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International Journal of Social Psychiatry
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Quality of Life in Opium-Addicted Patients With Coronary Artery Disease as Measured With WHOQOL-BREF

Mahdi Najafi

Tehran Heart Centre, Medical Sciences/University of Tehran, Iran

Mehrdad Sheikhvatan

Tehran Heart Centre, Medical Sciences/University of Tehran, Iran, sheykhvatan{at}farabi.tums.ac.ir

Ali Montazeri

Iranian Institute for Health Science Research, Tehran, Iran

Mahmood Sheikhfathollahi

Tehran Heart Centre, Medical Sciences/University of Tehran, Iran

Objective: Several factors can influence the quality of life in patients with coronary artery disease (CAD). The goal of this research was to measure quality of life in opium-addicted patients with CAD in order to assess the effect of CAD risk factors on their quality of life.

Method: The WHOQOL-BREF questionnaire was completed through interviews with 275 patients who underwent isolated coronary artery bypass surgery in Tehran Heart Centre between May and September 2006.

Results: No significant differences were found in the mean scores of the four domains of quality of life between the addicted and non-addicted patients. Furthermore, the evaluation of QOL in the groups with CAD risk factors showed that the mean QOL domains were statistically similar between opium addicted and non-opium addicted patients. In the addicted group, men had a higher psychological health score than women. A previous history of myocardial infarction reduced the psychological score in this group. Also, in the addicted patients with a history of diabetes mellitus, social functioning was better than that of the non-diabetics.

Conclusions: The different domains of quality of life in our opium-addicted and non-addicted patients with CAD were similar; and among all the major risk factors for coronary artery disease, only female gender and a previous history of myocardial infarction could influence quality of life in the opium-addicted patients.

Key Words: coronary artery disease • opium • quality of life • risk factor • WHOQOL-BREF

International Journal of Social Psychiatry, Vol. 55, No. 3, 247-256 (2009)
DOI: 10.1177/0020764008093600
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