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INTRODUCTIONUntreated opioid use disorder (OUD) has contributed to the ongoing opioid crisis in the United States and globally.1 Methadone maintenance treatment (MMT), which combines counseling with the FDA‐approved medication methadone, remains among the most effective interventions for OUD.2 While MMT reduces risk of morbidity and mortality in people with OUD,3 the physical and psychiatric health burden among patients receiving MMT is high and negatively affects treatment outcomes. Substance use and substance use disorders (SUD),3 poor treatment retention,4 and overdose3 are important clinical concerns for patients receiving MMT and are associated with chronic pain,5 disability,5 and psychological distress.6 These clinical issues may be exacerbated by overweight and obesity, which are more prevalent among patients beginning MMT than in the general population.7 Side effects of MMT can include weight gain,8–10 and patients experience a 10% average increase in body weight,9 which is associated with overweight, obesity, hypertension, diabetes, and hypercholesterolemia.7While overweight or obesity have medical risks,9 these conditions are also associated with psychological consequences, including body image dissatisfaction (BID). BID, which refers to negative body perceptions about shape and appearance, including thoughts, feelings, and behaviors,11 occurs in 15%–43% of men and 23%–56% of women in the general population, with substantially greater
The American Journal on Addictions – Wiley
Published: Sep 1, 2023
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