title: The Need for Psychosocial Interventions to Facilitate the Transition to Extended-Release Naltrexone (XR-NTX) Treatment for Opioid Dependence: A Concise Review of the Literature.
abstract: Given the increase of opioid dependence and opioid-related morbidity and mortality, improving treatment options for individuals with opioid dependence warrants increased attention. This article provides a concise review of work in this area. Remission from opioid dependence can be very difficult to sustain, particularly in the absence of opioid replacement or opioid antagonist therapy. For those who wish to transition from opioid use or opioid replacement therapy to opioid antagonist therapy, a significant challenge can be the period of withdrawal symptoms that must be endured prior to the initiation of opioid antagonist therapy. Studies that have incorporated psychosocial interventions into detoxification protocols have found that they can result in improved treatment outcomes. Interventions based on Acceptance and Commitment Therapy have shown promise in the treatment of clinical disorders that present with symptoms similar to those of opioid withdrawal and have been found to positively impact outcomes among those tapering from methadone. However, the use of an Acceptance and Commitment Therapy-based intervention has yet to be studied among opioid-dependent patients transitioning to XR-NTX, and its value to those transitioning to XR-NTX is currently unknown.
authors: Rhode Island Hospital, Providence, RI, USA.; Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.; Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors: Susan E
authors: SE
authors: Ramsey
authors: VA Boston Healthcare System, Brockton, MA, USA.
authors: Dan
authors: D
authors: Rounsaville
authors: Baystate Health, Springfield, MA, USA.
authors: Randall
authors: R
authors: Hoskinson
authors: Rhode Island Hospital, Providence, RI, USA.; Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors: Tae Woo
authors: TW
authors: Park
authors: Rhode Island Hospital, Providence, RI, USA.
authors: Evan G
authors: EG
authors: Ames
authors: Rhode Island Hospital, Providence, RI, USA.
authors: Victor D
authors: VD
authors: Neirinckx
authors: Baystate Health, Springfield, MA, USA.
authors: Peter
authors: P
authors: Friedmann
keywords: Acceptance and Commitment Therapy; XR-NTX; opioid dependence