Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran

. 2013 Aug;42(8):896-902.

Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran

Tahereh Pashaei¹, Davoud Shojaeizadeh², Abbas Rahimi Foroushani³, Mahmoud Ghazitabatabae⁴, Maryam Moeeni⁵, Fatemeh Rajati⁶, Emran M Razzaghi⁷

Affiliations

¹ Dept .of Public Health, School of Health, Kurdistan University of Medical Science, Sanandaj, Iran. ; Iranian National Center for Addiction Studies, Tehran University of Medical sciences, Tehran, Iran.
² Dept. of Health education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran Iran.
³ Dept .of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁴ Dept .of Health and social Demography, Faculty of Social Sciences, University of Tehran, Tehran, Iran.
⁵ Dept .of Management and Health Economics, School of Public Health, University of Medical Sciences, Tehran, Iran.
⁶ Dept .of Health education and Promotion, Isfahan University of Medical Sciences, Isfahan, Iran.
⁷ Dept .of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 26056645
PMCID: PMC4441922

Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran

Tahereh Pashaei et al. Iran J Public Health. 2013 Aug.

. 2013 Aug;42(8):896-902.

Authors

Tahereh Pashaei¹, Davoud Shojaeizadeh², Abbas Rahimi Foroushani³, Mahmoud Ghazitabatabae⁴, Maryam Moeeni⁵, Fatemeh Rajati⁶, Emran M Razzaghi⁷

Affiliations

¹ Dept .of Public Health, School of Health, Kurdistan University of Medical Science, Sanandaj, Iran. ; Iranian National Center for Addiction Studies, Tehran University of Medical sciences, Tehran, Iran.
² Dept. of Health education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran Iran.
³ Dept .of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
⁴ Dept .of Health and social Demography, Faculty of Social Sciences, University of Tehran, Tehran, Iran.
⁵ Dept .of Management and Health Economics, School of Public Health, University of Medical Sciences, Tehran, Iran.
⁶ Dept .of Health education and Promotion, Isfahan University of Medical Sciences, Isfahan, Iran.
⁷ Dept .of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 26056645
PMCID: PMC4441922

Abstract

Background: To evaluate the effectiveness of a relapse prevention cognitive-behavioral model, based on Marlatt treatment approach, in Opioid-dependent patients participating in the Methadone Maintenance Treatment (MMT) in Iran.

Methods: The study consisted of 92 individuals treated with methadone in Iranian National Center of Addiction Studies (INCAS). Participants were randomized into two groups: educational intervention group (N=46) and control group (N=46). The intervention was comprised of 10 weekly 90 minute sessions, done during a period of 2.5 months based on the most high risk situations determined using Inventory Drug Taking Situation instrument. Relapse was defined as not showing up for MMT, drug use for at least 5 continuous days, and a positive urinary morphine test.

Results: While, only 36.4% of the intervention group relapsed into drug use, 63.6% of the control group relapsed. The result of the logistic regressions showed that the odd ratio of the variable of intervention program for the entire follow up period was 0.43 (P<0.01). Further, the odd ratio of this variable in one month, three months, and 195 days after the therapy were 0.48 (P<.03), 0.31 (P<.02), and 0.13 (P<.02) respectively that revealed that on average, the probability of relapse among individuals in the intervention group was lower than patients in control group.

Conclusion: Relapse prevention model based on Marlatt treatment approach has an effective role in decreasing relapse rate. This model can be introduced as a complementary therapy in patients treated with methadone maintenance.

Keywords: Methadone; Opioid addiction; Relapse; Retention; Treatment.

