{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:56Z","timestamp":1786725776167,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Substance use disorder is a significant public health challenge globally, especially in conflict-affected regions like Kashmir, where opioid dependence poses a severe health and social burden. Opioid substitution therapy (OST) with buprenorphine is increasingly used to address opioid addiction in Kashmir.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore the reasons and motives of opioid users seeking buprenorphine treatment in a tertiary care center in Kashmir.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This qualitative study was conducted at the Drug Deaddiction Center; 31 male opioid users were purposively sampled and interviewed. Inclusion criteria included individuals over 18 years with diagnosed opioid use disorder. Data were collected via in-depth interviews in Urdu or Kashmiri and analyzed using Braun and Clarke\u2019s six-step thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six primary themes and many subthemes emerged from the data analysis, namely, (1) Family Responsibility and Social Pressure, with subthemes highlighting concerns over family reputation and children\u2019s wellbeing; (2) Regret Over Financial Consequences, particularly income loss due to addiction; (3) Emotional and Relational Impact, including familial disconnection and marital discord; (4) Desire for Self-Respect and Social Acceptance; (5) Personal Growth and Redemption, with a focus on aspirations for a drug-free future; and (6) External Influence, noting family encouragement for seeking treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Findings reveal that treatment motivations for opioid users are largely rooted in family and social considerations, financial impacts, and a desire for personal growth. These insights highlight the importance of family-centered support and socioeconomic interventions in enhancing the effectiveness of OST programs for opioid dependence in conflict regions like Kashmir.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ipj.ipj_462_24","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T08:00:20Z","timestamp":1752912020000},"page":"286-291","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Exploring motivational factors for opioid treatment engagement among substance users in Kashmir: A qualitative study"],"prefix":"10.4103","volume":"34","author":[{"given":"Rajnish","family":"Raj","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaheena","family":"Parveen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaliya","family":"Khanam","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institute of Mental Health and Neurosciences Kashmir, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Bashir","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harkanwar","family":"Kashab","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Institute of Mental 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