Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-23T07:04:08.188Z Has data issue: false hasContentIssue false
  • English
  • Français

Patients on methadone maintenance treatment in Geneva

Published online by Cambridge University Press:  16 April 2020

A Dazord ,
A Mino ,
D Page  and
B Broers
A Dazord*
Affiliation:
SCRIPT-INSERM, Hôital Saint-Jean de Dieu, 290 route de Vienne, 69008 Lyon, APRET, 162 avenue Lacassagne, 69003Lyon, France
A Mino
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
D Page
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
B Broers
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
*
*Correspondence to SCRIPT-INSERM address.
Get access

Summary

The purpose of this study was to evaluate the quality of life of heroin dependent patients before and 1 year after the start of methadone maintenance treatment. Subjects were patients (n = 102) requesting treatment in a public methadone maintenance programme in Geneva (Switzerland). This was a prospective follow-up study using a validated questionnaire (SQLP). The SQLP was well accepted by patients and staff. Validity of the questionnaire was reconfirmed in this population. Compared to previously studied populations, the quality of life of heroin dependent patients before start of treatment was poor. More than half the patients were still in treatment after 1 year and their quality of life had clearly improved, in most domains. Like many of their peers in the psychiatric field, the patients had high initial expectations. Expectations decreased significantly over time. It was found that the higher were the initial expectations, the poorer was the quality of life after 1 year. The quality of life of heroin abusers requesting treatment is mediocre, and improved considerably after 1 year of comprehensive methadone maintenance treatment. Quality of life evaluation is feasible in this population and can offer an additional evaluation of quality of substance abuse treatment.

Keywords

heroin dependencemethadoneprogramme evaluationquality of life assessment
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 5 , August 1998 , pp. 235 - 241
Copyright
Copyright © Elsevier, Paris 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adair, EB, Craddock, SG, Miller, HG, Turner, CFQuality of treatment data. Reliability over time of self-reports given by clients in treatment for substance abuse J Subst Abuse Treat 13 1996 145–149CrossRefGoogle ScholarPubMed
Bale, RNThe validity and reliability of self report data from heroin addicts: Mailed questionnaires compared to face to face interviews Int J Addictions 11 1976 325–326Google Scholar
Bale, RNThe Validity and Reliability of Self Reported Data from Heroin Addicts: Mailed Questionnaires Compared with Face to Face Interviews Int J Addictions 14 1979 993–1000CrossRefGoogle ScholarPubMed
Bale, RN, van Stone, WW, Engelsing, TMJ, Zarcone, VPThe Validity of self-reported Heroin Use Int J Addictions 16 1981 1387–1398CrossRefGoogle ScholarPubMed
Ball, JC, Ross, AThe effectiveness of methadone treatment. Patients, Programs, Services, and outcome 1991 Springer-Verlag New-YorkGoogle Scholar
Beck, AT, Ward, CH, Mendelson, M, Mock, JD, Erbaugh, JAn inventory for measuring depression Arch Gen Psychiatry 4 1961 53–63CrossRefGoogle ScholarPubMed
Bergner, MDevelopment, testing and use of the Sickness Impact ProfileWalkerandRosserQuality of Life: Assessment and Application 1987 MTP Press Lancaster, Boston, The Hague, Dortrecht79–93Google Scholar
Blaney, NT, Goodkin, K, Feaster, D, Morgan, R, Million, C, Sza-pocnik, J, Eisdorfer, CA psychosocial model of distress over time in early HIV-1 infection: the role of life Stressors, social support and coping Psychology Health 12 1997 633–653CrossRefGoogle Scholar
Broers, B, Morabia, A, Hirschel, BA cohort study of drug users compliance with zivovudine Arch Intern Med 154 1994 1121–1127CrossRefGoogle Scholar
Chasseguet-Smirgel, JLa Maladie d'idéalité. Collection “Émergence” 1990 Éditions Universitaires ParisGoogle Scholar
Dazord, A, Gerin, P, Boissel, JPSubjective quality of life assessment in therapeutic trials: presentation of a new instrument in France (SQLP: subjective quality of life profile) and first resultsOrley, JKuyken, WQuality of life assessment: international perspectives 1994 Springer-Verlag Berlin, Heidelberg185–195CrossRefGoogle Scholar
Dazord, A, Mercier, C, Manificat, S, Nicolas, JÉvaluation de la qualité, de vie: mise au point d'un instrument d'évaluation dans un contexte francophone Rev Européenne Psychologie Appliquée 45 1995 4271–4279Google Scholar
Dazord, A, Cluze, M, Brochier, CLe suivi au long cours de patients alcooliques après hospitalisation dans un service spécialisé, d'alcoologie Actualités Psychiatriques 2 1995 3–6Google Scholar
Dazord, A, Augier-Astolfi, F, Guisti, P, Frot-Coutaz, EQuality of life and socio-professional rehabilitation: study on patients with chronic mental diseases Eur Psychiatry 11 1996 277–285CrossRefGoogle Scholar
Dazord, A, Noel, FÉvaluation de la qualité de vie de patients déprimés traités de manière ambulatoire Encéphale XXII 1996 247–254Google Scholar
Dazord, A, Astolfi, F, Guisti, P, Rebetez, MC, Mino, A, Terra, JLQuality of life assessment in Psychiatry: utilization of a new instrument in Psychiatry (SQLP Subjective Quality of Life Profile) and first results Community Ment Health J 34 5 1998 525–535CrossRefGoogle Scholar
Farrel, M, Ward, J, Mattick, Ret alMethadone maintenance treatment in opiate dependence: a review BMJ 309 1994 997–1001CrossRefGoogle Scholar
Gerin, P, Dazord, A, Boissel, JP, Chifflet, RQuality of life assessment in therapeutic trials: rationale for and presentation of a more appropriate instrument Fundam Clin Pharmacol 6 1992 263–276CrossRefGoogle ScholarPubMed
Kleyn, J, Swebke, J, Holmes, KKThe validity of injecting drug users self-reports about sexually transmitted diseases: a comparison of survey and serological data Addiction 88 1993 673–680CrossRefGoogle ScholarPubMed
McEwen, JThe Nottingham Health Profile Quality of Life: Assessment and Application Walker, Rosser, 1987 MTP Press Lancaster, Boston, The Hague, Dortrecht95–111Google Scholar
Mino, ALes Nouvelles Politiques de la Drogue: Exemple Genevois Psychiatrie de l'Enfant XXXVII 1994 577–600Google Scholar
Mino, ALes maintenances à la méthadone Information Psychiatrique 3 1995 237–246Google Scholar
Mino, A, Page, D, Dumont, P, Broers, BTreatment failure and methadone dose in a public methadone maintenance programme in Geneva Drug Alcohol Depend 50 1998 233–239CrossRefGoogle Scholar
Ryan, CF, White, JMHealth status at entry to methadone maintenance treatment using the SF-36 health survey questionnaire Addiction 91 1996 39–45CrossRefGoogle ScholarPubMed
Schultz, W, Apicella, P, Ljundbert, TResponse of monkey dopamine neurones to reward and conditioned stimuli during successive steps of learning of a delayed response task J Neurosci 13 1993 900–913CrossRefGoogle Scholar
Skoog, OJThe Validity of Self-Reported Drug Use Br J Addiction 87 1992 539–548CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.