Impact of Co-Occurring Psychiatric Disorders on Retention in a Methadone Maintenance Program: An 18-Month Follow-Up Study

被引：39

作者：

Astals, Monica ^{[1
]}

Diaz, Laura ^{[1
]}

Domingo-Salvany, Antonia ^{[2
]}

Martin-Santos, Rocio ^{[1
]}

Bulbena, Antoni ^{[1
,3
]}

Torrens, Marta ^{[1
,3
]}

机构：

[1] Hosp del Mar, Inst Psychiat & Addict IAPs, E-08003 Barcelona, Spain

[2] Hosp del Mar, Inst Municipal Invest Med, Res Programme Epidemiol & Publ Hlth, E-08003 Barcelona, Spain

[3] Univ Autonoma Barcelona, Dept Psychiat, E-08193 Barcelona, Spain

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2009年 / 6卷 / 11期

关键词：

methadone; retention; co-occurring psychiatric disorders; incidence; SUBSTANCE USE DISORDERS; QUALITY-OF-LIFE; MENTAL-DISORDERS; DRUG-ABUSE; DSM-IV; RESEARCH INTERVIEW; HEALTH-STATUS; HEROIN USERS; COMORBIDITY; PREDICTORS;

D O I：

10.3390/ijerph6112822

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

We assess the influence of co-occurring psychiatric disorders on retention in 189 opioid dependent patients in a methadone maintenance treatment (MMT) and determine the incidence of psychiatric co-morbidity during an 18-month follow-up period. About 68.5% were retained in the MMT. Neither co-occurring mental disorders (chi-square = 0.303, df = 1, p = 0.622) nor methadone doses [85 (88.9) vs. 79.2 (85) mg/day, p = 0.672] were related to retention. In the follow-up period 19 new diagnoses were made, mainly major depression and antisocial and borderline personality disorders. Co-occurring psychiatric disorders should be assessed during MMT follow-up.

引用

页码：2822 / 2832

页数：11

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