Self-perceived motivation for benzodiazepine use and behavior related to benzodiazepine use among opiate-dependent patients
Journal of Substance Abuse Treatment. 2009-12-01; 37(4): 407-411
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1. J Subst Abuse Treat. 2009 Dec;37(4):407-11. doi: 10.1016/j.jsat.2009.03.006. Epub
2009 Mar 31.
Self-perceived motivation for benzodiazepine use and behavior related to
benzodiazepine use among opiate-dependent patients.
Fatséas M(1), Lavie E, Denis C, Auriacombe M.
(1)Laboratoire de Psychiatrie/EA 4139, Université Victor Segalen Bordeaux 2,
Clinical observations have shown a high prevalence of benzodiazepine use among
opiate-dependent patients. Our objective was to identify if distinct patterns of
behavior could be associated with three different self-perceived motivations for
benzodiazepine use: (a) exclusive self-therapeutic motivation, (b) exclusive
hedonic motivation, and (c) combined self-therapeutic and hedonic motivation.
Data were collected through a self-administered questionnaire in 92 opiate users
in treatment in France (Aquitaine). The behaviors associated with exclusive
self-therapeutic motivation included the search for an anxiolytic effect, oral
administration, use within the context of a medical prescription, and use without
other substances. The behaviors associated with exclusive hedonic motivation were
use in combination with other substances, the obtaining of benzodiazepines by the
black market, and use of other routes of administration in search of a
« blackout. » Among patients who reported both motivations, there were distinct
trends of behavior according to motivation.
PMID: 19339146 [Indexed for MEDLINE]