{"title":"A Perspective on Neurobiological and Intersubjective Connectedness in Coexisting Schizophrenia and Substance Use Disorders","authors":"Nikki Hune, T. McGovern","doi":"10.1080/07347324.2021.1996302","DOIUrl":"https://doi.org/10.1080/07347324.2021.1996302","url":null,"abstract":"ABSTRACT Persons experiencing schizophrenia and substance use disorders as coexisting conditions report significant expressions of disconnectedness. The lack of ability to relate to oneself and others as described by individuals living with these conditions, both neurobiologically and intersubjectively, is generally accepted in the literature. To support persons in establishing and maintaining co-occurring recovery, specific pharmacological and therapeutic interventions are discussed. Intersubjective connectedness is explored in aim to help individuals, families, and healthcare professionals to better understand the experience of disconnectedness that stems from both disorders. When neurobiological and intersubjective features are viewed as interrelated constructs, integrated treatment and recovery approaches become optimally aligned with the phenomenon of connectedness.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"229 - 243"},"PeriodicalIF":0.9,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47748889","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}
Morica Hutchison, Aileen Aldalur, Stephen A Maisto, Andrew Chiang, Beau Abar, Tracy Stecker, Kenneth R Conner
{"title":"Alcohol use during COVID-19 in adults with severe untreated AUD.","authors":"Morica Hutchison, Aileen Aldalur, Stephen A Maisto, Andrew Chiang, Beau Abar, Tracy Stecker, Kenneth R Conner","doi":"10.1080/07347324.2022.2060156","DOIUrl":"https://doi.org/10.1080/07347324.2022.2060156","url":null,"abstract":"<p><p>Evidence demonstrating increased alcohol use during COVID-19 comes from low- to moderate-alcohol use samples and has yet to use adults with severe but untreated AUD. Using a community sample of adults with severe AUD, this exploratory, cross-sectional study examined associations of COVID-19 alcohol use. Participants were recruited for a phase-II RCT. Only baseline measures, completed prior to randomization, were analyzed in the present study. Key variables were alcohol consumption, COVID-19-related worries and experiences, and qualitative responses of 1) alcohol use and 2) positive changes during COVID-19. 176 pariticpants recruited since COVID-19 were on average 41.4 years old, 49.1% female, and 79% White. Participants drank alcohol nearly 23 of the past 30 days, consumed 7 standard drinks per drinking day, and nearly 90% reported increased alcohol use. More heavy episodic drinking was reported in the first six-months of COVID-19 and more COVID-related concerns in the most recent six-months. Participants reported drinking increased due to \"more time on their hands\", but the pandemic also \"strengthened relationships\". Results affirm an increase in alcohol use during COVID-19 in adults with severe, untreated AUD. Findings underscore the need to understand how alcohol use and pandemic-related circumstances may influence one another for adults with severe AUD.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 3","pages":"299-310"},"PeriodicalIF":0.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355046/pdf/nihms-1793627.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9244349","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}
Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Mike Stoolmiller
{"title":"Individual and Contextual Protective and Risk Characteristics for Residents of Recovery Homes.","authors":"Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Mike Stoolmiller","doi":"10.1080/07347324.2021.1987179","DOIUrl":"10.1080/07347324.2021.1987179","url":null,"abstract":"<p><p>Some recovery homes have facilitating relationships and organizational characteristics, and there are also social capital differences among residents of these recovery homes. It is important to better understand the impact of protective and risk individual and house factors on recovery issues among residents of these community-based settings. Individuals from 42 recovery homes were followed for up to six data collection periods over two years. House level latent class analyses tapped relationship and organizational domains and individual level latent class analyses were from derived from elements of recovery capital. Houses that manifested protective factors provided most residents positive outcomes, except those with elevated self-esteem. Houses that were less facilitating had more negative exits, except for those residents who were the highest functioning. Both individual and house characteristics are of importance in helping to understand risk factors associated with eviction outcomes for residents in recovery homes.</p>","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 2","pages":"191-204"},"PeriodicalIF":0.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075153/pdf/nihms-1746031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516162","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}
David A. Patterson Silver Wolf, C. Dulmus, G. Wilding, Jihnhee Yu, Amy L Barczykowski, Tian Shi, Josal R. Diebold, S. Harvey, N. Tomasello, B. Linn
{"title":"Treatment Resistant Alcohol Use Disorder","authors":"David A. Patterson Silver Wolf, C. Dulmus, G. Wilding, Jihnhee Yu, Amy L Barczykowski, Tian Shi, Josal R. Diebold, S. Harvey, N. Tomasello, B. Linn","doi":"10.1080/07347324.2021.1989994","DOIUrl":"https://doi.org/10.1080/07347324.2021.1989994","url":null,"abstract":"ABSTRACT Despite existing interventions that have shown some promise for people with alcohol use disorder (AUD), there is a sizable number of patients that fail to respond to or complete treatment. In the current study, we analyzed data from the Treatment Episode Data Set (TEDS) to create profiles that indicate who may be more likely to resist treatment-as-usual. For the analysis, chi-square and logistic regression were used to associate personal characteristics with being at high and low risk of treatment resistance. Characteristics that put someone at higher risk of resisting treatment-as-usual include being unemployed, homelessness (or a dependent living arrangement), using daily, being male, and co-occurring mental and substance abuse disorders. The results suggest that general demographic information at patients’ admission can be used to identify population groups where conventional strategies for standard AUD treatment may be insufficient. As such, the findings can help to inform, shape, and personalize treatment, leading to successful outcomes for the subgroup of individuals who will not benefit from typical AUD interventions.