Resilience associated with mental health problems among methadone maintenance treatment patients in Guangzhou, China.
A considerable proportion of methadone maintenance treatment (MMT) clients have experienced mental health problems (e.g., depression and anxiety), and poor mental health status is associated with HIV-related risk behaviors and treatment drop-out. Resilience is known to be a protective factor for mental health problems but is not studied among MMT clients in China. This study aimed to explore the relationship between resilience and mental health problems (depression, anxiety and stress) among clients of community-based MMT clinics in China. A total of 208 MMT clients completed the face-to-face interview conducted at 4 of 11 MMT clinics in Guangzhou. The Chinese short version of Depression Anxiety Stress Scale (DASS-21) was used to assess the presence of depressive, anxiety and stress symptoms, and the Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience. Logistic regression models were fit in data analyses. Of all participants, 12.8%, 19.5% and 8.3% had depression, anxiety and stress, respectively. The mean resilience score was 57.6 (SD = 15.9). In the univariate analyses, resilience was negatively associated with two studied mental health problems (depression and anxiety, ORu= 0.96 and 0.96, p < .01). In multivariate models adjusting for both background and other psycho-social factors, resilience was independently associated with probable depression (ORa= 0.97, 95% CI: 0.93-0.99) and anxiety (ORa= 0.96, 95% CI: 0.94-0.99). Resilience was independently associated with depression and anxiety. As resilience is changeable, interventions targeting mental health problems of MMT users should consider resilience as an important part in the designing of such interventions.
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.
Mingxu
M
Jiao
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.|b Sun Yat-sen Global Health Institute, State Governance Institute , Sun Yat-sen University , Guangzhou , People's Republic of China.
Jing
J
Gu
c Department of HIV Prevention , Guangzhou Center for Disease Control and Prevention , Guangzhou , People's Republic of China.
Huifang
H
Xu
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.|b Sun Yat-sen Global Health Institute, State Governance Institute , Sun Yat-sen University , Guangzhou , People's Republic of China.
Chun
C
Hao
d School of Public Health and Primary Care , The Chinese University of Hong Kong , Hong Kong , People's Republic of China.
Joseph T F
JT
Lau
d School of Public Health and Primary Care , The Chinese University of Hong Kong , Hong Kong , People's Republic of China.
Phoenix
P
Mo
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.
Di
D
Liu
c Department of HIV Prevention , Guangzhou Center for Disease Control and Prevention , Guangzhou , People's Republic of China.
Yuteng
Y
Zhao
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.
Xiao
X
Zhang
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.
Andrew
A
Babbitt
a School of Public Health , Sun Yat-sen University , Guangzhou , People's Republic of China.|b Sun Yat-sen Global Health Institute, State Governance Institute , Sun Yat-sen University , Guangzhou , People's Republic of China.
Yuantao
Y
Hao
D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology*; D002681:China; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D058850:Opiate Substitution Treatment; D009293:Opioid-Related Disorders / Q000188:drug therapy / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D055500:Resilience, Psychological; D013315:Stress, Psychological / Q000175:diagnosis / Q000523:psychology
D008691:Methadone
China; Methadone maintenance treatment; mental health; resilience