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Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment

Jessica De Maeyer UGent, Wouter Vanderplasschen UGent, Jan Lammertyn UGent, Chijs van Nieuwenhuizen, Bernard Sabbe and Eric Broekaert UGent (2011) QUALITY OF LIFE RESEARCH. 20(1). p.139-150
abstract
This study explores the current QoL of opiate-dependent individuals who started outpatient methadone treatment at least 5 years ago and assesses the influence of demographic, psychosocial, drug and health-related variables on individuals' QoL. Participants (n = 159) were interviewed about their current QoL, psychological distress and severity of drug-related problems, using the Lancashire Quality of Life Profile, the Brief Symptom Inventory and the Addiction Severity Index. Potential determinants of QoL were assessed in a multiple linear regression analysis. Five years after the start of methadone treatment, opiate-dependent individuals report low QoL scores on various domains. No association was found between drug-related variables and QoL, but a significant negative impact of psychological distress was identified. Severity of psychological distress, taking medication for psychological problems and the inability to change one's living situation were associated with lower QoL. Having at least one good friend and a structured daily activity had a significant, positive impact on QoL. Opiate-dependent individuals' QoL is mainly determined by their psychological well-being and a number of psychosocial variables. These findings highlight the importance of a holistic approach to treatment and support in methadone maintenance treatment, which goes beyond fixing the negative physical consequences of opiate dependence.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
INJECTION-DRUG USERS, ADDICTION SEVERITY INDEX, PSYCHIATRIC COMORBIDITY, SOCIAL SUPPORT, SUBLINGUAL BUPRENORPHINE, PERSONALITY-DISORDERS, MAINTAINED PATIENTS, Determinants, MAINTENANCE TREATMENT PROGRAM, HEALTH SURVEY QUESTIONNAIRE, SUBSTANCE-ABUSE TREATMENT, Drug abuse, Methadone maintenance treatment, Opiate dependence, Quality of life, Substitution treatment
journal title
QUALITY OF LIFE RESEARCH
Qual. Life Res.
volume
20
issue
1
pages
139 - 150
Web of Science type
Article
Web of Science id
000286435200015
JCR category
HEALTH CARE SCIENCES & SERVICES
JCR impact factor
2.3 (2011)
JCR rank
23/75 (2011)
JCR quartile
2 (2011)
ISSN
0962-9343
DOI
10.1007/s11136-010-9732-3
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1195071
handle
http://hdl.handle.net/1854/LU-1195071
date created
2011-03-23 09:56:50
date last changed
2015-06-17 09:30:58
@article{1195071,
  abstract     = {This study explores the current QoL of opiate-dependent individuals who started outpatient methadone treatment at least 5 years ago and assesses the influence of demographic, psychosocial, drug and health-related variables on individuals' QoL. Participants (n = 159) were interviewed about their current QoL, psychological distress and severity of drug-related problems, using the Lancashire Quality of Life Profile, the Brief Symptom Inventory and the Addiction Severity Index. Potential determinants of QoL were assessed in a multiple linear regression analysis. Five years after the start of methadone treatment, opiate-dependent individuals report low QoL scores on various domains. No association was found between drug-related variables and QoL, but a significant negative impact of psychological distress was identified. Severity of psychological distress, taking medication for psychological problems and the inability to change one's living situation were associated with lower QoL. Having at least one good friend and a structured daily activity had a significant, positive impact on QoL.
Opiate-dependent individuals' QoL is mainly determined by their psychological well-being and a number of psychosocial variables. These findings highlight the importance of a holistic approach to treatment and support in methadone maintenance treatment, which goes beyond fixing the negative physical consequences of opiate dependence.},
  author       = {De Maeyer, Jessica and Vanderplasschen, Wouter and Lammertyn, Jan and van Nieuwenhuizen, Chijs and Sabbe, Bernard and Broekaert, Eric},
  issn         = {0962-9343},
  journal      = {QUALITY OF LIFE RESEARCH},
  keyword      = {INJECTION-DRUG USERS,ADDICTION SEVERITY INDEX,PSYCHIATRIC COMORBIDITY,SOCIAL SUPPORT,SUBLINGUAL BUPRENORPHINE,PERSONALITY-DISORDERS,MAINTAINED PATIENTS,Determinants,MAINTENANCE TREATMENT PROGRAM,HEALTH SURVEY QUESTIONNAIRE,SUBSTANCE-ABUSE TREATMENT,Drug abuse,Methadone maintenance treatment,Opiate dependence,Quality of life,Substitution treatment},
  language     = {eng},
  number       = {1},
  pages        = {139--150},
  title        = {Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment},
  url          = {http://dx.doi.org/10.1007/s11136-010-9732-3},
  volume       = {20},
  year         = {2011},
}

Chicago
De Maeyer, Jessica, Wouter Vanderplasschen, Jan Lammertyn, Chijs van Nieuwenhuizen, Bernard Sabbe, and Eric Broekaert. 2011. “Current Quality of Life and Its Determinants Among Opiate-dependent Individuals Five Years After Starting Methadone Treatment.” Quality of Life Research 20 (1): 139–150.
APA
De Maeyer, Jessica, Vanderplasschen, W., Lammertyn, J., van Nieuwenhuizen, C., Sabbe, B., & Broekaert, E. (2011). Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment. QUALITY OF LIFE RESEARCH, 20(1), 139–150.
Vancouver
1.
De Maeyer J, Vanderplasschen W, Lammertyn J, van Nieuwenhuizen C, Sabbe B, Broekaert E. Current quality of life and its determinants among opiate-dependent individuals five years after starting methadone treatment. QUALITY OF LIFE RESEARCH. 2011;20(1):139–50.
MLA
De Maeyer, Jessica, Wouter Vanderplasschen, Jan Lammertyn, et al. “Current Quality of Life and Its Determinants Among Opiate-dependent Individuals Five Years After Starting Methadone Treatment.” QUALITY OF LIFE RESEARCH 20.1 (2011): 139–150. Print.