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Iranian Journal of Public Health، جلد ۴۲، شماره ۸، صفحات ۸۹۶-۹۰۲

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عنوان انگلیسی Effectiveness of Relapse Prevention Cognitive-Behavioral Model in Opioid-Dependent Patients Participating in the Methadone Maintenance Treatment in Iran.
چکیده انگلیسی مقاله 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.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.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< 0.01). Further, the odd ratio of this variable in one month, three months, and 195 days after the therapy were 0.48 (P<.03), 0.31 (P<.02), and 0.13 (P<.02) respectively that revealed that on average, the probability of relapse among individuals in the intervention group was lower than patients in control group.Relapse prevention model based on Marlatt treatment approach has an effective role in decreasing relapse rate. This model can be introduced as a complementary therapy in patients treated with methadone maintenance.
کلیدواژه‌های انگلیسی مقاله Methadone,Opioid addiction,Relapse,Retention,Treatment

نویسندگان مقاله طاهره پاشایی | tahereh pashaei
dept .of public health, school of health, kurdistan university of medical science, sanandaj, iran. ; iranian national center for addiction studies, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

داود شجاعی زاده | davoud shojaeizadeh
dept. of health education and promotion, school of public health, tehran university of medical sciences, tehran iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

دکتر عباس رحیمی فروشانی | abbas rahimi foroushani
dept .of epidemiology and biostatistics, school of public health, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمود ghazitabatabae | mahmoud ghazitabatabae
dept .of health and social demography, faculty of social sciences, university of tehran, tehran, iran.

سازمان اصلی تایید شده: دانشگاه تهران (Tehran university)

مریم معینی | maryam moeeni
dept .of management and health economics, school of public health, university of medical sciences, tehran, iran.


فاطمه رجعتی | fatemeh rajati
dept .of health education and promotion, isfahan university of medical sciences, isfahan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

عمران m رزاقی | emran m razzaghi
dept .of psychiatry, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)


نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/4419
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