Matrix Model for Methamphetamine Dependence Among Iranian Female Methadone Patients: The First Report From the Most Populated Persian Gulf Country

Massah, Omid; Effatpanah, Mohammad; Shishehgar, Sara

doi:10.29252/nrip.irj.15.3.193

Cited by 15 publications

(16 citation statements)

References 17 publications

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“…Studies in other countries show that short-term psychosocial treatments can treat ATS dependence and improve psychological well-being [15,16]. A recent study in Iran indicated that long-term psychological treatments such as the Matrix model are long and time-consuming [17]. Furthermore, such treatments are not cost-effective for many patients with ATS dependence [17,18].…”

Section: Discussionmentioning

confidence: 99%

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Amphetamine Type Stimulants Use in the Adult Population of Tehran: Implications for Long Term Rehabilitation

Rafiey

Ghaderi

Morovat

et al. 2017

IRJ

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Objectives: Dependence on Amphetamine-Type Stimulants (ATS) is a current health concern in Iran. The present study aimed to investigate the most needed treatment and rehabilitation services that a group of ATS-dependent patients in Tehran reported. Methods:The current study is part of the first cross-sectional survey of the prevalence of ATS dependence in Tehran. A researcher-made questionnaire was used to collect data. Overall, 6027 men and women in the general adult population of Tehran were interviewed. Overall, 261 participants were ATS-dependent. Of them, 35 participants were interviewed in this qualitative study. Atlas-ti software was used for qualitative data analysis in compliance with the Grounded Theory of Strauss and Corbin. Results:The mean age of the participants was 32 (SD=11) years (age range: 18-60 years). The mean year of the schooling was 8 (SD=9). The content analysis of interviews showed a series of needs including rehabilitation not only treatment, brief psychosocial treatments, family education and engagement in treatment and rehabilitation as well as after treatment services such as case management to help them to re-integrate into society respectively. Discussion:The study results indicated that ATS dependence demands a combination of treatment and rehabilitation services. This concern demands long-term planning, designing and training, which should be considered by health service providers. Further studies are needed to determine which treatment or rehabilitation programme may work best for this group of drug-dependent people.

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Section: Discussionmentioning

confidence: 99%

“…A recent study in Iran indicated that long-term psychological treatments such as the Matrix model are long and time-consuming [17]. Furthermore, such treatments are not cost-effective for many patients with ATS dependence [17,18]. Brief psychosocial treatments may be easily provided for this group of patients in drug treatment services.…”

Section: Discussionmentioning

confidence: 99%

Amphetamine Type Stimulants Use in the Adult Population of Tehran: Implications for Long Term Rehabilitation

Rafiey

Ghaderi

Morovat

et al. 2017

IRJ

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“…Among participants, who reported lifetime Matrix treatment, all of them reported that the matrix model was long and it was not easily available in methadone services. Some studies showed that the matrix model might be used for the treatment of MA dependence (15)(16)(17)(18). Effective psychosocial treatments should be provided.…”

Section: Discussionmentioning

confidence: 99%

Methamphetamine Dependence, Psychological Well-being, Criminality and High Risk Sexual Behaviors in Female-Only Methadone Services in Tehran and Karaj, Iran

Massah

Shishehgar

2018

Iran J Psychiatry Behav Sci

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Background: Methamphetamine (MA) abuse is a health concern among drug abuse patients in Iran. Objectives: This study aimed at determining the prevalence of MA dependence among a group of female methadone users and investigating the current psychological well-being, high risk sexual and criminality behaviors, and the status of receiving MA treatment. Methods: This study was a cross-sectional survey conducted in Iran. The study was conducted at 5 central female-only methadone services in Tehran and Karaj, during years 2011 to 2013. A questionnaire was devised to collect baseline data. The general health questionnaire-28 and the Opiate Treatment Index were used to assess psychological well-being, and criminality and high-risk sexual behaviors. Results: Overall, 245 females were registered at these sites. Of them, 201 females (82%) were dependent on MA while on treatment. Duration of MA dependence was 6 years. However, only 14.3% of the participants reported lifetime MA treatment. No participant was on MA treatment. Participants reported high rates of MA-related depression (76.4%), anxiety (68.4%), social dysfunction (41.2%), and somatic symptoms (38.2%), respectively. Untreated MA dependence in methadone treatment was associated with engagement in high-risk sexual behaviors (43.8%) and criminality (28.7%). Only 10% of the participants reported receiving a lifetime matrix model. All of them reported that the Matrix model was long and it was not easily available in methadone services. Conclusions:The study showed that the high prevalence for MA dependence and its adverse health impacts while receiving MA treatment remained the same. Effective psychosocial treatments should be delivered for MA dependence among female methadone users.

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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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Matrix Model for Methamphetamine Dependence Among Iranian Female Methadone Patients: The First Report From the Most Populated Persian Gulf Country

Cited by 15 publications

References 17 publications

Amphetamine Type Stimulants Use in the Adult Population of Tehran: Implications for Long Term Rehabilitation

Amphetamine Type Stimulants Use in the Adult Population of Tehran: Implications for Long Term Rehabilitation

Methamphetamine Dependence, Psychological Well-being, Criminality and High Risk Sexual Behaviors in Female-Only Methadone Services in Tehran and Karaj, Iran

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

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