The Effect of Methadone Maintenance Treatment Method on Mental Health and Quality of Life in People With Opioid Addiction: A Longitudinal Study in Iran

IF 1.1 Q3 Medicine
M. Jahani, Fatemeh Ebadi, M. Abdi, F. Ghaffari, Ghahraman Mahmoudi
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Abstract

Objectives: Promoting recovery in mental health of patients with opioid addiction is an important aspect of the treatment plan, which can lead to continued improvement of health and promotion of quality of life (QoL) in these people. This study aimed to evaluate the effect of methadone maintenance treatment (MMT) method on mental health and QoL in people with opioid addiction. Methods: In this longitudinal descriptive study, 186 subjects with opioid addiction had the required criteria and were then selected on the basis of clustering and simple random sampling methods. First (a month after using methadone therapy), demographic, QoL, and mental health data were collected using General Health Questionnaire and health-related quality of life questionnaires. Second (12 mo after using methadone therapy), mental health and QoL of participants were again evaluated. Data were analyzed using SPSS Statistics 20, and Mann-Whitney U and Wilcoxon tests. Results: The results showed that there is no improvement after using MMT method (P=0.783), but the QoL scores of the participants increased to some extent, 12 months after using this therapeutic method (P=0.04). Conclusion: The results of this study showed that the MMT method does not significantly affect the health of the participants. Hence, screening programs for psychological disorders in patients should be arranged before the onset of a course of treatment; there should also be extensive and continuous therapeutic and counseling services for these patients and their families, to achieve therapeutic goals.
美沙酮维持治疗方法对阿片类药物成瘾者心理健康和生活质量的影响:伊朗的一项纵向研究
目的:促进阿片类药物成瘾患者的心理健康恢复是治疗计划的一个重要方面,它可以导致这些人的健康持续改善和生活质量的提高。本研究旨在评价美沙酮维持治疗(MMT)方法对阿片类药物成瘾者心理健康和生活质量的影响。方法:采用纵向描述性研究方法,选取符合标准的186名阿片类药物成瘾者,采用聚类和简单随机抽样的方法进行研究。首先(使用美沙酮治疗后一个月),使用一般健康问卷和健康相关生活质量问卷收集人口统计学、生活质量和心理健康数据。其次(美沙酮治疗后12个月),再次评估受试者的心理健康状况和生活质量。数据分析采用SPSS Statistics 20、Mann-Whitney U和Wilcoxon检验。结果:MMT治疗后无明显改善(P=0.783),但治疗12个月后,受试者的生活质量评分有一定提高(P=0.04)。结论:本研究结果表明,MMT方法对参与者的健康没有显著影响。因此,患者心理障碍的筛查方案应安排在疗程开始前;还应为这些患者及其家属提供广泛和持续的治疗和咨询服务,以实现治疗目标。
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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