Associations between relationship quality and treatment-related stress among couples receiving methadone for opioid use disorder.
Associations between relationship quality and treatment-related stress among couples receiving methadone for opioid use disorder.
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DOI：
10.1016/j.jsat.2021.108580
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发表时间：
2022-01
影响因子：
3.9
通讯作者：
Cotton BP
中科院分区：
文献类型：
--
作者：
Polenick CA;Han BH;Meyers SN;Arnold TD;Cotton BP
社会关系可能会缓冲或加剧接受美沙酮治疗阿片类药物使用障碍（OUD）患者的压力。然而，很少有人知道如何关系质量与治疗有关的压力在夫妇双方接受美沙酮。我们考虑了接受美沙酮治疗OUD的夫妇之间关系质量和治疗相关压力之间的联系。这项横断面观察性研究的参与者包括60对18岁及以上的异性恋已婚或同居夫妇，他们来自罗得岛和马萨诸塞州的两个阿片类药物治疗项目。两个合作伙伴完成了自我管理的调查，评估他们的社会人口信息，关系和治疗的特点，并认为治疗相关的压力。我们估计演员-合作伙伴的相互依存模型，以评估每个合作伙伴的关系质量（与他们的合作伙伴和他们最亲密的家庭成员或朋友）和治疗相关的压力的看法之间的联系。当他们的伴侣报告更积极的伴侣关系时，女性的治疗相关压力较低。当女性报告与自己最亲密的家庭成员或朋友的关系更积极时，女性及其伴侣的治疗相关压力更低。当男性认为与最亲密的家庭成员或朋友的关系更积极时，他们的伴侣报告了更大的治疗相关压力。消极的关系质量与治疗相关的压力没有显着联系。这项研究强调了考虑社会关系质量如何可能影响夫妇接受美沙酮OUD的经验的重要性。特别是，女性的亲密关系可能有助于减轻治疗相关的压力。
Social relationships may buffer or exacerbate stress among patients receiving methadone treatment for opioid use disorder (OUD). Little is known, however, about how relationship quality is linked to treatment-related stress among couples in which both partners receive methadone. We considered the links between relationship quality and treatment-related stress among couples in methadone treatment for OUD. Participants for this cross-sectional observational study included 60 heterosexual married or cohabiting couples aged 18 and older drawn from two opioid treatment programs in Rhode Island and Massachusetts. Both partners completed a self-administered survey which assessed their sociodemographic information, relationship and treatment characteristics, and perceived treatment-related stress. We estimated actor-partner interdependence models to evaluate the links between each partner’s perceptions of relationship quality (with their partner and their closest family member or friend) and treatment-related stress. When their partners reported a more positive partner relationship, women had lower treatment-related stress. When women reported a more positive relationship with their own closest family member or friend, both women and their partners had lower treatment-related stress. When men perceived a more positive relationship with their closest family member or friend, their partners reported greater treatment-related stress. Negative relationship quality was not significantly linked to treatment-related stress. This study highlights the importance of considering how social relationship quality might impact the experiences of couples receiving methadone for OUD. In particular, women’s close relationships may help to mitigate treatment-related stress.
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