The Effectiveness of Group Spiritual Intervention on Self-esteem and Happiness Among Men Undergoing Methadone Maintenance Treatment

2019 ◽  
Vol 11 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Amir Jalali ◽  
Mahvash K. Behrouzi ◽  
Nader Salari ◽  
Mohammad-Rafi Bazrafshan ◽  
Mahmoud Rahmati
Keyword(s):  
Substance Abuse ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Intervention Group ◽  
Self Esteem ◽  
Male Clients ◽  
Significant Difference ◽  
Spiritual Intervention ◽  
And Control

Background: Drug dependence or substance use disorder not only affects a person’s life but also brings a lot of challenges for families and communities and imposes heavy burdens on them. There are various therapies in the domain of addiction whose main purposes are to reduce or to cut down substance abuse. Objective: This study aimed to determine the effectiveness of group spiritual intervention on selfesteem and happiness among male clients undergoing methadone maintenance treatment. Methods: This study was an intervention study in which 60 clients affected with substance abuse and undergoing methadone maintenance treatment were recruited. The study samples were selected through convenience sampling method and then divided randomly into two groups of 30 individuals: intervention and control. The intervention group attended group spiritual interventions for 10 sessions. Self-esteem and happiness among the study participants were also measured through Coopersmith Self-Esteem Inventory and Oxford Happiness Questionnaire before and after the intervention. Results: The results showed a significant difference between both intervention and control groups in terms of self-esteem and happiness (P < 0.05); so that the participants in the intervention group demonstrated a significant improvement in their self-esteem and happiness. Conclusion: It was concluded that group spiritual intervention as a useful method could be effective in enhancing self-esteem and happiness among addicted individuals undergoing methadone maintenance treatment. The given treatment could be also used as a complementary therapy beside methadone maintenance treatment to reduce the likelihood of people returning to substance abuse.

Methadone Maintenance Treatment Versus Methadone Maintenance Treatment Plus Auricular Acupuncture

2013 ◽  
Vol 26 (6) ◽  
pp. 541-550 ◽  
Author(s):  
Pei Lin Lua ◽  
Nor Samira Talib ◽  
Zabidah Ismail
Keyword(s):  
Patient Satisfaction ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Coping Styles ◽  
Auricular Acupuncture ◽  
Separate Analysis ◽  
Satisfaction Level ◽  
Self Blame ◽  
Significant Difference

This study intended to (1) describe the baseline patient satisfaction level and preferred coping strategies and (2) assess patient satisfaction and coping mechanisms pre- and postintervention. Patients on methadone maintenance treatment (MMT) in Terengganu, Malaysia, were randomized into either MMT or MMT plus auricular acupuncture (MMT + AA) groups. All received the standard MMT, while participants on MMT + AA underwent concurrent AA session thrice weekly for 2 months (each session = 30 minutes). Data analysis was carried out using SPSS 16.0, employing descriptive and nonparametric statistics. Participations were received from 97 eligible male patients (median age = 36.0 years; Malay = 97.9%). After screening for dropouts, only 69 patients were considered for subsequent analysis (MMT = 40; MMT + AA = 29). At preintervention, both groups did not differ significantly in the parameters investigated. During postintervention, no significant difference was detected for satisfaction level but coping-wise, substance use was significantly and frequently adopted by MMT + AA patients compared to MMT respondents ( P < .05). On separate analysis, those who received MMT alone adopted active coping, venting, and self-blame significantly more frequently postintervention ( P < .05). Nevertheless, no significant difference for coping styles of MMT + AA patients was exhibited over time ( P >.05). The addition of AA therapy into the standard MMT treatment did not seem to influence patient satisfaction and their coping ways.

scholarly journals ABCB1, CYP2B6, and CYP3A4 genetic polymorphisms do not affect methadone maintenance treatment in HCV-positive patients

2020 ◽  
Vol 71 (4) ◽  
pp. 353-358
Author(s):  
Davorka Sutlović ◽  
Željko Ključević ◽  
Sendi Kuret
Keyword(s):  
Hepatitis C ◽  
Genetic Polymorphisms ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Gas Chromatography Mass Spectrometry ◽  
Major Influence ◽  
Single Nucleotide ◽  
Significant Difference ◽  
Methadone Metabolism

