, drug availability, drug-related cues, craving, priming, and social pressure. Cognitions, negative moods and external events emerged as the most commonly mentioned factors; these often occurred together, either in clusters or in a sequence. Implications of these results for models of relapse and for treatment approaches are discussed.

PMID:
2597837
[PubMed - indexed for MEDLINE]
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