Skip to main content
Erschienen in: AIDS and Behavior 11/2017

24.04.2017 | Original Paper

Psychological Distress Among Methadone Maintenance Patients in Vietnamese Mountainous Areas

verfasst von: Long Hoang Nguyen, Bach Xuan Tran, Huong Lan Thi Nguyen, Cuong Tat Nguyen, Canh Dinh Hoang, Hai Quan Le, Hung Van Nguyen, Huong Thi Le, Tho Dinh Tran, Carl A. Latkin, Thuc Minh Thi Vu

Erschienen in: AIDS and Behavior | Ausgabe 11/2017

Einloggen, um Zugang zu erhalten

Abstract

We conducted a cross-sectional study in Tuyen Quang Province, a mountainous province in northern Vietnam, to examine rates of psychological distress among 241 patients receiving methadone maintenance treatment (MMT). Using the Kessler psychological distress Scale, we found that approximately one-fourth (26.8%) of respondents suffered from mental health pathologies. Physical health problems, current drug use, and alcohol abuse were found to be associated with mental health problems among the participants. Our findings highlight the high prevalence of psychological distress among MMT patients in northern Vietnam, and the need to integrate mental and physical health care services, as well as behavioral health counseling, into currently existing MMT clinics in this region.
Literatur
1.
2.
Zurück zum Zitat Lai HM, Cleary M, Sitharthan T, Hunt GE. Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990-2014: A systematic review and meta-analysis. Drug Alcohol Depend. 2015;154:1–13.CrossRefPubMed Lai HM, Cleary M, Sitharthan T, Hunt GE. Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990-2014: A systematic review and meta-analysis. Drug Alcohol Depend. 2015;154:1–13.CrossRefPubMed
3.
Zurück zum Zitat Chen VC, Lin TY, Lee CT, Lai TJ, Chen H, Ferri CP, et al. Suicide attempts prior to starting methadone maintenance treatment in Taiwan. Drug Alcohol Depend. 2010;109(1–3):139–43.CrossRefPubMed Chen VC, Lin TY, Lee CT, Lai TJ, Chen H, Ferri CP, et al. Suicide attempts prior to starting methadone maintenance treatment in Taiwan. Drug Alcohol Depend. 2010;109(1–3):139–43.CrossRefPubMed
4.
Zurück zum Zitat Darke S, Williamson A, Ross J, Teesson M, Lynskey M. Borderline personality disorder, antisocial personality disorder and risk-taking among heroin users: findings from the australian treatment outcome study (ATOS). Drug Alcohol Depend. 2004;74(1):77–83.CrossRefPubMed Darke S, Williamson A, Ross J, Teesson M, Lynskey M. Borderline personality disorder, antisocial personality disorder and risk-taking among heroin users: findings from the australian treatment outcome study (ATOS). Drug Alcohol Depend. 2004;74(1):77–83.CrossRefPubMed
5.
Zurück zum Zitat Huang CL, Lee CW. Factors associated with mortality among heroin users after seeking treatment with methadone: a population-based cohort study in Taiwan. J Subst Abuse Treat. 2013;44(3):295–300.CrossRefPubMed Huang CL, Lee CW. Factors associated with mortality among heroin users after seeking treatment with methadone: a population-based cohort study in Taiwan. J Subst Abuse Treat. 2013;44(3):295–300.CrossRefPubMed
6.
Zurück zum Zitat Carpentier PJ, Krabbe PF, van Gogh MT, Knapen LJ, Buitelaar JK, de Jong CA. Psychiatric comorbidity reduces quality of life in chronic methadone maintained patients. The Am J Addict. 2009;18(6):470–80.CrossRefPubMed Carpentier PJ, Krabbe PF, van Gogh MT, Knapen LJ, Buitelaar JK, de Jong CA. Psychiatric comorbidity reduces quality of life in chronic methadone maintained patients. The Am J Addict. 2009;18(6):470–80.CrossRefPubMed
7.
