Exploring Passion for Opioid Use with a Treatment-Seeking Sample: Results from a Canonical Correlation Analysis.

IF 2 3区 医学 Q2 SOCIAL ISSUES
Brandon Park, Alan K Davis, Cecilia L Bergeria, Yitong Xin
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Abstract

Background: Novel and personalized intervention strategies are necessary to address the wide treatment gap for individuals with opioid use disorder (OUD) who are not prescribed medications for OUD (MOUD). The Dualistic Model of Passion (DMP) offers an innovative opportunity to understand an individual's relationship with opioid use and effectively measure readiness for treatment. The current study aimed to explore how passion for opioid use predicted opioid use behaviors and treatment outcomes among individuals who self-described as treatment-seeking.

Methods: As part of a screening for a larger virtual focus group study, a nationally recruited sample (N = 107; 72.0% non-Hispanic White, 54.2% male) currently receiving or seeking treatment for OUD completed the opioid use version of the Harmonious and Obsessive Passion Scale (O-HOPS) alongside other demographic and substance use history questionnaires.

Results: Eleven out of 13 O-HOPS items that loaded onto two factors (harmonious passion and obsessive passion) were retained in the confirmatory factor analysis solution. Results of the canonical correlation analysis revealed greater obsessive passion for opioid use was associated with more frequent opioid use and problems related to drug use in the past 30 days, controlling for harmonious passion for opioid use and other use- and treatment-related outcomes.

Conclusions: The DMP is applicable to individuals with OUD who are treatment-ready, as obsessive passion is associated with opioid use frequency and use-related consequences. Passion may be a novel metric of treatment readiness to improve engagement with evidence-based treatment such as MOUD initiation and maintenance.

用寻求治疗的样本探索阿片类药物使用的热情:典型相关分析的结果。
背景:需要新的和个性化的干预策略来解决阿片类药物使用障碍(OUD)个体的广泛治疗差距,这些个体没有处方药物治疗OUD (mod)。激情的二元模型(DMP)提供了一个创新的机会,以了解个人与阿片类药物使用的关系,并有效地衡量治疗的准备程度。目前的研究旨在探索对阿片类药物使用的热情如何预测自我描述为寻求治疗的个体的阿片类药物使用行为和治疗结果。方法:作为更大的虚拟焦点小组研究筛选的一部分,全国招募的样本(N = 107; 72.0%非西班牙裔白人,54.2%男性)目前正在接受或寻求OUD治疗,并完成了阿片类药物使用版本的和谐与强迫性激情量表(O-HOPS)以及其他人口统计学和物质使用史问卷。结果:在验证性因子分析溶液中,加载和谐激情和强迫激情两个因子的13个O-HOPS项目中保留了11个。典型相关分析结果显示,过去30天内,阿片类药物使用的强迫性激情与阿片类药物使用频率和药物使用相关问题相关,控制了阿片类药物使用的和谐激情以及其他使用和治疗相关结果。结论:DMP适用于已准备好治疗的OUD患者,因为强迫激情与阿片类药物使用频率和使用相关后果有关。激情可能是一种新的治疗准备指标,以提高对循证治疗的参与,如mod的启动和维持。
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来源期刊
CiteScore
5.40
自引率
6.90%
发文量
45
期刊介绍: Since being founded in 1993, Addiction Research and Theory has been the leading outlet for research and theoretical contributions that view addictive behaviour as arising from psychological processes within the individual and the social context in which the behaviour takes place as much as from the biological effects of the psychoactive substance or activity involved. This cross-disciplinary journal examines addictive behaviours from a variety of perspectives and methods of inquiry. Disciplines represented in the journal include Anthropology, Economics, Epidemiology, Medicine, Sociology, Psychology and History, but high quality contributions from other relevant areas will also be considered.
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