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    Major depression among methamphetamine users entering drug treatment programs

    255900.pdf (195.5Kb)
    Access Status
    Open access
    Authors
    McKetin, Rebecca
    Lubman, D.
    Lee, N.
    Ross, J.
    Slade, T.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    McKetin, R. and Lubman, D. and Lee, N. and Ross, J. and Slade, T. 2011. Major depression among methamphetamine users entering drug treatment programs. Medical Journal of Australia. 195 (3 Suppl): Article ID S51. © Copyright 2016. The Medical Journal of Australia - reproduced with permission
    Source Title
    Medical Journal of Australia
    ISSN
    0025-729X
    School
    National Drug Research Institute (NDRI)
    Remarks

    © Copyright 2016. The Medical Journal of Australia - reproduced with permission

    URI
    http://hdl.handle.net/20.500.11937/56803
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To determine the prevalence of major depression among people entering treatment for methamphetamine use. Design, setting and participants: The study was a cross-sectional survey involving 41 specialised drug and alcohol treatment agencies in Brisbane and Sydney. Services provided by these agencies included residential rehabilitation, detoxification and counselling. Participants were 400 people entering treatment for methamphetamine use who were recruited from participating treatment agencies between January 2006 and November 2007. Participants underwent a structured, face-to-face, 1.5-hour interview. Assessment instruments included the Composite International Diagnostic Interview and the Short Form 12. Main outcome measure: Diagnosis of a major depressive episode in the year prior to the study. Results: The prevalence of major depression in the year prior to the study was 40% (95% CI, 35%-44%). A noteworthy post-hoc observation was that a further 44% of participants met the symptom criteria for major depression but were excluded from a diagnosis because their symptoms were better accounted for by psychoactive substance use. Both major depression and these latter cases of "substance-induced depression" were associated with severe symptoms of depression, high levels of disability and suicidal ideation. Conclusion: Most people entering treatment programs for methamphetamine use have levels of depression that require clinical management. Making a diagnosis of major depression in the context of heavy methamphetamine use is problematic because of substance-induced symptoms of depression.

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