Zurück zum Zitat Yen CN, Wang CS, Wang TY, Chen HF, Chang HC. Quality of life and its correlates among heroin users in Taiwan. Kaohsiung J Med Sci. 2011;27(5):177–83.CrossRefPubMed Yen CN, Wang CS, Wang TY, Chen HF, Chang HC. Quality of life and its correlates among heroin users in Taiwan. Kaohsiung J Med Sci. 2011;27(5):177–83.CrossRefPubMed
8.
Zurück zum Zitat Fassino S, Daga GA, Delsedime N, Rogna L, Boggio S. Quality of life and personality disorders in heroin abusers. Drug Alcohol Depend. 2004;76(1):73–80.CrossRefPubMed Fassino S, Daga GA, Delsedime N, Rogna L, Boggio S. Quality of life and personality disorders in heroin abusers. Drug Alcohol Depend. 2004;76(1):73–80.CrossRefPubMed
9.
Zurück zum Zitat Mulder RT, Frampton CM, Luty SE, Joyce PR. Eighteen months of drug treatment for depression: predicting relapse and recovery. J Affect Disord. 2009;114(1–3):263–70.CrossRefPubMed Mulder RT, Frampton CM, Luty SE, Joyce PR. Eighteen months of drug treatment for depression: predicting relapse and recovery. J Affect Disord. 2009;114(1–3):263–70.CrossRefPubMed
10.
Zurück zum Zitat Hatsukami D, Pickens RW, Svikis D. Post-treatment depressive symptoms and relapse to drug use in different age groups of an alcohol and other drug abuse population. Drug Alcohol Depend. 1981;8(4):271–7.CrossRefPubMed Hatsukami D, Pickens RW, Svikis D. Post-treatment depressive symptoms and relapse to drug use in different age groups of an alcohol and other drug abuse population. Drug Alcohol Depend. 1981;8(4):271–7.CrossRefPubMed
11.
Zurück zum Zitat Carreras Alabau A, Carrobles Isabel JA, Almendros Rodriguez C. Perceived stress related to methadone withdrawal. Psicothema. 2016;28(3):235–40.PubMed Carreras Alabau A, Carrobles Isabel JA, Almendros Rodriguez C. Perceived stress related to methadone withdrawal. Psicothema. 2016;28(3):235–40.PubMed
12.
Zurück zum Zitat McGovern MP, Xie H, Segal SR, Siembab L, Drake RE. Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers. J Subst Abuse Treat. 2006;31(3):267–75.CrossRefPubMed McGovern MP, Xie H, Segal SR, Siembab L, Drake RE. Addiction treatment services and co-occurring disorders: Prevalence estimates, treatment practices, and barriers. J Subst Abuse Treat. 2006;31(3):267–75.CrossRefPubMed
13.
Zurück zum Zitat Brooner RK, King VL, Kidorf M, Schmidt CW Jr, Bigelow GE. Psychiatric and substance use comorbidity among treatment-seeking opioid abusers. Arch Gen Psychiatry. 1997;54(1):71–80.CrossRefPubMed Brooner RK, King VL, Kidorf M, Schmidt CW Jr, Bigelow GE. Psychiatric and substance use comorbidity among treatment-seeking opioid abusers. Arch Gen Psychiatry. 1997;54(1):71–80.CrossRefPubMed
14.
Zurück zum Zitat Callaly T, Trauer T, Munro L, Whelan G. Prevalence of psychiatric disorder in a methadone maintenance population. The Australian and New Zealand journal of psychiatry. 2001;35(5):601–5.CrossRefPubMed Callaly T, Trauer T, Munro L, Whelan G. Prevalence of psychiatric disorder in a methadone maintenance population. The Australian and New Zealand journal of psychiatry. 2001;35(5):601–5.CrossRefPubMed
15.
Zurück zum Zitat Rosen D, Smith ML, Reynolds CF 3rd. The prevalence of mental and physical health disorders among older methadone patients. Am J Geriatr Psychiatry. 2008;16(6):488–97.CrossRefPubMed Rosen D, Smith ML, Reynolds CF 3rd. The prevalence of mental and physical health disorders among older methadone patients. Am J Geriatr Psychiatry. 2008;16(6):488–97.CrossRefPubMed
16.
Zurück zum Zitat Brienza RS, Stein MD, Chen M, Gogineni A, Sobota M, Maksad J, et al. Depression among needle exchange program and methadone maintenance clients. J Subst Abuse Treat. 2000;18(4):331–7.CrossRefPubMed Brienza RS, Stein MD, Chen M, Gogineni A, Sobota M, Maksad J, et al. Depression among needle exchange program and methadone maintenance clients. J Subst Abuse Treat. 2000;18(4):331–7.CrossRefPubMed
