Clinical factors associated with sexual dysfunction among men in methadone maintenance treatment and buprenorphine maintenance treatment: a meta-analysis study

2014 ◽  
Vol 26 (5) ◽  
pp. 161-166 ◽  
Author(s):  
A Yee ◽  
H S Loh ◽  
H M B Hisham Hashim ◽  
C G Ng
PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e88289 ◽  
Author(s):  
Minying Zhang ◽  
Huifang Zhang ◽  
Cynthia X. Shi ◽  
Jennifer M. McGoogan ◽  
Baohua Zhang ◽  
...  

Author(s):  
Cheng Gong ◽  
Xia Zou ◽  
Wen Chen ◽  
Yin Liu ◽  
Qian Lu ◽  
...  

Methadone maintenance treatment (MMT) requires patients to intake their daily dose in person at their clinic. Therefore, transfer services are vital for patients who need temporary leave from their primary MMT clinic. However, studies have shown that transfer patients might delay return after temporary leave, leading to missed doses and putting them at risk of increased harm. In this study, we aimed to explore the transfer rates and factors associated with MMT patients who delayed return during a transfer period. In this retrospective analysis, we used audit records from the web-based management system from six MMT clinics in Guangdong, China. Multilevel logistic regression and multilevel Poisson regression analyses were used to examine the factors associated with patients who delayed return to their primary MMT clinic. A total of 459 people used the transfer system 2940 times between January 2006 and December 2016. Of those, patients delayed return to their primary MMT clinic 1199 times (40.78%). Patients who transferred regularly had poor compliance rates with MMT treatment. Those who once dropped out from and then re-enrolled in MMT were more likely to delay return. Most patients (82.71%) who used the transfer service for “work” were more likely to prolong their delay length. The findings highlight that a more flexible transfer system would minimize inconvenience to the patients.


2019 ◽  
Vol 8 (3) ◽  
pp. 321 ◽  
Author(s):  
Carlos Llanes ◽  
Ana Álvarez ◽  
M. Pastor ◽  
M. Garzón ◽  
Nerea González-García ◽  
...  

This study examined whether methadone (hereinafter referred to as MTD) maintenance treatment (MMT) is correlated with sexual dysfunction (SD) in heroin-dependent men. This was conducted to determine the prevalence of sexual dysfunction and if there is a relationship between duration and dose among men on MMT and its impact on the quality of life. The study combined a retrospective and a cross-sectional survey based on the Kinsey Scale, TECVASP, and PRSexDQ-SALSEX clinical interviews of 85 patients who are currently engaged in MMT. Sexual dysfunction in all five PRSexDQ-SALSEX domains (lack of libido, delay in orgasm, inability to orgasm, erectile dysfunction, and tolerance or acceptance of changes in sexual function) was associated with dose and long-term use of heroin. All dimensions of SD were affected by the MTD intake. From the analysis of our sample, we may conclude that dose of MTD and overall score of SD were directly associated. However, no evidence was found to prove that treatment duration and severity of SD were linked. It is notable that only one tenth of the patients spontaneously reported their symptoms of the sexual sphere, but up to a third considered leaving the MMT for this reason.


2019 ◽  
Vol 8 (2) ◽  
pp. 9-14
Author(s):  
B. Sapkota ◽  
P. Tulachan ◽  
S.P. Ojha ◽  
M. Chapagai ◽  
S. Dhungana

 Introduction: Methadone maintenance treatment program is one of the accepted form of treatment modalities for opioid dependence individuals in Nepal. Retention in the treatment represents the assessment of the effectiveness of the treatment program. The aim of this study was to find out the factors associated with the retention of clients in the Methadone maintenance clinics in the Kathmandu Valley. Material and Method: A total of 84 clients were recruited from the 5 different methadone clinics of Kathmandu valley. A prospective follow-up design was used. The patients were followed up at the end of 6 months and retention rate was calculated. The patient was considered ‘drop out “if the patient did not take methadone for 7 consecutive days. Group differences between ‘dropout’ and non-dropout (retained) clients on MMT program were tested using t-test and Chi-square test for continuous variables and categorical variables respectively. Results: At the end of 6 months 63 patients still remained in the MMT program, so the retention rate was found to be 75% in the study. The factors associated with the retention included higher dosage of methadone (p<0.001), history of multiple substance intake (p=0.004) and previous treatment history of the drug related problems (p=0.015). Conclusion: Opioid dependent individuals may stick to the MMT program for longer durtion if they are offered with higher dosage of Methadone and special attention should be given to the patients with history of poly substance abuse and prior treatment history to prevent their relapse.


BMJ Open ◽  
2017 ◽  
Vol 7 (7) ◽  
pp. e015889 ◽  
Author(s):  
Huyen Phuc Do ◽  
Long Hoang Nguyen ◽  
Nhung Phuong Thi Nguyen ◽  
Chau Ngo ◽  
Huong Lan Thi Nguyen ◽  
...  

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