The effects of Buprenorphine/Naloxane Maintenance Treatment on the Quality of Life, Substance Use and Functionality in Opiate Dependence: A Follow-Up Study

Bölek, Selahattin; Yargıç, İlhan; Ekinci, Okan

doi:10.5455/bcp.20151101022909

Cited by 9 publications

(3 citation statements)

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“…Abstinence has been the main objective for treatment of opioid addiction as well as a measure and outcome of treatment success. 41,42 Nevertheless, addictions are often intertwined with social, economic, health and mental issues, and a more holistic and patient-oriented perspective has recently been emphasized. According to Van den Brink, Haasen 43 only motivated patients with sufficient social support and stable living situations would benefit from abstinenceoriented interventions.…”

Section: Discussionmentioning

confidence: 99%

<p>Opioid and Polydrug Use Among Patients in Opioid Maintenance Treatment</p>

Carlsen

Lunde

Torsheim

2020

SAR

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Purpose: Opioid maintenance treatment reduces a person's use of heroin. However, frequent substance use in treatment is a problem. Aim: To examine the association between opioid maintenance treatment and opioid/polydrug use, and whether social factors, adverse experiences, social resources, and quality of life are associated with opioid/polydrug use during the first 12 months in treatment. Patients and Methods: Forty-seven participants from treatment units in Bergen, Norway participated in five waves of data collection. Every third month, a structured face-to-face interview collected self-reported data on sociodemographic characteristics, opioid/polydrug use, participants' social resources or adverse experiences, and quality of life. Data were collected as part of KVARUS, the National Quality Register for Substance Abuse Treatment. A multilevel binary logistic regression analysis was conducted to examine the association of opioid/polydrug use and time in current treatment. The analysis included regressions of opioid/polydrug use on time-invariant baseline adverse experiences and social resources, and time-varying reports of quality of life. Results: There was a significant negative association between time in treatment and use of opioids, b =−0.89, SE = 0.19, p = <0.01. Furthermore, a negative association of age at substance use on polydrug use was found, b =−0.40, SE =0.19, p = 0.03. A higher overall quality of life was significantly associated with lower odds of opioid use during opioid maintenance treatment, b = −0.62, SE = 0.23, p = < 0.01. Social dimensions, participants' adverse experiences, and social resources were not associated with polydrug or opioid use. Conclusion: Opioid maintenance treatment is associated with lowered opioid use, but to a lesser degree with polydrug use. Our findings add quality of life as an important factor that should be given particular attention because it can offer insight to aspects that can affect the patients' opioid use.

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Section: Discussionmentioning

confidence: 99%

<p>Opioid and Polydrug Use Among Patients in Opioid Maintenance Treatment</p>

Carlsen

Lunde

Torsheim

2020

SAR

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“…SUD treatment emphasizes reduction in drug use, deemed successful when patients test negative for drugs (Mitchell et al, 2015;Strada et al, 2017;Tiffany et al, 2012). However, with a comprehensive perspective on SUD, abstinence is no longer the only goal (Bolek, Yargic, & Ekinci, 2016;De Maeyer, Vanderplasschen, & Broekaert, 2010;Mitchell et al, 2015). Although the increasing emphasis on patients' empowerment and the interest in patients' viewpoint may present important insights into treatment and life in general, few studies utilize substance (ab)users' perspectives as an important source of information (De Maeyer, van Nieuwenhuizen, Bongers, Broekaert, & Vanderplasschen, 2013;Strada et al, 2017).…”

Section: Public Interest Statementmentioning

confidence: 99%

Predictors of quality of life of patients in opioid maintenance treatment in the first year in treatment

