title: Depression among heroin users: 12-Month outcomes from the Australian Treatment Outcome Study (ATOS).
abstract: A cohort comprising 495 heroin users were interviewed for the Australian Treatment Outcome Study and were re-interviewed at 12-month follow-up. The rate of current major depression declined significantly from 26% to 11% for the follow-up period. Those with current major depression on follow-up experienced fewer total days in treatment, but engaged in more treatment episodes. In comparison to those without depression, depressed individuals had less exposure to methadone/buprenorphine maintenance and residential rehabilitation for the follow-up period, but spent more time in detoxification. Those with current major depression on follow-up also reported heavier heroin and other drug use, more risk-taking behaviors, poorer physical health, and greater psychopathology than those without a diagnosis of current major depression. Although caution in interpreting these relationships is advised given the potential for confounding by client characteristics, the findings of this study illustrate the need to consider depression in the treatment of heroin dependence.
authors.affiliation: National Drug and Alcohol Research Centre, University of New South Wales, Sydney NSW 2052, Australia. a.havard@unsw.edu.au
authors.forename: Alys
authors.initials: A
authors.lastname: Havard
authors.forename: Maree
authors.initials: M
authors.lastname: Teesson
authors.forename: Shane
authors.initials: S
authors.lastname: Darke
authors.forename: Joanne
authors.initials: J
authors.lastname: Ross
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia / Q000453:epidemiology; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006556:Heroin Dependence / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008691:Methadone / Q000008:administration & dosage; D008875:Middle Aged; D012114:Residential Treatment; D016060:Sorption Detoxification; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D008691:Methadone