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"205 - 216"},"PeriodicalIF":0.9,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46431177","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":"Editorial","authors":"Regina B. Baronia, S. Bergeson","doi":"10.1080/07347324.2021.2008674","DOIUrl":"https://doi.org/10.1080/07347324.2021.2008674","url":null,"abstract":"","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47639499","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":"Lived Experiences of Students in Collegiate Recovery Programs at Three Large Public Universities","authors":"Jason Whitney","doi":"10.1080/07347324.2021.2005502","DOIUrl":"https://doi.org/10.1080/07347324.2021.2005502","url":null,"abstract":"ABSTRACT This study examined the lived experiences of 12 students in recovery from Substance Use Disorders (SUDs) who were members of Collegiate Recovery Programs (CRPs) at three academically-recognized universities that are also designated to be “party schools.” Using a three-interview series for in-depth phenomenological interviewing, this study investigated how students in recovery in CRPs make sense of their pasts, their present-day lives, and their futures. By analyzing students’ use of narrative, their use of social and cultural discourses, and the shifting subject positions they adopted, co-opted, and disputed in their ongoing identity construction as individuals in recovery, three main discursive themes were identified: First, recovery discourses were primarily rooted in the discourses of Alcoholics Anonymous. A second set of discourses drove students to acquire the qualifications necessary to gain a professional career and to avoid falling out of their social class. In the third set of discourses, students in CRPs defined and claimed social power for themselves, and their CRPs helped them establish various means to be “cool” in college. Reshuffling discourses to (re)position themselves, students in CRPs resisted college discourses that invited them to return to active use.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"143 - 163"},"PeriodicalIF":0.9,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48394043","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":"A Perspective from the Field: How Can We Empower the Next Generation of Physician to Heal the Opioid Epidemic?","authors":"Andrew Wylie, K. Zacharoff","doi":"10.1080/07347324.2021.2002226","DOIUrl":"https://doi.org/10.1080/07347324.2021.2002226","url":null,"abstract":"ABSTRACT Despite the continued emphasis on prescription opioids in the media and rise in substance use seen during the COVID-19 pandemic, medical school graduates today are unprepared to turn the tide on the opioid epidemic. In this paper, we review the current state of these topics in undergraduate medical education and explore what an educationally driven, forward-thinking approach to “healing” problematic substance use in our society might entail. These initiatives are discussed with the ultimate purpose of detailing how the education of future clinicians is necessary to improve our outcomes with the epidemic. We offer four educational initiatives relating to (1) comprehensive pain management, (2) developing a natural history of SUD by uniting psychiatric and neurological perspectives (3) providing patient exposure and training opportunities (4) enhancing and standardizing care through evidence-based medicine. This perspective is contextualized with a brief discussion of the national climate and societal factors that act inseparably on the present crisis. In focusing our efforts on the next generation of physicians, we hope to reform and improve the practices of future providers and begin to elicit meaningful change.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"258 - 275"},"PeriodicalIF":0.9,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45861871","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":"Prevalence of Alcohol Consumption among Indian Female Adolescents","authors":"Shahnawaz Ahmad","doi":"10.1080/07347324.2021.2004963","DOIUrl":"https://doi.org/10.1080/07347324.2021.2004963","url":null,"abstract":"ABSTRACT This study has collected empirical studies, reviewed the data, and presented them in a single report to comprehensively understand the prevalence of alcohol consumption among Indian female adolescents. The findings indicate a dearth of studies on the issue; many studies have excluded females from being sampled. Those included have trivially explored and mentioned prevalence-related data in results or discussion sections only without much attention to spell out the findings per gender aspect. No specific emphasis has been given to female adolescents’ alcohol consumption in any of the studies reviewed. Half of these studies have reported less than 20% prevalence, and the remaining half have measured less than 7% of the prevalence rate for alcohol consumption among female adolescents in India. However, the dearth of studies indicates that the actual figure of alcohol prevalence among female adolescents in India would be much higher than that. Empirical studies mainly focused on female adolescents’ alcohol consumption are highly desirable.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"393 - 400"},"PeriodicalIF":0.9,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46226719","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}
E. Brett, T. Leffingwell, Susanna V Lopez, E. Leavens, Delaney S. Dunn
{"title":"Incorporating Values into Personalized Feedback Interventions for Young Adult Drinking: A Pilot Randomized Trial","authors":"E. Brett, T. Leffingwell, Susanna V Lopez, E. Leavens, Delaney S. Dunn","doi":"10.1080/07347324.2021.1999190","DOIUrl":"https://doi.org/10.1080/07347324.2021.1999190","url":null,"abstract":"ABSTRACT The primary aim of the current study is to determine the incremental efficacy of adding a novel values component to a personalized feedback intervention for young adult drinking. Undergraduate students (N = 254) were randomized to receive either traditional, traditional with values assessment, or values enhanced feedback. Results showed significant decreases in drinks per week (p < .01) and alcohol-related consequences (p < .05) across all feedback conditions. Further research is needed to determine whether using values-based feedback could enhance intervention effects and how best to incorporate feedback in a way that is feasible and acceptable to recipients.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"174 - 190"},"PeriodicalIF":0.9,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48541504","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":"Themes of Healing, Recovery, and Transformation Reflections on Three Books","authors":"T. McGovern","doi":"10.1080/07347324.2021.1996303","DOIUrl":"https://doi.org/10.1080/07347324.2021.1996303","url":null,"abstract":"","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48765839","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}