Loneliness and its impact on quality of life in Chinese heroin-dependent patients receiving methadone maintenance treatment

Yang, Yingjia; Xu, Yao; Chen, Wen-Cai; Zhu, Jin; Lü, Jin; Zhong, Bao‐Liang

doi:10.18632/oncotarget.19565

Cited by 18 publications

(12 citation statements)

References 31 publications

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“…Socio-demographic variables collected in the questionnaire included gender, age, education, marital status, employment status, financial status, and interpersonal relationship. We assessed interpersonal relationship with a single question (“Overall, how did you get along with others, including family and non-family associates?”) on a 3-point scale: 1=poor, 2=fair, 3=well [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

Suicidal ideation among Chinese methadone-maintained patients: prevalence and correlates

Zhong

Chen

et al. 2017

Oncotarget

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Heroin users are at high risk for suicide. However, the epidemiological profile of suicidal behaviors in Chinese methadone-maintained patients remains largely unknown. This study determined the prevalence and correlates of suicidal ideation among Chinese methadone-maintained patients. A total of 603 methadone-maintained patients were consecutively recruited from three methadone maintenance treatment (MMT) clinics in Wuhan, China, and administered with standardized questionnaires to collect sociodemographic, clinical, and psychological data. Suicidal ideation was measured with a single self-report question “Have you ever thought about committing suicide?”. Depression and anxiety were assessed with Zung’s Self-rating Depression Scale and Zung’s Self-rating Anxiety Scale, respectively. The one-month and lifetime prevalence rates of suicidal ideation were 17.9% and 58.9%, respectively. In multiple logistic regression, lifetime suicidal ideation was significantly associated with female (OR: 1.69), an educational attainment of primary school and below (OR: 1.47), fair and poor interpersonal relationship (OR: 2.20), a history of injecting heroin (OR: 1.60), depression (OR: 1.38), and anxiety (OR: 4.00). Methadone-maintained patients of MMT clinics have a high prevalence of suicidal ideation and therefore at high risk for suicide. Suicide prevention efforts at MMT clinics should include periodic evaluation of suicidality, psychosocial supports, and, when necessary, psychiatric treatment and crisis intervention.

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Section: Methodsmentioning

confidence: 99%

Suicidal ideation among Chinese methadone-maintained patients: prevalence and correlates

Zhong

Chen

et al. 2017

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“…This is a secondary data analysis based on a cross-sectional survey conducted in three city-owned MMT clinics in Wuhan, China, between June 2009 and July 2010 [ 3 , 29 , 30 ]. The study consecutively enrolled 652 adult heroin addicts who met DSM-IV criteria for a lifetime diagnosis of heroin addiction.…”

Section: Methodsmentioning

confidence: 99%

Pain of methadone-maintained heroin addicts: lonelier individuals feel more intense pain

Zhu

et al. 2017

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Managing pain in patients with heroin addiction is challenging, because most pain medications are addictive. A promising way to relieve pain of heroin addicts is to identify and address modifiable psychosocial factors associated with pain. This study examined the association between loneliness and pain intensity in Chinese heroin addicts receiving methadone maintenance treatment (MMT). A consecutive sample of 603 heroin addicts were recruited from three MMT clinics in Wuhan, China. Loneliness was assessed with a single question, and socio-demographic and clinical data were collected with a standardized questionnaire. Pain intensity was assessed with the five-point Verbal Rating Scale. Multiple ordinary logistic regression was used to control for potential confounders that may bias the loneliness-pain relationship. There was a significant and positive correlation between pain intensity and loneliness scores among methadone-maintained heroin addicts (r = 0.453, P < 0.001). After controlling for potential socio-demographic and clinical confounders, an increase in the level of loneliness was significantly associated with an increase in pain intensity (OR = 1.22, P = 0.042). Loneliness is significantly associated with pain of methadone-maintained heroin addicts. Psychosocial interventions aimed at reducing loneliness might prevent or reduce pain of patients receiving MMT.

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“…According to the official data, by 2016, a total of 162000 IUH were receiving treatment in 789 community-based MMT clinics distributed in all provinces of China 29 . Although MMT is effective in reducing withdrawal symptoms and social harms resulting from heroin use and improving quality of life of individuals with heroin dependence (IHD) 30 , empirical studies still reported high prevalence rates of psychosocial and physical problems in Chinese IHD receiving MMT such as depression, loneliness, and pain 27,31,32 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence

Zhong

Xie

Zhu

et al. 2019

Sci Rep

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To date, there have been very limited studies regarding the clinical epidemiology of attempted suicide in Chinese individuals with heroin-dependence. The objective of this study was to examine the prevalence and correlates of suicide attempt in Chinese individuals receiving methadone maintenance treatment for heroin dependence. Demographic, clinical, and psychosocial data of 603 methadone-maintained patients with heroin dependence were collected with a standardized self-administered questionnaire. The presence of suicide attempt and antisocial personality disorder was assessed by using a single question and the Mini-International Neuropsychiatric Interview 5.0. The one-month and lifetime prevalence rates of suicide attempt were 9.5% and 34.2%, respectively. In multivariable logistic regression, lifetime suicide attempt was significantly associated with female gender (OR = 2.81), being 20–39 years old (OR = 2.73), an education level of primary school or lower (OR = 2.07), poor economic status (OR = 3.06), injecting heroin before methadone maintenance treatment (OR = 2.92), depressive symptoms (OR = 3.46), anxiety symptoms (OR = 1.88), and antisocial personality disorder (OR = 2.85). Suicide attempt is very prevalent among Chinese individuals receiving methadone maintenance treatment for heroin dependence. Services for patients with heroin dependence in methadone maintenance treatment clinics in China should include psychosocial supports, periodic screening for suicide attempt and other suicidal behaviors and, when needed, psychiatric treatment and crisis intervention.

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Loneliness and its impact on quality of life in Chinese heroin-dependent patients receiving methadone maintenance treatment

Cited by 18 publications

References 31 publications

Suicidal ideation among Chinese methadone-maintained patients: prevalence and correlates

Suicidal ideation among Chinese methadone-maintained patients: prevalence and correlates

Pain of methadone-maintained heroin addicts: lonelier individuals feel more intense pain

Prevalence and correlates of suicide attempt among Chinese individuals receiving methadone maintenance treatment for heroin dependence

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