Redemption from plight: a qualitative study on reasons behind treatment decisions among Iranian male opioid users

Abstract

Background: Opioid use remains a significant cause of harm to individual health. Perceived motives are of the main factors that help lead a patient into seeking treatment voluntarily to obviate that harm. The current study expands on the literature by exploring when and how male users of opioids become motivated to voluntarily seek treatment services. Methods: In a qualitative study in Isfahan city from January 2018 to March 2019, 55 male participants who had already started a variety of treatment services to withdraw their dependence on opioids were recruited. Selection of participants was based on a maximum variation purposive sampling strategy. Each participant took part in a unstructured interview to identify his motives for seeking opioid use treatment. Interviews were undertaken in eight different treatment centers. An inductive thematic analysis method was used to analyze the interviews. Results: The findings highlight that Iranian male opioid users have different motivations to seek treatment. To be precise, the findings illuminate three global themes and six themes as treatment-seeking motives among the participants including; motives related to family (reason for family and reason of family), quality of life (adverse effects on personal lifestyle and health) and economic motives (financial failure and job failure). Conclusions: The findings can improve our understanding of the motives for seeking treatment from the perspective of opioid patients who entered themselves into treatment. Particularly, these findings could help policymakers and treatment providers to better understand opioid-use patient's perceived concerns and fears as motives for treatment-seeking.

Opioid Crisis: A Qualitative Analysis of Financial Influences and Addiction

“…The findings also demonstrate how finance can influence individuals who use opioids to seek methadone or suboxone treatment. This finding supports previous literature which highlights how the cost of opioids can act as a motivating factor to initially seek treatment (Amini-Rarani, Khedmati Morasae, Pashaei, & Moeeni, 2020;Bansal, Sidana, & Mehta, 2019;Andrews, Kramer, Klumper, & Barrington, 2012;Parmar, Patil, Sarkar, & Rao, 2018). In addition to demonstrating how a lack of funds can motivate opioid users to seek treatment initially, the findings also suggest that finance influences opioid users to continue with treatment.…”

Medicine, Law and Collective Mental Health: New Therapeutic Targets for Pre-Parental Alienation and Pre-Addiction

“…Momentary attention may be superficial, and then it is unconsciously produced (absence of self-identification) behaviors of desire of parents towards their children, or what they do not want, for fear of repetition of the situation experienced trauma. In the moment of inattention, there is no adequate identification of the filial subjectivity, due to the influence of the amygdalian system that invades situations of potential dangers in the perception of the real pain that the child feels, which can be the same repressed [32][33][34][35][36][37] .…”

“…the pains received by the father. When the pain is intense, as in cases of rape, severe psychological violence, there may be a reversal of the amygdala repression, with memories to avoid the intense traumatizing pain again [32][33][34][35][36][37][38] .…”

“…The DNAF triggers a series (ONC) of dysfunctions of human neurodevelopment, associated with hormonal, genetic, and simultaneous disorders in early childhood, and may worsen with the sum of aggravating events, of the same pathophysiology as Adverse Childhood Emotions (CAE) and Post-Traumatic Stress (PTSD)) [32][33][34][35][36][37][38][39] :…”

“…In an individual in a state of NAA or automatism in the family environment, it is a behavior motivated by the reaction, in which the objective component (neurological) prevails in relation to the subjectivity (essential), and when important and intense, there is a response of similar proportion, such as relieving behaviors [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] .…”