Anahita Khodabakhshi-Koolaee, Leili Mosalanejad, Morteza Gholami, Omid Massah,
Volume 15, Issue 1 (3-2017)
Abstract
Objectives: Hope therapy is one of the psychological interventions to help the couples deal with addiction problem. The aim of this study was to evaluate the effectiveness of the hope therapy on the orientation of the purpose and meaning of life expectancy in women with addicted husbands.
Methods: This was a quasi-experimental study with pretest, posttest control group. The population of this study included all wives of male addicted patients who referred to drug rehabilitation institutions in Tehran to treat their husbands’ addiction in 2014. The sample size was 30 people. Convenience samplings were carried out to collect data. Data gathering were done by MLQ (Meaning of Life Questionnaire) and AGQ -Achievement Goal Questionnaire (goal orientation)- and analyzed by ANCOVA through SPSS software version 20.
Results: The findings showed that hope therapy increased the orientation of purpose and meaning of life scores in experimental group (P<0.001). While, these changes were not observed in control group.
Discussion: The results revealed that the hope therapy intervention could raise the psychological positive elements like goal setting and the meaning of life among wives of male addicted patients. Rehabilitation counselors and psychologists could apply these interventions to reduce the burden and disturbance of those who live with their addicted couples.
Saeed Rezayi, Omid Massah,
Volume 15, Issue 2 (6-2017)
Abstract
Objectives: The present study examined excessive internet use of youths with moderate Cerebral Palsy (CP) and their psychological states in Sensation Seeking (SS).
Methods: This study followed descriptive and correlation research design. Individuals aged 15 to 25 years with CP who were referred to Tehran rehabilitation centers were considered in the study. The study sample (n=150) was randomly divided into two groups of internet dependents (n=75; boys=45 and girls=30) and non-dependents (n=75; boys=45 and girls=30). Internet Addiction Test and Sensation Seeking Scale have been used for data gathering. Data were analyzed by using Pearson correlation coefficients, multivariable regression, x2 and T tests.
Results: Compared to non-dependents, the internet dependent group reported significantly more negative internet influences on daily routines such as clinical problems, poor school performance, regular nutrition, and relation with friends and family members. Both the groups pointed that internet use enhanced virtual peer relationships and provided up-to-date information. Internet dependents (both gender) scored significantly higher on disinhibition sensation seeking subscale than the internet non-dependents. However, these two groups (both gender) did not demonstrate significant differences in life experience seeking and thrill and adventure seeking subscales, but their differences were sizable.
Discussion: It seems that internet applications direct or indirectly motive users to be online for more hours than necessary. This is true for CP patients given their motor impairment. Based on this research result, it seems that persons with CP because of lack of physical activities, motive by internal stimulus and seeking their sensation from external stimulus like internet application as well as for person with CP surfing in internet world and spent too much time on the internet is leisure time not activity time.
Parvaneh Mohammadkhani, Emad Alkasir, Abbas Pourshahbaz, Fatemeh Jafarian Dehkordi, Erfan Soleimani Sefat,
Volume 15, Issue 2 (6-2017)
Abstract
Objectives: One of the problems that the Internet has created is a virtual addiction or addiction to the global web world causing adverse psychological behavioral effects on the users. One of the groups at higher risk for Internet addiction is teenagers, and since Internet addiction will lead to academic failure in students, evaluating it among them and its relationship with signs of mental disorders seems necessary. Therefore, the aim of this research was to study Internet addiction and its relationship with the symptoms of mental disorders.
Methods: This study was descriptive and correlational design. The sample population for the present study consisted of all male and female high school students of the academic year 2013-2014 in district 5 of Tehran. Among these individuals, a sample of 400 participants was randomly selected for analysis using cluster sampling method. To collect data, Internet addiction test and Brief Symptom Inventory were used, and data were analyzed using T-Test, Pearson correlation coefficient and multiple regression analysis.
Results: The results showed that there is no significant difference between prevalence of Internet addiction in male and female high school students in district 5 of Tehran. However, there is a significant positive relationship between Internet addiction variables and symptoms of mental disorders and particularly, independent variables of psychosis and anxiety from the signs of mental disorders had a profound effect on Internet addiction.
Discussion: Internet addiction causes negative effects on individuals. As prevention is better than treatment and according to this study, it is necessary to take this phenomenon into consideration as a psychological problem that often involves the younger generation who are responsible for future society construction and through education in families, schools and universities, the culture of proper use of computers, in particular the Internet and its facilities should be replaced with the false methods.
