Journal of AddictionPub Date : 2016-01-01Epub Date: 2016-03-28DOI: 10.1155/2016/6793907
Christine Timko, Andrea Finlay, Nicole R Schultz, Daniel M Blonigen
{"title":"Dually Diagnosed Patients with Arrests for Violent and Nonviolent Offenses: Two-Year Treatment Outcomes.","authors":"Christine Timko, Andrea Finlay, Nicole R Schultz, Daniel M Blonigen","doi":"10.1155/2016/6793907","DOIUrl":"https://doi.org/10.1155/2016/6793907","url":null,"abstract":"<p><p>The purpose of this study was to examine the history of arrests among dually diagnosed patients entering treatment, compare groups with different histories on use of treatment and mutual-help groups and functioning, at intake to treatment and six-month, one-year, and two-year follow-ups, and examine correlates and predictors of legal functioning at the study endpoint. At treatment intake, 9.2% of patients had no arrest history, 56.3% had been arrested for nonviolent offenses only, and 34.5% had been arrested for violent offenses. At baseline, the violent group had used the most outpatient psychiatric treatment and reported poorer functioning (psychiatric, alcohol, drug, employment, and family/social). Both arrest groups had used more inpatient/residential treatment and had more mutual-help group participation than the no-arrest group. The arrest groups had higher likelihood of substance use disorder treatment or mutual-help group participation at follow-ups. Generally, all groups were comparable on functioning at follow-ups (with baseline functioning controlled). With baseline arrest status controlled, earlier predictors of more severe legal problems at the two-year follow-up were more severe psychological, family/social, and drug problems. Findings suggest that dually diagnosed patients with a history of arrests for violent offenses may achieve comparable treatment outcomes to those of patients with milder criminal histories. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2016 ","pages":"6793907"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6793907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34494969","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}
Journal of AddictionPub Date : 2016-01-01Epub Date: 2016-06-30DOI: 10.1155/2016/4731571
Hanna Reinholdz, Preben Bendtsen, Fredrik Spak, Ulrika Müssener
{"title":"The Impact of an Implementation Project on Primary Care Staff Perceptions of Delivering Brief Alcohol Advice.","authors":"Hanna Reinholdz, Preben Bendtsen, Fredrik Spak, Ulrika Müssener","doi":"10.1155/2016/4731571","DOIUrl":"10.1155/2016/4731571","url":null,"abstract":"<p><p>Objective. To explore how the perceptions and experiences of working with risky drinkers change over time among primary health care staff during a systematic implementation project. Methods. Qualitative focus group interviews took place before and after the implementation of the project. Results. The staff displayed a positive change during the implementation period with regard to awareness, knowledge, and confidence that led to a change in routine practice. Throughout the project, staff were committed to engaging with risky drinkers and appeared to have been learning-by-doing. Conclusions. The results indicated a positive attitude to alcohol prevention work but staff lack knowledge and confidence in the area. The more practical experience during the study is, the more confidence seems to have been gained. This adds new knowledge to the science of implementation studies concerning alcohol prevention measures, which have otherwise shown disappointing results, emphasizing the importance of learning in practice. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2016 ","pages":"4731571"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34752738","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}
Journal of AddictionPub Date : 2016-01-01Epub Date: 2016-10-05DOI: 10.1155/2016/4320720
David Bisetto Pons, Remedios González Barrón, Álvaro Botella Guijarro
{"title":"Family-Based Intervention Program for Parents of Substance-Abusing Youth and Adolescents.","authors":"David Bisetto Pons, Remedios González Barrón, Álvaro Botella Guijarro","doi":"10.1155/2016/4320720","DOIUrl":"https://doi.org/10.1155/2016/4320720","url":null,"abstract":"<p><p>The use of drugs among adolescents/youth often results in a high degree of distress for the family members who live with them. This in turn can lead to a deterioration of mental (psychological) health, hindering any attempt to successfully cope with the situation. The goal of our research was to study the effect of the Community Reinforcement and Family Training (CRAFT) program on parents of adolescents/young adult drug users. Study volunteers (<i>n</i> = 50) were parents from Valencia (Spain) that were divided into two groups. The experimental group (<i>n</i> = 25) was made up of parents whose sons and daughters exhibited problems with drug use and the constructed noncausal baseline group (<i>n</i> = 25) was made up of parents whose sons and daughters did not show any substance abuse problems. For both groups, self-esteem (Rosenberg Self-Esteem Scale), depression (BDI-II), anxiety (STAI), and anger (STAXI-II) were evaluated before and after the application of the CRAFT program. Results show a significant improvement in the experimental group's self-esteem, depression, and anger state and a decrease in negative moods. These changes in parents produce a positive effect on their substance-using sons and daughters: of the 25 participants, 15 contacted specialized addiction treatment resources for the first time.</p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2016 ","pages":"4320720"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4320720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71434713","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}
