Psychopathology and Pain Correlates of Dispositional Optimism in Methadone-Maintained Patients.
Psychopathology and pain correlates of dispositional optimism in methadone-maintained patients.
Am J Addict. 2012 Nov; 21 Suppl 1: S56-62
Beitel M, Savant JD, Cutter CJ, Peters S, Belisle N, Barry DT
Background and Objectives: Although higher levels of dispositional optimism are associated with decreased levels of psychopathology and pain, and higher levels of mental health functioning-important outcomes in opioid treatment programs-a paucity of studies has examined dispositional optimism among individuals with opioid use disorders. The aim of this study was to examine the clinical correlates (ie, psychopathology, pain status) of dispositional optimism in opioid dependent patients enrolled in methadone maintenance treatment (MMT). Methods: A survey targeting demographics, pain, psychopathology, and dispositional optimism was administered to 150 MMT patients. Results: In multivariable analyses, higher levels of dispositional optimism were significantly associated with lower levels of: depression, screened personality disorder criteria, screened symptoms of posttraumatic stress disorder, and pain-related emotional strain. In comparison to those without a history of chronic pain (ie, noncancer related physical pain lasting at least 3 months), MMT patients who reported either lifetime or current chronic pain exhibited significantly lower levels of dispositional optimism. Conclusions and Scientific Significance: The associations among higher levels of dispositional optimism, lower levels of psychopathology, and lower pain-related emotional strain suggest that research focusing on the efficacy of specific interventions to promote dispositional optimism in MMT patients is warranted. (Am J Addict 2012;21:S56-S62).
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Correlates of Depressive Symptoms among Alcohol-Using Methadone Maintained Adults.
Am J Addict. 2012 Nov; 21 Suppl 1: S49-55
Nyamathi A, Albarrán CR, Branson C, Marfisee M, Khalilifard F, Leake B
Background: Alcohol-using clients are considered at great risk for hepatitis and ongoing liver damage. This study explores the correlates of depression among a sample of methadone maintained treatment (MMT) adults in the Los Angeles area, and is part of a larger study on hepatitis health promotion among MMT clients who use alcohol. Objectives: We sought to determine correlates of depressive symptoms among moderate and heavy alcohol-using adults enrolled in methadone maintenance. Methods: A cross-sectional correlation study was conducted of baseline data from a randomized control trial of adults (N= 189) receiving MMT in Los Angeles. Depressive symptoms were measured with the 10-item short-form CES-D. Results: Multiple regression analysis revealed that pain and social support were key correlates of depressive symptoms. More pain was associated with higher levels of depressive symptoms (p= .001), while more social support was related to lower depressive symptom severity (p= .001). Having been in sufficiently poor health that a blood transfusion, clotting factors, or an organ transplant was necessary was associated with greater depressive symptomatology, as was having injected drugs in the past month (p= .024). Conclusions: The findings from this investigation can aid clinicians in selecting clients to monitor for early signs of depression and encourage early treatment for opioid users with comorbidities. Scientific Significance: The use of an interdisciplinary team to care for MMT clients, routinely screen for depressive symptoms, and emphasize adequate pain control is indicated. (Am J Addict 2012;21:S49-S55).
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Day 240.Getting off methadone for good. Detox from methadone. Drugs, detox,support, – This is day 240 for me. I have been methadone free for that many days. A video diary of my struggle detoxing from methadone from day one. I made it…so can …
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