Les modalités de prescription d’analgésiques opiacés par les médecins de l’Hôtel-Dieu de France de Beyrouth

Noufi, P.; Khoury, Elie; Ayoub, Eliana; Naccache, N; Richa, Sami

doi:10.1016/j.encep.2016.05.010

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…Additionally, many practitioners do not follow patients adequately after prescribing opioids and do not explain or screen for potential adverse effects. This lack of proper evaluation and follow-up can contribute to the emergence of an opioid epidemic by increasing the number of people who develop OUD (10).…”

Section: Discussionmentioning

confidence: 99%

“…This climate has likely increased the level of stress and distress in the Lebanese population, precipitating mental health problems and sleep disturbances, which might affect medication abuse and use disorders, whether prescription or illegal drugs (9). More importantly, a study has shown variability in the frequency of follow-up of Lebanese practitioners on opioid prescriptions, with a substantial proportion of these practitioners not assessing additional risk factors before prescribing opioids to patients, which may further contribute to increasing OUD cases (10).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Opioid Use Disorder in Two Samples of the Lebanese Population: Scale Validation and Correlation with Sleep and Mood Disorders

Chamoun

Mouawad

Salameh

et al. 2023

Preprint

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Background: The revised Opioid Risk Tool (ORT-OUD) is a brief, self-report scale designed to provide clinicians with a simple, validated method to screen for the risk of developing an Opioid Use Disorder (OUD) in patients without a prior history of substance abuse. This study aimed to translate and validate the Arabic version of ORT-OUD in the Lebanese population and assess its clinical validity in a sample of patients with OUD. Methods: This cross-sectional study in the Lebanese population used several validated scales to assess the risk of OUD, including the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Other tools evaluated chronotype and sleep and mood disturbances. Principal component analysis with Varimax rotation was applied to assess ORT-OUD construct validity. Convergent validity with the Arabic version of ASSIST was evaluated. The ORT-OUD criterion validity was then assessed in a clinical sample of patients with OUD. Results: This study included 581 participants. The prevalence of the OUD risk in the Lebanese population using the ORT-OUD scale and the ASSIST-opioids scale was estimated at 14.5% and 6.54%, respectively. No items of the ORT-OUD were removed; all items converged over a solution of four factors with an eigenvalue>1, explaining a total of 68.2% of the variance (Cronbach’s alpha=0.648). The correlation coefficients between the ORT-OUD total score and ASSIST subscales were as follows: ASSIST-opioids (r=0.174; p=<0.001), ASSIST-sedatives (r=0.249; p <0.001), and ASSIST-alcohol (r=0.161; p=<0.001). ORT-OUD clinical validation showed a correlation with ASSIST-opioids (r=0.251; p=0.093) and ASSIST-sedatives (r=0.598; p<0.001). Higher ORT-OUD scores were associated with a family and personal history of alcohol and substance consumption and higher insomnia and anxiety scores. Conclusion: This study is the first to validate the Arabic version of ORT-OUD in the Lebanese population, an essential step towards improving the detection and management of OUD in this population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Opioid Use Disorder in Two Samples of the Lebanese Population: Scale Validation and Correlation with Sleep and Mood Disorders

Chamoun

Mouawad

Salameh

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Additionally, inadequate follow-up and insufficient communication about possible adverse effects are common among healthcare practitioners in Lebanon. This lack of proper evaluation and follow-up can contribute to the emergence of an opioid epidemic by increasing the likelihood of people developing OUD [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…This climate has likely increased stress and distress levels among the Lebanese population, precipitating mental health and sleep problems that may contribute to medication abuse and use disorders, both in prescription and illegal drugs [ 16 ]. More importantly, a study revealed variability in the frequency of follow-up by Lebanese practitioners regarding opioid prescriptions, with a substantial proportion of these practitioners not assessing additional risk factors before prescribing opioids to patients, which may further contribute to increasing OUD cases [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Opioid use disorder in two samples of the Lebanese population: scale validation and correlation with sleep and mood disorders

Chamoun,

Mouawad,

Salameh

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

Background The revised Opioid Risk Tool (ORT-OUD) is a brief, self-report scale designed to provide clinicians with a simple, validated method to screen for the risk of developing an Opioid Use Disorder (OUD) in patients without a prior history of substance abuse. This study aimed to translate and validate the Arabic version of ORT-OUD in the Lebanese population and assess its clinical validity in a sample of patients with OUD. Methods This cross-sectional study in the Lebanese population used several validated scales to assess the risk of OUD, including the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Other tools evaluated chronotype and sleep and mood disturbances. Principal component analysis with Varimax rotation was applied to assess ORT-OUD construct validity. Convergent validity with the Arabic version of ASSIST was evaluated. The ORT-OUD criterion validity was then assessed in a clinical sample of patients with OUD. Results This study included 581 participants. The prevalence of the OUD risk in the Lebanese population using the ORT-OUD scale and the ASSIST-opioids scale was estimated at 14.5% and 6.54%, respectively. No items of the ORT-OUD were removed; all items converged over a solution of four factors with an eigenvalue > 1, explaining a total of 68.2% of the variance (Cronbach’s alpha = 0.648). The correlation coefficients between the ORT-OUD total score and ASSIST subscales were as follows: ASSIST-opioids (r = 0.174; p = < 0.001), ASSIST-sedatives (r = 0.249; p < 0.001), and ASSIST-alcohol (r = 0.161; p = < 0.001). ORT-OUD clinical validation showed a correlation with ASSIST-opioids (r = 0.251; p = 0.093) and ASSIST-sedatives (r = 0.598; p < 0.001). Higher ORT-OUD scores were associated with a family and personal history of alcohol and substance consumption and higher insomnia and anxiety scores. Conclusions This study is the first to validate the Arabic version of ORT-OUD in the Lebanese population, an essential step towards improving the detection and management of OUD in this population.

show abstract

Les modalités de prescription d’analgésiques opiacés par les médecins de l’Hôtel-Dieu de France de Beyrouth

Cited by 2 publications

References 12 publications

Opioid Use Disorder in Two Samples of the Lebanese Population: Scale Validation and Correlation with Sleep and Mood Disorders

Opioid Use Disorder in Two Samples of the Lebanese Population: Scale Validation and Correlation with Sleep and Mood Disorders

Opioid use disorder in two samples of the Lebanese population: scale validation and correlation with sleep and mood disorders

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