EVALUATING THE CAUSES OF INCREASED METHADONE DOSAGE IN DECEPTIVE PATIENTS: LONGITUDINAL AND CROSS-SECTIONAL RESEARCH

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 476

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شناسه ملی سند علمی:

KAMED13_212

تاریخ نمایه سازی: 10 دی 1398

چکیده مقاله:

Background and Aim : patients with opioid use disorder may lie or deceive their psychiatrists for many various reasons such as financial resources, supply of medication or for the psychological benefits. Although psychiatrists are well trained in eliciting information and maintaining awareness for deception, these abilities are not foolproof. The present study was, therefore, an attempt to evaluating the Causes of Increased Methadone Dosage in Deceptive Patients to identify the optimum dosage of methadone for the outpatient treatment of these patients.Methods : In this Longitudinal and cross-sectional research, the convenience sampling technique was used to collect the samples within a one-year period. During this period, 196 patients were selected. In this patients, There was no statistically significant difference between the overall ASI scores at different methadone dosages (<60 mg/d and ≥60 mg/d). Subsequently, this group of patients was examined through distortion scale of Ahvaz reality (ARDI) and clinical interviews about the causes of the increase in the daily dosage of methadone. The data were analyzed using descriptive statistics and inferential statistics (including independent t-test). Results : The mean age of the patients was 34.7 (8.1) years. The overall ASI score of the patients receiving less than 60 mg/d of methadone (time A) was 1.53 (0.58), while the mean ASI score of patients receiving more than or equal to 60 mg/d (time B) was 1.55 0.45 [t (1) = -0.28; P=0.867]. The overall ARDI of the patients was 35.12 (2.85). In addition, the investigation results revealed that the most common cause of increased methadone intake among participants was to avoid the fear of the withdrawal signs.Conclusion : The increased dosage of methadone is not necessarily accompanied by improvements in the clinical condition of patients. However, clinicians can predict the optimum dosage of methadone by putting the ASI, ARDI and clinical interviews into play.

نویسندگان

Mohsen Khosravi

M.D., Assistant Professor, Department of Child and Adolescent Psychiatry, Zahedan University of Medical Sciences, Zahedan, IR Iran