Subject: opioids
Subject: methadone-maintained patients
Subject: insomnia
Year: 2022
Type: Article
Title: SLEEP PROBLEMS AMONG PATIENTS ON METHADONE MAINTENANCE TREATMENT
Author: Liljana Ignjatova
Author: Elizabet Miceva Velichkoska
Author: Zoja Babinkostova
Author: Gordana Kiteva Trencevska
Abstract: Insomnia is the most prevalent sleep disorder in the general population, and is commonly encountered in medical practices. Subjective sleep complaints occur in 75-84% of methadone-maintained patients, and more than 50% of methadone-maintained patients reported use of medications to improve their sleep cycle. Studies of insomnia support a female predominance. The Aim of this study was to evaluate insomnia and gender differences in insomnia among methadone-maintained patients in the Department for prevention and treatment of drug abuse and dependence, Psychiatric Hospital Skopje. This was a cross-sectional study. Two groups of methadone-maintained patients were included: 73 males and 14 females. Participants were evaluated with Bergen Insomnia Scale (BIS), and Insomnia Severity Index. The evaluation of subjects with BIS showed that 87.3% of subjects reported some sleep problems. There were significant differences between the groups related to item 3 on BIS with higher mean score for females. The total score for the Insomnia Severity Index scale showed that a larger number of females than males had moderate and severe insomnia. More females than males reported use of medications (90.5% used benzodiazepine), to help them with their sleep problems. Last month 36.8% of subjects used some substances and in 75% of cases it was alcohol, cannabis or both. This study provided evidence that sleep disturbance and use of alcohol, cannabis, and benzodiazepines was highly prevalent among methadone-maintained patients. Female patients reported a significantly worse sleep cycle than males. Use/abuse of benzodiazepines in methadone-maintained patients does not resolve the problem of insomnia.
Publisher: Faculty of Medicine, University Ss. Cyril and Methodius in Skopje
Relation: Academic Medical Journal
Identifier: oai:repository.ukim.mk:20.500.12188/27300
Identifier: http://hdl.handle.net/20.500.12188/27300
