e professionals with a substance use disorder, the presence of a coexisting psychiatric illness or a family history of substance use disorder significantly increased the likelihood of relapse, as did the presence of prior relapse," the authors write. "Use of major opioids also increased risk of relapse in the presence of family history and even more dramatically in those with a dual diagnosis, and the combination of all 3 risk factors further magnified the likelihood of relapse. State physician health programs might wish to consider managing substance-using professionals who have one or more of these 3 risk factors and those with prior relapse with more intensive and more prolonged monitoring."

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Contact: Pam Sowers
206-685-4232
JAMA and Archives Journals
22-Mar-2005

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