Journal of AddictionPub Date : 2014-01-01Epub Date: 2014-07-24DOI: 10.1155/2014/915652
Meghan E Morean, Deepa R Camenga, Grace Kong, Dana A Cavallo, Ty S Schepis, Suchitra Krishnan-Sarin
{"title":"Predictors of middle school students' interest in participating in an incentive-based tobacco prevention and cessation program in connecticut.","authors":"Meghan E Morean, Deepa R Camenga, Grace Kong, Dana A Cavallo, Ty S Schepis, Suchitra Krishnan-Sarin","doi":"10.1155/2014/915652","DOIUrl":"https://doi.org/10.1155/2014/915652","url":null,"abstract":"<p><p>Behavioral incentives have been used to encourage smoking cessation in older adolescents, but the acceptability of incentives to promote a smoke-free lifestyle in younger adolescents is unknown. To inform the development of novel, effective, school-based interventions for youth, we assessed middle school students' interest in participating in an incentive-based tobacco abstinence program. We surveyed 988 students (grades 6-8) attending three Connecticut middle schools to determine whether interest in program participation varied as a function of (1) intrapersonal factors (i.e., demographic characteristics (sex, age, race), smoking history, and trait impulsivity) and/or (2) aspects of program design (i.e., prize type, value, and reward frequency). Primary analyses were conducted using multiple regression. A majority of students (61.8%) reported interest in program participation. Interest did not vary by gender, smoking risk status, or offering cash prizes. However, younger students, non-Caucasian students, behaviorally impulsive students, and students with higher levels of self-regulation were more likely to report interest. Inexpensive awards (e.g., video games) offered monthly motivated program interest. In sum, middle school students reported high levels of interest in an incentive-based program to encourage a tobacco-free lifestyle. These formative data can inform the design of effective, incentive-based smoking cessation and prevention programs in middle schools. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"915652"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/915652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32605110","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 : 2014-01-01Epub Date: 2014-11-24DOI: 10.1155/2014/156954
Sheree M Schrager, Aleksandar Kecojevic, Karol Silva, Jennifer Jackson Bloom, Ellen Iverson, Stephen E Lankenau
{"title":"Correlates and Consequences of Opioid Misuse among High-Risk Young Adults.","authors":"Sheree M Schrager, Aleksandar Kecojevic, Karol Silva, Jennifer Jackson Bloom, Ellen Iverson, Stephen E Lankenau","doi":"10.1155/2014/156954","DOIUrl":"https://doi.org/10.1155/2014/156954","url":null,"abstract":"<p><p>Background. Prescription opioids are the most frequently misused class of prescription drug among young adults aged 18-25, yet trajectories of opioid misuse and escalation are understudied. We sought to model opioid misuse patterns and relationships between opioid misuse, sociodemographic factors, and other substance uses. Methods. Participants were 575 young adults age 16-25 who had misused opioids in the last 90 days. Latent class analysis was performed with models based on years of misuse, recency of misuse, and alternate modes of administration within the past 12 months, 3 months, and 30 days. Results. Four latent classes emerged that were differentially associated with heroin, cocaine, and methamphetamine use, tranquilizer misuse, daily opioid misuse, and opioid withdrawal. Alternate modes of administering opioids were associated with increased risk for these outcomes. Sociodemographic factors, homelessness, prescription history, and history of parental drug use were significantly associated with riskier opioid misuse trajectories. Conclusion. Young adults who reported more debilitating experiences as children and adolescents misused opioids longer and engaged in higher risk alternate modes of administering opioids. Data on decisions both to use and to alter a drug's form can be combined to describe patterns of misuse over time and predict important risk behaviors. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"156954"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/156954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32907297","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 : 2014-01-01Epub Date: 2014-10-30DOI: 10.1155/2014/965267
Anders Hakansson, Emma Hallén
