Status of Methamphetamine Users 2–5 Years After Outpatient Treatment

Rawson, Richard A.; Huber, Alice; Brethen, Paul; Obert, Jeanne L.; Gulati, Vikas; Shoptaw, Steven; Ling, Walter

doi:10.1300/j069v21n01_09

Cited by 72 publications

(66 citation statements)

References 2 publications

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“…The main point to mention was that depression symptoms in their studies disappeared within 7 to 14 days, but it took more than three weeks in the present study to eliminate the symptoms of depression completely especially in severe addicts. These findings were consistent with the results of previous studies in which long-term depression occurred after withdrawal from methamphetamine (31,32). Studies have also shown that methamphetamine-addicted patients were at higher risks for depression and suicide attempts (33).…”

Section: Discussionsupporting

confidence: 92%

“…The issue of sleep, which was assessed in this study only by one item in the fatigue factor, has been investigated in some studies with a separate multiple-choice questionnaire considering several different dimensions such as duration of sleep, sleep continuity, sleep per night, daytime sleep, quality of sleep, depth of sleep, and satisfaction with sleep (23,31). The results of this study were consistent with the findings by McGregor et al (23) In terms of duration of sleep.…”

Section: Discussionmentioning

confidence: 99%

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Investigating the Trend and Severity of Withdrawal Symptoms in Methamphetamine Users Amongst Homeless Addicts

Khani

Barati

Mollajan

et al. 2018

Int J High Risk Behav Addict

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Background and Objectives: Determining the trend and severity of withdrawal symptoms is considered as the first stage of addiction treatment. Therefore, the purpose of this study was to investigate the trend and severity of withdrawal symptoms in methamphetamine (meth) addicts. Methods: This cross-sectional study was conducted on all the clients admitted to quit methamphetamine abuse in a residential treatment center for homeless addicts in Alborz province in 2014. According to the average daily intake, the clients were divided into two groups: mild and severe. To collect the data for this study; methamphetamine withdrawal symptoms assessment scale, Beck depression inventory, and a demographic information questionnaire were used. The analysis of variance (ANOVA) was employed for repeated measures through the SPSS software version 16 and at a significance level of 0.05. Results:The findings showed that methamphetamine withdrawal symptoms including anxiety, abuse craving, and fatigue in the first 24 hours and the first, the second, and the third weeks as well as the symptoms of depression within three weeks after the withdrawal began to decline significantly (P < 0.0001). Following the analysis of variance (ANOVA) for repeated data and taking addiction severity index into account, it was observed that the difference between the two groups of mild and severe addicts was significant in terms of the trend and severity of methamphetamine withdrawal symptoms (P < 0.0001). Conclusions:The hardest stage to quit methamphetamine addiction was the first 24 hours after withdrawal with a downward trend; however, abuse craving especially in severe addicted group persisted even after the third week of withdrawal which could be a risk factor for recurrence and re-abuse. Thus, it was suggested that therapists were required to pay more attention to this issue in the treatment of this group of addicted individuals.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Investigating the Trend and Severity of Withdrawal Symptoms in Methamphetamine Users Amongst Homeless Addicts

