Get access

Severity of psychiatric and physical problems is associated with lower quality of life in methadone patients in Indonesia

Authors

  • Shelly Iskandar MSc, MD,

    Corresponding author
    1. Faculty of Medicine, Health Research Unit, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia
    • Faculty of Medicine, Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia
    Search for more papers by this author
  • Reinout van Crevel MD, PhD,

    1. Department of General Internal Medicine and Nijmegen Institute for Inflammation, Infection and Immunity, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Search for more papers by this author
  • Teddy Hidayat MD,

    1. Faculty of Medicine, Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia
    Search for more papers by this author
  • Ike M.P. Siregar MSc, MD,

    1. Faculty of Medicine, Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia
    Search for more papers by this author
  • Tri H. Achmad MD, PhD,

    1. Faculty of Medicine, Department of Biochemistry, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia
    Search for more papers by this author
  • Andre J. van der Ven MD, PhD,

    1. Department of General Internal Medicine and Nijmegen Institute for Inflammation, Infection and Immunity, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Search for more papers by this author
  • Cor A. De Jong MD, PhD

    1. Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Nijmegen, The Netherlands
    Search for more papers by this author

Address correspondence to Dr. Iskandar, Faculty of Medicine, Department of Psychiatry, Padjadjaran University/Hasan Sadikin Hospital, Jl. Pasirkaliki no. 190, Bandung 40151, Indonesia. E-mail: shelly_bdg@yahoo.com.

Abstract

Background and Objectives

The goal of methadone maintenance treatment (MMT) is to reduce the harm and to improve patients' quality of life (Qol). However, the Qol is also influenced by other co-occurring disorders. Data regarding the Qol and the co-occurrence of these disorders is lacking in low-middle income countries. We therefore describe the prevalence of physical, psychiatric, and drug abuse co-occurring disorders among MMT patients in Indonesia and determine the association between the severity of the co-occurring disorders and the Qol.

Methods

Data were collected in 112 injection drug abusers (IDUs) attending a MMT program in West Java, Indonesia, using validated questionnaires, medical records and laboratory testing. For comparison, 154 IDUs not enrolled in MMT were recruited by respondent driven sampling.

Results

The most frequent co-occurring disorders were hepatitis C (92%), HIV (77%), benzodiazepine abuse (56%), and anxiety disorders (32%). IDUs in MMT had one (26%), two (47%), or three (27%) co-occurring disorders. Higher severity in psychiatric and physical problems was associated with poorer Qol. IDUs not enrolled in MMT had similar co-occurring problems.

Conclusions

The prevalence of co-occurring disorders in IDUs in Indonesia is high and they influence their Qol.

Scientific Significance

Therefore, comprehensive treatment, especially focusing on the common co-occurring disorders should be provided in MMT to improve the Qol. (Am J Addict 2013;22:425–431)

Ancillary