Psychiatric symptoms, quality of life, and HIV status among people using opioids in Saint Petersburg, Russia. (1st March 2017)

• Record Type: Journal Article
• Authors: Desrosiers, Alethea; Blokhina, Elena; Krupitsky, Evgeny; Zvartau, Edwin; Schottenfeld, Richard; Chawarski, Marek
• Is Part Of: Drug and alcohol dependence. Volume 172(2017)
• Page Start: 60
• Page End: 65
• Publication Date: 2017-03-01
• Subjects: Psychiatric symptoms -- HIV -- Quality of life -- Injection drug use -- Russia; Drug abuse -- Periodicals; Alcoholism -- Periodicals; 616.86
• DOI: 10.1016/j.drugalcdep.2016.12.007
• Languages: English
• ISSNs: 0376-8716

Abstract

Highlights: Among adults with opioid use disorder in St. Petersburg, Russia, 60% were HIV+. HIV+ opioid using adults exhibited higher psychiatric symptom levels than HIV-. K-means cluster analysis identified three psychiatric symptom profiles for patients. The proportion of HIV+ was significantly greater in the cluster with highest symptoms. Quality of life was significantly lower in the cluster with highest psychiatric symptoms. Abstract: Background: The Russian Federation is experiencing a very high rate of HIV infection among people who inject drugs (PWID). However, few studies have explored characteristics of people with co-occurring opioid use disorders and HIV, including psychiatric symptom presentations and how these symptoms might relate to quality of life. The current study therefore explored a.) differences in baseline psychiatric symptoms among HIV+ and HIV- individuals with opioid use disorder seeking naltrexone treatment at two treatment centers in Saint Petersburg, Russia and b.) associations between psychiatric symptom constellations and quality of life. Methods: Participants were 328 adults enrolling in a randomized clinical trial evaluating outpatient treatments combining naltrexone with different drug counseling models. Psychiatric symptoms and quality of life were assessed using the Brief Symptom Inventory and The World Health Organization Quality of Life-BREF, respectively. Results: Approximately 60% of participants were HIV+. Those who were HIV+ scored significantly higher on BSI anxiety, depression, psychoticism, somatization, paranoid ideation, phobic anxiety, obsessive-compulsive, and GSI indexes (all p < 0.05) than those HIV-. A K-means cluster analysis identified three distinct psychiatric symptom profiles; the proportion of HIV+ was significantly greater and quality of life indicators were significantly lower in the cluster with the highest psychiatric symptom levels. Conclusion: Higher levels of psychiatric symptoms and lower quality of life indicators among HIV+ (compared to HIV-) individuals injecting drugs support the potential importance of combining interventions that target improving psychiatric symptoms with drug treatment, particularly for HIV+ patients.