Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients
Abstract Objectives To describe and explore somatic disease burdens of ageing long-term patients in opioid maintenance treatment (OMT), a unique population emerging in countries offering OMT as a long-term treatment. Methods We used data from the Norwegian Cohort of Patient in Opioid Maintenance Tre...
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doaj-93c8de9f32944297a8441e228f1a65162020-11-25T04:02:58ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2020-11-011511910.1186/s13011-020-00311-4Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patientsDavid Medved0Thomas Clausen1Anne Bukten2Ronny Bjørnestad3Ashley Elizabeth Muller4Norwegian Centre for Addiction Research, Institute for Clinical Medicine, University of OsloNorwegian Centre for Addiction Research, Institute for Clinical Medicine, University of OsloNorwegian Centre for Addiction Research, Institute for Clinical Medicine, University of OsloproLARNorwegian Centre for Addiction Research, Institute for Clinical Medicine, University of OsloAbstract Objectives To describe and explore somatic disease burdens of ageing long-term patients in opioid maintenance treatment (OMT), a unique population emerging in countries offering OMT as a long-term treatment. Methods We used data from the Norwegian Cohort of Patient in Opioid Maintenance Treatment and Other Drug Treatment Study (NorComt). 156 patients enrolled for at least three of the past five years provided data during structured interviews, including on chronic conditions, somatic treatment received, mental distress (SCL-25), and treatment satisfaction. A somatic disease burden was calculated from a list measuring the recent severity of 16 somatic complaints. A hierarchical multiple linear regression analysis identified correlates of somatic disease burden. Results Over half of patients reported at least seven somatic complaints. Reported somatic disease burden was associated with higher mental distress, more chronic conditions, fewer years in OMT, and treatment dissatisfaction. Age was unrelated, and there were few gender differences. These five variables explained 43.6% of the variance in disease burden. Conclusion Long-term OMT patients experience a large range of somatic complaints, and at non-acute levels. As OMT secures longevity for opioid-dependent persons, the clinical focus must be adjusted from acute to chronic care. Providers must address how to optimize health and quality of life while in treatment, as treatment may last for many years.http://link.springer.com/article/10.1186/s13011-020-00311-4Opioid maintenance treatmentOpioidsSomatic disease burdenAgeingChronic diseaseMental distress |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
David Medved Thomas Clausen Anne Bukten Ronny Bjørnestad Ashley Elizabeth Muller |
spellingShingle |
David Medved Thomas Clausen Anne Bukten Ronny Bjørnestad Ashley Elizabeth Muller Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients Substance Abuse Treatment, Prevention, and Policy Opioid maintenance treatment Opioids Somatic disease burden Ageing Chronic disease Mental distress |
author_facet |
David Medved Thomas Clausen Anne Bukten Ronny Bjørnestad Ashley Elizabeth Muller |
author_sort |
David Medved |
title |
Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
title_short |
Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
title_full |
Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
title_fullStr |
Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
title_full_unstemmed |
Large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
title_sort |
large and non-specific somatic disease burdens among ageing, long-term opioid maintenance treatment patients |
publisher |
BMC |
series |
Substance Abuse Treatment, Prevention, and Policy |
issn |
1747-597X |
publishDate |
2020-11-01 |
description |
Abstract Objectives To describe and explore somatic disease burdens of ageing long-term patients in opioid maintenance treatment (OMT), a unique population emerging in countries offering OMT as a long-term treatment. Methods We used data from the Norwegian Cohort of Patient in Opioid Maintenance Treatment and Other Drug Treatment Study (NorComt). 156 patients enrolled for at least three of the past five years provided data during structured interviews, including on chronic conditions, somatic treatment received, mental distress (SCL-25), and treatment satisfaction. A somatic disease burden was calculated from a list measuring the recent severity of 16 somatic complaints. A hierarchical multiple linear regression analysis identified correlates of somatic disease burden. Results Over half of patients reported at least seven somatic complaints. Reported somatic disease burden was associated with higher mental distress, more chronic conditions, fewer years in OMT, and treatment dissatisfaction. Age was unrelated, and there were few gender differences. These five variables explained 43.6% of the variance in disease burden. Conclusion Long-term OMT patients experience a large range of somatic complaints, and at non-acute levels. As OMT secures longevity for opioid-dependent persons, the clinical focus must be adjusted from acute to chronic care. Providers must address how to optimize health and quality of life while in treatment, as treatment may last for many years. |
topic |
Opioid maintenance treatment Opioids Somatic disease burden Ageing Chronic disease Mental distress |
url |
http://link.springer.com/article/10.1186/s13011-020-00311-4 |
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