Alcoholism Treatment Quarterly最新文献

{"title":"Factors Influencing Alcohol Expectancies and Initiation Among Adolescents: A Qualitative Study","authors":"Shahnawaz Ahmad, Atiq Ahmed","doi":"10.1080/07347324.2023.2244895","DOIUrl":"https://doi.org/10.1080/07347324.2023.2244895","url":null,"abstract":"ABSTRACT This study examines the factors contributing to early-age alcohol initiation among adolescents, focusing on the Indian context. The research is based on qualitative data collected in a senior secondary school and analyzes adolescents’ attitudes, situations, and experiences when making decisions related to alcohol initiation. The study found that adolescents are influenced by various factors such as parental alcohol consumption, availability of leftover drinks, family environment, parenting approach, and peer pressure, which collectively contribute to their inclination toward alcohol. The findings suggest that curiosity and expectancy play significant roles in alcohol-related choices, and peers strongly influence adolescents for alcohol initiation. Familial factors, including parental relationship, conflict and family dynamics, also contribute to adolescents’ alcohol-related decisions. The study highlights the importance of understanding these factors to effectively address the issue and mitigate the associated risks and consequences.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"456 - 461"},"PeriodicalIF":0.9,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47093639","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":"Effects of Transcranial Direct-Current Stimulation (tDCS) Treatment Sessions on Neuropsychological ‎Functioning Among Detoxified Inpatients with Alcohol Dependence: A Randomized Sham-Controlled Clinical Trial","authors":"P Dayal, G Kaloiya, R Verma, N Kumar","doi":"10.1080/07347324.2023.2243237","DOIUrl":"https://doi.org/10.1080/07347324.2023.2243237","url":null,"abstract":"ABSTRACTIndividuals with alcohol dependence often experience cognitive dysfunction after detoxification, which can persist even after sustained abstinence. Transcranial direct current stimulation (tDCS) has shown promise in improving cognitive functioning in these patients. The main objective of this research was to assess the impact of ten sessions of transcranial direct-current stimulation (tDCS) targeting the dorsolateral prefrontal cortex (DLPFC) on the neuropsychological functioning of hospitalized individuals with alcohol dependence who have undergone detoxification. This single-center, parallel, and single-blind randomized controlled trial assessed the effects of ten sessions of add-on tDCS treatment on neuropsychological functions. 44 recently detoxified alcohol-dependent inpatients were randomly assigned to either treatment as usual (TAU) plus ten sessions of active tDCS over left DLPFC, or TAU plus ten sessions of sham tDCS and assessed the effect of tDCS sessions and time on neuropsychological functions. Neuropsychological functions were evaluated in inpatients undergoing treatment for alcohol dependence at T1 (9.95 + 2.42 days abstinence) and T2 (19 ± 1.48 days abstinence), and while time had a significant impact on mean scores of various neuropsychological tests, neither active tDCS treatment nor its interaction with time displayed a significant effect on neuropsychological functioning, as revealed by two-way ANOVAs with repeated measurements. In detoxified inpatients with alcohol dependence, tDCS treatment was not found to have a significant impact on neuropsychological functioning when compared to sham treatment, whereas abstinence from alcohol for approximately three weeks resulted in significant improvements in various cognitive domains including mental speed, verbal learning & memory, visual memory, verbal fluency, and response inhibition.KEYWORDS: Transcranial direct-current stimulation (tDCS)dorsolateral prefrontal cortex (DLPFC)verbal learning & memoryresponse inhibitionverbal fluencyalcohol dependence AcknowledgmentsWithout the efforts and willingness of our patients & their families to participate in the study protocol, this work would not have been a possibility. Thereby, we wish to extend our gratitude to the patients & their family members along with the medical staff at NDDTC, AIIMS indulged in delivering patient-care-related services and proved to be a helping hand.Disclosure statementNo potential conflict of interest was reported by the author(s).CRediT authorship contribution statementAll authors commented on and contributed to the final draft. All authors approved the final version for submission.Additional informationFundingThis study was supported by grants from the Cognitive Science Research Initiative (CSRI, Department of Sciences and Technology (DST/CSRI/2017/149), Ministry of Science and Technology, Government of India, and by the use of relevant resources and facilities available at the National Drug Dependen","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136020591","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":"Mental Health Support Workers Recovery Perceptions and Positive Risk-Taking Approaches Related to Service-Users with a Dual Diagnosis","authors":"Elin Thorkildsen, Bev John, G. Roderique-Davies","doi":"10.1080/07347324.2023.2234307","DOIUrl":"https://doi.org/10.1080/07347324.2023.2234307","url":null,"abstract":"ABSTRACT Twenty-nine mental health support workers took part in an online-survey consisting of a vignette and scenarios to elicit information regarding their recovery perceptions and positive-risk taking approaches related to service-users with dual-diagnoses of mental illness and substance use disorder. Reflexive thematic analysis was used to analyze the survey-responses. Although the participants emphasized some aspects aligning with the recommended “recovery-oriented practice” approach, there was an overemphasis on reduced substance-use, aversive and overprotective approaches to positive risk-taking and a lack of emphasis on hope and the service-users’ strengths and abilities. It was concluded that there is a continuing need to implement recovery-oriented practice within mental health services.