Abstract

<p><strong>BACKGROUND:</strong> Despite the considerable efforts made in Iran to treat people with addiction, relapse is still common. This study was designed to determine retention and relapse rates and related factors at Yasin Methadone Maintenance Treatment Center.</p><p><strong>PATIENTS & METHODS:</strong> In this study, retention rate, relapse rate, and related factors were examined in 74 cases using a descriptive-analytical method. Information about 20 variables were gathered from patient medical records using an information form and a checklist and data was analyzed by the chi-square, Fisher’s exact, and Mann-Whitney tests using SPSS software.</p><p><strong>FINDINGS:</strong> The retention and relapse rates were 24.3% and 75.7%, respectively. Only three factors showed a significant difference (p<0.50) between the retention and relapse groups: (1) financial status, (2) motivation for treatment, and (3) cooperation during counseling (p=0.04, p=0.001, p=0.026, respectively). No significant differences were observed between groups for the other factors.</p><p><strong>CONCLUSION:</strong> Because it is clear that financial status, motivation, and counseling can affect retention rate, it is recommended to study the effect of these factors on retention using methods such as a randomized clinical trial.</p>

Highlights

  • Drug addiction is a serious personal and social problem that can threaten the health of addicts as well as public health

  • Because it is clear that financial status, motivation, and counseling can affect retention rate, it is recommended to study the effect of these factors on retention using methods such as a randomized clinical trial

  • The study population comprised 74 cases, 18 (24.3%) of whom remained under treatment for longer than nine months, and 56 (75.7%) who had discontinued treatment

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Summary

Introduction

Drug addiction is a serious personal and social problem that can threaten the health of addicts as well as public health. Psychological, and social disease with individual/interpersonal, social, and environmental components. Much effort has been focused on the control, treatment, and alleviation of addiction, none have been fully successful because there are a variety of factors, such as psychological dependence, which may cause relapse into addiction. The multidimensional nature of drug dependency and its concurrence with other disorders (personality disorders, anxiety, depression) are potential obstacles to successful treatment of drug-dependent individuals (Grant, 1990; Hasin et al, 2002). Despite the considerable efforts made in Iran to treat people with addiction, relapse is still common.

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