2019

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Background: Although research has examined patients' perception of quality of life while in opioid maintenance treatment, the focus has mainly been on health-related quality of life. Objectives: This study aimed to investigate opioid maintenance treatment patients' subjective overall quality of life and the potential association between quality of life and factors, such as housing, the relationship with their partner, children and friends, leisure, work, financial situation and health during the first year in treatment. Methods: Self-recruited first-time enrolled patients met for a structured registration through face-to face interviews every third month for 12 months. Sociodemographic factors and nine indicators of quality of life from the National Quality Register for Substance Abuse Treatment were utilized. Results: Participants (N = 38), reported a significant improvement in overall quality of life in the first year F (1, 40.4880) = 7.532, p = .009, with a positive effect on .19 per time unit. In particular, the domain financial situation predicted improved quality of life, F (1, 37.774) = 14.212, p = .001. Moreover, there was no significant change for subjective factors such as leisure, relationship with children, housing, health, and relationship with a partner across time. Specific domains of quality of life such as housing, leisure and financial situation were positively associated with overall quality of life. Conclusions: These results suggest that to address factors as a part of patients' treatment can be instrumental in improving quality of life. Further

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“…Stress is likely to increase the effects of psychiatric severity in relation to abstinence self-efficacy and other important recovery outcomes such as quality of life among persons utilizing MAT. For instance, high levels of psychiatric severity were associated with lower levels of quality of life (Iskandar et al , 2013), whereas gains in quality in life and decreases in both psychiatric severity and stress levels were observed at six-month follow-up (Bolek et al , 2016). There is a need to better understand these relationships, and to identify community resources that would complement pharmacological interventions for promoting therapeutic gains, such as recovery homes.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric severity and stress among recovery home residents utilizing medication assisted treatment: a moderated mediation analysis of homophily

Majer

Bobak

Jason

2021

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Purpose The purpose of this study is to examine the relationship between psychiatric severity and stress among persons utilizing medication assisted treatment (MAT), and there is a need to identify resources that promote resilience against these risk factors. Although recovery homes might complement pharmacological interventions for persons using MAT, a lack of homophily (e.g. similar experiences) among residents could produce stress and increase psychiatric severity. The purpose of this paper is to examine stress and psychiatric severity in relation to recovery outcomes, and whether homophily moderated these relationships. Design/methodology/approach A cross-sectional analysis was conducted among recovery home residents who were recruited from the USA, including those using (n = 40) and not using (n = 132) MAT. Participants’ levels of psychiatric severity, stress, abstinence self-efficacy and quality of life were assessed in addition to whether residents using MAT were living with at least one other resident who used MAT. Moderated mediation analyses were conducted to examine whether homophily among residents using MAT would moderate the mediating effects of stress on the relationships between psychiatric severity and recovery outcomes (abstinence-self efficacy, quality of life). Findings Mediating effects were observed but they were significant only through homophily. Although stress increased the negative effects of psychiatric severity among residents using MAT, significantly lesser effects were observed among those living with residents using MAT. Practical implications Although psychiatric (problem) severity and stress threaten recovery for persons with substance use disorders, little is known how they impact recovery among those living in community-based settings such as recovery homes. In addition, there is a need to identify community resources that would complement MAT protocols, as patients who use MAT face unique stressors related to their sense of shared interests and experiences (i.e. homophily) when developing social bonds with others in recovery. Social implications This study suggests the social networks within recovery homes reduce the effects of psychiatric severity and stress, and that these effects are lessened for residents who use MAT when they live with others who also use MAT. Originality/value Little is known about recovery home residents who use MAT and have high psychiatric severity. Findings suggest homophily among persons using MAT living in recovery homes who have high psychiatric severity can promote resilience.

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The effects of Buprenorphine/Naloxane Maintenance Treatment on the Quality of Life, Substance Use and Functionality in Opiate Dependence: A Follow-Up Study

Cited by 9 publications

References 28 publications

<p>Opioid and Polydrug Use Among Patients in Opioid Maintenance Treatment</p>

<p>Opioid and Polydrug Use Among Patients in Opioid Maintenance Treatment</p>

Predictors of quality of life of patients in opioid maintenance treatment in the first year in treatment

Psychiatric severity and stress among recovery home residents utilizing medication assisted treatment: a moderated mediation analysis of homophily

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