Factors Related to Relapse in Patients with Substance-related Disorders under Methadone Maintenance Therapy: Decision Tree Analysis.
Objectives: We sought to determine the main factors related to relapse in patients with substance-related disorders (SRDs) who received methadone maintenance therapy (MMT) using decision tree (DT) analysis. Methods: We conducted a cross-sectional study of 4175 patients referred to the 45 MMT centers...
| Publicado en: | Oman Medical Journal Vol. 35; no. 1; pp. 50 - 57 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oman Medical Specialty Board
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145219485&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145219485 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1999768X 95H4 jtl: Oman Medical Journal issn: 1999768X maglogo: N pubinfo: dt: 2020 vid: 35 iid: 1 pid: 56326 pub: Oman Medical Specialty Board artinfo: ui: 145219485 145219485 145219485 10.5001/omj.2020.07 145219485 ppf: 50 ppct: 7 formats: tig: atl: Factors Related to Relapse in Patients with Substance-related Disorders under Methadone Maintenance Therapy: Decision Tree Analysis. aug: au: Moradinazar, Mehdi Farnia, Vahid Alikhani, Mostafa Karyani, Ali Kazemi Rezaei, Satar Rezaeian, Shahab Matin, Behzad Karami Najafi, Farid affil: Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran sug: subj: Recurrence Risk Factors Substance Use Disorders Drug Therapy Methadone Therapeutic Use Risk Assessment Decision Trees Human Cross Sectional Studies Iran Persons with Substance Use Disorders Psychiatric Patients Interviews Descriptive Statistics Univariate Statistics Multiple Regression Algorithms Male Female Age Factors Street Drugs Economics Substance Abuse Epidemiology Drug Utilization Male Female ab: Objectives: We sought to determine the main factors related to relapse in patients with substance-related disorders (SRDs) who received methadone maintenance therapy (MMT) using decision tree (DT) analysis. Methods: We conducted a cross-sectional study of 4175 patients referred to the 45 MMT centers in Kermanshah province, west of Iran. We included all patients who were under MMT for at least one year. All information was collected through an interview by a psychologist. Descriptive statistics and univariate and multiple regression models were used in statistical analysis. The Gini index was calculated to determine the cut-off point of nodes. We used the Classification and Regression Trees algorithm to create the DT. Results: The relapse rate was 76.6% for all participants, with no significant gender differences. The DT resulted in a five-level model of significant factors affecting substance abuse relapse. These included lower cost for buying substances, lower age at first substance use, history of quitting substances without medication, frequency of substances utilization per month, and frequency of methadone therapy. Conclusions: Knowing the main factors associated with substance abuse relapse could be important for health care providers to make better decisions for improving the treatment outcomes of SRDs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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