{"title":"Predictors of dropout from inpatient opioid detoxification with buprenorphine: a chart review.","authors":"Anders Hakansson, Emma Hallén","doi":"10.1155/2014/965267","DOIUrl":"10.1155/2014/965267","url":null,"abstract":"<p><p>Inpatient withdrawal treatment (detoxification) is common in opioid dependence, although dropout against medical advice often limits its outcome. This study aimed to assess baseline predictors of dropout from inpatient opioid detoxification with buprenorphine, including age, gender, current substance use, and type of postdetoxification planning. A retrospective hospital chart review was carried out for inpatient standard opioid detoxifications using buprenorphine taper, in a detoxification ward in Malmö, Sweden (N = 122). Thirty-four percent of patients (n = 42) dropped out against medical advice. In multivariate logistic regression, dropout was significantly associated with younger age (OR 0.93 [0.89-0.97]) and negatively predicted by inpatient postdetoxification plan (OR 0.41 [0.18-0.94]), thus favouring an inpatient plan as opposed to outpatient treatment while residing at home. Dropout was unrelated to baseline urine toxicology. In opioid detoxification, patients may benefit from a higher degree of postdetoxification planning, including transition to residential treatment, in order to increase the likelihood of a successful detoxification and treatment entry. Young opioid-dependent patients may need particular attention in the planning of detoxification. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"965267"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32925800","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 : 2014-01-01Epub Date: 2014-02-23DOI: 10.1155/2014/483910
Y E Razvodovsky
{"title":"Contribution of alcohol to hypertension mortality in Russia.","authors":"Y E Razvodovsky","doi":"10.1155/2014/483910","DOIUrl":"https://doi.org/10.1155/2014/483910","url":null,"abstract":"<p><p>Background. Hypertension (HTN) is reported to be the leading contributor to premature death globally. Considerable research evidence suggests that excessive alcohol intake (binge drinking) is an independent risk factor for HTN. It was repeatedly emphasized that binge drinking is a major contributor to a high cardiovascular mortality rate in Russia. Objective. The aim of this study was to examine the aggregate-level relation between alcohol consumption and HTN mortality rates in Russia. Method. Age-standardized sex-specific male and female HTN mortality data for the period 1980-2005 and data on overall alcohol consumption were analyzed by means of ARIMA (autoregressive integrated moving average) time-series analysis. The level of alcohol consumption per capita has been estimated using the indirect method based on alcohol psychoses incidence rate and employing ARIMA time-series analysis. Results. Alcohol consumption was significantly associated with both male and female HTN mortality rates: a 1-liter increase in overall alcohol consumption would result in a 6.3% increase in the male HTN mortality rate and in a 4.9% increase in female HTN mortality rate. The results of the analysis suggest that 57.5% of all male HTN deaths and 48.6% of all female HTN deaths in Russia could be attributed to alcohol. Conclusions. The outcomes of this study provide support for the hypothesis that alcohol is an important contributor to the high HTN mortality rate in the Russian Federation. The findings from the present study have important implications with to regards HTN mortality prevention, indicating that a restrictive alcohol policy can be considered as an effective measure of prevention in countries with a higher rate of alcohol consumption. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"483910"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/483910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32344268","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":"Psychosocial Determinants of Tobacco Use among School Going Adolescents in Delhi, India.","authors":"Varun Kumar, Richa Talwar, Neelam Roy, Deepak Raut, Saudan Singh","doi":"10.1155/2014/170941","DOIUrl":"https://doi.org/10.1155/2014/170941","url":null,"abstract":"<p><p>Background. Tobacco use is one of the major preventable causes of premature death and disease in the world. Many psychosocial factors were found to influence tobacco use. Therefore the present study was designed to determine the role of psychosocial factors associated with tobacco use among school going adolescents in Delhi, India. Methods. Cross-sectional study was conducted from February 2013 to September 2013 in four government schools in South district of Delhi, India. The questionnaire contains questions adapted from GYTS (Global Youth Tobacco Survey) to find the prevalence and pattern of tobacco use among adolescents. Data were analyzed using SPSS version 21. Results. The prevalence of ever and current tobacco use was found in 16.4% and 13.1%. Current smoking and current tobacco chewing were found in 10.2% and 9.4% students, respectively. The risk of current tobacco use was found to be higher among males (P value = 0.000) and in those who got higher pocket money (P value = 0.000). Psychosocial factors like lower general self-efficacy and maladjustments with peers, teachers, and schools were also found to be significant predictors of current tobacco use. Conclusion. The study has revealed higher prevalence of ever and current tobacco use among adolescent students in Delhi, India. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"170941"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/170941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32844365","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":"Factor Structure of CIWA-Ar in Alcohol Withdrawal.","authors":"Ajay Kumar Bakhla, Christoday R J Khess, Vijay Verma, Mahesh Hembram, Samir Kumar Praharaj, Subhas Soren","doi":"10.1155/2014/745839","DOIUrl":"https://doi.org/10.1155/2014/745839","url":null,"abstract":"<p><p>Objective. To identify the underlying factor structure of alcohol withdrawal syndrome, as measured with CIWA-Ar. Methods. Exploratory factor analysis was conducted on the items of CIWA-Ar. On 201 alcohol-dependent male patients seeking treatment for alcohol withdrawal at 36 hours of abstinence. Results. A three-factor solution was obtained that accounted for 68.74% of total variance. First factor had loading from four items (34.34% variance), second factor also had four items (24.25% variance), and the third had two items (10.04% variance). Conclusions. Factor analysis reveals the existence of multidimensionality of alcohol withdrawal as measured with CIWA-Ar and we found three factors that can be named as delirious, autonomic and nonspecific factors. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"745839"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/745839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32339773","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 : 2014-01-01Epub Date: 2014-09-14DOI: 10.1155/2014/646451
Judith A Richman, Robyn Lewis Brown, Kathleen M Rospenda
{"title":"The great recession and drinking outcomes: protective effects of politically oriented coping.","authors":"Judith A Richman, Robyn Lewis Brown, Kathleen M Rospenda","doi":"10.1155/2014/646451","DOIUrl":"https://doi.org/10.1155/2014/646451","url":null,"abstract":"<p><p>Research derived from the stress paradigm suggests that certain types of coping (e.g., problem-focused coping instead of behavioral disengagement) are protective against problem-related drinking to deal with social stressors. Going beyond the typical focus in the coping literature, we hypothesize that stressors engendered by macrolevel social forces may require coping actions within the political realm in contrast to modes of coping focused outside of the political realm. A United States sample of 663 respondents completed a mail survey in 2010, including measures of stressful consequences of the Great Recession, drinking patterns and problems, modes of coping encompassed in the Brief COPE instrument, and politically oriented coping. Structural equation modeling examined whether modes of coping mediated the links between stressors and drinking outcomes. A substantial portion of the associations between stressors and drinking was explained by modes of coping. Politically oriented coping was protective against problem drinking for both genders. Future studies should further explore politically oriented coping in addition to modes of coping outside of the political realm when studying the relationships between macrolevel social stressors and deleterious drinking outcomes. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"646451"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/646451","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32736181","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 : 2014-01-01Epub Date: 2014-10-28DOI: 10.1155/2014/987841
Antonio Bruno, Diego Quattrone, Giuseppe Scimeca, Claudio Cicciarelli, Vincenzo Maria Romeo, Gianluca Pandolfo, Rocco Antonio Zoccali, Maria Rosaria Anna Muscatello
{"title":"Unraveling exercise addiction: the role of narcissism and self-esteem.","authors":"Antonio Bruno, Diego Quattrone, Giuseppe Scimeca, Claudio Cicciarelli, Vincenzo Maria Romeo, Gianluca Pandolfo, Rocco Antonio Zoccali, Maria Rosaria Anna Muscatello","doi":"10.1155/2014/987841","DOIUrl":"https://doi.org/10.1155/2014/987841","url":null,"abstract":"<p><p>The aim of this study was to assess the risk of exercise addiction (EA) in fitness clubs and to identify possible factors in the development of the disorder. The Exercise Addiction Inventory (EAI), the Narcissistic Personality Inventory (NPI), and the Coopersmith Self-Esteem Inventory (SEI) were administered to a sample of 150 consecutive gym attenders recruited in fitness centers. Based on EAI total score, high EA risk group (HEA n = 51) and a low EA risk group (LEA n = 69) were identified. HEA reported significantly higher total score (mean = 20.2 versus 14.6) on the NPI scale and lower total score (mean = 32.2 versus 36.4) on the SEI scale than LEA. A stepwise regression analysis indicated that only narcissism and self-esteem total scores (F = 5.66; df = 2; P = 0.006) were good predictors of days per week exercise. The present study confirms the direct and combined role of both labile self-esteem and high narcissism in the development of exercise addiction as predictive factors towards the risk of addiction. Multidisciplinary trained health care providers (physiatrists, psychologists, and psychiatrists) should carefully identify potential overexercise conditions in order to prevent the potential risk of exercise addiction. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"987841"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/987841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32821757","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 : 2014-01-01Epub Date: 2014-08-14DOI: 10.1155/2014/189853
