Quality of life in patients receiving opioid maintenance therapy

Autor(en)
Bernadette Winklbaur, Reinhold Jagsch, Nina Ebner, Kenneth Thau, G. Fischer
Abstrakt

Background/Aims: In recent years, quality of life (QoL) assessments have proved useful for evaluating and comparing drug treatment programs. To compare QoL of patients maintained on methadone versus slow-release morphine, a prospective, randomized, double-blind, double-dummy, cross-over study was conducted. Methods: Over two 7-week study phases, participants received either oral slow-release morphine capsules followed by methadone oral solution or vice versa. QoL status was assessed at baseline, week 7, and week 14 using the German version of the Lancashire Quality of Life Profile. Results: No statistically significant difference was found between methadone and slow-release morphine in any QoL domain. A significant time effect for nearly all QoL domains was observed after 14 weeks of opioid medication, independent of the chosen drug (general well-being, p < 0.001; mental health, p = 0.001; general state of health, p = 0.018; leisure time at home, p = 0.034; leisure time out of the home, p = 0.008). Furthermore, this study revealed that even short-term maintenance yields significantly higher QoL scores in the important domain of general well-being. Conclusion: These results indicate that slow-release morphine has effects comparable to methadone on patient-reported QoL data and is thus a promising option for treatment of opioid-dependent subjects.

Organisation(en)
Externe Organisation(en)
Medizinische Universität Wien
Journal
European Addiction Research
Band
14
Seiten
99-105
Anzahl der Seiten
7
ISSN
1022-6877
DOI
https://doi.org/10.1159/000113724
Publikationsdatum
03-2008
Peer-reviewed
Ja
ÖFOS 2012
302045 Medizinische Psychologie, 301210 Psychopharmakologie
Schlagwörter
ASJC Scopus Sachgebiete
Medicine (miscellaneous)
Sustainable Development Goals
SDG 3 – Gesundheit und Wohlergehen
Link zum Portal
https://ucrisportal.univie.ac.at/de/publications/cf4bbf83-e14a-438c-91f0-24b5c28b084d