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Alcohol dependence and mood state in a population receiving methadone maintenance treatment

Published online by Cambridge University Press:  13 June 2014

Edward MacManus  and
Clare Fitzpatrick
Edward MacManus
Affiliation:
Psychology Department, Drugs and AIDS Service, Bridge House, Cherry Orchard Hospital, Ballyfermot, Dublin 10, Ireland
Clare Fitzpatrick
Affiliation:
Psychology Department, Drugs and AIDS Service, Bridge House, Cherry Orchard Hospital, Ballyfermot, Dublin 10, Ireland
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Abstract

Objectives: The aim of this study was to assess the prevalence of alcohol dependence and anxiety and depressive disorder symptomatology among heroin users in drug treatment.

Method: Fifty-five clients on methadone maintenance treatment programmes in Dublin were interviewed.

Results: Prevalence rates were found to be 56% [n = 31] for alcohol dependence, 56% [n = 31] for anxiety disorder symptomatology, and 42% [n = 23] for depressive disorder symptomatology. This finding of comorbid alcohol dependence and psychopathology among methadone maintenance treatment clients suggests that both clients' health and methadone maintenance treatment participation and completion rates may be compromised.

Conclusions: Alcohol dependence and psychopathology among methadone maintenance treatment clients should be considered when providing effectively targeted services to the drug using population.

Keywords

Opiate dependencealcohol dependenceanxietydepressionmethadone
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 24 , Issue 1 , March 2007 , pp. 19 - 22
Copyright
Copyright © Cambridge University Press 2007

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References

1.Department of Health and Children. Strategic Task Force on Alcohol: Interim Report. Dublin: Department of Health and Children; 2002.Google Scholar
2.Friel, S, Nic Gahhainn, S, Kelleher, C. The National Health and Lifestyle Surveys (SLAN, HBSC). Galway: Centre for Health Promotion Studies, National University of Ireland; 1999.Google Scholar
3.Bradley, KA, Kivlahan, DR, Bush, KR, McDonnell, MB, Fihn, SD. Variations of the CAGE alcohol screening questionnaire: strengths and limitations in VA general medical patients. Alcohol Clin Exp Res 2001; 25(10): 1472–1478.CrossRefGoogle ScholarPubMed
4.Gossop, M, Marsden, J, Stewart, D, Rolfe, A. Patterns of drinking and drinking outcomes among drug misusers 1-year follow-up results. J Subst Abuse Treat 2000; 19: 45–50.CrossRefGoogle ScholarPubMed
5.Hunt, DE, Strug, DL, Goldsmith, DS. Alcohol use and abuse: heavy drinking among methadone clients. Am J Drug Alcohol Abuse 1986; 12(1/2): 147–164.CrossRefGoogle ScholarPubMed
6.El-Bassel, N, Schilling, RF, Turnbull, JE, Su, KH. Correlates of alcohol use among methadone patients. Alcohol Clin Exp Res 1993; 17(3): 681–686.CrossRefGoogle ScholarPubMed
7.Darke, S, Zador, D. Fatal heroin 'overdose': a review. Addiction 1996; 91(12): 1765–1772.Google ScholarPubMed
8.Ross, J, Darke, S, Hall, W. Benzodiazepine use among heroin users in Sydney: patterns of use, availability and procurement. Drug Alcohol Rev 1996; 15: 237–243.CrossRefGoogle ScholarPubMed
9.Rooney, S, Kelly, G, Bamford, L, Sloan, D, O'Connor, J. Co-abuse of opiates and benzodiazepines. Ir J Med Sci 1990; 168(1): 36–41.CrossRefGoogle Scholar
10.Chatham, LR, Rowan-Szal, GA, Joe, GW, Simpson, DD. Heavy drinking, alcoholdependent vs. nondependent methadone-maintenance clients: a follow-up study. Addict Behav 1997; 22: 69–80.CrossRefGoogle ScholarPubMed
11.Farrell, M, Gerada, C, Marsden, J. External review of drug services for the Eastern Health Board. London: National Addiction Centre, Institute of Psychiatry; 2000.Google Scholar
12.Rounsaville, B, Kleber, H. Untreated opiate addicts: How do they differ from those seeking treatment? Arch Gen Psychiatry 1985; 42(11): 1072–1077.CrossRefGoogle ScholarPubMed
13.Galbaud du, Fort G, Newman, SC, Bland, RC. Psychiatric comorbidity and treatmentseeking. Sources of selection bias in the study of clinical populations. Nerv Ment Dis 1993; 181(8): 467–474.Google Scholar
14.Rounsaville, B, Weissman, M, Kleber, H, Wilber, C. Heterogeneity of psychiatric diagnosis in treated opiate addicts. Arch Gen Psychiatry 1982; 39(2): 161-166. In: Hogan, DM. Annotation: the psychological development and welfare of children of opiate and cocaine users: review and research needs. J Child Psychol Psychiatry 1998; 39(5): 609–620.Google Scholar
15.Williams, H, O'Connor, J, Kinsella, A. Depressive symptoms in opiate addicts on methadone maintenance. Ir J Psychol Med 1990; 7(1): 45–46.CrossRefGoogle Scholar
16.Lowinson, JH, Marion, IJ, Joseph, H, Dole, VP. Methadone Maintenance. In: Lowinson, JH, Ruiz, P, Millman, R, Langrod, J. Substance Abuse: A Comprehensive Textbook. Baltimore: Williams & Williams, 1992: 550–561.Google Scholar
17.Marsden, Jet al.The Maudsley Addiction Profile (MAP): a brief instrument for assessing treatment outcome. Addiction 1998; 93(12): 1857–1868.CrossRefGoogle ScholarPubMed
18.Horn, J, Skinner, H, Wanberg, K, Foster, F. Alcohol Use Questionnaire/Alcohol Dependence Scale (ADS). Ontario: Centre for Addiction and Mental Health; 1984.Google Scholar
19.Skinner, H, Horn, J. Alcohol Dependence Scale (ADS) User's Guide. Ontario: Centre for Addiction and Mental Health; 1984.Google Scholar
20.Zigmond, A, Snaith, R. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361.CrossRefGoogle ScholarPubMed
21.Bjelland, I, Dahl, AA, Haug, TT, Neckelmann, D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychom Res 2002; 52(2): 69–77.CrossRefGoogle ScholarPubMed
22.Weiss, R, Mirin, S, Griffin, M. Methodological considerations in the diagnosis of coexisting psychiatric disorders in substance misusers. Br J Addict 1992; 87 (2): 179–187.CrossRefGoogle Scholar
23.McKeon, P. Suicide in Ireland. A global perspective and a national strategy. Dublin: Aware Publications; 1998.Google Scholar