the relationship between self-reported substance use and psychiatric symptoms in low-threshold methadone maintenance treatment clients自我报告的物质使用和心理症状的关系低门槛美沙酮维持治疗的客户.pdfVIP

Fulton et al. Harm Reduction Journal 2011, 8:18 /content/8/1/18 RESEARCH Open Access The relationship between self-reported substance use and psychiatric symptoms in low-threshold methadone maintenance treatment clients 1 1,2* 3 2,1 Heather G Fulton , Sean P Barrett , Cindy MacIsaac and Sherry H Stewart Abstract Background: Ongoing psychiatric symptoms and substance use are common difficulties experienced by clients enrolled in methadone maintenance treatment (MMT). However, little research to date has evaluated if specific types of current substance use are related to specific types of current psychiatric symptoms. The present study investigated these relationships with a sample of clients enrolled in a low-threshold MMT program (i.e., clients are not expelled if they continue to use substances). Some clients enrolled in low-threshold programs may never achieve complete abstinence from all substances. Thus, understanding the possibly perpetuating relationships between concurrent substance use and psychiatric symptoms is important. Understanding such relationships may aid in developing possible target areas of treatment to reduce substance use and/or related harms in this population. Methods: Seventy-seven individuals were interviewed regarding methadone usage and current and past substance use. Current psychiatric symptoms were assessed using a modified version of the Psychiatric Diagnostic Screening Questionnaire (PDSQ). Relationships between types of substances used in the past 30 days and the types and number of psychiatric symptoms experienced in the same timeframe were examined. Results: The majority of participants (87.0%) reported using alcohol, illicit substances, non-prescribed prescription opi