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Impact of Co-Occurring Psychiatric Disorders on Retention in a Methadone Maintenance Program: An 18-Month Follow-Up Study

Mònica Astals, Laura Díaz, Antònia Domingo-Salvany, Rocío Martín-Santos, Antoni Bulbena and Marta Torrens
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Mònica Astals: Institute of Psychiatry and Addiction (IAPs), Hospital del Mar and Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Psg. Marítim 25-29, E-08003 Barcelona, Spain
Laura Díaz: Institute of Psychiatry and Addiction (IAPs), Hospital del Mar and Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Psg. Marítim 25-29, E-08003 Barcelona, Spain
Antònia Domingo-Salvany: Research Programme in Epidemiology and Public Health, Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Doctor Aiguader 88, E-08003 Barcelona, Spain
Rocío Martín-Santos: Institute of Psychiatry and Addiction (IAPs), Hospital del Mar and Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Psg. Marítim 25-29, E-08003 Barcelona, Spain
Antoni Bulbena: Institute of Psychiatry and Addiction (IAPs), Hospital del Mar and Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Psg. Marítim 25-29, E-08003 Barcelona, Spain
Marta Torrens: Institute of Psychiatry and Addiction (IAPs), Hospital del Mar and Institut Municipal d’Investigació Mèdica (IMIM), Hospital del Mar, Psg. Marítim 25-29, E-08003 Barcelona, Spain

IJERPH, 2009, vol. 6, issue 11, 1-11

Abstract: We assess the influence of co-occurring psychiatric disorders on retention in 189 opioid dependent patients in a methadone maintenance treatment (MMT) and determine the incidence of psychiatric co-morbidity during an 18-month follow-up period. About 68.5 % were retained in the MMT. Neither co-occurring mental disorders (chi-square = 0.303, df = 1, p = 0.622) nor methadone doses [85 (88.9) vs. 79.2 (85) mg/day, p = 0.672] were related to retention. In the follow-up period 19 new diagnoses were made, mainly major depression and antisocial and borderline personality disorders. Co-occurring psychiatric disorders should be assessed during MMT follow-up.

Keywords: methadone; retention; co-occurring psychiatric disorders; incidence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2009
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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