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Sleep quality in heroin addicts under methadone maintenance treatment

Published online by Cambridge University Press:  24 June 2014

Wen-Yu Hsu ,
Nan-Ying Chiu ,
Jui-Ting Liu ,
Chieh-Hui Wang ,
Ting-Gang Chang ,
Yi-Cheng Liao  and
Pei-I Kuo
Wen-Yu Hsu
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan
Nan-Ying Chiu
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan Department of Respiratory Care, Chang Jung Christian University, Tainan, Taiwan
Jui-Ting Liu
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan
Chieh-Hui Wang
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan
Ting-Gang Chang
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan
Yi-Cheng Liao
Affiliation:
Department of Psychiatry, Lu-Tung Branch of Changhua Christian Hospital, LuKang, Taiwan Department of Psychiatry, Changhua Christian Hospital, Changhua, Taiwan
Pei-I Kuo
Affiliation:
Changhua County Public Health Bureau, Changhua, Taiwan
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Extract

Hsu W-Y, Chiu N-Y, Liu J-T, Wang C-H, Chang T-G, Liao Y-C, Kuo P-I. Sleep quality in heroin addicts under methadone maintenance treatment.

Background: Sleep disturbance is a common phenomenon among opiate addicts. The side effects of opiate addiction or opiate withdrawal might result in sleep disturbance. However, their problems might be related to sedative medication abuse, alcohol abuse or heroin relapse. Sleep is an important issue in this population.

Objective: To evaluate the prevalence of sleep disorders in heroin addicts receiving methadone maintenance treatment (MMT) and analyse the correlation between related factors, such as age at opiate exposure, opiate exposure duration, duration in MMT, methadone current dosage, methadone attendance rate and the severity of sleep disorders.

Method: We enrolled 121 heroin addicts who were receiving MMT. We collected data on the duration of insomnia, hypnotic history, Visual Analogue Scale-10 of sleep quality, Pittsburgh Sleep Quality Index (PSQI), methadone dosage, methadone history and opiate history.

Results: The mean of the PSQI was 9.1 ± 5.4, and 70.2% of patients had PSQI scores >5, indicating they were poor sleepers. We also found the PSQI scores were correlated significantly with the methadone dosage.

Conclusions: The sleep disturbance prevalence rate of opiate addicts under MMT was high in Taiwan, as shown in the previous studies, and the severity of sleep disturbance has been underestimated.

Keywords

heroin addictshypnoticsmethadone maintenance treatmentPittsburgh Sleep Quality Indexsleep quality
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 24 , Issue 6 , December 2012 , pp. 356 - 360
Copyright
Copyright © Cambridge University Press 2011

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