Omid Massah, Mohammad Effatpanah, Sara Shishehgar,
Volume 15, Issue 3 (9-2017)
Abstract
Objectives: Methamphetamine (MA) dependence is a new health problem among Iranian female methadone patients. In recent years, the Matrix Model (a sixteen-week psychosocial treatment) has been provided for treating MA dependence. However, the problems associated with this treatment in methadone services are not clear.
Methods: A qualitative study was conducted to explore the problems associated with providing the Matrix Model in methadone clinics. Overall, 42 women were individually interviewed in 12 methadone clinics in Tehran in October 2015. All clinics provided the Matrix Model for MA dependence. Ten health professionals were also interviewed in three roundtable meetings. Data were analyzed using Atlas-ti software (version 9) based on the Grounded Theory of Strauss and Corbin.
Results: The mean age of the women was 34 years old. All of them were MA-dependent on the methadone programme. The most important theme was that the Matrix Model was able to manage MA craving and relapse among women in methadone treatment services. However, the Matrix Model was long, expensive and needed intensive staff training. Furthermore, the coverage of the treatment was inadequate. Conducting brief psychosocial treatments was suggested to reduce these problems.
Discussion: The results indicated that the Matrix Model is effective for treating MA dependence. However, the long length of the treatment, lack of cost-effectiveness, and intensive staff training are significant problems associated with providing MA treatment. Further studies are suggested to evaluate the role of brief interventions in reducing these problems in methadone treatment services.
Sara Sami, Mohammad Effatpanah, Afsaneh Moradi, Omid Massah,
Volume 15, Issue 3 (9-2017)
Abstract
Objectives: The Matrix Model is used for MA dependence in methadone services in Iran, the most populated Persian Gulf country. However, there are no studies of the efficacy of the Matrix Model for MA dependence while in treatment. The present study reports on the efficacy of sixteen weeks of the Matrix Model for MA abstinence and general health.
Methods: There were MA-dependent male (n=30) and female (n=30) patients in the study sites whom received the Matrix Model. The sites included three large methadone clinics in Tehran, Iran during 2015. The Persian versions of the Time Line Follow Back (TLFB) and the General Health Questionnaire-28 (GHQ-28) were completed by each participant at baseline and treatment weeks of four, ten and sixteen. Abstinence from MA was confirmed on the TLFB and with doing urinalyses at the same time.
Results: All subjects were daily MA users on the TLFB at baseline. General health was poor among all subjects at baseline. There was no reported subject attrition at baseline. But, ten subjects left the Matrix treatment before the end of week nine and 21 subjects left the Matrix treatment before the end of week 13. At week 4, only 20% of the subjects were abstinent from MA. At week ten, 35% of the subjects were abstinent from MA while at week 16, 65% of the subjects were abstinent from MA. The Matrix Model led to an increased rate of abstinence from MA (P<0.001) at week 16. Those who completed the treatment were more likely to report improved general health (P<0.05) than those who did not at week 16.
Discussion: The study indicated that the Matrix Model significantly increased the rate of abstinence from MA. But, at week sixteen, subject attrition was high. This issue demands further research.
Hassan Rafiey, Salahedin Ghaderi, Burzoo Morovat, Roya Noori, Mohammad Effatpanah, Alireza Mahjoub, Omid Massah,
Volume 15, Issue 4 (11-2017)
Abstract
Objectives: Dependence on Amphetamine-Type Stimulants (ATS) is a current health concern in Iran. The present study aimed to investigate the most needed treatment and rehabilitation services that a group of ATS-dependent patients in Tehran reported.
Methods: The current study is part of the first cross-sectional survey of the prevalence of ATS dependence in Tehran. A researcher-made questionnaire was used to collect data. Overall, 6027 men and women in the general adult population of Tehran were interviewed. Overall, 261 participants were ATS-dependent. Of them, 35 participants were interviewed in this qualitative study. Atlas-ti software was used for qualitative data analysis in compliance with the Grounded Theory of Strauss and Corbin.
Results: The mean age of the participants was 32 (SD=11) years (age range: 18-60 years). The mean year of the schooling was 8 (SD=9). The content analysis of interviews showed a series of needs including rehabilitation not only treatment, brief psychosocial treatments, family education and engagement in treatment and rehabilitation as well as after treatment services such as case management to help them to re-integrate into society respectively.
Discussion: The study results indicated that ATS dependence demands a combination of treatment and rehabilitation services. This concern demands long-term planning, designing and training, which should be considered by health service providers. Further studies are needed to determine which treatment or rehabilitation programme may work best for this group of drug-dependent people.