Gillian O'Neill, N. Martin, J. Birch, Alison Oldam, D. Newbury-Birch
{"title":"The Drinkers Degree: Risk Taking Behaviours amongst Undergraduate Student Drinkers","authors":"Gillian O'Neill, N. Martin, J. Birch, Alison Oldam, D. Newbury-Birch","doi":"10.1155/2015/965438","DOIUrl":"https://doi.org/10.1155/2015/965438","url":null,"abstract":"Objective. To examine risk taking behaviours associated with alcohol consumption amongst UK undergraduate students. Design and Methods. A cross-sectional web survey was used to assess attitudes and health behaviours. The survey included the Alcohol Use Disorders Identification Test (AUDIT). Students were also asked about why they drank alcohol; about their preferred alcoholic beverage; and if they had experienced any consequences associated with drinking alcohol as well as questions relating to sexual risk taking, drug use, and smoking. Results. 2779 (65% female; 84% White British) students completed some part of the survey. Of these, 98% (n = 2711) completed the AUDIT. Of the 92% that drank 66% (n = 1,643) were categorised as being AUDIT positive. 8% (n = 224) were categorised as probably alcohol dependent. Higher AUDIT scores were significantly associated with negative consequences such as unplanned sexual activity, physical injuries, and arguments. Other risk taking behaviours such as drug use and smoking were also found to be positively correlated with higher AUDIT scores; drug use; and smoking. Conclusions. The results from this study provide insight into students' alcohol consumption and associated risk taking. University policies need to protect students' overall health and wellbeing to ensure academic potential is maximised.","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"16 7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83744732","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}
Journal of AddictionPub Date : 2015-01-01Epub Date: 2015-01-26DOI: 10.1155/2015/783106
Ashley Acheson, Kimberly L Ray, Christina S Hines, Karl Li, Michael A Dawes, Charles W Mathias, Donald M Dougherty, Angela R Laird
{"title":"Functional activation and effective connectivity differences in adolescent marijuana users performing a simulated gambling task.","authors":"Ashley Acheson, Kimberly L Ray, Christina S Hines, Karl Li, Michael A Dawes, Charles W Mathias, Donald M Dougherty, Angela R Laird","doi":"10.1155/2015/783106","DOIUrl":"https://doi.org/10.1155/2015/783106","url":null,"abstract":"<p><p>Background. Adolescent marijuana use is associated with structural and functional differences in forebrain regions while performing memory and attention tasks. In the present study, we investigated neural processing in adolescent marijuana users experiencing rewards and losses. Fourteen adolescents with frequent marijuana use (>5 uses per week) and 14 nonuser controls performed a computer task where they were required to guess the outcome of a simulated coin flip while undergoing magnetic resonance imaging. Results. Across all participants, \"Wins\" and \"Losses\" were associated with activations including cingulate, middle frontal, superior frontal, and inferior frontal gyri and declive activations. Relative to controls, users had greater activity in the middle and inferior frontal gyri, caudate, and claustrum during \"Wins\" and greater activity in the anterior and posterior cingulate, middle frontal gyrus, insula, claustrum, and declive during \"Losses.\" Effective connectivity analyses revealed similar overall network interactions among these regions for users and controls during both \"Wins\" and \"Losses.\" However, users and controls had significantly different causal interactions for 10 out of 28 individual paths during the \"Losses\" condition. Conclusions. Collectively, these results indicate adolescent marijuana users have enhanced neural responses to simulated monetary rewards and losses and relatively subtle differences in effective connectivity. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"783106"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/783106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33064290","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}
Journal of AddictionPub Date : 2015-01-01Epub Date: 2015-09-21DOI: 10.1155/2015/509864
Ruchi M Sanghani, Alexander K Moler
