Volume 32, Issue 3 (6-2022)                   JHNM 2022, 32(3): 219-226 | Back to browse issues page

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Esmaeilinejad Hasaroeih F, Shahrahmani N, Ahmadi A, Mirzaee M, Alidousti K, Hashemian M. Effect of Motivational Enhancement Therapy on Patterns of Substance Abuse in Postpartum Women: A Randomized Clinical Trial. JHNM 2022; 32 (3) :219-226
URL: http://hnmj.gums.ac.ir/article-1-1907-en.html
Effect of Motivational Enhancement Therapy on Patterns of Substance Abuse in Postpartum Women: A Randomized Clinical Trial
Fatemeh Esmaeilinejad Hasaroeih1 , Nasim Shahrahmani2 , Atefeh Ahmadi3 , Moghaddameh Mirzaee4 , Katayoun Alidousti * 5, Morteza Hashemian6
1- Midwifery Counseling (MSc), Department of Midwifery,Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
2- PhD Candidate of Reproductive Health, Department of Midwifery, Faculty of Razi Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
3- Assistant Professor, Department of Midwifery, Nursing Research Center, Faculty of Razi Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
4- Associate professor, Modeling in Health Research Center, Institute for Futures Studies in Health,Kerman University of Medical Sciences,Kerman.Iran.
5- MSc in Midwifery, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran. , alidoosti@kmu.ac.ir
6- Associate Professor, Department of Anesthesiology and Pain Medicine, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Abstract:   (714 Views)
Introduction: As a biopsychosocial phenomenon, substance abuse is a major public health problem with negative economic, social, and cultural consequences.
Objective: This study aims to determine the effect of Motivational-Enhancement Therapy (MET) on substance abuse patterns in postpartum women with Substance Use Disorder (SUD).
Materials and Methods: This clinical trial was conducted on 60 eligible postpartum women with SUD (30 in the intervention group and 30 control), who were selected using a random sampling method from the postpartum unit of a hospital in Kerman, Iran in 2019. The participants in the intervention group attended four individual MET sessions and received four telephone follow-ups. All participants completed a researcher-made substance use pattern checklist before and after the intervention. Data analysis was carried out using McNemar’s test, paired t-test, independent t-test, Fisher’s exact test, and chi-square test. A P<0.05 was considered statistically significant.
Results: The mean age of women was 29.25±5.89 years, and most of them were housewives with elementary education. A significant reduction was observed in the number of opium (P=0.008) and methadone (P=0.003) users after the intervention. Moreover, there was a significant difference in the amount of opium and methadone use (P<0.05). However, no significant difference was found between the two groups in the method and frequency of substance use before and after the intervention.
Conclusion: MET is effective in the type and amount of opium and methadone used in postpartum women with SUD. Therefore, it can be used along with other treatments for the treatment of SUD in women after delivery.
Keywords: Motivational interviewing, Morbidity, Postpartum, Substance-related disorders
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Article Type : Research | Subject: Special
Received: 2021/04/28 | Accepted: 2022/02/20 | Published: 2022/07/1
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