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Iran J Psychiatry. 2015 Sep;10(4):273-7.

Work Predictors of Lapse in Patients under Treatment of Methadone Maintenance Therapy.

Iranian journal of psychiatry

Ramin Mehrdad, Benafsheh Zarbafi, Gholamreza Pouryaghoub, Maryam Saraeei

Affiliations

  1. Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
  2. Occupational Medicine Resident, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 27006672 PMCID: PMC4801497

Abstract

BACKGROUND: Addiction to narcotics ‎can cause serious problems and ‎monetary losses. Therapeutic ‎success can be predicted ‎through identifying lapse risk ‎factors.‎

OBJECTIVE: Determining Job Risk ‎Factor of Lapse.‎

METHODS: This was a cross ‎sectional study on 351 addicts ‎visiting five methadone clinics. A ‎Data collection sheet consisting ‎of questions on demographic ‎and job information was filled up ‎through direct interviews. ‎Information relating to lapse in ‎the first month was analyzed.‎

RESULTS: The mean (SD) age of ‎the participants was 40(12) ‎years; of them, 74% were ‎employed, of whom 34% had ‎lapsed. A relationship was ‎noticed between education ‎qualification (secondary school ‎compared with higher and lower ‎education) and lapse (p = .04), ‎and also between type of drug ‎abuse (amphetamine) and lapse ‎‎(p = .001).‎

CONCLUSION: ‎ ‏ ‏‎ Lapse was more ‎dependent on type of drug abused, ‎and employment had a protective role, ‎with no correlation with the type of ‎job and other job conditions. Non-‎work factors mediated/suppressed the ‎role of occupational conditions.‎.

Keywords: Lapse; Methadone Maintenance Therapy; Predictors; work

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