The Chinese version of obsessive compulsive drug use scale: validation in outpatient methadone maintenance treatment program

BMC Psychiatry

Qihuan Ren¹  Huijing Zhou²  Zhirong Zhou³  Chencheng Zhang⁴  Yingying Zhang⁴  Valerie Voon⁵  Shunying Yu⁶  Min Zhao⁷  Hengfen Gong⁸  Xirong Sun⁹ 

[1] Department of Clinical Psychology, Shanghai Hongkou Mental Health Center, Shanghai, China;Department of Drug Dependence, Shanghai Yangpu Mental Health Center, Shanghai, China;Department of Functional Clinic of the Community Based Methadone Maintenance Therapy, Shanghai Xuhui Mental Health Center, Shanghai, China;Department of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Department of Psychiatry and Behavioral and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK;Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China;Institute of Psychological and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China;Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China;Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China;

关键词: Obsessive compulsive drug use scale;    Methadone maintenance treatment;    Craving;    Nicotine dependence;    Heroin;   

DOI  :  10.1186/s12888-020-02843-2

来源: Springer

【 摘 要 】

BackgroundThe Obsessive Compulsive Drug Use Scale (OCDUS) measures the overall craving level within a period from a multidimensional perspective. However, no studies have addressed the validity of the new OCDUS factor structure, presented in 2016, in China. Additionally, there is lack of evidence on the interaction among risk factors for relapse. We aimed to assess the psychometric properties of the scores of the Chinese version of the OCDUS in patients with heroin dependence receiving methadone maintenance treatment (MMT). Further, we aimed to assess the correlations of the OCDUS scores with withdrawal symptoms, depression, anxiety, and nicotine dependence.MethodsWe enrolled 113 adults (age 32–64 years) and administered them with the OCDUS, Subjective Opioid Withdrawal Scale (SOWS), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), and Fagerstrom Test for Nicotine Dependence (FTND).ResultsExploratory factor analysis identified a 3-dimensional component that included “Frequency of craving,” “Inference of heroin,” and “Control of heroin.” These factors showed acceptable internal consistency, adequate item-total correlations, and significant item-subscale correlations. There was no correlation between the OCUDS scores and age, education, duration of receiving MMT, and MMT dosages. However, there was a significant correlation between the OCDUS total scores and the SOWS, STAI, BDI-II, and FTND scores. The scores of all the subscales were associated with the SOWS scores; further, the scores of the first two subscales were associated with BDI-II scores while only the scores of the first subscale were associated with the FTND scores.ConclusionsOur findings support the reliability and structure validity of the OCDUS scores. Heroin craving, withdrawal symptoms, negative emotions, and nicotine dependence, which are considered as risk factors for heroin relapse, might interact with each other. There is a need for further studies on the underlying mechanism of these clinical phenomena.

【 授权许可】

CC BY