17.
Zurück zum Zitat Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, et al. Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry. 2004;61(8):807–16.CrossRefPubMed Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, et al. Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry. 2004;61(8):807–16.CrossRefPubMed
18.
Zurück zum Zitat Mortazavi SS, Shati M, Malakouti SK, Mohammad K. Psychiatric comorbidities among Iranian elderly patients on methadone maintenance treatment. Arch Iran Med. 2015;18(11):740–6.PubMed Mortazavi SS, Shati M, Malakouti SK, Mohammad K. Psychiatric comorbidities among Iranian elderly patients on methadone maintenance treatment. Arch Iran Med. 2015;18(11):740–6.PubMed
19.
Zurück zum Zitat Mason BJ, Kocsis JH, Melia D, Khuri ET, Sweeney J, Wells A, et al. Psychiatric comorbidity in methadone maintained patients. J Addict Dis. 1998;17(3):75–89.CrossRefPubMed Mason BJ, Kocsis JH, Melia D, Khuri ET, Sweeney J, Wells A, et al. Psychiatric comorbidity in methadone maintained patients. J Addict Dis. 1998;17(3):75–89.CrossRefPubMed
20.
Zurück zum Zitat Teoh Bing Fei J, Yee A, Habil MH. Psychiatric comorbidity among patients on methadone maintenance therapy and its influence on quality of life. Am J Addict. 2016;25(1):49–55.CrossRefPubMed Teoh Bing Fei J, Yee A, Habil MH. Psychiatric comorbidity among patients on methadone maintenance therapy and its influence on quality of life. Am J Addict. 2016;25(1):49–55.CrossRefPubMed
21.
Zurück zum Zitat Vietnam Go. Vietnam AIDS Response Progress Report 2012. Hanoi, Vietnam: National Committee for AIDS, Drugs and Prostitution Prevention and Control, 2012 Vietnam Go. Vietnam AIDS Response Progress Report 2012. Hanoi, Vietnam: National Committee for AIDS, Drugs and Prostitution Prevention and Control, 2012
22.
Zurück zum Zitat Control VAoHA. The annual review of HIV/AIDS control and prevention in the first six months 2016 and action plan in the last six months in 2016. Hanoi: 2016. Control VAoHA. The annual review of HIV/AIDS control and prevention in the first six months 2016 and action plan in the last six months in 2016. Hanoi: 2016.
23.
Zurück zum Zitat Health VMo. Decision No 3140/QD-BYT on Guideline for Substance abuse treatment using methadone. Hanoi 2010. Health VMo. Decision No 3140/QD-BYT on Guideline for Substance abuse treatment using methadone. Hanoi 2010.
24.
Zurück zum Zitat Vuong DA, Van Ginneken E, Morris J, Ha ST, Busse R. Mental health in Vietnam: Burden of disease and availability of services. Asian J Psychiatry. 2011;4(1):65–70.CrossRef Vuong DA, Van Ginneken E, Morris J, Ha ST, Busse R. Mental health in Vietnam: Burden of disease and availability of services. Asian J Psychiatry. 2011;4(1):65–70.CrossRef
25.
Zurück zum Zitat Tran BX, Ohinmaa A, Mills S. Multilevel predictors of concurrent opioid use during methadone maintenance treatment among drug users with HIV/AIDS. PLoS ONE. 2012;7:e51569.CrossRefPubMedPubMedCentral Tran BX, Ohinmaa A, Mills S. Multilevel predictors of concurrent opioid use during methadone maintenance treatment among drug users with HIV/AIDS. PLoS ONE. 2012;7:e51569.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Tran BX, Nguyen LH, Nguyen LP, Nguyen CT, Phan HTT, Latkin CA. Methadone maintenance treatment promotes referral and uptake of HIV testing and counselling services amongst drug users and their partners. PLoS ONE. 2016;11(4):e0152804.CrossRefPubMedPubMedCentral Tran BX, Nguyen LH, Nguyen LP, Nguyen CT, Phan HTT, Latkin CA. Methadone maintenance treatment promotes referral and uptake of HIV testing and counselling services amongst drug users and their partners. PLoS ONE. 2016;11(4):e0152804.CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Tran BX, Nguyen LH, Nong VM, Nguyen CT, Phan HT, Latkin CA. Behavioral and quality-of-life outcomes in different service models for methadone maintenance treatment in Vietnam. Harm Reduct J. 2016;13:4.CrossRefPubMedPubMedCentral Tran BX, Nguyen LH, Nong VM, Nguyen CT, Phan HT, Latkin CA. Behavioral and quality-of-life outcomes in different service models for methadone maintenance treatment in Vietnam. Harm Reduct J. 2016;13:4.