AbstractThe aim of this study was to determine the influence of ABCB1, CYP2B6, and CYP3A4 genetic polymorphisms on methadone metabolism in patients with hepatitis C virus (HCV) undergoing methadone maintenance treatment (MMT). The study included 35 participants undergoing MMT, who were divided in three groups: HCV-positive (N=12), HCV-negative (N=16), and HCV clinical remission (CR) (N=7). The concentrations of methadone and its main metabolite 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) were determined with gas chromatography-mass spectrometry. The patients were genotyped for ABCB1 rs1045642, CYP2B6 rs3745274, CYP3A4 rs2242480, and CYP3A4 rs2740574 polymorphisms. Differences between single nucleotide polymorphism (SNP) genotypes and methadone-to-EDDP ratio were analysed with one-way ANOVA, which showed no significant difference between the genes (p=0.3772 for ABCB1 rs1045642, p=0.6909 for CYP2B6 rs3745274, and p=0.6533 for CYP3A4 rs2242480). None of the four analysed SNP genotypes correlated with methadone-to-EDDP concentration ratio. A major influence on it in hepatitis C-positive patients turned out to be the stage of liver damage.

scholarly journals Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis

2019 ◽  
Vol 16 (22) ◽  
pp. 4337 ◽  
Author(s):  
Xiaoyan Fan ◽  
Xiao Zhang ◽  
Huifang Xu ◽  
Fan Yang ◽  
Joseph T.F. Lau ◽  
...  
Keyword(s):  
Propensity Score ◽  
Social Workers ◽  
Propensity Score Matching ◽  
Social Services ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Intervention Group ◽  
Monthly Income ◽  
Attrition Rates

Methadone maintenance treatment (MMT) is an important approach to address opioid dependence. However, MMT clinics usually report high attrition rates. Our previous randomized controlled trial demonstrated additional psycho-social services delivered by social workers could reduce attrition rates compared to MMT alone. This study aimed to evaluate the effectiveness of psycho-social service in a real-world context. A quasi-experimental design and propensity score matching was adopted. 359 clients were recruited from five MMT clinics in Guangzhou from July 2013 to April 2015. One 20-minute counseling session was offered to the control group after enrolment. The intervention group received six sessions of psycho-social services. The baseline characteristics were unbalanced between two arms in the original sample. After propensity score matching, 248 participants remained in the analysis. At month six, the intervention group had a lower attrition rate [intervention (39.5%) versus control (52.4%), P = 0.041], higher monthly income [monthly income of 1000 CNY or higher: intervention (55.9%) versus control (39.0%), P = 0.028)], higher detoxification intention score [full intention score: intervention (51.6%) versus control (32.5%), P = 0.012)], higher family support in MMT participation [intervention (77.9%) versus control (61.4%), P = 0.049)]. This study demonstrated that psycho-social services delivered by social workers can reduce MMT clients’ attrition and improve their well-being in real-world settings.

scholarly journals Retention and Relapse in Methadone Maintenance Treatment: A Descriptive Analytical Study

2016 ◽  
Vol 9 (2) ◽  
pp. 15 ◽  
Author(s):  
Reza Mollajavadi ◽  
Narges Beyraghi ◽  
Isa Fathi ◽  
Robab Teymouri ◽  
Arya Hamedanchi
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
Treatment Center ◽  
Chi Square ◽  
Related Factors ◽  
Financial Status ◽  
Significant Difference ◽  
Relapse Rates

<p><strong>BACKGROUND:</strong> Despite the considerable efforts made in Iran to treat people with addiction, relapse is still common. This study was designed to determine retention and relapse rates and related factors at Yasin Methadone Maintenance Treatment Center.</p><p><strong>PATIENTS &amp; METHODS:</strong> In this study, retention rate, relapse rate, and related factors were examined in 74 cases using a descriptive-analytical method. Information about 20 variables were gathered from patient medical records using an information form and a checklist and data was analyzed by the chi-square, Fisher’s exact, and Mann-Whitney tests using SPSS software.</p><p><strong>FINDINGS:</strong> The retention and relapse rates were 24.3% and 75.7%, respectively. Only three factors showed a significant difference (p&lt;0.50) between the retention and relapse groups: (1) financial status, (2) motivation for treatment, and (3) cooperation during counseling (p=0.04, p=0.001, p=0.026, respectively). No significant differences were observed between groups for the other factors.</p><p><strong>CONCLUSION:</strong> Because it is clear that financial status, motivation, and counseling can affect retention rate, it is recommended to study the effect of these factors on retention using methods such as a randomized clinical trial.</p>

scholarly journals Effect of Aerobics Exercise on Self-Esteem in Iranian Female Adolescents Covered by Welfare Organization