{"title":"Improving Consumer Satisfaction with Addiction Treatment: An Analysis of Alumni Preferences.","authors":"Ruchi M Sanghani, Alexander K Moler","doi":"10.1155/2015/509864","DOIUrl":"https://doi.org/10.1155/2015/509864","url":null,"abstract":"<p><p>Objective. The primary objective of this investigation is to determine which individual and aggregate factors of residential addiction treatment centers are most significant influencers of alumni satisfaction. Design. Survey targeted alumni of residential addiction treatment facilities. Alumni were queried through a survey, which utilized Likert-scale matrices and binary response options: 379 respondents met the completion threshold. Alumni rated amenities and individual and group counseling factors; additionally, respondents provided feedback on two satisfaction proxies: cost worthiness and future recommendations. Descriptive and relational analyses were conducted, with the latter utilizing logistic regression models. Results. Individual factors' scores of group counseling, and overall aggregate group counseling score, are most enthusiastically positive. Group counseling is also the most significant influencer of satisfaction. Other significant influencers of satisfaction are met expectations for individual counseling and psychiatric care offerings. Conclusions. While individual counseling and facility amenities should not be ignored, group counseling may be the most significant influencer of alumni satisfaction. Long-term outcomes are not single-faceted; however, treatment providers should be encouraged to invest in high-quality group counseling offerings in order to best satisfy, and thereby empower, clients. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"509864"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/509864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34102182","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}
Journal of AddictionPub Date : 2015-01-01Epub Date: 2015-08-31DOI: 10.1155/2015/843762
Simon Zhornitsky, Andràs Tikàsz, Élie Rizkallah, Jean-Pierre Chiasson, Stéphane Potvin
{"title":"Psychopathology in Substance Use Disorder Patients with and without Substance-Induced Psychosis.","authors":"Simon Zhornitsky, Andràs Tikàsz, Élie Rizkallah, Jean-Pierre Chiasson, Stéphane Potvin","doi":"10.1155/2015/843762","DOIUrl":"https://doi.org/10.1155/2015/843762","url":null,"abstract":"<p><p>Background. Substance-induced psychotic disorder (SIPD) is a diagnosis constructed to distinguish substance-induced psychotic states from primary psychotic disorders. A number of studies have compared SIPD persons with primary psychotic patients, but there is little data on what differentiates substance use disorder (SUD) individuals with and without SIPD. Here, we compared psychopathology, sociodemographic variables, and substance use characteristics between SUD patients with and without SIPD. Methods. A retrospective chart review was conducted on newly admitted patients at a rehabilitation centre between 2007 and 2012. Results. Of the 379 patients included in the study, 5% were diagnosed with SIPD (n = 19) and 95% were diagnosed with SUDs without SIPD (n = 360). More SIPD patients reported using cannabis and psychostimulants, and fewer SIPD patients reported using alcohol than SUDs patients without SIPD. SIPD patients scored higher on the \"schizophrenia nuclear symptoms\" dimension of the SCL-90R psychoticism scale and exhibited more ClusterB personality traits than SUD patients without SIPD. Discussion. These data are consistent with previous studies suggesting that psychopathology, substance type, and sociodemographic variables play important role in the development of SIPD. More importantly, the results highlight the need for paying greater attention to the types of self-reported psychotic symptoms during the assessment of psychotomimetic effects associated with psychoactive substances. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"843762"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/843762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34046464","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}
Journal of AddictionPub Date : 2015-01-01Epub Date: 2015-10-05DOI: 10.1155/2015/507214
Anne Guichard, Romain Guignard, France Lert, Elise Roy
{"title":"Risk Factors Associated with Unsafe Injection Practices at the First Injection Episode among Intravenous Drug Users in France: Results from PrimInject, an Internet Survey.","authors":"Anne Guichard, Romain Guignard, France Lert, Elise Roy","doi":"10.1155/2015/507214","DOIUrl":"https://doi.org/10.1155/2015/507214","url":null,"abstract":"<p><strong>Unlabelled: </strong>Background. New drug use patterns may increase the risk of human immunodeficiency virus and hepatitis infections. In France, new injection patterns among youths with diverse social backgrounds have emerged, which may explain the persistently high rates of hepatitis C virus infection. This study explores factors associated with injection risk behaviours at first injection among users who began injecting in the post-2000 era. Methods. A cross-sectional study was conducted on the Internet from October 2010 to March 2011, through an online questionnaire. Multivariate logistic regression identified the independent correlates of needle sharing and equipment (cooker/cotton filter) sharing. Results. Among the 262 respondents (mean age 25 years), 65% were male. Both risk behaviours were positively associated with initiation before 18 years of age (aOR 3.7 CI 95% 1.3-10.6 and aOR 3.0 CI 95% 1.3-7.0) and being injected by another person (aOR 3.1 CI 95% 1.0-9.9 and aOR 3.0 CI 95% 1.3-7.1). Initiation at a party was an independent correlate of equipment sharing (aOR 2.6 95% CI 1.0-6.8).