Mentalization in young patients undergoing opioid agonist treatment: Implications for clinical management

Pischiutta, Livia; Garzitto, Marco; Zamparutti, G.; Moratti, Enrico; Albert, Umberto; Colizzi, Marco; Balestrieri, Matteo

doi:10.1016/j.abrep.2023.100497

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Research suggests that failures in mentalizing are involved in addictive behaviors [ 67 , 68 , 69 , 70 ], including problematic online behaviors such as PSMU [ 71 , 72 , 73 ]. In fact, difficulties in identifying and regulating distressing feelings may increase the risk of resorting to substance use or engaging in dysfunctional behaviors as a means of seeking relief [ 74 , 75 , 76 ].…”

Section: Introductionmentioning

confidence: 99%

Insecure Minds through the Looking Glass: The Mediating Role of Mentalization in the Relationships between Adult Attachment Styles and Problematic Social Media Use

Santoro,

Costanzo,

Franceschini

et al. 2024

IJERPH

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Research shows that insecure attachment styles and failures in mentalizing are associated with increased problematic social media use (PSMU). This study aimed to investigate the mediating role of failures in mentalizing in the relationships between attachment styles and PSMU within a large sample of individuals from the community. The study involved the participation of 3600 adult volunteers (2312 females, 64.2%) aged between 18 and 60 years old (M = 29.92; SD = 10.68). Participants completed measures to assess socio-demographics, adult attachment styles, mentalization, and PSMU. Findings showed that secure and dismissing attachment styles predicted reduced levels of PSMU, and that preoccupied and fearful attachment styles predicted increased levels of PSMU. The relationships between adult attachment styles and PSMU were mediated by failures in mentalizing. Thus, individuals with preoccupied and fearful attachment styles may excessively resort to social media as a means of coping with unprocessed mental states. Clinical interventions that focus on improving mentalizing abilities and promoting the adoption of appropriate self-regulation strategies might reduce maladaptive engagement in social media.

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Section: Introductionmentioning

confidence: 99%

Insecure Minds through the Looking Glass: The Mediating Role of Mentalization in the Relationships between Adult Attachment Styles and Problematic Social Media Use

Santoro,

Costanzo,

Franceschini

et al. 2024

IJERPH

View full text Add to dashboard Cite

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Treatment non-adherence among methadone maintenance patients and associated factors: a multicenter, cross-sectional study in Vietnam

Nguyen,

Dinh

2024

Harm Reduct J

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Objective This multicenter, cross-sectional study was conducted to investigate the prevalence of treatment non-adherence and its associated factors among methadone maintenance patients in Vietnam. Methods This secondary data analysis was conducted using the data from a previous study. Six hundred patients were interviewed face-to-face to collect data on their demographic characteristics and social support. Information about the treatment characteristics and patients’ non-adherence was gathered from medical records and books monitoring their treatment process. Treatment non-adherence was defined as missing at least one methadone dose in the last three months. Results The overall prevalence of non-adherence was 45.7%. The average social support score of patients who completely adhered to treatment was significantly higher than that of those who did not (p < 0.001). In the multivariate logistic regression model, for each one-unit increase in social support (one score), treatment time (a year), and patient’s monthly income (one million Vietnam dongs), the odds of non-adherence decreased by 28% (aOR = 0.72, 95%CI 0.59–0.88, p = 0.002), 15% (aOR = 0.85, 95%CI 0.80–0.91, p < 0.001) and 9% (aOR = 0.91, 95%CI 0.85–0.97, p = 0.004), respectively. Patients living in Son La (a mountainous province) were 1.72 times (95%CI 1.09–2.71) more likely to be non-adherent as compared to those in other areas (p = 0.020). As per univariate analyses, other associated factors could be age, education level, family monthly income, occupation, and opioid relapse (p < 0.001). Conclusions A high non-adherence rate was found among Vietnamese methadone maintenance patients. Interventions involving social support, occupation, income, and education are needed to improve their treatment adherence.

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Mentalization in young patients undergoing opioid agonist treatment: Implications for clinical management

Cited by 2 publications

References 31 publications

Insecure Minds through the Looking Glass: The Mediating Role of Mentalization in the Relationships between Adult Attachment Styles and Problematic Social Media Use

Insecure Minds through the Looking Glass: The Mediating Role of Mentalization in the Relationships between Adult Attachment Styles and Problematic Social Media Use

Treatment non-adherence among methadone maintenance patients and associated factors: a multicenter, cross-sectional study in Vietnam

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