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Marzieh Hasanpour ◽  
Mansooreh Tabatabaei ◽  
Mousa Alavi ◽  
Vahid Zolaktaf
Keyword(s):  
Random Sampling ◽  
Intervention Group ◽  
Self Esteem ◽  
Female Adolescents ◽  
Control Groups ◽  
Significant Difference ◽  
Before And After ◽  
Randomized Control ◽  
And Control

Introduction. Deprivation of parents might decrease self-esteem (SE) and result in affective and social incompatibility. In this randomized control trial, we examined the effect of aerobics exercise on SE among female adolescents living with no natural family.Materials and Methods. The sample consisted of all female adolescents aged 13 to 19 years (n: 72) who were covered by Isfahan Welfare organization. Participants were assigned into intervention and control groups by matched random sampling. Intervention included 8 weeks of aerobics exercise. Coppersmith SE inventory was administered before and after intervention as well as after one month follow-up.Results. No significant difference was seen between pre-SE scores of intervention(32.7±8.4)and control(33.0±6.7)groups (t=.16,P=.87). A significant difference was obtained in post-SE scores (40.2±5.7versus34.7±6.8,t=3.58,P=.001) and in one month follow-up scores (36.4±5.2versus33.0±5.2,t=2.25,P=.03).Discussion. The results demonstrated a low level of pre-SE in both groups. However, a significant improvement was seen in posttest of intervention group which persisted even one month after intervention. It supports the use of aerobics for female adolescents deprived from family life.

scholarly journals THOUGHT STOPPING ENHANCING SELF-ESTEEM OF PEOPLE WITH SCHIZOPHRENIA

2020 ◽  
Vol 1 (1) ◽  
pp. 44
Author(s):  
Sulastri , ◽  
Andi Thahir ◽  
Rohayati ,
Keyword(s):  
Negative Symptoms ◽  
Intervention Group ◽  
Total Sample ◽  
Self Esteem ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Before And After ◽  
And Control

Introduction: A person who has low self-esteem sees the environment in a negative way and considers it a threat. Schizophrenias patients with negative symptoms generally show a feeling of inferiority, this condition is a problem because of the cause of other problems, such as social isolation. The purpose of this research was to analyze the effect of giving thought stopping to self-esteem people with schizophrenia. Methods : This research uses quantitative approach the method used was the experimental design of pretest-posttest with control design. The population is the patient who was treated at the Custody. Sampling method in this research is by purposive sampling. Total sample is 90 respondents, divided into two groups, Intervention group 30 and control group 60 respondents. Measurement of data with client's self-esteem observation sheets before and after therapy. Results : The result of bivariate analysis was done using t-test obtained by p-value <0,005.  There is a significant difference in patient self-esteem in the control group and intervention group after thought stopping. Conclusion: These results suggest there is influence of thought stopping with patient self esteem. Sex, length of illness and treatment history are not confounding factors. It is recommended to use thought stopping as one of the actions of nursing, especially on clients with self esteem problems. 

scholarly journals Changes in Substance Abuse and HIV Risk Behaviors over 12-Month Methadone Maintenance Treatment among Vietnamese Patients in Mountainous Provinces

2019 ◽  
Vol 16 (13) ◽  
pp. 2422 ◽  
Author(s):  
Bach Xuan Tran ◽  
Mercy Fleming ◽  
Tam Minh Thi Nguyen ◽  
Giang Thu Vu ◽  
Quan Hoang Vuong ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Drug Use ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexual Risk Behavior ◽  
Methadone Maintenance Treatment ◽  
Drug Users ◽  
Maintenance Treatment ◽  
Methadone Maintenance

Methadone maintenance treatment (MMT) programs have been used worldwide to reduce the number of drug users and for HIV prevention; however, evidence of their effectiveness in mountainous areas is limited. This study aimed to identify changes in substance abuse and sexual practices among MMT patients after treatment in three Vietnamese mountainous provinces. A survey on risk behaviors was conducted among 300 drug users in six MMT clinics prior to and following one year of MMT. Cramér’s effect size of changes was extrapolated to justify the magnitude of the intervention’s effectiveness. A generalized estimation equation was used to find the factors associated with respondents’ substance use and sexual risk behavior. While drug-related risk behaviors were significantly reduced, alcohol and sex-related behaviors remained risk factors for HIV in this group. Additionally, condom use was common among participants at both time points, but not among those having sex with sex workers. Socio-economic characteristics of ethnic, education, occupation, as well as drug use history influenced the possibility of engaging in drug use and/or sexual risk behavior following treatment. Further emphasis on managing these among MMT patients is required, potentially by providing integrated services including smoking and drinking counseling and condom use promotion in accordance with MMT.

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