Prevalence and Correlates of Depression and Bipolar Disorder Among Patients Maintained on Methadone and Buprenorphine in Ukraine.
Psychiatric and substance use disorders frequently coexist and require co-management, yet little is known about the prevalence of psychiatric disorders among patients maintained on medications for opioid use disorder (MOUD) in Ukraine. We analyzed baseline data from a cluster-randomized trial of an...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 23; no. 6; pp. 4310 - 4328 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Springer Nature
Dec2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=190202140&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 190202140 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Dec2025 vid: 23 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 190202140 10.1007/s11469-024-01353-6 ppf: 4310 ppct: 18 formats: fmt: – @attributes: type: T – @attributes: type: P size: 636KB tig: atl: Prevalence and Correlates of Depression and Bipolar Disorder Among Patients Maintained on Methadone and Buprenorphine in Ukraine. aug: au: Morozova, Olga Dvoriak, Vira Dumchev, Kostyantyn Machavariani, Eteri Bromberg, Daniel J. Dvoriak, Sergii Altice, Frederick L. affil: https://ror.org/024mw5h28 Department of Public Health Sciences, University of Chicago, 5841 S Maryland Ave, 60637, Chicago, IL, USA https://ror.org/02jtzez66 Ukrainian Institute On Public Health Policy, Kyiv, Ukraine https://ror.org/03v76x132 Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA https://ror.org/03v76x132 Center for Interdisciplinary Research On AIDS, Yale University, New Haven, CT, USA https://ror.org/03v76x132 Division of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA su: Ukraine Mental depression Bipolar disorder Methadone treatment programs Integrated health care delivery Comorbidity Ukrainians Buprenorphine Opioid abuse sug: subj: Mental depression Bipolar disorder Methadone treatment programs Ukraine Integrated health care delivery Comorbidity Ukrainians Buprenorphine Opioid abuse keyword: Eastern Europe Integrated care Medical and Health Sciences Clinical Sciences Public Health and Health Services Medications for opioid use disorder (MOUD) Mental health Opioid agonist treatment (OAT) Psychiatric disorders Eastern Europe Integrated care Medical and Health Sciences Clinical Sciences Public Health and Health Services Medications for opioid use disorder (MOUD) Mental health Opioid agonist treatment (OAT) Psychiatric disorders ab: Psychiatric and substance use disorders frequently coexist and require co-management, yet little is known about the prevalence of psychiatric disorders among patients maintained on medications for opioid use disorder (MOUD) in Ukraine. We analyzed baseline data from a cluster-randomized trial of an integrated model of depression diagnosis and treatment among MOUD patients in Ukraine to determine prevalence and correlates of depression and bipolar disorder in this population. From a randomly selected sample of 1345 patients on MOUD at 12 sites in Ukraine, screening for moderate/severe depression (PHQ-9) and bipolar disorder (MDQ) yielded high prevalence of 50% (95% CI 42–58%) and 12% (95% CI 8–16%), respectively. Correlates of depression included recent drug injection, worse physical health, shorter duration on MOUD, higher methadone dosages, and stigma levels, being unmarried and having low trust in physicians. Bipolar disorder was correlated with alcohol use disorder and prior incarceration. The high burden of mental health disorders among patients prescribed MOUD in Ukraine calls for the urgent implementation of models to address co-occurring disorders, including those using integrated care strategies. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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