Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.

Objective: Drug craving is defined as an urge to continue substance abuse. Drug dependents use different terms to express their subjective feeling of craving. This study was an attempt to generate an understanding of craving terminology among different groups of Persian speaking Iranian opiate depen...

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Main Authors: Masoomeh Maarefvand, Hamid Reza Ghiasvand, Hamed Ekhtiari
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2013-06-01
Series:Iranian Journal of Psychiatry
Subjects:
Online Access:https://ijps.tums.ac.ir/index.php/ijps/article/view/178
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author Masoomeh Maarefvand
Hamid Reza Ghiasvand
Hamed Ekhtiari
author_facet Masoomeh Maarefvand
Hamid Reza Ghiasvand
Hamed Ekhtiari
author_sort Masoomeh Maarefvand
collection DOAJ
description Objective: Drug craving is defined as an urge to continue substance abuse. Drug dependents use different terms to express their subjective feeling of craving. This study was an attempt to generate an understanding of craving terminology among different groups of Persian speaking Iranian opiate dependents. Method: Terms used for the meaning of drug craving were listed by 36 ex-opiate dependents in focus group discussion meetings in the first phase of the study. These terms were composed from Craving Terms Questionnaire. In the second phase, 120 subjects in 3 groups of opiate dependents and a group of Current Opiate Abusers rated usage frequency of each term in the questionnaire under a Twelve-Step Program, Methadone Maintenance, and Other Abstinence-based Programs. Results: Eighty nine terms were categorized in stimulation and triggering, attention bias and obsession, decision making difficulty, information processing impairment, withdrawal induction, drug euphoric experience, mental urge, motor control proble , negative valancing and stigmatizing. Terms for the three categories of mental urge, attention bias and obsession and motor control problem were used more than others. Patients in Methadone Maintenance Treatment (MMT) group used different categories of craving terms in comparison to other groups. Abstine t cases reported higher total score for craving terms in comparison to other groups in Twelve-Step Program and other abstinence-based programs. Conclusion: Each craving-related term is associated with some aspects of the multidimensional concept of craving. A drug-craving thesaurus could provide a better understanding of craving nature from a drug dependent point of view. There are differences among abstinence vs. maintenance based treated opiate dependents in using craving terms. Addiction therapists will benefit from accessing drug dependents’ lexicon to assess and create therapeutic alliance with their clients.
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spelling doaj.art-3d74e3bea5f24e19b8219a5ec05324f92022-12-22T00:02:13ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152013-06-0182Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.Masoomeh Maarefvand0Hamid Reza Ghiasvand1Hamed Ekhtiari2Department of Social Work, University of Social Welfare and Rehabilitation Sciences, Tehran, IranDepartment of Educational Psychology, Islamic Azad University, Saveh, IranNeurocognitive Laboratory, Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran Translational Neuroscience Program, Iranian Institute for Cognitive Sciences Studies (ICSS)Objective: Drug craving is defined as an urge to continue substance abuse. Drug dependents use different terms to express their subjective feeling of craving. This study was an attempt to generate an understanding of craving terminology among different groups of Persian speaking Iranian opiate dependents. Method: Terms used for the meaning of drug craving were listed by 36 ex-opiate dependents in focus group discussion meetings in the first phase of the study. These terms were composed from Craving Terms Questionnaire. In the second phase, 120 subjects in 3 groups of opiate dependents and a group of Current Opiate Abusers rated usage frequency of each term in the questionnaire under a Twelve-Step Program, Methadone Maintenance, and Other Abstinence-based Programs. Results: Eighty nine terms were categorized in stimulation and triggering, attention bias and obsession, decision making difficulty, information processing impairment, withdrawal induction, drug euphoric experience, mental urge, motor control proble , negative valancing and stigmatizing. Terms for the three categories of mental urge, attention bias and obsession and motor control problem were used more than others. Patients in Methadone Maintenance Treatment (MMT) group used different categories of craving terms in comparison to other groups. Abstine t cases reported higher total score for craving terms in comparison to other groups in Twelve-Step Program and other abstinence-based programs. Conclusion: Each craving-related term is associated with some aspects of the multidimensional concept of craving. A drug-craving thesaurus could provide a better understanding of craving nature from a drug dependent point of view. There are differences among abstinence vs. maintenance based treated opiate dependents in using craving terms. Addiction therapists will benefit from accessing drug dependents’ lexicon to assess and create therapeutic alliance with their clients.https://ijps.tums.ac.ir/index.php/ijps/article/view/178AddictionPersian and terminologycravingopiates
spellingShingle Masoomeh Maarefvand
Hamid Reza Ghiasvand
Hamed Ekhtiari
Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
Iranian Journal of Psychiatry
Addiction
Persian and terminology
craving
opiates
title Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
title_full Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
title_fullStr Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
title_full_unstemmed Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
title_short Drug Craving Terminology among Opiate Dependents; A Mixed Method Study.
title_sort drug craving terminology among opiate dependents a mixed method study
topic Addiction
Persian and terminology
craving
opiates
url https://ijps.tums.ac.ir/index.php/ijps/article/view/178
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