Omid Massah, Enayatollah Bakhshi, Sara Shishehgar, Afsaneh Moradi,
Volume 16, Issue 1 (3-2018)
Abstract
Objectives: Hepatitis C Virus (HCV) is a health problem among patients undergoing rehabilitation through methadone maintenance treatment in Iran, the most populous Persian Gulf country. The study aimed to examine gender differences among a group of methadone maintenance treatment patients with HCV problem.
Methods: Overall 150 patients (n=75 men, n=75 women) were enrolled from nine methadone clinics in Tehran. The study was conducted between July 2013 and June 2014. Participants of the two genders were compared in baseline characteristics, perceived stress, social support, coping strategies and mental health.
Results: Men were more likely to report being currently on parole than women (χ²(1)=9.23). Age of first illicit drug use was significantly higher among men than women (t(121)=2.43). Men were more likely to report drug injection in the last 12 months compared with women (χ²(1)=4.62). Men were more likely to report criminal charges (t(121)=2.21) and being in correctional facilities (χ²(1)=5.32) compared with women. Women reported higher levels of emotion-focused coping than men. Despite women reporting more social support [4.20(0.79)], they also reported higher levels of emotion-focused coping [2.66(0.55)] than men. Women were more likely to have a current mental health disorder (χ²(1)=8.15) than men.
Discussion: The study results demonstrated some gender differences in baseline characteristics and psychological problems. Such differences may have important impacts on methadone treatment outcomes. Further studies are suggested.
Omid Massah, Farhad Taremian, Reza Moloodi, Mohammad Hassan Farhadi, Elaheh Ahounbar,
Volume 16, Issue 2 (6-2018)
Abstract
Objectives: In this study, we aimed to determine the individual characteristics of clients who were referred to residential rehabilitation centers for drug use disorders and to determine their relapse-related factors.
Methods: This cross-sectional study was conducted on 576 patients who were referred to nine residential treatment centers for drug use disorders, chosen by the cluster sampling method. A self-constructed questionnaire to assess personal and addictive characteristics was applied. Data were analyzed using descriptive statistics and Independent t-test. Multiple regression models were applied to determine the factors affecting the time of relapse.
Results: The average interval between quitting drug use and relapse was found to be 4.7 months with a standard deviation of 4.1. Age and relapse were found to be correlated (0.193), but the correlation was not found to be statistically significant (P=0.12). There was significant correlation between occupational status (P=0.014) and number of attempts to quit drug use (P=0.019) with relapse. In addition, there were significant correlations between relapse time with injection history (P=0.035), victim’s history (P=0.047), risky sexual behaviors (P=0.022), sexual dysfunction (P=0.019), having a consumer as a close friend (P=0.001), another drug user in family (P=0.001), compulsory treatment (P=0.033), and alcohol consumption (P=0.041). There was no significant relationship between relapse with duration of addiction, type of abused drug, education, staying longer in centers, and marital status.
Discussion: There is a high chance of relapse in case of patients who seek treatment in residential rehabilitation centers for drug use disorders. Paying attention to the patients’ social status and especially their occupation and connection with the treatment center after discharge reduces possibility of relapse.
Omid Massah, Ali Farhoudian, Roya Noori, Salaheddin Ghaderi, Elaheh Ahounbar, Seyed Hadi Mousavi,
Volume 16, Issue 3 (9-2018)
Abstract
Objectives: High prevalence of stimulants use –especially crystalline methamphetamine (crystal meth)-, which required extensive medical and rehabilitation interventions is a major problem in Iran’s health care system. Main objective of the current study was to compare social, economic and cultural factors associated with female’s tendency toward use of two main types of drugs including opium and crystal methamphetamine.
Methods: The present cross-sectional and comparative study was performed on female opium and Methamphetamine (MA) dependents of Tehran in 2015. 136 women (82 crystal meth consumers and 54 opium consumers) were selected by simple random sampling method whom filled a researcher-developed questionnaire. Data was analyzed by Pearson Correlation Coefficient and Chi-square test using SPSS software V. 19.
Results: There were significant differences between two groups in terms of marital status (P=0.012), the believe in better fitness with drug use (P=0.011), and the believe in improved working and studying efficacy (P=0.039).
Discussion: It seems that misconceptions of beneficial impact of crystal methamphetamine use on fitness and improved working and studying efficacy could be recognized as a prominent factor for women’s tendency toward crystal methamphetamine use. Also, being single and avoiding a stable marital life was a strong factor associated with such tendency. This was whilst opium use was more prevalent among married women, and especially those influenced by their addicted spouse.
