Methadone Dosage: Patient Characteristics and Clinical Correlates

Abstract

This paper summarizes data for 106 male opioid addicts which give evidence that there are demographic and clinical differences between groups of patients maintained in three ranges of methadone dosage (< 35 mg, 36-59 mg, > 60 mg). At time of admission the Addiction Severity Index was administered. During the first month of treatment a routine battery of psychological tests-including the Mmpi-168, 16PF, Shipley Institute of Living Scale, and Trail Making Test—was also administered. High-dose subjects were under greater emotional distress and experienced more anxiety (p <.05), had more medical hospitalizations (p <.05), and had been treated more frequently with psychoactive medications (p <.05). They also had histories of greater use of barbiturates (p <.001) and amphetamines (p <.01). While in treatment they more frequently had urinalyses positive for illicit drugs during the first 6 months (p <.05). Low-dose subjects had fewer friends (p <.05). The 1-year program retention rates were found to be lower for the medium-dose group (p <.05).