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Patients on methadone maintenance treatment in Geneva

Published online by Cambridge University Press:  16 April 2020

A Dazord ,
A Mino ,
D Page  and
B Broers
A Dazord*
Affiliation:
SCRIPT-INSERM, Hôital Saint-Jean de Dieu, 290 route de Vienne, 69008 Lyon, APRET, 162 avenue Lacassagne, 69003Lyon, France
A Mino
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
D Page
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
B Broers
Affiliation:
Substance Abuse Division, Department of Psychiatry, Universiv Hospital, Rue Verte 2, 1205Geneva, Switzerland
*
*Correspondence to SCRIPT-INSERM address.
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Summary

The purpose of this study was to evaluate the quality of life of heroin dependent patients before and 1 year after the start of methadone maintenance treatment. Subjects were patients (n = 102) requesting treatment in a public methadone maintenance programme in Geneva (Switzerland). This was a prospective follow-up study using a validated questionnaire (SQLP). The SQLP was well accepted by patients and staff. Validity of the questionnaire was reconfirmed in this population. Compared to previously studied populations, the quality of life of heroin dependent patients before start of treatment was poor. More than half the patients were still in treatment after 1 year and their quality of life had clearly improved, in most domains. Like many of their peers in the psychiatric field, the patients had high initial expectations. Expectations decreased significantly over time. It was found that the higher were the initial expectations, the poorer was the quality of life after 1 year. The quality of life of heroin abusers requesting treatment is mediocre, and improved considerably after 1 year of comprehensive methadone maintenance treatment. Quality of life evaluation is feasible in this population and can offer an additional evaluation of quality of substance abuse treatment.

Keywords

heroin dependencemethadoneprogramme evaluationquality of life assessment
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 5 , August 1998 , pp. 235 - 241
Copyright
Copyright © Elsevier, Paris 1998

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