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Tytuł:
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Multi-level predictors of psychological problems among methadone maintenance treatment patients in difference types of settings in Vietnam.
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Autorzy:
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Le TA; National Institute of Hygiene and Epidemiology, Hanoi, 100000, Vietnam.; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, 100000, Vietnam.
Le MQT; National Institute of Hygiene and Epidemiology, Hanoi, 100000, Vietnam.
Dang AD; National Institute of Hygiene and Epidemiology, Hanoi, 100000, Vietnam.
Dang AK; Institute for Global Health Innovations, Duy Tan University, Postal address: No. 73 Hoang Cau street, Hanoi, Da Nang, Vietnam.
Nguyen CT; Institute for Global Health Innovations, Duy Tan University, Postal address: No. 73 Hoang Cau street, Hanoi, Da Nang, Vietnam. .
Pham HQ; Institute for Global Health Innovations, Duy Tan University, Postal address: No. 73 Hoang Cau street, Hanoi, Da Nang, Vietnam.
Vu GT; Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, 700000, Vietnam.
Hoang CL; Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh, 700000, Vietnam.
Tran TT; Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, 700000, Vietnam.
Vuong QH; Centre for Interdisciplinary Social Research, Phenikaa University, Yen Nghia, Ha Dong, Hanoi, 100803, Vietnam.; Faculty of Economics and Finance, Phenikaa University, Yen Nghia, Ha Dong, Hanoi, 100803, Vietnam.
Tran TH; Institute of Orthopaedic and Trauma Surgery, Vietnam - Germany Hospital, Hanoi, 100000, Vietnam.
Tran BX; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, 100000, Vietnam.; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA.
Latkin CA; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA.
Ho CSH; Department of Psychological Medicine, National University Hospital, Singapore, 119074, Singapore.
Ho RCM; Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh, 700000, Vietnam.; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117599, Singapore.; Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore, Singapore, 117599, Singapore.
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Źródło:
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Substance abuse treatment, prevention, and policy [Subst Abuse Treat Prev Policy] 2019 Sep 18; Vol. 14 (1), pp. 39. Date of Electronic Publication: 2019 Sep 18.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: [London] : BioMed Central, 2006-
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MeSH Terms:
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Anxiety/*epidemiology
Depression/*epidemiology
Opiate Substitution Treatment/*psychology
Opioid-Related Disorders/*epidemiology
Private Facilities/*statistics & numerical data
Public Facilities/*statistics & numerical data
Stress, Psychological/*epidemiology
Adult ; Comorbidity ; Cross-Sectional Studies ; Humans ; Male ; Methadone/therapeutic use ; Middle Aged ; Opioid-Related Disorders/drug therapy ; Risk Factors ; Vietnam/epidemiology ; Young Adult
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References:
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Contributed Indexing:
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Keywords: Anxiety; Depression; Methadone; Psychological; Stress; Vietnam
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Substance Nomenclature:
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UC6VBE7V1Z (Methadone)
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Entry Date(s):
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Date Created: 20190920 Date Completed: 20200504 Latest Revision: 20200505
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Update Code:
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20240105
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PubMed Central ID:
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PMC6751619
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DOI:
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10.1186/s13011-019-0223-4
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PMID:
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31533764
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Background: Methadone, a long-acting opioid agonist maintenance treatment (MMT) is used to treat opioid addiction by preventing opioid withdrawal and reducing cravings. However, it is important to note that mental conditions may persist, or even remain undetected while methadone maintenance treatment is ongoing. This study aimed to examine the level of psychological problems among MMT patients at public and private health facilities and identify associated factors.
Method: From January to September 2018, a cross-sectional study was performed in Nam Dinh province, one of the largest epicenters providing HIV/AIDS surveillance and treatment services in the North of Vietnam. 395 male respondents currently receiving MMT agreed to participate in a face-to-face interview. Depression, Anxiety and Stress Scale-21 (DASS-21) were used to assess psychological problems among patients.
Results: The percentage of patients suffering from mild to extremely severe anxiety was the highest among psychological problems (18%). 2.8% of participants had mild depressive symptoms and the percentage of those having mild or moderate stress was approximately 4%. In addition, the longer treatment duration, the lower mental health scores regarding three types of psychological problems. Respondents who received MMT services in public health facilities were more likely to have a higher score of all psychological problems. Participants who lived with partners or spouse, having higher monthly family income had a lower likelihood of having severe depression and stress status. Freelancers or blue-collars/farmers had lower score of depression and anxiety compared to people being unemployed.
Conclusion: This study suggests that among our sample, MMT patients receiving treatment in public health facilities might have higher rate of psychological problems, including depression, anxiety, and stress than that of those in the private health facility. These results highlight the necessity of taking psychological counseling adequately for MMT patients and psychological assessment should be prioritized in the early stage of treatment.
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