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Gepubliceerd in: Verslaving 3/2012

01-09-2012

Kwaliteit van leven: ‘onder invloed’ van methadon

Een kwalitatieve studie bij opiaatafhankelijke personen

Auteurs: Jessica De Maeyer, Anne Dekkers, Wouter Vanderplasschen

Gepubliceerd in: Verslaving | Uitgave 3/2012

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Abstract

De aandacht voor kwaliteit van leven (KvL) in onderzoek en praktijk neemt toe, maar het perspectief van de drugsgebruikers zelf, hun persoonlijke ervaringen en perspectieven omtrent KvL blijven vaak onderbelicht. Aan de hand van 25 diepte-interviews gaan we in deze studie dieper in op de persoonlijke perspectieven en ervaringen van opiaatafhankelijke personen omtrent KvL na het starten van een methadononderhoudsbehandeling. Vijf componenten dragen bij aan een goede KvL voor opiaatafhankelijke personen: a het hebben van sociale relaties, b het hebben van een gestructureerde daginvulling, c zich psychisch goed voelen, d onafhankelijk zijn, en e een betekenisvol leven leiden. Methadon helpt om ‘normaal’ te functioneren en psychische problemen en afhankelijkheid aan opiaten aan te pakken. Anderzijds zijn stigmatisering, discriminatie en afhankelijkheid negatieve gevolgen van het volgen van een methadonbehandeling. De impact van het volgen van een methadonbehandeling op KvL is ambivalent en samen met de onmiskenbare voordelen van een methadonbehandeling dienen negatieve gevolgen beperkt te worden. Deze studie benadrukt het belang van langdurige praktische en psychosociale ondersteuning van opiaatafhankelijke personen in hun dagdagelijkse leven om KvL te verhogen.
Voetnoten
1
Sociodemografische variabelen: leeftijd, geslacht, opleidingsniveau, werksituatie, het hebben van schulden, niet in de mogelijkheid zijn je leefsituatie te veranderen in het afgelopen jaar, het hebben van een intieme relatie, het hebben van minstens één goede vriend, het hebben van een gestructureerde daginvulling, veroordeeld zijn voor een misdrijf in het afgelopen jaar, niet in de mogelijkheid geweest zijn om meer contact te hebben met familie in het afgelopen jaar en de ASI-compositescore voor justitie.Drugs- en behandelingsgerelateerde variabelen: leeftijd eerste heroïnegebruik, leeftijd eerste methadongebruik, aantal jaren regelmatig heroïnegebruik, aantal jaren regelmatig methadongebruik, intraveneus gebruik, aantal dagen ambulant in behandeling voor alcohol- of drugsproblemen tijdens de afgelopen dertig dagen, momenteel in methadonbehandeling, aantal gevolgde methadonbehandelingen, ASI-compositescore voor drugs, ASI-compositescore voor alcohol.Gezondheidsgerelateerde variabelen: medicatie voor psychische problemen, ooit gehospitaliseerd voor psychische problemen, slachtoffer van geweld in het afgelopen jaar, het hebben van chronische medische klachten, de ASI-compositescore voor lichamelijke gezondheid en de globale ernstscore van de Brief Symptom Inventory die de ernst van psychische klachten meet.
 
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Metagegevens
Titel
Kwaliteit van leven: ‘onder invloed’ van methadon
Een kwalitatieve studie bij opiaatafhankelijke personen
Auteurs
Jessica De Maeyer
Anne Dekkers
Wouter Vanderplasschen
Publicatiedatum
01-09-2012
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Verslaving / Uitgave 3/2012
Print ISSN: 1574-1842
Elektronisch ISSN: 1875-7073
DOI
https://doi.org/10.1007/s12501-012-0029-9

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