|Titel||Severity of psychiatric and physical problems is associated with lower quality of life in methadone patients in Indonesia.|
|Jaar van publicatie||2013|
|Auteurs||Iskandar S, van Crevel RR, Hidayat T, Siregar IMP, Achmad TH, van der Ven AJAM, DeJong CA|
|Uitgave||Am J Addict|
BACKGROUND AND OBJECTIVES: The goal of methadone maintenance treatment (MMT) is to reduce the harm and to improve patients' quality of life (Qol). However, the Qol is also influenced by other co-occurring disorders. Data regarding the Qol and the co-occurrence of these disorders is lacking in low-middle income countries. We therefore describe the prevalence of physical, psychiatric, and drug abuse co-occurring disorders among MMT patients in Indonesia and determine the association between the severity of the co-occurring disorders and the Qol.
METHODS: Data were collected in 112 injection drug abusers (IDUs) attending a MMT program in West Java, Indonesia, using validated questionnaires, medical records and laboratory testing. For comparison, 154 IDUs not enrolled in MMT were recruited by respondent driven sampling.
RESULTS: The most frequent co-occurring disorders were hepatitis C (92%), HIV (77%), benzodiazepine abuse (56%), and anxiety disorders (32%). IDUs in MMT had one (26%), two (47%), or three (27%) co-occurring disorders. Higher severity in psychiatric and physical problems was associated with poorer Qol. IDUs not enrolled in MMT had similar co-occurring problems.
CONCLUSIONS: The prevalence of co-occurring disorders in IDUs in Indonesia is high and they influence their Qol.
SCIENTIFIC SIGNIFICANCE: Therefore, comprehensive treatment, especially focusing on the common co-occurring disorders should be provided in MMT to improve the Qol.
|Alternatieve uitgave||Am J Addict|