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Decree No:96/2012/ND-CP on regulating Substitution Treatment of Opioid Addiction, (2012). Decree No:96/2012/ND-CP on regulating Substitution Treatment of Opioid Addiction, (2012).
29.
Zurück zum Zitat Nguyen T, Dennis S, An H, Vagholkar S, Liaw ST. Psychological distress among Vietnamese adults attending Vietnamese-speaking general practices in South Western Sydney: prevalence and associations. Aust J Prim Health. 2015;22(4):354–9.CrossRefPubMed Nguyen T, Dennis S, An H, Vagholkar S, Liaw ST. Psychological distress among Vietnamese adults attending Vietnamese-speaking general practices in South Western Sydney: prevalence and associations. Aust J Prim Health. 2015;22(4):354–9.CrossRefPubMed
30.
Zurück zum Zitat Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health. 2001;25(6):494–7.CrossRefPubMed Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health. 2001;25(6):494–7.CrossRefPubMed
31.
Zurück zum Zitat Stolk Y, Kaplan I, Szwarc J. Clinical use of the Kessler psychological distress scales with culturally diverse groups. Int J Method Psychiatr Res. 2014;23(2):161–83.CrossRef Stolk Y, Kaplan I, Szwarc J. Clinical use of the Kessler psychological distress scales with culturally diverse groups. Int J Method Psychiatr Res. 2014;23(2):161–83.CrossRef
32.
Zurück zum Zitat Tran BX, Nguyen LH, Nong VM, Nguyen CT. Health status and health service utilization in remote and mountainous areas in Vietnam. Health Quality Life Outcomes. 2016;14(1):85.CrossRef Tran BX, Nguyen LH, Nong VM, Nguyen CT. Health status and health service utilization in remote and mountainous areas in Vietnam. Health Quality Life Outcomes. 2016;14(1):85.CrossRef
33.
Zurück zum Zitat Jane-Llopis E, Matytsina I. Mental health and alcohol, drugs and tobacco: a review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs. Drug Alcohol Rev. 2006;25(6):515–36.CrossRefPubMed Jane-Llopis E, Matytsina I. Mental health and alcohol, drugs and tobacco: a review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs. Drug Alcohol Rev. 2006;25(6):515–36.CrossRefPubMed
34.
Zurück zum Zitat Ryder AG, Yang J, Zhu X, Yao S, Yi J, Heine SJ, et al. The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? J Abnorm Psychol. 2008;117(2):300–13.CrossRefPubMed Ryder AG, Yang J, Zhu X, Yao S, Yi J, Heine SJ, et al. The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? J Abnorm Psychol. 2008;117(2):300–13.CrossRefPubMed
35.
Zurück zum Zitat Steel Z, Silove D, Giao NM, Phan TTB, Chey T, Whelan A, et al. International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia. Br J Psychiatry. 2009;194(4):326–33.CrossRefPubMed Steel Z, Silove D, Giao NM, Phan TTB, Chey T, Whelan A, et al. International and indigenous diagnoses of mental disorder among Vietnamese living in Vietnam and Australia. Br J Psychiatry. 2009;194(4):326–33.CrossRefPubMed
36.
Zurück zum Zitat Peles E, Schreiber S, Gordon J, Adelson M. Significantly higher methadone dose for methadone maintenance treatment (MMT) patients with chronic pain. Pain. 2005;113(3):340–6.CrossRefPubMed Peles E, Schreiber S, Gordon J, Adelson M. Significantly higher methadone dose for methadone maintenance treatment (MMT) patients with chronic pain. Pain. 2005;113(3):340–6.CrossRefPubMed
