Original Article
Iranian J Publ Health, Vol. 42, No. 8, Aug 2013, pp.896-902
Effectiveness of Relapse Prevention Cognitive- Behavioral Model in Opioid -Dependent Patients Participating in the Methadone Maintenance Treatment in Iran Tahereh PASHAEI 1,2, Davoud SHOJAEIZADEH 3, Abbas RAHIMI FOROUSHANI 4, Mahmoud GHAZITABATABAE 5, Maryam MOEENI 6, Fatemeh RAJATI 7, *Emran M RAZZAGHI 8 1. Dept .of Public Health, School of Health, Kurdistan University of Medical Science, Sanandaj, Iran. 2. Iranian National Center for Addiction Studies, Tehran University of Medical sciences, Tehran, Iran 3. Dept. of Health education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran Iran 4. Dept .of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 5. Dept .of Health and social Demography, Faculty of Social Sciences, University of Tehran, Tehran, Iran 6. Dept .of Management and Health Economics, School of Public Health, University of Medical Sciences, Tehran, Iran 7. Dept .of Health education and Promotion, Isfahan University of Medical Sciences, Isfahan, Iran 8. Dept .of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran *Corresponding Author: Email: [email protected] (Received 11 Jan 2013; accepted 20 Jun 2013)
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
Iranian J Publ Health, Vol. 42, No. 8, Aug 2013, pp.896-902
Effectiveness of Relapse Prevention Cognitive- Behavioral Model in Opioid -Dependent Patients Participating in the Methadone Maintenance Treatment in Iran Tahereh PASHAEI 1,2, Davoud SHOJAEIZADEH 3, Abbas RAHIMI FOROUSHANI 4, Mahmoud GHAZITABATABAE 5, Maryam MOEENI 6, Fatemeh RAJATI 7, *Emran M RAZZAGHI 8 1. Dept .of Public Health, School of Health, Kurdistan University of Medical Science, Sanandaj, Iran. 2. Iranian National Center for Addiction Studies, Tehran University of Medical sciences, Tehran, Iran 3. Dept. of Health education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran Iran 4. Dept .of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 5. Dept .of Health and social Demography, Faculty of Social Sciences, University of Tehran, Tehran, Iran 6. Dept .of Management and Health Economics, School of Public Health, University of Medical Sciences, Tehran, Iran 7. Dept .of Health education and Promotion, Isfahan University of Medical Sciences, Isfahan, Iran 8. Dept .of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran *Corresponding Author: Email: [email protected] (Received 11 Jan 2013; accepted 20 Jun 2013)
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