Michael J Wesley, Terry Lohrenz, Mikhail N Koffarnus, Samuel M McClure, Richard De La Garza, Ramiro Salas, Daisy G Y Thompson-Lake, Thomas F Newton, Warren K Bickel, P Read Montague
{"title":"Choosing Money over Drugs: The Neural Underpinnings of Difficult Choice in Chronic Cocaine Users.","authors":"Michael J Wesley, Terry Lohrenz, Mikhail N Koffarnus, Samuel M McClure, Richard De La Garza, Ramiro Salas, Daisy G Y Thompson-Lake, Thomas F Newton, Warren K Bickel, P Read Montague","doi":"10.1155/2014/189853","DOIUrl":"https://doi.org/10.1155/2014/189853","url":null,"abstract":"<p><p>Addiction is considered a disorder that drives individuals to choose drugs at the expense of healthier alternatives. However, chronic cocaine users (CCUs) who meet addiction criteria retain the ability to choose money in the presence of the opportunity to choose cocaine. The neural mechanisms that differentiate CCUs from non-cocaine using controls (Controls) while executing these preferred choices remain unknown. Thus, therapeutic strategies aimed at shifting preferences towards healthier alternatives remain somewhat uninformed. This study used BOLD neuroimaging to examine brain activity as fifty CCUs and Controls performed single- and cross-commodity intertemporal choice tasks for money and/or cocaine. Behavioral analyses revealed preferences for each commodity type. Imaging analyses revealed the brain activity that differentiated CCUs from Controls while choosing money over cocaine. We observed that CCUs devalued future commodities more than Controls. Choices for money as opposed to cocaine correlated with greater activity in dorsal striatum of CCUs, compared to Controls. In addition, choices for future money as opposed to immediate cocaine engaged the left dorsolateral prefrontal cortex (DLPFC) of CCUs more than Controls. These data suggest that the ability of CCUs to execute choices away from cocaine relies on activity in the dorsal striatum and left DLPFC. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"189853"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/189853","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32647434","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 : 2014-01-01Epub Date: 2014-09-22DOI: 10.1155/2014/163603
Hendrée E Jones, Irma Kirtadze, David Otiashvili, Kevin E O'Grady, Keryn Murphy, William Zule, Evgeny Krupitsky, Wendee M Wechsberg
{"title":"Process and product in cross-cultural treatment research: development of a culturally sensitive women-centered substance use intervention in georgia.","authors":"Hendrée E Jones, Irma Kirtadze, David Otiashvili, Kevin E O'Grady, Keryn Murphy, William Zule, Evgeny Krupitsky, Wendee M Wechsberg","doi":"10.1155/2014/163603","DOIUrl":"https://doi.org/10.1155/2014/163603","url":null,"abstract":"<p><p>Women who inject drugs (WID) are highly marginalized and stigmatized and experience ongoing discrimination in Georgia. Few opportunities exist for WID to receive publicly funded treatment for substance use disorders. The IMEDI (Investigating Methods for Enhancing Development in Individuals) project was developed in response to the need for women-specific and women-centered treatment services. This paper described our approach to understanding the Georgian culture-and WID within that culture-so that we could integrate two interventions for substance use found effective in other Western and non-Western cultures and to outline how we refined and adapted our integrated intervention to yield a comprehensive women-centered intervention for substance use. Reinforcement Based Treatment (RBT) and the Women's CoOp (WC) were adapted and refined based on in-depth interviews with WID (N = 55) and providers of health services (N = 34) to such women and focus groups [2 with WID (N = 15) and 2 with health service providers (N = 12)]. The resulting comprehensive women-centered intervention, RBT+WC, was then pretested and further refined in a sample of 20 WID. Results indicated positive pre-post changes in urine screening results and perceived needs for both RBT+WC and a case management control condition. The approach to treatment adaptation and the revised elements of RBT+WC are presented and discussed. </p>","PeriodicalId":30499,"journal":{"name":"Journal of Addiction","volume":"2014 ","pages":"163603"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/163603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32760560","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}