Multi-level predictors of psychological problems among methadone maintenance treatment patients in difference types of settings in Vietnam

Tuan Anh Le, Mai Quynh Thi Le, Anh Duc Dang, Anh Kim Dang, Cuong Tat Nguyen, Hai Quang Pham, Giang Thu Vu, Chi Linh Hoang, Tung Thanh Tran, Quan Hoang Vuong, Tung Hoang Tran, Bach Xuan Tran, Carl A Latkin, Cyrus S.H. Ho, Roger C.M. Ho

Research output: Contribution to journalArticle

Abstract

Background: Methadone, a long-acting opioid agonist maintenance treatment (MMT) is used to treat opioid addiction by preventing opioid withdrawal and reducing cravings. However, it is important to note that mental conditions may persist, or even remain undetected while methadone maintenance treatment is ongoing. This study aimed to examine the level of psychological problems among MMT patients at public and private health facilities and identify associated factors. Method: From January to September 2018, a cross-sectional study was performed in Nam Dinh province, one of the largest epicenters providing HIV/AIDS surveillance and treatment services in the North of Vietnam. 395 male respondents currently receiving MMT agreed to participate in a face-to-face interview. Depression, Anxiety and Stress Scale-21 (DASS-21) were used to assess psychological problems among patients. Results: The percentage of patients suffering from mild to extremely severe anxiety was the highest among psychological problems (18%). 2.8% of participants had mild depressive symptoms and the percentage of those having mild or moderate stress was approximately 4%. In addition, the longer treatment duration, the lower mental health scores regarding three types of psychological problems. Respondents who received MMT services in public health facilities were more likely to have a higher score of all psychological problems. Participants who lived with partners or spouse, having higher monthly family income had a lower likelihood of having severe depression and stress status. Freelancers or blue-collars/farmers had lower score of depression and anxiety compared to people being unemployed. Conclusion: This study suggests that among our sample, MMT patients receiving treatment in public health facilities might have higher rate of psychological problems, including depression, anxiety, and stress than that of those in the private health facility. These results highlight the necessity of taking psychological counseling adequately for MMT patients and psychological assessment should be prioritized in the early stage of treatment.

Original languageEnglish (US)
Article number39
JournalSubstance Abuse: Treatment, Prevention, and Policy
Volume14
Issue number1
DOIs
StatePublished - Sep 18 2019

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Vietnam
Methadone
Psychology
Health Facilities
Depression
Anxiety
Public Facilities
Opioid Analgesics
Therapeutics
Public Health
Spouses
2-methylcyclopentadienyl manganese tricarbonyl
Counseling
Mental Health
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
HIV
Interviews

Keywords

  • Anxiety
  • Depression
  • Methadone
  • Psychological
  • Stress
  • Vietnam

ASJC Scopus subject areas

  • Health Policy
  • Psychiatry and Mental health

Cite this

Multi-level predictors of psychological problems among methadone maintenance treatment patients in difference types of settings in Vietnam. / Le, Tuan Anh; Le, Mai Quynh Thi; Dang, Anh Duc; Dang, Anh Kim; Nguyen, Cuong Tat; Pham, Hai Quang; Vu, Giang Thu; Hoang, Chi Linh; Tran, Tung Thanh; Vuong, Quan Hoang; Tran, Tung Hoang; Tran, Bach Xuan; Latkin, Carl A; Ho, Cyrus S.H.; Ho, Roger C.M.

In: Substance Abuse: Treatment, Prevention, and Policy, Vol. 14, No. 1, 39, 18.09.2019.

