Buprenorphine Added on Brief Cognitive Behavioral Therapy for Treatment of Methamphetamine Use Disorder

Shariatirad, Schwann; Mahjoub, Alireza; Haqiqi, Ashraf; Hemami, Mohsen Rezaei; Tofighi, Babak; Ekhtiari, Hamed; Effatpanah, Mohammad

doi:10.5812/ijpbs.11529

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…MA treatment is based on psychosocial interventions such as cognitive-behavioral therapy and the Matrix Model (a 16-week outpatient psychosocial treatment) [11][12][13][14]. However, there is no widely available psychosocial treatment for MA patients in the Persian context [12][13][14]. To date, there are few studies of Iranian women and MA use disorder while undergoing methadone treatment.…”

Section: Introductionmentioning

confidence: 99%

Women and Methamphetamine in Iran: A Report From the Most Populous Persian Gulf Country

Moradi

Massah

2019

Iran. Rehabil. J.

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Methamphetamine (MA) use disorder is a new health problem among Iranian female methadone patients that needs special treatment and rehabilitation services. However, few describe their baseline characteristics, their reasons for MA use while in treatment, and their treatment needs and success. The study aimed at investigating these research gaps. Methods: The participants were 70 women with MA use disorder in two large women-only methadone treatment services in Tehran, Iran. A researcher-made checklist, the Severity of Dependence Scale, the Contemplation Ladder, and the General Health Questionnaire-28 were completed by women in a baseline interview. Results: The Mean±SD age of the participants was 35.84±8.62 years. The participants reported high severity of MA dependence (Mean±SD = 6.88±3.19), poor motivation to change (Mean±SD = 4.0±2.31]), and impaired psychological well-being (Mean±SD = 16.35±4.04) in the treatment. The most important reasons for MA use while undergoing methadone treatment included self-treatment (55%) and pleasure-seeking (43%). The most important MA treatment needs included effective psychological treatments (75%), continued family support (72%), and life skills (68%). Stable living and financial conditions (90%), drug-free living and working places (86%), continued family support (78%), and psychological counseling (69%) were the most important reported factors associated with MA treatment success. Discussion: The current study indicated that participants reported a number of MA-related problems. This issue needed a comprehensive treatment program at individual, social, psychological, and professional levels. The findings have important implications for delivering psychosocial treatments, as well as gender-specific research.

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Section: Introductionmentioning

confidence: 99%

Women and Methamphetamine in Iran: A Report From the Most Populous Persian Gulf Country

Moradi

Massah

2019

Iran. Rehabil. J.

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“…shows resistance to treatment [8]. While few pharmacological treatments have been found to be effective [9], motivational interviewing, matrix model and cognitivebehavioral therapy have been all evaluated in Iran to treat methamphetamine craving [7,10,11]. However, the treatment effects need to be more long-lasting [5,12].…”

Section: Studies In Iran Indicate That Methamphetamine Cravingmentioning

confidence: 99%

Brain Stimulation and Methamphetamine in Iran: A Debate in the Most Populous Persian Gulf Country

Massah

2020

IRJ

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Methamphetamine dependence has been known as a serious health problem in a large proportion of illicit drug users in Iran. Compared with the opium problem, methamphetamine dependence is a new epidemic concern in Iran. The prevalence of methamphetamine dependence is associated with crucial health problems such as poor psychological well-being, social dysfunction, craving, and a higher rate of addiction severity. This issue necessitates professional attention to the rehabilitation of methamphetamine users and treatment of craving. To date, few research studies have been conducted on this health concern. Studies in Iran indicate that methamphetamine craving shows resistance to treatment. While few pharmacological treatments have been found to be effective, motivational interviewing, matrix model and cognitive-behavioral therapy have been all evaluated in Iran to treat methamphetamine craving. However, the treatment effects need to be more long-lasting. Previous studies show that methamphetamine users lapse and relapse for a variety of reasons include “pleasure-seeking”/“impulsivity”/“habits”/“pain avoidance”/“craving”/“bad feelings eliminating such as boredom & loneliness” which have a strong neurological basis in the central nervous system and emotions and decisions that result from them. Thus we should use a range of different modalities to treat and prevent relapse.

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“…In recent years, several behavioral and psychological interventions have been introduced to treat illicit drug use in Iranian female methadone patients [6][7][8][9][10]. However, no specific HIV education program has been designed for this vulnerable population in methadone treatment centers.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of an Online HIV Education Program for Iranian Female Methadone Patients: The First Study

et al. 2020

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Female methadone patients need specific education on HIV. However, few studies have been conducted on the essential characteristics of designing an online HIV education program for this population. Therefore, the current qualitative study aimed at addressing this research gap. Methods: Semi-structured interviews were conducted with 34 female patients and 19 methadone treatment providers in 11 methadone treatment centres in Tehran, Mashhad and Sari, Iran. Both focus group discussions and individual interviews were conducted and a narrative analysis approach was implemented. The NVivo 9 software was used for data analysis. Results: The qualitative analyses of the data revealed three major themes and six minor themes as follows: a. information for focused action (knowing the epidemic response) using the effective visual presentation and audio presentation; b. interventions for impact evaluation (covering the needed services) by short-term documentary movies and animations; and c. program delivery for understanding (covering the population in need of services) using problem-solving and taking quizzes. Discussion: Audio and visual components, as well as the role of documentary movies and animations, should be considered in HIV education. The active role of women in learning using problem-solving and taking quizzes was highlighted. The findings of this study can be used in designing women-specific HIV education programs in Iran. Randomized controlled trials are suggested to evaluate the effectiveness of such programs.

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Buprenorphine Added on Brief Cognitive Behavioral Therapy for Treatment of Methamphetamine Use Disorder

Cited by 5 publications

References 29 publications

Women and Methamphetamine in Iran: A Report From the Most Populous Persian Gulf Country

Women and Methamphetamine in Iran: A Report From the Most Populous Persian Gulf Country

Brain Stimulation and Methamphetamine in Iran: A Debate in the Most Populous Persian Gulf Country

Characteristics of an Online HIV Education Program for Iranian Female Methadone Patients: The First Study

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