PubMed Disclaimer

Cited by

Effectiveness of a Psycho-Social Intervention Aimed at Reducing Attrition at Methadone Maintenance Treatment Clinics: A Propensity Score Matching Analysis.
Fan X, Zhang X, Xu H, Yang F, Lau JTF, Hao C, Li J, Zhao Y, Hao Y, Gu J. Fan X, et al. Int J Environ Res Public Health. 2019 Nov 7;16(22):4337. doi: 10.3390/ijerph16224337. Int J Environ Res Public Health. 2019. PMID: 31703302 Free PMC article. Clinical Trial.
Male patients' preferences for opioid use treatment programs.
Amini-Rarani M, Moeeni M, Ponnet K. Amini-Rarani M, et al. BMC Psychiatry. 2023 Jun 16;23(1):440. doi: 10.1186/s12888-023-04939-x. BMC Psychiatry. 2023. PMID: 37328768 Free PMC article.
Cross-cultural adaptation of the drug-taking confidence questionnaire drug version for use in Brazil.
Cordeiro Vasconcelos S, Botelho Sougey E, da Silva Frazão I, Turner NE, Pinheiro Ramos V, Duarte da Costa Lima M. Cordeiro Vasconcelos S, et al. BMC Med Res Methodol. 2016 May 18;16:55. doi: 10.1186/s12874-016-0153-z. BMC Med Res Methodol. 2016. PMID: 27193075 Free PMC article.
The Decade-Long Chinese Methadone Maintenance Therapy Yields Large Population and Economic Benefits for Drug Users in Reducing Harm, HIV and HCV Disease Burden.
Zhang L, Zou X, Xu Y, Medland N, Deng L, Liu Y, Su S, Ling L. Zhang L, et al. Front Public Health. 2019 Nov 12;7:327. doi: 10.3389/fpubh.2019.00327. eCollection 2019. Front Public Health. 2019. PMID: 31781529 Free PMC article.
Development and psychometric properties of a questionnaire to measure drug users' attitudes toward methadone maintenance treatment (DUAMMT) in Iran.
Khazaee-Pool M, Arefi Z, Roshani D, Pashaei T, Ponnet K. Khazaee-Pool M, et al. BMC Public Health. 2017 Nov 28;17(1):906. doi: 10.1186/s12889-017-4911-6. BMC Public Health. 2017. PMID: 29179753 Free PMC article.

See all "Cited by" articles

References

1. UNODC (2011). World Drug Report 2011. 1st ed. UNODC, New York, pp.: 52–55.
1. Shekarchizadeh H, Ekhtiari H, Khami MR, Virtanen JI. (2012). Patterns of pre-treatment drug abuse, drug treatment history and characteristics of addicts in methadone maintenance treatment in Iran. HRJ, 9(1):9–18. - PMC - PubMed
1. Kheradmand A, Parvaresh N, Darijani M. (2011). P01-65 The effect of methadone maintenance therapy on harm minimization between opiate dependents in socio behavioral consulting centers. Eur Psychiatry, 26(Supl I):65–71. - PMC - PubMed
1. Amodeo M, Chassler D, Oettinger C, Labiosa W, Lundgren LM. (2008). Client retention in residential drug treatment for Latinos. Eval Program Plann, 31(1):102–12. - PubMed
1. Asghar M. (2012). Addiction Relapse and Its Predictors: A Prospective Study. JART, 3(1):1.

LinkOut - more resources

Full Text Sources
- Europe PubMed Central
- PubMed Central

[1] UNODC (2011). World Drug Report 2011. 1st ed. UNODC, New York, pp.: 52–55.

[2] UNODC (2011). World Drug Report 2011. 1st ed. UNODC, New York, pp.: 52–55.

[3] Shekarchizadeh H, Ekhtiari H, Khami MR, Virtanen JI. (2012). Patterns of pre-treatment drug abuse, drug treatment history and characteristics of addicts in methadone maintenance treatment in Iran. HRJ, 9(1):9–18. - PMC - PubMed

[4] Shekarchizadeh H, Ekhtiari H, Khami MR, Virtanen JI. (2012). Patterns of pre-treatment drug abuse, drug treatment history and characteristics of addicts in methadone maintenance treatment in Iran. HRJ, 9(1):9–18. - PMC - PubMed

[5] Kheradmand A, Parvaresh N, Darijani M. (2011). P01-65 The effect of methadone maintenance therapy on harm minimization between opiate dependents in socio behavioral consulting centers. Eur Psychiatry, 26(Supl I):65–71. - PMC - PubMed

[6] Kheradmand A, Parvaresh N, Darijani M. (2011). P01-65 The effect of methadone maintenance therapy on harm minimization between opiate dependents in socio behavioral consulting centers. Eur Psychiatry, 26(Supl I):65–71. - PMC - PubMed

[7] Amodeo M, Chassler D, Oettinger C, Labiosa W, Lundgren LM. (2008). Client retention in residential drug treatment for Latinos. Eval Program Plann, 31(1):102–12. - PubMed

[8] Amodeo M, Chassler D, Oettinger C, Labiosa W, Lundgren LM. (2008). Client retention in residential drug treatment for Latinos. Eval Program Plann, 31(1):102–12. - PubMed

[9] Asghar M. (2012). Addiction Relapse and Its Predictors: A Prospective Study. JART, 3(1):1.

[10] Asghar M. (2012). Addiction Relapse and Its Predictors: A Prospective Study. JART, 3(1):1.

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran

Affiliations

Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran

Authors

Affiliations

Abstract

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources