In Randomized controlled trials, brief coping skills interventions with anxiety sensitivity and impulsivity individuals effectively reduced substance abuse, anxiety symptoms, and criminal behaviours. These brief interventions had to be tested in patients maintained on OST.
The illicit use of prescription or injection substances is extremely prevalent among OST clients, and is linked to disability, morbidity, and mortality. Personality factors, such as impulsivity, anxiety sensitivity, hopelessness and sensation seeking are robustly implicated risk for substance misuse and related harm. Associations between these personality traits and substance misuse in OST clients were demonstrated. Indeed, a randomized controlled trial revealed that certain personality traits are also influential in severe addiction cases.
Step 1: Relevant information was gathered and analyzed to allow the effective adaptation of an existing intervention plan to use with OST clients.
Step 2: The intervention manuals were adapted based on information obtained from step 1 and the feasibility of the interventions with OST clients were assessed.
Mahu, I.T., Barrett, S.P., Conrod P.J., Bartel, S.J. & Stewart, S.H. (2021). Different drugs come with different motives: Examining motives for substance use among polysubstance users undergoing opiate agonist therapy (OAT). Drug and Alcohol Dependence, 229, 109133. doi: 10.1016/j.drugalcdep.2021.109133
Mahu, I. T., Conrod, P. J., Barrett, S. P., Sako, A., Swansburg, J., Lawrence, M., Laroque, F., Morin, J.F., Chinneck, A., Nogueira-Arjona, R. & Stewart, S. H. (2019). Specificity of personality relationships to particular forms of concurrent substance use among opiate agonist therapy clients. Addictive Behaviors, 98, 106056. doi: 10.1016/j.addbeh.2019.106056
Mahu, I.T., Conrod, P.J., Barrett, S.P., Sako, A., Swansburg, J. & Stewart, S.H. (2023). The four-factor personality model and its qualitative correlates among opioid agonist therapy clients. Frontiers in Psychiatry, 14, 1129274. https://doi.org/10.3389/fpsyt.2023.1129274