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首页> 外文期刊>Substance use & misuse >Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients
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Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients

机译：孤独和非法阿片类药物在美沙酮维持治疗患者中使用

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Background: Loneliness has been linked to greater substance use, especially among women. Yet little is known about how loneliness is associated with treatment outcomes for patients with opioid use disorder (OUD). Objectives: We evaluated how patient reports of using illicit opioids (i.e. heroin or non-prescription pain medications) are linked to perceptions of loneliness in a sample of adults receiving methadone maintenance treatment (MMT), and whether this link varies by gender. Methods: Participants for this cross-sectional observational study included 371 MMT patients aged 18 and older drawn from four opioid treatment programs in Southern New England and the Pacific Northwest. Patients completed a self-administered survey assessing sociodemographic and health information, loneliness, illicit opioid use, and MMT characteristics. Logistic regressions were estimated to examine the link between patient odds of illicit opioid use in the past month and perceived loneliness. Results: Patient gender moderated the association between illicit opioid use and loneliness such that severe loneliness was associated with higher odds of using illicit opioids among women (OR = 3.00, 95% CI [1.19, 7.57], p=.020) but lower odds of using illicit opioids among men (OR = 0.35, 95% CI [0.14, 0.87], p=.024), accounting for age, marital status, work status, depressive symptoms, and MMT characteristics (treatment episode, treatment duration, and methadone dose). Conclusions/importance: This study underscores the importance of considering loneliness in the management of OUD. Routine clinical care and treatment may benefit from strategies to build and sustain social connections that support long-term recovery among MMT patients.
机译：背景：孤独已经与更大的物质使用，特别是女性。然而，众所周知，孤独如何与阿片类药物使用障碍（OUD）患者的治疗结果相关。目的：我们评估了使用非法阿片类药物的患者报告（即海洛因或非处方疼痛药物）与接受美沙酮维持治疗（MMT）的成人样品中对孤独感的看法相关联，以及该链接是否因性别而异。方法：这种横截面观察研究的参与者包括来自南部新英格兰南部和太平洋西北部的4名阿片类药物治疗方案的371毫特患者。患者完成了一个自我管理的调查，评估了社会渗目和健康信息，孤独，非法表阿片类药物和MMT特征。估计Logistic回归估计过去一个月在过去一个月使用非法表阿片类药物的患者之间的联系并感知孤独。结果：患者性别调节非法阿片类药物使用和孤独之间的关联，使得严重的孤独感与使用女性非法阿片类药物的较高的次数（或= 3.00,95％CI [1.19,7.57]，P = .020）但较低的赔率使用男性非法阿片类药物（或= 0.35,95％CI [0.14,0.87]，p = .024），核算年龄，婚姻状况，工作状态，抑郁症状和MMT特征（治疗集，治疗持续时间和美沙酮剂量）。结论/重要性：本研究强调了考虑欧元管理中孤独的重要性。常规临床护理和治疗可能会受益于构建和维持社交联系的策略，这些联系支持MMT患者的长期复苏。

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