38.
Zurück zum Zitat Tran BX, Ohinmaa A, Nguyen LT. Quality of life profile and psychometric properties of the EQ-5D-5L in HIV/AIDS patients. Health Qual Life Outcomes. 2012;10:132.CrossRefPubMedPubMedCentral Tran BX, Ohinmaa A, Nguyen LT. Quality of life profile and psychometric properties of the EQ-5D-5L in HIV/AIDS patients. Health Qual Life Outcomes. 2012;10:132.CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007;31(7):1208–17.CrossRefPubMed Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR. AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res. 2007;31(7):1208–17.CrossRefPubMed
40.
Zurück zum Zitat Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014;19:dyu038. Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014;19:dyu038.
41.
Zurück zum Zitat Compton WM 3rd, Helzer JE, Hwu HG, Yeh EK, McEvoy L, Tipp JE, et al. New methods in cross-cultural psychiatry: psychiatric illness in Taiwan and the United States. The Am J Psychiatry. 1991;148(12):1697–704.CrossRefPubMed Compton WM 3rd, Helzer JE, Hwu HG, Yeh EK, McEvoy L, Tipp JE, et al. New methods in cross-cultural psychiatry: psychiatric illness in Taiwan and the United States. The Am J Psychiatry. 1991;148(12):1697–704.CrossRefPubMed
42.
Zurück zum Zitat Beiser M, Fleming JA. Measuring psychiatric disorder among Southeast Asian refugees. Psychol Med. 1986;16(3):627–39.CrossRefPubMed Beiser M, Fleming JA. Measuring psychiatric disorder among Southeast Asian refugees. Psychol Med. 1986;16(3):627–39.CrossRefPubMed
43.
Zurück zum Zitat 1 NPHN. National epidemiology mental disorder Survey by National Psychiatric Hospital No 1. Ho Chi Minh city, Vietnam: 2002. 1 NPHN. National epidemiology mental disorder Survey by National Psychiatric Hospital No 1. Ho Chi Minh city, Vietnam: 2002.
44.
Zurück zum Zitat Van Nguyen H, Nguyen HLT, Mai HT, Le HQ, Tran BX, Hoang CD, et al. Stigmatization among methadone maintenance treatment patients in mountainous areas in northern Vietnam. Harm Reduct J. 2017;14:1.CrossRefPubMedPubMedCentral Van Nguyen H, Nguyen HLT, Mai HT, Le HQ, Tran BX, Hoang CD, et al. Stigmatization among methadone maintenance treatment patients in mountainous areas in northern Vietnam. Harm Reduct J. 2017;14:1.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Tran BX, Ohinmaa A, Duong AT, Do NT, Nguyen LT, Nguyen QC, et al. Changes in drug use are associated with health-related quality of life improvements among methadone maintenance patients with HIV/AIDS. Qual Life Res. 2012;21:613–23.CrossRefPubMed Tran BX, Ohinmaa A, Duong AT, Do NT, Nguyen LT, Nguyen QC, et al. Changes in drug use are associated with health-related quality of life improvements among methadone maintenance patients with HIV/AIDS. Qual Life Res. 2012;21:613–23.CrossRefPubMed
46.
Zurück zum Zitat Tran BX, Ohinmaa A, Nguyen LT. Quality of life profile and psychometric properties of the EQ-5D-5L in HIV/AIDS patients. Health and quality of life outcomes. 2012;10:132.CrossRefPubMedPubMedCentral Tran BX, Ohinmaa A, Nguyen LT. Quality of life profile and psychometric properties of the EQ-5D-5L in HIV/AIDS patients. Health and quality of life outcomes. 2012;10:132.CrossRefPubMedPubMedCentral
47.
Zurück zum Zitat Tran B, Nguyen L, Ohinmaa A, Maher R, Nong V, Latkin CA. Longitudinal and cross sectional assessments of health utility in adults with HIV/AIDS: a systematic review and meta-analysis. BMC Health Serv Res. 2015;15:7.CrossRefPubMedPubMedCentral Tran B, Nguyen L, Ohinmaa A, Maher R, Nong V, Latkin CA. Longitudinal and cross sectional assessments of health utility in adults with HIV/AIDS: a systematic review and meta-analysis. BMC Health Serv Res. 2015;15:7.CrossRefPubMedPubMedCentral
