Huirong Hu, Riten Mitra, Yuchen Han, Subhadip Pal, Haojiang Huang, Craig J McClain, Vatsalya Vatsalya, K B Kulasekera, Maiying Kong
{"title":"Prevalence and Treatment for Alcohol Use Disorders Based on Kentucky Medicaid 2012-2019 Datasets.","authors":"Huirong Hu, Riten Mitra, Yuchen Han, Subhadip Pal, Haojiang Huang, Craig J McClain, Vatsalya Vatsalya, K B Kulasekera, Maiying Kong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Alcohol use is the leading substance use in the United States. Persons with alcohol use disorder (AUD) face enormous health consequences and family problems. Analysis of Medicaid enrollee data is critical to understand different aspects of AUD and the treatment utilization for patients with AUD. Yearly patient-level data were constructed from the Kentucky 2012-2019 Medicaid claims data. ICD-9-CM and ICD-10-CM codes were used to identify patients with AUD and their comorbid conditions, the 11-digit National Drug Codes were used to identify medication treatments, and procedure codes were used to identify psychosocial and behavioral therapies. Logistic regression models were used to examine factors that were associated with AUD prevalence and AUD treatments. The prevalence of AUD trended up over time. Patients living in metro areas, between ages 45-54, having mental disorders, tobacco use, and with a family history of alcoholism had significantly higher rates of AUD. About 60% of patients diagnosed with AUD had major depressive disorder or anxiety. The treatment utilization for AUD also trended up from 2012 to 2019; however, it was still lower than 25% in 2019. Pharmacological treatments were used in only 2.89% of AUD cases in 2012, which increased to 8.13% in 2019. Psychosocial treatments were used in only 1.59% of AUD cases in 2012 that increased to 18.95% in 2019. The prevalence of AUD trended up over years. However, the treatment utilization for AUD was lower than 25%, even as of 2019. There is an urgent need for comprehensive, evidence-based, personalized AUD treatments.</p>","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9182708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lara J van Nunen, Marilyn T Lake, J. Ipser, Dan J Stein, S. Shoptaw, E. London
{"title":"Executive Function and Contingency Management in Methamphetamine Use Disorder","authors":"Lara J van Nunen, Marilyn T Lake, J. Ipser, Dan J Stein, S. Shoptaw, E. London","doi":"10.35248/2329-6488.21.9.342","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.342","url":null,"abstract":"Objectives: Contingency management is a promising intervention for Methamphetamine Use Disorder (MUD).Impaired executive function may decrease adherence to such treatment, but there are few data on whether impairment in executive function predicts treatment outcomes. We therefore evaluated whether baseline performance on tests of executive function predicted treatment response in a trial of contingency management for MUD. Methods: Thirty participants with MUD and 23 healthy controls performed the Connors Continuous Performance Task (CPT) and the Trail Making Task. MUD participants then entered an 8-week contingency management trial. Participants were categorized as responders (n=17; no methamphetamine-positive urine tests) or non-responders (n=13; >1 positive test). The Kruskal-Wallis test was used to compare scores in participants with MUD and healthy controls, and in responders versus non-responders. Results: Participants withMUD performed worse than controls on the CPT (d-prime) (p=0.012); non-responders performed worse than responders (p = 0.034). Performance of MUD participants did not differ significantly from controls on the Trail Making Task B (time to completion), but variation was high with non-responders performing worse than responders (p=0.013). Conclusion: These findings suggest that tests of executive function at baseline may be useful in predicting treatment response in MUD. Future work in larger samples may ultimately allow a more personalized treatment approach to methamphetamine use disorder.","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73962786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lara J van Nunen, Marilyn T Lake, Jonathan C Ipser, Dan J Stein, Steven J Shoptaw, Edythe D London
{"title":"Executive Function and Contingency Management in Methamphetamine Use Disorder.","authors":"Lara J van Nunen, Marilyn T Lake, Jonathan C Ipser, Dan J Stein, Steven J Shoptaw, Edythe D London","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Contingency management is a promising intervention for Methamphetamine Use Disorder (MUD).Impaired executive function may decrease adherence to such treatment, but there are few data on whether impairment in executive function predicts treatment outcomes. We therefore evaluated whether baseline performance on tests of executive function predicted treatment response in a trial of contingency management for MUD.</p><p><strong>Methods: </strong>Thirty participants with MUD and 23 healthy controls performed the Connors Continuous Performance Task (CPT) and the Trail Making Task. MUD participants then entered an 8-week contingency management trial. Participants were categorized as responders (n=17; no methamphetamine-positive urine tests) or non-responders (n=13; >1 positive test). The Kruskal-Wallis test was used to compare scores in participants with MUD and healthy controls, and in responders versus non-responders.</p><p><strong>Results: </strong>Participants withMUD performed worse than controls on the CPT (d-prime) (p=0.012); non-responders performed worse than responders (p = 0.034). Performance of MUD participants did not differ significantly from controls on the Trail Making Task B (time to completion), but variation was high with non-responders performing worse than responders (p=0.013).</p><p><strong>Conclusion: </strong>These findings suggest that tests of executive function at baseline may be useful in predicting treatment response in MUD. Future work in larger samples may ultimately allow a more personalized treatment approach to methamphetamine use disorder.</p>","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39335278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Integrated Approach to Addressing Opioid Misuse, Addiction, and Overdose","authors":"K. Mizuo","doi":"10.35248/2329-6488.21.9.E106","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.E106","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"14 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78128580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Dangers of Drugged Driving Are Outpacing Drunk Driving","authors":"Velga Sudraba","doi":"10.35248/2329-6488.21.9.E112","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.E112","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"205 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83569739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 Lockdown Linked to Uptick in Tobacco Use","authors":"Marcellino Monda","doi":"10.35248/2329-6488.21.9.345","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.345","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"31 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77845513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drinking, Smoking, and Drug Use Linked to Premature Heart Disease in the Young","authors":"Ramya Kusuma Koripella","doi":"10.37421/2329-6488.2021.9.349","DOIUrl":"https://doi.org/10.37421/2329-6488.2021.9.349","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"196 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74490883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19: Impact for SUD Treatment","authors":"H. Tønnesen","doi":"10.35248/2329-6488.21.9.E109","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.E109","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"6 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88829895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Focus on Emotions Is Key to Improving Heart Health in People Living With Obesity","authors":"Velga Sudraba","doi":"10.37421/2329-6488.2021.9.348","DOIUrl":"https://doi.org/10.37421/2329-6488.2021.9.348","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"9 2 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79708373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cocaine Craving, Desperate Search for Intoxicants, Settling of Scores, and Murder","authors":"Bernat N Tiffon, Jorge González-Fernández Coroner","doi":"10.35248/2329-6488.21.9.361","DOIUrl":"https://doi.org/10.35248/2329-6488.21.9.361","url":null,"abstract":"","PeriodicalId":14921,"journal":{"name":"Journal of alcoholism and drug dependence","volume":"55 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82319783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}