Khani

Barati

Mollajan

et al. 2018

Int J High Risk Behav Addict

View full text Add to dashboard Cite

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“…Despite its stimulating effects, the literature on methamphetamine use indicates that methamphetamine users frequently report high levels of co-occurring psychiatric symptoms, particularly depression (Peck et al, 2005;Sommers et al, 2006;Zweben et al, 2004;Semple et al, 2005). Similar to alcohol, the causal relationship between methamphetamine and depression has not been established (Kalechstein et al, 2000) although it appears that depressive symptoms figure particularly prominently during withdrawal from methamphetamine use (McGregor et al, 2005;Rawson et al, 2002). Methamphetamine use has also been shown to impact a variety of self-reported and objective physical health measures, which could in turn affect HRQL (Greenwell and Brecht, 2003;Anglin et al, 2001;Alberston et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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Background-Heavy alcohol use, hepatitis C and illicit drug use each have been shown to have negative impacts on health-related quality of life (HRQL). To date, considerations of HRQL have not played a prominent role in the design and measurement of intervention strategies for out-oftreatment at-risk populations.Methods-Data were collected from out-of-treatment IDUs recruited through street outreach in North Carolina. Multiple linear regression analyses were used to examine the independent effects of HCV status, harmful drinking (AUDIT), and illicit drug use on HRQL (SF-36).Results-Fifty-one percent of 619 study participants tested HCV-positive; 57% met criteria for harmful or hazardous drinking and 63% reported daily use of hard drugs. HRQL scores for this population were significantly lower than those of the general population. Multiple linear regression analyses demonstrated that harmful levels of alcohol consumption and use of methamphetamine in the past month had the strongest associations with reduced HRQL.Conclusions-Given the high rates of HCV in most IDU communities, new harm reduction approaches are needed for these populations which focus beyond prevention to the functioning and well-being of those already infected. In particular, reducing heavy alcohol use in addition to slowing HCV progression shows promise for improving HRQL.

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“…Several studies have documented a high posttreatment rate of relapse among MA-dependent individuals, showing that the benefits of treatment quickly diminish within the postdischarge period, starting as early as 3 months (Brecht et al, 2005(Brecht et al, , 2008Brecht and Herbeck, 2014;Gonzales et al, 2010;Hser et al, 2003Hser et al, , 2005Rawson et al, 2002Rawson et al, , 2004Roll et al, 2006). Consequently, there is considerable interest in identifying interventions that can help reduce relapse to MA use, particularly among subgroups of MA-dependent users.…”

Section: Introductionmentioning

confidence: 99%

Impact of an exercise intervention on methamphetamine use outcomes post residential treatment care

Rawson

Chudzynski

Gonzales-Castaneda

et al. 2015

Drug and Alcohol Dependence

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Background-We examined the efficacy of an 8-week exercise intervention on posttreatment methamphetamine (MA) use among MA-dependent individuals following residential treatment.Methods-135 individuals newly enrolled in treatment were randomly assigned to a structured 8-week exercise intervention or health education control group. Approximately 1 week after completion of the intervention, participants were discharged to the community. Interview data and urine samples were collected at 1-, 3-, and 6-months post-residential care. Of the sample, 54.8% were classified as higher severity users (using MA more than 18 days in the month before admission) and 45.2% as lower severity users (using MA for up to 18 days in the month before admission). Group differences in MA use outcomes were examined over the 3 timepoints using mixed-multivariate modeling.Results-While fewer exercise participants returned to MA use compared to education participants at 1-, 3-and 6-months post-discharge, differences were not statistically significant. A significant interaction for self-reported MA use and MA urine drug test results by condition and MA severity was found: lower severity users in the exercise group reported using MA significantly fewer days at the three post-discharge timepoints than lower severity users in the ContributorsAuthors RAR, LM, and CBC were involved with the design the study. Authors RG, JC, BAS managed literature searches and summaries of previous related work. Authors JP, DD, and BD undertook behavioral and clinical data collection. AA and RG undertook the statistical analysis. All authors contributed to the writing of the manuscript, including the review and final approval of it for publication. Conflicts of interest: none.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript education group. Lower severity users in the exercise group also had a lower percentage of positive urine results at the three timepoints than lower severity users in the education group. These relationships were not present in the comparison of the higher severity conditions. Conclusion-Resultssupport the value of exercise as a treatment component for individuals using MA 18 or fewer days/month.

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Status of Methamphetamine Users 2–5 Years After Outpatient Treatment

Cited by 72 publications

References 2 publications

Investigating the Trend and Severity of Withdrawal Symptoms in Methamphetamine Users Amongst Homeless Addicts

Investigating the Trend and Severity of Withdrawal Symptoms in Methamphetamine Users Amongst Homeless Addicts

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Impact of an exercise intervention on methamphetamine use outcomes post residential treatment care

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