48.
Zurück zum Zitat Barry DT, Beitel M, Garnet B, Joshi D, Rosenblum A, Schottenfeld RS. Relations among psychopathology, substance use, and physical pain experiences in methadone-maintained patients. J Clin Psychiatry. 2009;70(9):1213–8.CrossRefPubMedPubMedCentral Barry DT, Beitel M, Garnet B, Joshi D, Rosenblum A, Schottenfeld RS. Relations among psychopathology, substance use, and physical pain experiences in methadone-maintained patients. J Clin Psychiatry. 2009;70(9):1213–8.CrossRefPubMedPubMedCentral
49.
Zurück zum Zitat Rosenblum A, Joseph H, Fong C, Kipnis S, Cleland C, Portenoy RK. Prevalence and characteristics of chronic pain among chemically dependent patients in methadone maintenance and residential treatment facilities. JAMA. 2003;289(18):2370–8.CrossRefPubMed Rosenblum A, Joseph H, Fong C, Kipnis S, Cleland C, Portenoy RK. Prevalence and characteristics of chronic pain among chemically dependent patients in methadone maintenance and residential treatment facilities. JAMA. 2003;289(18):2370–8.CrossRefPubMed
50.
Zurück zum Zitat Walter M, Dammann G, Wiesbeck GA, Klapp BF. Psychosocial stress and alcohol consumption: interrelations, consequences and interventions. Fortschr Neurol Psychiatr. 2005;73(9):517–25.CrossRefPubMed Walter M, Dammann G, Wiesbeck GA, Klapp BF. Psychosocial stress and alcohol consumption: interrelations, consequences and interventions. Fortschr Neurol Psychiatr. 2005;73(9):517–25.CrossRefPubMed
51.
Zurück zum Zitat Silberman Y, Bajo M, Chappell AM, Christian DT, Cruz M, Diaz MR, et al. Neurobiological mechanisms contributing to alcohol-stress-anxiety interactions. Alcohol. 2009;43(7):509–19.CrossRefPubMedPubMedCentral Silberman Y, Bajo M, Chappell AM, Christian DT, Cruz M, Diaz MR, et al. Neurobiological mechanisms contributing to alcohol-stress-anxiety interactions. Alcohol. 2009;43(7):509–19.CrossRefPubMedPubMedCentral
53.
Zurück zum Zitat Arthur D. Alcohol-related problems: a critical review of the literature and directions in nurse education. Nurse Educ Today. 1998;18(6):477–87.CrossRefPubMed Arthur D. Alcohol-related problems: a critical review of the literature and directions in nurse education. Nurse Educ Today. 1998;18(6):477–87.CrossRefPubMed
54.
Zurück zum Zitat Bickel WK, Marion I, Lowinson JH. The treatment of alcoholic methadone patients: a review. J Subst Abuse Treat. 1987;4(1):15–9.CrossRefPubMed Bickel WK, Marion I, Lowinson JH. The treatment of alcoholic methadone patients: a review. J Subst Abuse Treat. 1987;4(1):15–9.CrossRefPubMed
Metadaten
Titel
Psychological Distress Among Methadone Maintenance Patients in Vietnamese Mountainous Areas
verfasst von
Long Hoang Nguyen
Bach Xuan Tran
Huong Lan Thi Nguyen
Cuong Tat Nguyen
Canh Dinh Hoang
Hai Quan Le
Hung Van Nguyen
Huong Thi Le
Tho Dinh Tran
Carl A. Latkin
Thuc Minh Thi Vu
Publikationsdatum
24.04.2017
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 11/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1779-5

Weitere Artikel der Ausgabe 11/2017

AIDS and Behavior 11/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren. 

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Wo hapert es noch bei der Umsetzung der POMGAT-Leitlinie?

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Das Risiko für Vorhofflimmern in der Bevölkerung steigt

02.05.2024 Vorhofflimmern Nachrichten

Das Risiko, im Lauf des Lebens an Vorhofflimmern zu erkranken, ist in den vergangenen 20 Jahren gestiegen: Laut dänischen Zahlen wird es drei von zehn Personen treffen. Das hat Folgen weit über die Schlaganfallgefährdung hinaus.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.