Psychological Distress Among Methadone Maintenance Patients in Vietnamese Mountainous Areas

Nguyen, Long H.; Tran, Bach Xuan; Nguyen, Huong Lan Thi; Nguyen, Cuong Tat; Hoang, Canh Dinh; Le, Hai Quan; Nguyen, Hung Van; Le, Huong Thi; Tran, Tho Dinh; Latkin, Carl A.; Vu, Thuc Minh Thi

doi:10.1007/s10461-017-1779-5

Cited by 18 publications

(16 citation statements)

References 45 publications

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“…Alcohol abuse can cause depression, anxiety, psychosis, and antisocial behavior, both during intoxication and during withdrawal [ 8 , 49 , 50 ]. When alcohol use disorders and psychiatric disorders cooccur, patients are more likely to have difficulty maintaining abstinence, to attempt or commit suicide, and to use health services [ 51 – 53 ]. Thus, the implementation of mental healthcare services for PWID should be carried out in conjunction with care for abuse of other substances such as methamphetamine and should include alcohol abuse screening and management.…”

Section: Discussionmentioning

confidence: 99%

“…This is a complex issue in Vietnam, where access to psychiatric care is limited, psychiatric disorders and drug use are stigmatized, and there is a lack of specialized knowledge among professionals in methadone or HIV clinics to handle mental health problems. Routine assessments and dedicated routes of access to care should be organized according to local resources, including integrated care in MMT clinics and CBO support [ 12 , 53 , 55 ]. Recent data has shown the ability of community-based organizations to screen for and identify disorders, maintain contact, and provide harm reduction tools for PWID and to support PWID in accessing methadone treatment, particularly by overcoming administrative barriers [ 12 , 25 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

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Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions

Khue

Vallo

Thi

et al. 2018

BioMed Research International

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The objective of this study is to describe psychiatric comorbidities, associated factors, and access to psychiatric assessment and care in a cohort of people who inject drugs (PWID) in Hai Phong, Vietnam. Mental health was assessed after 12 months' follow-up using the Mini International Neuropsychiatric Interview questionnaire (MINI 5.0.0). PWID medical history, drug use, and sociodemographic and clinical characteristics were also collected. Among 188 PWID who participated in the assessment, 48 (25.5%) had at least one psychiatric disorder and 19 (10.1%) had 2 or more psychiatric disorders. The most common current psychiatric disorders were major depressive episode (12.2%) and psychotic disorder (4.8%), reaching 10.1% for the latter when lifetime prevalence was considered. Females were more likely than males to have at least one psychiatric disorder, a major depressive disorder, or an anxiety disorder. Methamphetamine use was associated with an increased risk of presenting a lifetime psychotic syndrome. Problematic alcohol consumption was associated with an increased risk of having at least one psychiatric disorder. Psychiatric comorbidities are frequent among PWID in Vietnam. These results highlight the need for routine assessment and innovative interventions to address mental health needs among PWID. Community-based interventions targeting mental health prevention and care should be strongly supported.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions

Khue

Vallo

Thi

et al. 2018

BioMed Research International

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“…Since the introduction of the first pilot MMT clinic in 2008, the Vietnamese government has scaled up the delivery of these programs in nationwide as a core component of the HIV reduction strategy in Vietnam [9]. These programs have been recognized that reduced psychological distress [10], stigma [11,12], alcohol and tobacco use [13], economic vulnerability [14], risky sexual behaviors [15], and unemployment [16].…”

Section: Introductionmentioning

confidence: 99%

“…Higher QoL is closely associated with higher level of MMT adherence and higher likelihood of community reintegration via improving workability [19][20][21]. However, most of the studies were conducted in urban and rural settings, while a lack of evidence was documented in mountainous areas, where the accessibility of health care services among drug users is constrained [10,11,13,15,22,23]. Therefore, this study aimed to assess QOL, mental disorders and their associated factors amongst people using drugs over the course of 12-month MMT in Vietnamese mountainous provinces.…”

Section: Introductionmentioning

confidence: 99%

Changes in quality of life and its associated factors among illicit drug users in Vietnamese mountainous provinces: a 12-month follow-up study

Tran

Moir

Nguyen

et al. 2020

Subst Abuse Treat Prev Policy

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Background: Sustainability of methadone maintenance treatment (MMT) program involves regularly assessing its impact on health and social outcomes of drug users in different settings, particularly in disadvantaged areas. In this study, we evaluated the change in quality of life (QoL), and identified associated factors amongst drug users over the course of 12-month MMT in Vietnamese mountainous provinces. Methods: We conducted a longitudinal study among patients from 6 MMT clinics in three mountainous provinces of Vietnam. At baseline, we screened 300 participants and after a 12-month treatment, 244 participants remained to involve in the study. World Health Organization Quality of Life short form instrument (WHOQOL-BREF) was used to measure the QoL of patients. The magnitude of the changes was extrapolated.Results: There were significant changes in all four dimensions of quality of life measured by WHOQoL-BREF between baseline and 12 months with the effect size ranged from 0.21 to 0.24. Increased age, being workers compared to unemployment and having health problems or comorbidities were positively related to reduced scores of QoL. Conclusions: To conclude, we observed a significant increase in the QoL level regarding physical, psychological, social relationships and environmental aspects among people who used drug after 12 months of MMT. Findings from this study emphasize the role of continuously receiving MMT treatment among people using drugs to enhance their QoL.

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“…Several studies in Vietnam have noted the high prevalence of co-occurring mental and SUD in rural and mountainous regions as compared with urban regions. Coupled with a lack of healthcare options, insufficient transportation, and high travel costs, this has led to increasing levels of anxiety and depression and low rates of service utilization for SUD services [23–25]. …”

Section: Barriers To Treatment Seeking Delivery Of Care and Retentimentioning

confidence: 99%

National Institute on Drug Abuse International Program

Gust

McCormally

2018

Current Opinion in Psychiatry

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Purpose of review For more than 25 years, the National Institute on Drug Abuse (NIDA) has supported research-training programs, establishing a global research network and expanding the knowledge base on substance use disorders. International research to inform approaches to opioid addiction is particularly important and relevant to the United States, where opioid misuse, addiction, and overdose constitute an emerging public health crisis. This article summarizes the NIDA International Program and illustrates its impact by reviewing recent articles about treatment approaches for opioid use disorders (OUD). Recent findings Studies in several countries have demonstrated the effectiveness of physician office-based opioid substitution therapies. Other research has demonstrated the effectiveness of different formulations and doses of the opioid antagonist naltrexone, as well as different approaches to providing naloxone to treat opioid overdose. Continuing research into implementation of evidence-based treatment in international settings with limited resources is applicable to US regions that face similar structural, legal, and fiscal constraints. Summary The current review describes international research on OUD treatment and opioid overdose, most coauthored by former NIDA fellows. The findings from outside the United States have important implications for best practices domestically and in other countries that are experiencing increases in OUD prevalence and related overdose deaths.

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Psychological Distress Among Methadone Maintenance Patients in Vietnamese Mountainous Areas

Cited by 18 publications

References 45 publications

Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions

Psychiatric Comorbidities among People Who Inject Drugs in Hai Phong, Vietnam: The Need for Screening and Innovative Interventions

Changes in quality of life and its associated factors among illicit drug users in Vietnamese mountainous provinces: a 12-month follow-up study

National Institute on Drug Abuse International Program

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