Research output: Contribution to journalArticle

Le, TA, Le, MQT, Dang, AD, Dang, AK, Nguyen, CT, Pham, HQ, Vu, GT, Hoang, CL, Tran, TT, Vuong, QH, Tran, TH, Tran, BX, Latkin, CA, Ho, CSH & Ho, RCM 2019, 'Multi-level predictors of psychological problems among methadone maintenance treatment patients in difference types of settings in Vietnam', Substance Abuse: Treatment, Prevention, and Policy, vol. 14, no. 1, 39. https://doi.org/10.1186/s13011-019-0223-4
Le, Tuan Anh ; Le, Mai Quynh Thi ; Dang, Anh Duc ; Dang, Anh Kim ; Nguyen, Cuong Tat ; Pham, Hai Quang ; Vu, Giang Thu ; Hoang, Chi Linh ; Tran, Tung Thanh ; Vuong, Quan Hoang ; Tran, Tung Hoang ; Tran, Bach Xuan ; Latkin, Carl A ; Ho, Cyrus S.H. ; Ho, Roger C.M. / Multi-level predictors of psychological problems among methadone maintenance treatment patients in difference types of settings in Vietnam. In: Substance Abuse: Treatment, Prevention, and Policy. 2019 ; Vol. 14, No. 1.
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abstract = "Background: Methadone, a long-acting opioid agonist maintenance treatment (MMT) is used to treat opioid addiction by preventing opioid withdrawal and reducing cravings. However, it is important to note that mental conditions may persist, or even remain undetected while methadone maintenance treatment is ongoing. This study aimed to examine the level of psychological problems among MMT patients at public and private health facilities and identify associated factors. Method: From January to September 2018, a cross-sectional study was performed in Nam Dinh province, one of the largest epicenters providing HIV/AIDS surveillance and treatment services in the North of Vietnam. 395 male respondents currently receiving MMT agreed to participate in a face-to-face interview. Depression, Anxiety and Stress Scale-21 (DASS-21) were used to assess psychological problems among patients. Results: The percentage of patients suffering from mild to extremely severe anxiety was the highest among psychological problems (18{\%}). 2.8{\%} of participants had mild depressive symptoms and the percentage of those having mild or moderate stress was approximately 4{\%}. In addition, the longer treatment duration, the lower mental health scores regarding three types of psychological problems. Respondents who received MMT services in public health facilities were more likely to have a higher score of all psychological problems. Participants who lived with partners or spouse, having higher monthly family income had a lower likelihood of having severe depression and stress status. Freelancers or blue-collars/farmers had lower score of depression and anxiety compared to people being unemployed. Conclusion: This study suggests that among our sample, MMT patients receiving treatment in public health facilities might have higher rate of psychological problems, including depression, anxiety, and stress than that of those in the private health facility. These results highlight the necessity of taking psychological counseling adequately for MMT patients and psychological assessment should be prioritized in the early stage of treatment.",
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AU - Le, Mai Quynh Thi

AU - Dang, Anh Duc

AU - Dang, Anh Kim

AU - Nguyen, Cuong Tat

AU - Pham, Hai Quang

AU - Vu, Giang Thu

AU - Hoang, Chi Linh

AU - Tran, Tung Thanh

AU - Vuong, Quan Hoang

AU - Tran, Tung Hoang

AU - Tran, Bach Xuan

AU - Latkin, Carl A

AU - Ho, Cyrus S.H.

AU - Ho, Roger C.M.

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N2 - Background: Methadone, a long-acting opioid agonist maintenance treatment (MMT) is used to treat opioid addiction by preventing opioid withdrawal and reducing cravings. However, it is important to note that mental conditions may persist, or even remain undetected while methadone maintenance treatment is ongoing. This study aimed to examine the level of psychological problems among MMT patients at public and private health facilities and identify associated factors. Method: From January to September 2018, a cross-sectional study was performed in Nam Dinh province, one of the largest epicenters providing HIV/AIDS surveillance and treatment services in the North of Vietnam. 395 male respondents currently receiving MMT agreed to participate in a face-to-face interview. Depression, Anxiety and Stress Scale-21 (DASS-21) were used to assess psychological problems among patients. Results: The percentage of patients suffering from mild to extremely severe anxiety was the highest among psychological problems (18%). 2.8% of participants had mild depressive symptoms and the percentage of those having mild or moderate stress was approximately 4%. In addition, the longer treatment duration, the lower mental health scores regarding three types of psychological problems. Respondents who received MMT services in public health facilities were more likely to have a higher score of all psychological problems. Participants who lived with partners or spouse, having higher monthly family income had a lower likelihood of having severe depression and stress status. Freelancers or blue-collars/farmers had lower score of depression and anxiety compared to people being unemployed. Conclusion: This study suggests that among our sample, MMT patients receiving treatment in public health facilities might have higher rate of psychological problems, including depression, anxiety, and stress than that of those in the private health facility. These results highlight the necessity of taking psychological counseling adequately for MMT patients and psychological assessment should be prioritized in the early stage of treatment.

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