</p><p><strong>Conclusions: </strong>Results suggest a need for innovative harm reduction programmes targeting a variety of settings and populations, including youths and diverse party scenes. Education of current injectors to protect both themselves and those they might initiate into injection is critically important.</p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"507214"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/507214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34187576","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":"Comorbid Psychopathology and Alcohol Use Patterns among Methadone Maintenance Treatment Patients.","authors":"Georgios Moussas, Irene Fanouraki, Argiro Pachi, Arezina Asomatou, Olga Drylli, Georgios Paschalakis, Athanasios Tselebis, Konstantinos Giotakis, Dionisios Bratis, Georgios Dermatis, Meni Malliori","doi":"10.1155/2015/197652","DOIUrl":"https://doi.org/10.1155/2015/197652","url":null,"abstract":"<p><p>130 patients from a methadone maintenance treatment program agreed to complete Symptoms Checklist 90-Revised (SCL-90R) and Alcohol Use Disorders Identification Test (AUDIT) self-report scales. Scores higher than the proposed cut-score on SCL-90R scale were observed on depression, obsessions-compulsions, paranoid ideation, anxiety, anger-hostility, somatization, interpersonal sensitivity, and psychoticism subscales. In sum, 42.9% of our sample exhibited depressive symptomatology, 34.9% obsessive-compulsive symptoms, 29.1% somatization, 27.2% anxiety symptoms, 22.2% paranoid ideation, 19% phobic anxiety, 15.1% psychoticism, and 15.1% hostility and 11.9% presented with symptoms of interpersonal sensitivity. Mean score on AUDIT scale was 6.9 ± 7.9. 63.0% of our participants scored below cut-off and were classified as having a low level of alcohol-related problems; 24.4% scored in the range of 8-15 which is an indication of alcohol abuse whereas 12.6% scored 16 and above indicative of serious abuse/addiction. Scores on AUDIT scale were positively correlated with length of time on methadone treatment, but not with length of time on drug use or age of our participants. Positive correlations were observed among AUDIT and SCL-90R scores, namely, with global severity index score, positive symptom distress index, positive symptom total, and all primary symptom dimensions subscales except phobic anxiety. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"197652"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/197652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33220472","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}
Journal of AddictionPub Date : 2015-01-01Epub Date: 2015-03-04DOI: 10.1155/2015/575479
Liqa Athamneh, Sujit S Sansgiry, E James Essien, Susan Abughosh
{"title":"Predictors of intention to quit waterpipe smoking: a survey of arab americans in houston, Texas.","authors":"Liqa Athamneh, Sujit S Sansgiry, E James Essien, Susan Abughosh","doi":"10.1155/2015/575479","DOIUrl":"10.1155/2015/575479","url":null,"abstract":"<p><p>Waterpipe smoking has been described as \"the second global tobacco epidemic since the cigarette.\" Both Middle Eastern ethnicity and having a friend of Middle Eastern ethnicity have been reported as significant predictors of waterpipe smoking. Addressing waterpipe smoking in this ethnic minority is essential to controlling this growing epidemic in the US. We investigated the predictors of an intention to quit waterpipe smoking by surveying 340 Arab American adults in the Houston area. Primary analyses were conducted using stepwise logistic regression. Only 27% of participants reported having an intention to quit waterpipe smoking. Intention to quit waterpipe smoking was significantly higher with history of cigar use, a prior attempt to quit, and not smoking when seriously ill and significantly lower with increasing age, medium cultural acceptability of using waterpipe among family, high cultural acceptability of using waterpipe among friends, longer duration of smoking sessions, and perceiving waterpipe smoking as less harmful than cigarettes. Educational programs that target Arab Americans in general, and specifically older adults, those who smoke waterpipe for more than 60 minutes, those whose family and friends approve waterpipe smoking, and those with no former attempts to quit, may be necessary to increase the intention to quit waterpipe smoking. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2015 ","pages":"575479"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33172084","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}