{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:21:19Z","timestamp":1780579279188,"version":"3.54.1"},"reference-count":0,"publisher":"Weston Medical Publishing","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Opioid Management"],"abstract":"<jats:p>Objective: To evaluate the features and modes of adaptation to aging among Methadone Maintenance Treatment (MMT) enrollees.Setting: Beth Israel Medical Center in New York City.Participants: A sample of 156 MMT enrollees (103\/66 percent males and 53\/34 percent females) age 24-68 years. Twenty-nine percent of participants were aged 55 or older.Design: A cross-sectional, multivariate, correlational design.Outcome Measures: Participants were administered the MMSE, ASI, BSI, as well as measures of impulsiveness and quality of life (QOL).Results: Older adults were more likely to have had longer periods of treatment (p &lt; 0.01), less likely to report current heroin use (p &lt; 0.05) and overall drug use (p &lt; 0.05), but were more likely to have a history of comorbid alcohol misuse (p &lt; 0.01). Advanced age was also associated with less impulsiveness, hostility, paranoia, and interpersonal sensitivity (p &lt; 0.01), more chronic medical problems (p &lt; 0.05), greater use of medication for medical problems (p &lt; 0.05), and more liberal take home medicine schedules (p &lt; 0.01). However, no differences were found between older and younger participants with respect to their scores on the Overall Social Support scale (p &gt; 0.05), the Personal Well-Being Index (p &gt; 0.05) and the Satisfaction with Life Scale (p &gt; 0.05), suggesting comparable levels of QOL. Furthermore, the rate of contact for older participants with medical professionals did not differ significantly from that of younger participants (p &gt; 0.05). Only 7.1 percent of older participants reported regular contact with a primary care physician; a rate that is slightly lower than the rate in the overall population.Conclusions: The findings from the present study highlight at least two underappreciated challenges that clinicians are increasingly likely encounter in their work with the aging MMT population. These challenges are: (1) that despite numerous medical and psychiatric complaints, only a small proportion of MMT patients have regular contact with a primary care physician and the rate of contact does not appear to increase with age and (2) even with age-related declines in psychiatric comorbidity and illicit substance use, the suboptimal level of QOL that is characteristic of the MMT population as a whole does not improve with aging and length of tenure in MMT.<\/jats:p>","DOI":"10.5055\/jom.2009.0004","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T16:00:13Z","timestamp":1517587213000},"page":"27-37","source":"Crossref","is-referenced-by-count":50,"title":["The aging methadone maintenance patient: Treatment adjustment, long-term success, and quality of life"],"prefix":"10.5055","volume":"5","author":[{"given":"Ranjit","family":"Rajaratnam, MD","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Sivesind, PhD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McWelling","family":"Todman, PhD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Roane, MD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"Seewald, MD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3008","published-online":{"date-parts":[[2018,1,30]]},"container-title":["Journal of Opioid Management"],"original-title":[],"link":[{"URL":"https:\/\/wmpllc.org\/ojs\/index.php\/jom\/article\/download\/922\/932","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/wmpllc.org\/ojs\/index.php\/jom\/article\/download\/922\/932","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,9]],"date-time":"2023-05-09T19:36:52Z","timestamp":1683661012000},"score":1,"resource":{"primary":{"URL":"https:\/\/wmpllc.org\/ojs\/index.php\/jom\/article\/view\/922"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,30]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,1,1]]}},"URL":"https:\/\/doi.org\/10.5055\/jom.2009.0004","relation":{},"ISSN":["1551-7489","1551-7489"],"issn-type":[{"value":"1551-7489","type":"electronic"},{"value":"1551-7489","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1,30]]}}}