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Ethnic differences in psychosocial factors in methadone maintenance

Hmong versus non-Hmong

Bibliographic Data

ID15414985
AuthorsGavin Bart (0000-0001-6127-8530, Hennepin County Medical Center, corresponding author)
Year2017
Volume17
Issue2
Pages108-122
Publication date2017-11-09
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Ethnicity in Substance Abuse (JOURNAL)
Journal identifiersISSN: 1533-2640 • E-ISSN: 1533-2659
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2017.1371656
PMID29120275
OpenAlexW2768060239
LanguageEN
References cited36

Little is known about the characteristics of U.S.-based Asian populations undergoing methadone maintenance treatment for opioid use disorders. We evaluated psychosocial factors in 76 Hmong and 130 non-Hmong on methadone maintenance for at least two months in a single urban methadone maintenance clinic. Assessments included the Addiction Severity Index 5th Edition, the Symptom Checklist-90, and the Structured Clinical Interview for DSM-IV Axis I Disorders. The Hmong were older, predominately male, and on lower doses of methadone than the non-Hmong. Hmong had significantly lower ASI composite scores across all dimensions except employment and legal. While the SCL-90 Global Severity Index (GSI) score did not differ between groups, the Hmong had lower scores in the interpersonal sensitivity, depression, anxiety, hostility, and paranoid ideation dimensions. Sixty-seven percent of Hmong and 29% of non-Hmong were without Axis I diagnoses (p < .001). There was no difference between the groups in DSM-IV substance use diagnoses. The extent to which these psychosocial differences impact methadone dose requirements and treatment outcomes in Hmong and non-Hmong remains unknown

Anxiety · Depression (economics · Ethnic group · Hostility · Methadone · Methadone maintenance · Psychiatry · Psychosocial · Somatization · Symptom Checklist 90 · Clinical Psychology · Medicine · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Psychology · Substance Abuse Treatment and Outcomes

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Citation velocityhistorical
Highly citedNo

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