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Perceived need for depression treatment among persons entering inpatient opioid detoxification.

ABSTRACT: Depression is common among persons with opioid use disorder. We examined the perceived need for depression treatment (PNDT) among opioid-dependent patients and the relationship of PNDT to depression screening result.Between May and December 2015, we surveyed consecutive persons (n?=?440) seeking inpatient opioid detoxification. We used the Patient Health Questionnaire-2 (PHQ-2) to screen for depression. To assess perceived need for depression services, participants were asked, "Do you believe you should be treated for depression?" Response options were recorded into four categories: "Not Depressed (ND)," "Perceive Need for Depression Treatment (PNDT)," "Depressed/Don't Want Treatment," and "Currently Treated."Participants' mean age was 32.3 (±8.7) years; 70.7% were male. Nearly two out of three persons screened positive for depression yet only 8.2% were being treated for depression prior to admission. Screening positive for depression was associated with a 2.95 (95%CI 1.82-4.81, p?

SUBMITTER: Stein MD

PROVIDER: S-EPMC5467978 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature

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Perceived need for depression treatment among persons entering inpatient opioid detoxification.

Stein Michael D MD Santiago Rivera Olga J OJ Anderson Bradley J BJ Bailey Genie L GL

The American journal on addictions 20170428 4

<h4>Background and objectives</h4>Depression is common among persons with opioid use disorder. We examined the perceived need for depression treatment (PNDT) among opioid-dependent patients and the relationship of PNDT to depression screening result.<h4>Methods</h4>Between May and December 2015, we surveyed consecutive persons (n = 440) seeking inpatient opioid detoxification. We used the Patient Health Questionnaire-2 (PHQ-2) to screen for depression. To assess perceived need for depression ser ...[more]

PMID: 28453912

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Project description:OBJECTIVES:With HIV treatment prolonging survival and HIV infection now managed as a chronic illness, quality of life (QOL) is important to evaluate in persons living with HIV (PLWH). We assessed at study entry the QOL of antiretroviral-naïve PLWH with CD4 counts >?500 cells/?L in the Strategic Timing of AntiRetroviral Treatment (START) clinical trial. METHODS:QOL was assessed with: (1) a visual analogue scale (VAS) for self-assessment of overall current health; (2) the Short-Form 12-Item Version 2 Health Survey(®) (SF-12V2), for which responses are summarized into eight individual QOL domains plus component summary scores for physical health [the Physical Health Component Summary (PCS)] and mental health [the Mental Health Component Summary (MCS)]. The VAS and eight domain scores were scaled from 0 to 100. Mean QOL measures were calculated overall and by demographic, clinical and behavioural factors. RESULTS:A total of 4631 participants completed the VAS and 4119 the SF-12. The mean VAS score (with standard deviation) was 80.9?±?15.7. Mean SF-12 domain scores were lowest for vitality (66.3?±?26.4) and mental health (68.6?±?21.4), and highest for physical functioning (89.3?±?23.0) and bodily pain (88.0?±?21.4). Using multiple linear regression, PCS scores were lower (P?<?0.001) for Asians, North Americans, female participants, older participants, and those with less education, longer duration of known HIV infection, alcoholism/substance dependence and body mass index ??30?kg/m(2) . MCS scores were highest (P?<?0.001) for Africans, South Americans and older participants, and lowest for female participants, current smokers and those with alcoholism/substance dependence. CONCLUSIONS:In this primarily healthy population, QOL was mostly favourable, emphasizing that it is important that HIV treatments do not negatively impact QOL. Self-assessed physical health summary scores were higher than mental health scores. Factors such as older age and geographical region had different effects on perceived physical and mental health.

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Perceived need for depression treatment among persons entering inpatient opioid detoxification.

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Perceived need for depression treatment among persons entering inpatient opioid detoxification.

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