title: Circumstances surrounding the initial lapse to opiate use following detoxification.
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.
authors.affiliation: University of Cambridge.
authors.forename: B P
authors.initials: BP
authors.lastname: Bradley
authors.forename: G
authors.initials: G
authors.lastname: Phillips
authors.forename: L
authors.initials: L
authors.lastname: Green
authors.forename: M
authors.initials: M
authors.lastname: Gossop
mesh_terms: D000293:Adolescent; D000328:Adult; D003463:Cues; D005260:Female; D005500:Follow-Up Studies; D006556:Heroin Dependence / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D012008:Recurrence; D012307:Risk Factors; D012931:Social Environment
chemical_list: D008691:Methadone