Nastaran Habibi, Mahboobe Firoozkoohi Moghaddam, Elham Salari, Nasrin Dodangi, Ramin Radfar, Mandana Sadeghi, Hamed Bahari, Mona Eslami, Alireza Noroozi, Omid Massah, Elaheh Ahounbar, Ali Farhoudian,
Volume 16, Issue 4 (12-2018)
Abstract
Millions of children are left to survive on the streets around the world. Investigations on drug use disorders among street children reveal that they not only abuse all types of drugs higher than their peers who live at home or in shelters, but also they abuse more harmful drugs such as injection drugs or methamphetamines. This guideline provides a comprehensive approach to the treatment and management of substance use disorders among children of 3 to 18 years of age for the staff of substance use disorder clinics. It highlights examples of how to perceive and approach the management and issues of substance abuse among street children at an early stage of development through various medical, psycho-social, and other interventions. It also defines the characteristics of the street children with a focus on prevention. These provisions consist of addressing the applicability matters in this area and necessity of a decision model in our country.
Omid Massah, Nastaran Rafiee, Ali Farhoudian, Bahman Bahmani, Elaheh Ahounbar, Seyed Hadi Mousavi, Mohsen Roshani,
Volume 17, Issue 1 (3-2019)
Abstract
Objectives: This study aimed to compare the ratio of suicide attempts between female opium and Methamphetamine (MA) users to determine the relationship between the increased prevalence of MA and suicide risk.
Methods: In this cross-sectional study, 136 drug dependent females were randomly selected from Tehran. Data gathering was performed by a demographic questionnaire and Beck Scale for Suicidal Ideation. Data were analyzed by Chi-squared test and Independent Samples t-test.
Results: There was no significant different in suicidal ideation between the two groups; however, the suicide attempt was significantly higher in the MA users compared to opium users (P<0.001).
Discussion: Suicide attempt is much higher in females who use crystal MA, compared to female opium users. This could be a warning to prevent associated risks.
Omid Massah, Hassan Rafiey, Schwann Shariatirad, Seyed Ramin Radfar, Elaheh Ahounbar, Ali Farhoudian,
Volume 17, Issue 2 (6-2019)
Abstract
Objectives: The follow-up treatment or rehabilitation and monitoring of patients with drug abuse disorders require an efficient tool with a convenient and short-time implementation to measure psychological aspects of dependence. The Leeds Dependence Questionnaire (LDQ) has such features; thus, the present study aimed at evaluating the validity and reliability of its Persian version.
Methods: The current validation study explored the data obtained from 142 substance dependent patients selected from drug addiction treatment centers in Tehran City, Iran. The criterion-related validity of the Persian version of the LDQ was evaluated by measuring its correlation with the Substance Dependence Severity Scale (SDSS). The construct validity of the Persian version of the LDQ was evaluated using the General Health Questionnaire (GHQ). Moreover, the internal consistency and reliability of this scale were calculated by Cronbach’s alpha coefficient and test-retest reliability methods, respectively.
Results: The correlation coefficients between the LDQ and SDSS and GHQ were 0.773 and 0.780, respectively; the correlations were statistically significant (P<0.001). A Cronbach’s alpha coefficient of 0.809 was obtained by investigating the internal consistency of the tool. Test-retest reliability for a two-week interval was 0.963.
Discussion: The criterion-related validity, construct validity, internal consistency, and test-retest reliability values of the Persian version of the LDQ are approvable; therefore, it can be applied as a valid and reliable tool on the Iranian population.
Younes Doostian, Bahman Bahmani, Ali Farhoudian, Manoochehr Azkhosh, Mohammad Saeed Khanjani,
Volume 17, Issue 2 (6-2019)
Abstract
Objectives: The present review study aimed at investigating the vocational rehabilitation of individuals with drug dependence disorders.
Methods: Based on the research method, a comprehensive search was conducted in the following databases: PubMed, Scopus, Web of Science, Science Direct, EBSCO, ProQuest and Google Scholar. All keywords synonymous with vocational rehabilitation and substance abuse were considered in search. Then related studies with vocation rehabilitation were selected and included in the study.
Results: Job is a protective and major factor in effective treatment, and ignoring vocational counseling and rehabilitation leads to a significant defect in addiction treatment.
Discussion: Individuals receiving vocational services along with drug abuse treatment would experience reduced drug abuse and a more productive life.
