Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI 48109, United States; Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, United States.
Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States.
Drug Alcohol Depend. 2021 Jan 1;218:108397. doi: 10.1016/j.drugalcdep.2020.108397. Epub 2020 Nov 13.
Social relationships may serve as both protective factors and risk factors for opioid use (nonmedical prescription opioid or illicit opioid use) among patients receiving methadone for opioid use disorder (OUD). Yet little is known about how relationship quality is linked to outcomes among couples receiving methadone. We evaluated the links between relationship quality and risk of opioid use among couples in which both partners received methadone.
Participants included 53 heterosexual married or cohabiting couples aged 18 and older who were drawn from two opioid treatment programs in Rhode Island and Massachusetts. Both members of the couple completed a self-administered survey assessing their sociodemographic information, relationship and treatment characteristics, and risk of opioid use.
Roughly half of women (47.2%) and men (52.8%) had a moderate to high risk of nonmedical prescription opioid use and almost two-thirds (64.2%) had a moderate to high risk of street opioid use. Risk of street opioid use was highly correlated within couples. Actor-partner interdependence models revealed that when women reported higher positive relationship quality, they had a lower risk of nonmedical prescription opioid use and their partners had a lower risk of street opioid use. Negative relationship quality was not significantly linked to risk of opioid use.
Couples in which both partners receive methadone for OUD may be at risk of return to use, and positive partner relationships may play a role in lowering this risk. Women's perceptions of relationship quality might be a particularly important target for clinical care and interventions.
社会关系可能既是接受美沙酮治疗阿片类药物使用障碍（OUD）患者使用阿片类药物（非医疗处方阿片类药物或非法阿片类药物）的保护因素，也是风险因素。然而，对于关系质量如何与接受美沙酮治疗的夫妇的结局相关，我们知之甚少。我们评估了关系质量与夫妻双方都接受美沙酮治疗的夫妇中阿片类药物使用风险之间的联系。
参与者包括来自罗德岛和马萨诸塞州的两个阿片类药物治疗项目的 53 对 18 岁及以上的异性已婚或同居夫妇。夫妇双方都完成了一份自我管理的调查，评估了他们的社会人口学信息、关系和治疗特征，以及阿片类药物使用风险。
大约一半的女性（47.2%）和男性（52.8%）有中度至高度非医疗处方阿片类药物使用风险，近三分之二（64.2%）有中度至高度街头阿片类药物使用风险。夫妻之间的街头阿片类药物使用风险高度相关。演员-伙伴相互依存模型显示，当女性报告更高的积极关系质量时，她们非医疗处方阿片类药物使用的风险较低，而她们的伴侣街头阿片类药物使用的风险也较低。消极的关系质量与阿片类药物使用风险没有显著关联。
接受美沙酮治疗 OUD 的夫妇可能有复吸的风险，而积极的伴侣关系可能会降低这种风险。女性对关系质量的看法可能是临床护理和干预的一个特别重要的目标。
