title: Intimate partner violence among individuals in methadone maintenance treatment.
abstract: BACKGROUND
  Intimate partner violence (IPV) is a highly prevalent and concerning problem among methadone maintenance populations, and previous studies have shown a relationship between a history of IPV and increased substance use and affective disturbances.
  
  
  METHODS
  The current study examined (1) the association between recent IPV victimization and alcohol and cocaine use and (2) the relationship between recent IPV victimization and depression in a sample of smokers (N = 203) in methadone maintenance treatment (MMT). Participants in this study completed a battery of assessments that included standard questionnaires of trauma, alcohol and substance use, and depression. Parallel logistic and linear regression models were used to estimate the adjusted association of IPV victimization and depressive symptoms and evaluate the adjusted association of victimization with recent substance use.
  
  
  RESULTS
  Participants recently victimized by partners were shown to have significantly higher mean Center for Epidemiologic Studies Depression Scale (CES-D) scores (b = 0.54, 95% confidence interval [CI]: [0.07; 1.02], P <.05) and were found to have a 6 times greater likelihood of cocaine use (odds ratio [OR] = 6.65, 95% CI: [1.61; 27.46], P <.01) after controlling for age, gender, education, opiate use, and ethnicity.
  
  
  CONCLUSIONS
  These findings support the notion that IPV victimization can potentially increase depression and other substance use among MMT patients, which can have a deleterious impact on treatment.
authors.affiliation: a Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences , University of Texas MD Anderson Cancer Center , Houston , Texas , USA.
authors.forename: Marcel A
authors.initials: MA
authors.lastname: de Dios
authors.forename: Bradley J
authors.initials: BJ
authors.lastname: Anderson
authors.forename: Celeste M
authors.initials: CM
authors.lastname: Caviness
authors.forename: Michael
authors.initials: M
authors.lastname: Stein
mesh_terms: D000328:Adult; D018849:Controlled Clinical Trials as Topic; D019548:Crime Victims / Q000523:psychology; D003863:Depression / Q000523:psychology; D055030:Drug Users / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D058850:Opiate Substitution Treatment / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D013179:Spouse Abuse / Q000523:psychology*; D019966:Substance-Related Disorders / Q000150:complications / Q000188:drug therapy / Q000523:psychology*
chemical_list: D008691:Methadone
keywords: Depression; intimate partner violence; methadone maintenance