Afsaneh Moradi, Omid Massah,
Volume 17, Issue 4 (12-2019)
Abstract
Objectives: Methamphetamine (MA) use disorder is a new health problem among Iranian female methadone patients that needs special treatment and rehabilitation services. However, few describe their baseline characteristics, their reasons for MA use while in treatment, and their treatment needs and success. The study aimed at investigating these research gaps.
Methods: The participants were 70 women with MA use disorder in two large women-only methadone treatment services in Tehran, Iran. A researcher-made checklist, the Severity of Dependence Scale, the Contemplation Ladder, and the General Health Questionnaire-28 were completed by women in a baseline interview.
Results: The mean±SD age of the participants was 35.84±8.62 years. The participants reported high severity of MA dependence (mean±SD = 6.88±3.19), poor motivation to change (mean±SD = 4.0±2.31]), and impaired psychological well-being (mean±SD = 16.35±4.04) in the treatment. The most important reasons for MA use while undergoing methadone treatment included self-treatment (55%) and pleasure-seeking (43%). The most important MA treatment needs included effective psychological treatments (75%), continued family support (72%), and life skills (68%). Stable living and financial conditions (90%), drug-free living and working places (86%), continued family support (78%), and psychological counseling (69%) were the most important reported factors associated with MA treatment success.
Discussion: The current study indicated that participants reported a number of MA-related problems. This issue needed a comprehensive treatment program at individual, social, psychological, and professional levels. The findings have important implications for delivering psychosocial treatments, as well as gender-specific research.
Omid Massah, Mehran Zarghami, Alireza Mahjoub, Afsaneh Moradi,
Volume 18, Issue 1 (3-2020)
Abstract
Objectives: Female methadone patients need specific education on HIV. However, few studies have been conducted on the essential characteristics of designing an online HIV education program for this population. Therefore, the current qualitative study aimed at addressing this research gap.
Methods: Semi-structured interviews were conducted with 34 female patients and 19 methadone treatment providers in 11 methadone treatment centres in Tehran, Mashhad and Sari, Iran. Both focus group discussions and individual interviews were conducted and a narrative analysis approach was implemented. The NVivo 9 software was used for data analysis.
Results: The qualitative analyses of the data revealed three major themes and six minor themes as follows: a. information for focused action (knowing the epidemic response) using the effective visual presentation and audio presentation; b. interventions for impact evaluation (covering the needed services) by short-term documentary movies and animations; and c. program delivery for understanding (covering the population in need of services) using problem-solving and taking quizzes.
Discussion: Audio and visual components, as well as the role of documentary movies and animations, should be considered in HIV education. The active role of women in learning using problem-solving and taking quizzes was highlighted. The findings of this study can be used in designing women-specific HIV education programs in Iran. Randomized controlled trials are suggested to evaluate the effectiveness of such programs.
Fahimeh Mohseni, Elie Moghimi Khorasani, Ali Asghar Nadi Ghara, Raheleh Rafaiee,
Volume 18, Issue 1 (3-2020)
Abstract
Objectives: Illicit drug abuse and drug-related crimes are still a growing problem worldwide. Understanding the increasing number of individuals arrested for drug charges, as well as their characteristics is necessary to predict and establish preventive and treatment programs.
Methods: This cross-sectional study was conducted in Shahroud, Northeast of Iran from 2015-2018. Data were collected at the time of arrest from all homeless addicts and drug offenders arrested by the police and were sent to the rehabilitation camps or prisons (n=5486).
Results: Drug-related charges were the largest category of arrest charges in Shahroud. The mean age of arrestees had significantly decreased each year. In total, 19.1% of the arrestees were referred to the rehabilitation camps (18.6% male and 40.3% female). The number of cases arrested for drug charges referred to the rehabilitation camps had significantly increased over time in both men and women. The number of arrestees showed an increase each year, whereas their mean age had decreased significantly.
Discussion: Drug-related laws in Iran have been reformed, emphasizing the judicial supervision of arrest, treatment, and release processes. Treatment of arrestees with drug abuse provides opportunities for decreasing substance abuse and criminal behaviors and rearrests.
Omid Massah,
Volume 18, Issue 3 (9-2020)
Abstract
Methamphetamine dependence has been known as a serious health problem in a large proportion of illicit drug users in Iran. Compared with the opium problem, methamphetamine dependence is a new epidemic concern in Iran.
