Anxiety and depression among a community-recruited cohort of people who use methamphetamine: A longitudinal analysis.

IF 5.2 1区 医学 Q1 PSYCHIATRY
Addiction Pub Date : 2024-11-15 DOI:10.1111/add.16714
Zoe Duncan, Rebecca Kippen, Keith Sutton, Bernadette Ward, Kasun Rathnayake, Brendan Quinn, Paul Dietze
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Abstract

Aims: This study (1) estimated changes in anxiety and depression throughout 3 years in a community-recruited cohort who use methamphetamine and (2) modelled whether these changes were associated with patterns of methamphetamine use or other time-varying or fixed covariates.

Design, setting and participants: We used a longitudinal analysis using data derived from surveys conducted between August 2016 and March 2020, set in metropolitan and rural locations in Victoria, Australia. Participants comprised a total of 849 adults with regular methamphetamine use history at baseline, recruited for the prospective VMAX study via snowball and respondent-driven sampling.

Measurements: Anxiety and depression symptoms were measured using the Generalized Anxiety Disorder (GAD)-7 and the Patient Health Questionnaire (PHQ)-9 instruments. Frequency of methamphetamine use was measured by self-reported number of days per week participants used any form of methamphetamine in the past month.

Findings: Changes in anxiety and depression symptom scores were associated with change in route of administration from non-injecting to injecting [adjusted coefficient (adj. coeff.) = 1.44, 95% confidence intervals (CI) = 0.39, 2.48, adj. coeff. = 1.49, 95% CI = 0.39, 2.58], change in severity of dependence for methamphetamine (adj. coeff. = 0.29, 95% CI = 0.21, 0.37, adj. coeff. = 0.34, 95% CI = 0.26, 0.42), starting treatment for drugs other than methamphetamine (adj. coeff. = -2.21, 95% CI = -3.70, -0.73, adj. coeff. = -2.09, 95% CI = -3.60, -0.58) and other covariates.

Conclusions: Among regular methamphetamine users in Australia, changes in anxiety or depression scores are associated with changes in route of administration, dependence severity and starting treatment for other drugs, but do not appear to be associated with frequency of methamphetamine use.

社区招募的甲基苯丙胺吸食者群体中的焦虑症和抑郁症:纵向分析。
目的:本研究(1)估算了社区招募的使用甲基苯丙胺的人群在3年内焦虑和抑郁的变化,(2)模拟了这些变化是否与甲基苯丙胺的使用模式或其他时变或固定的协变量有关:我们利用 2016 年 8 月至 2020 年 3 月期间在澳大利亚维多利亚州大都市和农村地区进行的调查数据进行了纵向分析。参与者包括849名基线时有定期使用甲基苯丙胺史的成年人,他们是通过滚雪球和受访者驱动的抽样方式被招募参加前瞻性VMAX研究的:焦虑和抑郁症状使用广泛性焦虑症(GAD)-7 和患者健康问卷(PHQ)-9 测量。使用甲基苯丙胺的频率通过参与者自我报告的过去一个月中每周使用任何形式甲基苯丙胺的天数来衡量:焦虑和抑郁症状评分的变化与给药途径从非注射到注射[调整系数(adj. coeff.系数 = 0.29,95% CI = 0.21,0.37,adj. coeff:在澳大利亚的甲基苯丙胺定期使用者中,焦虑或抑郁评分的变化与给药途径、依赖严重程度和开始接受其他药物治疗的变化有关,但似乎与甲基苯丙胺的使用频率无关。
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来源期刊
Addiction
Addiction 医学-精神病学
CiteScore
10.80
自引率
6.70%
发文量
319
审稿时长
3 months
期刊介绍: Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines. Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries. Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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