Predictors of methamphetamine use and relapse
الموضوعات :
Farzaneh Jahanbakhsh
1
,
Mohammad Ali Gomroki
2
,
Farzane Raaii
3
,
Ladan Shahba
4
,
Marjan Shamspour
5
1 - Department of psychiatry, Shahid Beheshti hospital, Afzalipuor Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
2 - Department of psychiatry, Shahid Beheshti hospital, Afzalipuor Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
3 - Department of psychiatry, Shahid Beheshti hospital, Afzalipuor Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
4 - Faculty of Medicine, Ke.C., Islamic Azad University, Kerman, Iran
5 - Department of psychiatry, Shahid Beheshti hospital, Afzalipuor Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
الکلمات المفتاحية: Methamphetamine, predictors, substance abuse, relapse,
ملخص المقالة :
Methamphetamine (MAMP) is a stimulant that acts on the central nervous system (CNS). This substance, which is the second most consumed substance in the world, is therefore considered an important public health problem. The purpose of the present study was to identify the use and relapse antecedents for MAMP in an Iranian population, and to examine the relationships between attribution of these antecedents, demographic variables, psychiatric disorders and characteristics of MAMP use. A total of 170 patients admitted to Shahid Beheshti Hospital in Kerman, each with more than one hospitalization in the psychiatric department diagnosed with MAMP-induced disorders, were included in this study. Their data related to the causes of MAMP use and relapse were collected with a questionnaire. The relationships among the use and relapse antecedents of MAMP, demographic variables and MAMP-use characteristics were analyzed. For analytical statistics, correlation, regression, independent t-test and analysis of variance were performed using SPSS version 29, and a significance level of P <0.05 was considered. The results of the analysis showed that male gender, low education, being unemployed, using other substances and aligning with the peer addicted group are the most important reasons for turning to MAMP use. On the other hand, unemployment and the use of other substances, along with addicted friends and the cheapness of MAMP, were among the most important reasons for relapse. The results indicate that multiple factors influence of use and relapse for MAMP, and may serve as a basis for construction of models for teaching to manage the antecedents and reduce the risk of relapse of MAMP use.
Keywords: Methamphetamine, predictors, substance abuse, relapse
1- Farrell M, Marsden J, Ali R, Ling W. (2002). Methamphetamine: drug use and psychoses becomes a major public health issue in the Asia Pacific region. Addiction. 97, 771– 772
2- Sarrami H, Ghorbani M, Minooei M. (2013). Survey of Four Decades of Addiction Prevalence Studies in Iran. Research on Addiction. 7(26):29-52.
3- Amin-Esmaeili M, Rahimi-Movaghar A, Sharifi V, Hajebi A, Radgoodarzi R, Mojtabai R, et al. (2016). Epidemiology of illicit drug use disorders in Iran: prevalence, correlates, comorbidity and service utilization results from the Iranian Mental Health Survey. Addiction. 111(10):1836-47.
4- Nikfarjam A, Shokoohi M, Shahesmaeili A, Haghdoost AA, Baneshi MR, Haji-Maghsoudi S, et al. (2016). National population size estimation of illicit drug users through the network scale-up method in 2013 in Iran. Int J Drug Policy. 31:147-52.
5- Weaver MF, Schnoll SH.(1999). Stimulants: amphetamine and cocaine. In: McCrady BS, Epstein EE (eds). Addictions: a Comprehensive Guidebook. Oxford University Press, New York, 105–120
6- Zhuang SM, Chen F.(2016). Chinese Adolescents and Youth With Methamphetamine Dependence: Prevalence and Concurrent Psychological Problems. Nurs Res. 65(2):117-24.
7- Rimaz S, Mohseni S, Merghati Khoei ES, Dastoorpour M, Akbari F.(2013). Case - control study of factors influencing on drug abuse relapse in addicts referred to two recovery centers in Tehran. Journal of School of Public Health and Institute of Public Health Research. 10(3):53-64.
8- Aghakhani N, Zareei Kheirabad A, Gharadaghi J, Nazimi N, Soheili A, Delirrad M, et al.(2017). A Survey on Reasons for Readdiction to Metamphetamine amongAddicts Referred to Addiction Treatment Centers in Urmia, Iran. Scientific Journal of Forensic Medicine. 23(2):104-14.
9- Helmy TI, El Malk MI, Salem GM. (2016). The Risk Factors That Lead to Addiction and Relapse among Addicted Patients. Menoufia Nursing Journal. 1(2):7-18.
10- Brecht ML, Herbeck D. (2014). Time to relapse following treatment for methamphetamine use: a long-term perspective on patterns and predictors. Drug Alcohol Depend. 139:18-25.
11- Appiah R.(2020). Long-term relapse prevention strategies among poly-substance users in Ghana: New insights for clinical practice. Journal of ethnicity in substance abuse. 1-16.
12- Taheri M,Bashar poor S, Hajloo N. (2021). Modeling substance abuse relapse based on risky decision making, attention bias and reward sensitivity: with the mediating role of craving: a descriptive study. Journal of Rafsanjan University of Medical Sciences. (20) ;766-747
13- Mousali AA, Bashirian S, Barati M, Mohammadi Y, Moeini B, Moradveisi L, et al. (2021). Factors affecting substance use relapse among Iranian addicts. J Educ Health Promot. 10:129.
14- Nabi MH, Masud I, Humaira T, Hussain A, Naz F, Chakraborty PA, et al. (2022). Reasons of relapse and pattern of drug use among the substance users in Bangladesh: A nationwide study. J Ethn Subst Abuse. 21(3):876-85.
15- Kabisa E, Biracyaza E, Habagusenga JD, Umubyeyi A. (2021). Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre. Subst Abuse Treat Prev Policy. 16(1):13.
