Personality Patterns in Narcotics Anonymous Members versus Individuals with Addiction Receiving Methadone Maintenance Therapy.

  • Shahin Akhondzadeh Psychiatric Research Center, Roozbeh Psychiatric Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Moslem Shabrang Shebli Street, Welfare Organization of Kurdistan Province, Sanandaj, Iran
  • Omid Rezaei Department of Psychiatry, University of Social Welfare and rehabilitation Sciences, Tehran, Iran
  • Farzin Rezaei Department of psychiatry of Kurdistan University of Medical Sciences, Sanandaj-Iran
Keywords: Methadone, Narcotics Anonymous, Personality

Abstract

Objective: Therapeutic interventions can be classified into two distinct approaches: abstinent and maintenance method. Currently, there are no clear criteria for referring addicted patients to one of these modalities. We aimed to compare the personality characteristics of individuals with addiction who attended narcotics anonymous sessions with those who received methadone maintenance therapy.
Methods:
This was a cross- sectional study. The participants were NA members and patients who were undergoing methadone maintenance treatment in outpatient clinics. Using the randomized cluster sampling method, 200 individuals with opioid dependence were selected (each group 100 persons). Data were collected through a demographic questionnaire and the five-factor personality inventory (NEO-FFI). Comparison of the mean scores of NEO-PPI in the two groups was performed by independent t test, and qualitative variables were compared using the Chi-square test.
Results: We found a significant difference between the MMT and NA roups with respect to neuroticism, extroversion, and agreeableness. No significant difference was found in the subscales of conscientious and openness.
Conclusion:
People who regularly attended the NA sessions had lower neuroticism and higher agreeableness than patients who were under the maintenance modality. Whether this is the cause or effect of attending NA sessions requires future large-scale cohort studies.

References

Bashardoost tajallia F, Kheiri L. Locus of control in substance relateb and N.A. Procedia Social and Behavioral Sciences 2010; 5: 1414–1417.

Best DW, Harris JC, Gossop M, Manning VC, Man L H, Marshall, et al. Are the Twelve Steps more acceptable to drug users than to drinkers? A comparison of experiences of and attitudes to Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) among 200 substance misusers attending inpatient detoxification. Eur Addict Res 2001; 7: 69-77.

Blöink R, Brieger P, Akiskal HS, Marneros A. Factorial structure and internal consistency of the German TEMPS-A scale: validation against the NEO-FFI questionnaire. Journal of Affective Disorders 2005; 85: 77-83.

Book SW, Thomas SE, Dempsey JP, Randall PK, Randall CL. Social anxiety impacts willingness to participate in addiction treatment. Addict Behav 2009; 34: 474-476.

Briggs SR. Assessing the five-factor model of personality description. J Pers 1992; 60: 253-293.

Christo G , Franey C. Drug users' spiritual beliefs, locus of control and the disease concept in relation to Narcotics Anonymous attendance and six-month outcomes. Drug Alcohol Depend 1995; 38: 51-56.

Deane FP, Wootton DJ, Hsu CI , Kelly PJ. Predicting dropout in the first 3 months of 12-step residential drug and alcohol treatment in an Australian sample. J Stud Alcohol Drugs 2012; 73: 216-225.

Garousi MT, Mhryar AH, Tabatabai M. Application of a new personality test (NEO) and study its analytic properties and factor structure among Iranian university students. Journal of Human Sciences Zahra.2000; 39: 173-198.

Gowing L, Farrell MF, Bornemann R, Sullivan LE , Ali R. Oral substitution treatment of injecting opioid users for prevention of HIV infection. Cochrane Database Syst Rev 2011: CD004145.

Holden RR, Fekken GC. The NEO five-factor inventory in a Canadian context: Psychometric properties for a sample of university women. Personality and Individual Differences 1994; 17: 441-444.

Humphreys K, Mankowski ES, Moos RH , Finney JW. Do enhanced friendship networks and active coping mediate the effect of self-help groups on substance abuse? Ann Behav Med 1999; 21: 54-60.

Kelly JF, Myers MG , Brown SA. A multivariate process model of adolescent 12-step attendance and substance use outcome following inpatient treatment. Psychol Addict Behav 2000; 14: 376-389.

Kelly JF, Moos R. Dropout from 12-step self-help groups: prevalence, predictors, and counteracting treatment influences. J Subst Abuse Treat 2003; 24: 241-250.

Kelly SM, O'Grady KE, Mitchell SG, Brown BS , Schwartz RP. Predictors of methadone treatment retention from a multi-site study: a survival analysis. Drug Alcohol Depend 2011; 117: 170-175.

Kerr T, Marsh D, Li K, Montaner J , Wood E. Factors associated with methadone maintenance therapy use among a cohort of polysubstance using injection drug users in Vancouver. Drug Alcohol Depend 2005; 80: 329-335.

Koushesh HR, Afshari R , Afshari R. A new illicit opioid dependence outbreak, evidence for a combination of opioids and steroids. Drug Chem Toxicol 2009; 32: 114-119.

Krentzman AR, Robinson EA, Moore BC, Kelly JF, Laudet AB, White WL, et al. How Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) Work: Cross-Disciplinary Perspectives. Alcohol Treat Q 2010; 29: 75-84.

Laudet AB, Magura S, Cleland CM, Vogel HS , Knight EL. Predictors of retention in dual-focus self-help groups. Community Ment Health J 2003; 39: 281-297.

Malekinejad M , Vazirian M. Transition to injection amongst opioid users in Iran: implications for harm reduction. Int J Drug Policy 2012; 23: 333-337.

Nichols H. Narcotics Anonymous. Journal of Substance Abuse Treatment 1988; 5: 195-196.

McCrae RR, John OP. An introduction to the five-factor model and its applications. J Pers 1992; 60: 175-215.

Turiano NA, Whiteman SD, Hampson SE, Roberts BW, Mroczek DK. Personality and Substance Use in Midlife: Conscientiousness as a Moderator and the Effects of Trait Change. J Res Pers 2012; 46: 295-305.

Weijers HG, Wiesbeck GA, Wodarz N, Keller H, Michel T , Boning J. Gender and personality in alcoholism. Arch Womens Ment Health 2003; 6: 245-252.

Woff I, Toumbourou J, Herlihy E, Hamilton M , Wales S. Service providers' perceptions of substance use self-help groups. Subst Use Misuse 1996; 31: 1241-1258.

How to Cite
1.
Akhondzadeh S, Shabrang M, Rezaei O, Rezaei F. Personality Patterns in Narcotics Anonymous Members versus Individuals with Addiction Receiving Methadone Maintenance Therapy. Iran J Psychiatry. 9(3):158-62.
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Articles