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Original Article
Evaluation of Drug Abuse Relapse Event Rate Over Time in Frailty Model
Somaye Hosseini, Abbas Moghimbeigi, Ghodratollah Roshanaei, Farzaneh Momeniarbat
Osong Public Health Res Perspect. 2014;5(2):92-95.   Published online April 30, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.02.003
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  • 9 Crossref
AbstractAbstract PDF
Objectives
Drug dependence as a chronic disorder is reversible over time and has a cost burden for individuals, families, and society. An individual who has stopped taking drugs for a long time may start taking drugs again. The variables affecting the reuse of drugs are not well known. Therefore a study of the factors that increase the length of time away from drugs is essential.
Methods
This study used data collected by the Bushehr addiction treatment centers (Tolloe and Pasargadae) from 100 men with drug addiction from March 2006 to September 2010. The shared frailty model was used to study the influence of variables on the duration of time away from drug use. The most common method for entering intra-class (personal) correlation is the survival frailty model, which uses parametric survival data for the evaluation of recurrent events. A Weibull distribution for time to event with gamma shared frailty was used.
Results
The mean (standard deviation) age and age at onset of opium use of the sample were 33.85 (8.11) and 20.65 (6.87), respectively. About 30% of the men studied had chronic disease and 36% had a mental illness. The mean (frequency mean) of the amount of opium used were 4.73 (3.8) g and 2.54 (1.14) times per day. The desire to end drug use was 97% and 3% for the men with drug addiction and their families, respectively, at the time when the men stopped using opium. The age at onset of opium use [p = 0.046, hazards ratio (HR) = 1.30], history of chronic disease (p = 0.005, HR = 249.635), and marital status (p = 0.06, HR = 0.027) are important in the reuse of opium.
Conclusion
We found that opium addiction is related to other chronic diseases and to the age at onset of opium use. A prospective study following up individuals with drug addiction who try to stop drug use in addiction treatment centers could help to determine the risk factors of resuming drug use.

Citations

Citations to this article as recorded by  
  • Does substance use disorder treatment completion reduce the risk of treatment readmission in Chile?
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    Drug and Alcohol Dependence.2023; 248: 109907.     CrossRef
  • Long-term relapse prevention strategies among poly-substance users in Ghana: New insights for clinical practice
    Richard Appiah
    Journal of Ethnicity in Substance Abuse.2022; 21(3): 1104.     CrossRef
  • Is the relapse concept in studies of substance use disorders a ‘one size fits all’ concept? A systematic review of relapse operationalisations
    Fredrik D. Moe, Christian Moltu, James R. McKay, Sverre Nesvåg, Jone Bjornestad
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    Journal of Substance Use.2021; 26(1): 60.     CrossRef
  • The Association of Loneliness and Non-prescribed Opioid Use in Patients With Opioid Use Disorder
    John McDonagh, Cory B. Williams, Benjamin J. Oldfield, Dabely Cruz-Jose, Douglas P. Olson
    Journal of Addiction Medicine.2020; 14(6): 489.     CrossRef
  • Precipitants of Substance Abuse Relapse in Ghana
    Richard Appiah, Samuel A. Danquah, Kingsley Nyarko, Angela L. Ofori-Atta, Lydia Aziato
    Journal of Drug Issues.2017; 47(1): 104.     CrossRef
  • The Role of Neuroticism and Psychological Flexibility in Chronic Fatigue and Quality of Life in Patients with Type 2 Diabetes
    Farzaneh Momeniarbat, Javad Karimi, Nosrolah Erfani, Javad Kiani
    Romanian Journal of Diabetes Nutrition and Metabol.2017; 24(2): 137.     CrossRef
  • A Prospective Study to Investigate Predictors of Relapse among Patients with Opioid Use Disorder Treated with Methadone
    Leen Naji, Brittany B. Dennis, Monica Bawor, Carolyn Plater, Guillaume Pare, Andrew Worster, Michael Varenbut, Jeff Daiter, David C. Marsh, Dipika Desai, Lehana Thabane, Zainab Samaan
    Substance Abuse: Research and Treatment.2016; 10: SART.S37030.     CrossRef
  • Survival Analysis of Drug Abuse Relapse in Addiction Treatment Centers
    Aziz Kassani, Mohsen Niazi, Jafar Hassanzadeh, Rostam Menati
    International Journal of High Risk Behaviors and A.2015;[Epub]     CrossRef

PHRP : Osong Public Health and Research Perspectives