The prevalence of methamphetamine dependence is associated with crucial health problems such as poor psychological well-being, social dysfunction, craving, and a higher rate of addiction severity. This issue necessitates professional attention to the rehabilitation of methamphetamine users and treatment of craving. To date, few research studies have been conducted on this health concern.
Studies in Iran indicate that methamphetamine craving shows resistance to treatment. While few pharmacological treatments have been found to be effective, motivational interviewing, matrix model and cognitive-behavioral therapy have been all evaluated in Iran to treat methamphetamine craving. However, the treatment effects need to be more long-lasting.
Previous studies show that methamphetamine users lapse and relapse for a variety of reasons include “pleasure-seeking”/“impulsivity”/“habits”/“pain avoidance”/“craving”/“bad feelings eliminating such as boredom & loneliness” which have a strong neurological basis in the central nervous system and emotions and decisions that result from them. Thus we should use a range of different modalities to treat and prevent relapse.
Syed Muhammad, Aqeel Ahmed Khan, Muhammad Kamran, Ejaz Asghar, Ghulam Saqulain, Muhammad Imran Khan, Shoukat Hayat,
Volume 20, Issue 3 (9-2022)
Abstract
Objectives: To determine the prevalence of androgenic anabolic steroids (AAS) use among bodybuilders in different cities of Pakistan.
Methods: This cross-sectional study recruited 380 bodybuilders utilizing convenience sampling from different cities of Pakistan, including Karachi, Lahore, Multan, Quetta, Peshawar, Faisalabad, Rawalpindi, and Islamabad. The study was conducted over a period of 6 months from January 2019 to June 2019. The sample included male bodybuilders aged 18 to 50 years. The basic demographic sheet and a self-designed form were used to collect data. SPSS software v. 21 was utilized for statistical analysis. The chi-square test was used to observe any relationship with P<0.05 as significant.
Results: The current study showed a prevalence of 109 (28.68%) AAS use in bodybuilders with testosterone being most commonly used. A total of 54 people (49.5%) used self-administration, 38 people (34.9%) used it for the short-term while 27 people (24.8%) used it in long-term. Bodybuilders were mostly inspired by peers 73 (67%) and encouraged by coaches 62 (56.9%) to use AAS. Regarding knowledge of AAS, its usage, benefits, and side effects, the majority (89%) had little or no knowledge.
Conclusion: The study concludes that the use of AAS is quite prevalent among bodybuilders in Pakistan with 28.68% of AAS mainly using testosterone preparation, and bodybuilders of age 20 to 40 mainly consuming AAS. Peers were the main inspiration for most (67%) and encouraged by their coaches to use AAS (56.9%).
Ebrahim Masoudnia,
Volume 21, Issue 3 (9-2023)
Abstract
Objectives: In recent years, various treatment programs have been implemented in Iran aimed at rehabilitation and improvement of drug-dependent patients but so far, few studies have been conducted on the effectiveness of different treatment programs in terms of different outcomes. This study was conducted to determine the differences among patients participating in three therapeutic programs, outpatient, mid-term residential program, and therapeutic community (TC) in terms of social, psychological, economic, and therapeutic outcomes.
Methods: The present study was conducted using a descriptive design and ex post facto method. Data were collected from patients participating in three treatment plans (outpatient treatment=49; mid-term residential treatment=49; and TC plan=49). Patients participating in the TC program were all enumerated and patients participating in the outpatient and mid-term residency treatment plan were selected by random sampling. Data collection tools were a socio-demographic characteristics checklist, researcher-made questionnaire for relapse, a general health questionnaire (GHQ), a world health organization quality of life (WHOQOL) questionnaire, and a family relationship index (FRI). The data were analyzed by one-way analysis of variance (ANOVA), chi-square, and Scheffe’s post hoc test.
Results: Significant differences were observed between the three treatments in terms of the rate of relapse (P<0.01), participation in criminal activities (P<0.01), changes in drug use in the treatment process or after treatment (P<0.01), employment status (P<0.01), mental health (P<0.01), quality of life (P<0.01), and family relationships index (FRI) (P<0.01).
Discussion: The TC program showed more positive outcomes in terms of the rate of relapse and quality of life compared to the other two therapeutic programs. The outpatient treatment program was more effective in terms of participation in criminal activities, changes in drug use, employment, and quality of family relationships. The mid-term residency program showed a low or negative impact on all studied outcomes. Therefore, it is necessary to reevaluate the programs presented in the mid-term residential program.
Coresponding author: Ebrahim Masoudnia, E-mail: masoudniae@gmail.com
You can also search for this author in: PubMed, Google Scholar
