Incidence of Clinical Depression in Heroin Addicts
Trying to estimate the incidence of clinical depression in heroin addicts seeking treatment has been hampered by different definitions as to what constitutes specific levels of depression. For example, Weissman et al. (1976) in studying 106 young methadone-maintenance patients at a Connecticut program found that approximately one third were moderately to severely depressed as assessed by the Raskin Depression Scale (Raskin) (Raskin et al., 1970) and the Hamilton Psychiatric Rating Scale for Depression (Hamilton) (Hamilton, 1960). Dorus and Senay (1977) had reported that approximately 25% of the 266 heroin addicts admitted for methadone maintenance treatment at an Illinois program were suffering with moderate to severe depressions; they used the Hamilton and the Beck Depression Inventory (Beck) (Beck et al., 1961). A number of other psychiatric and self-report instruments have been used to assess the level of clinical depression in heroin addicts and give varying estimates for the incidence of clinical depression (DeLeon et al., 1973; Fisch et al., 1975; Steer, 1977). Unfortunately, most of these studies do not employ the same scales and have drawn samples from different regions and socioeconomic strata.
KeywordsClinical Depression Cutoff Score Methadone Maintenance Treatment Methadone Maintenance Methadone Maintenance Therapy
Unable to display preview. Download preview PDF.
- Beck, A.T., Resnick, H.L.P. and Lettieri (Eds.). 1974. The Prediction of Suicide. Bowie, Maryland: Charles Press.Google Scholar
- Dorus, W., and Senay, E.C. May, 1977. Severity and Course of Depression in Opiate-dependent Patients. Paper presented to the Fourth National Drug Abuse Conference, San Francisco.Google Scholar
- Fisch, A., Patch, V.D., Greenfield, A., Raynes, A.E., McKenna, G., and Levine, M. 1973. Depression and Self-concept as Variables in the Differential Response to Methadone Maintenance Combined With Therapy. Proceedings of the Fifth National Conference on Methadone Maintenance Treatment. New York: NAPAN, 440–445.Google Scholar
- Siegel, S. 1956. Nonparametric Statistics for the Behavioral Sciences. New York: McGraw-Hill.Google Scholar
- Steer, R.A. 1977. Affect Dimensions of Heroin Addicts and Methadone Patients. JSAS Catalog of Selected Documents in Psychology, 7: 78 ( Ms. No. 1536 ).Google Scholar
- Weissman, M.M., Slobetz, F., Prusoff, B., Mezritz, M., and Howard, P. 1976. Clinical Depression Among Narcotic Addicts Maintained on Methadone in the Community. American Journal of Psychiatry, 133: 1434–1438.Google Scholar