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"408 - 431"},"PeriodicalIF":0.9,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41353311","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":"Prescribing Pattern of Anti-Craving Drugs Among Alcohol Use Disorder Patients","authors":"Prizvan Lawrence Dsouza, Hattikuduru Vamsi Krishna, Subeesh K Viswam, Hemendra Singh","doi":"10.1080/07347324.2023.2229753","DOIUrl":"https://doi.org/10.1080/07347324.2023.2229753","url":null,"abstract":"ABSTRACT Introduction Alcohol Use Disorder (AUD) is a chronic disease characterized by excessive drinking, increased craving, development of tolerance and withdrawal symptoms toward alcohol. Anti-craving drugs, psychotherapy, and supportive therapy (vitamin supplements) play a major role in managing AUD and preventing relapse. This study focuses on the prescribing pattern of anti-craving drugs among AUD patients. Methodology A prospective observational study was conducted for 6 months in the Department of Psychiatry of a multispeciality hospital in south India with a sample size of 169 AUD patients. Anti-craving drugs of each patient were analyzed. Results Males were majorly diagnosed with AUD. Approximately equal distribution of newly diagnosed cases and existing cases were seen. Most of the inpatients were treated with anti-craving drugs like benzodiazepines, ondansetron, baclofen, or topiramate, while outpatients were treated with benzodiazepines, ondansetron, or baclofen along with psychotherapy and supportive therapy. Craving was the common factor for relapse. Conclusion Patients were initially treated with the benzodiazepines in tapering or continued dose, along with ondansetron, baclofen, or topiramate. Psychotherapy and supportive therapy were given to all the patients and most of them were discharged with benzodiazepines, ondansetron, or baclofen. Several factors played a significant role in the starting of alcohol and relapse.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"462 - 473"},"PeriodicalIF":0.9,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43129621","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":"Contemporary Issues for Alcohol Research and Services","authors":"Regina B. Baronia, Zachery Sneed, S. Bergeson","doi":"10.1080/07347324.2023.2216000","DOIUrl":"https://doi.org/10.1080/07347324.2023.2216000","url":null,"abstract":"We open this issue with articles on trauma. Stones & Dennis assessed the relationship of childhood trauma and treatment outcomes in adults with substance use disorders using clinical data mining. Family history of substance use was found significantly related to both neglect and childhood trauma. Age at admission and program completion were also significantly related. Branson and colleagues presented a mixed methods study that found the need for client safety, individualization of interventions and client choice important for positive treatment outcomes in trauma-informed care. There is recognition of the need for increased physical and emotional rest in clients in residential treatment facilities as part of their trauma treatment. The next section focuses on behavior in people with alcohol and substance use disorders. Yazici & Akhan conducted a semi-structured individual interview schedule to explore sexual problems among people with alcohol use disorder. Themes of perceptions of sexuality, difficulties in sexual relations, barriers to medical support for sexual problems, and help-seeking behaviors were elaborated using a descriptive and phenomenological design. Sexual problems associated with loss of libido, arousal, impotence, and orgasm were reported. Their findings support the importance of sexuality among their subjects with alcohol use disorder. Meshesha and peers held virtual focus group sessions with participants who have alcohol use disorder and endorsed substance-free activities as a key aid to successful recovery. While motivation for initial engagement in substance-free activities may be from external sources such as a therapist, continued participation in these activities are linked more to personal, intrinsic motives. These findings support the necessity of substance-free activities, particularly those related to self-care, social connections, service and creative outlets, in the early recovery period. The next two articles look at college age individuals with alcohol use disorders as a special population. Using data from a national online sample, Khauli, Haas, et al. found college students at-risk for alcohol use disorder pre-COVID had the greatest increase in consumption during the pandemic. The preexisting AUD risk and academic disruptions have impacted risky drinking behavior during the pandemic. Park, LaBelle and team evaluated the trend of student recovery programs emerging in Canada using qualitative methods to assess individual recovery trajectories, program participation, stigma, barriers to recovery, and the impact of campus-based recovery programs. They highlight the inclusivity and diversity of these programs, increasing recovery capital and dimensions of well-being, and reducing barriers to recovery. Berry presents a physician’s perspective on alcohol-related liver disease in people with long-standing alcohol use disorder. He advocates for maintaining therapeutic positivity even in the terminally ill as one considers p","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"263 - 264"},"PeriodicalIF":0.9,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44039986","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":"Impacts of Public Health Status and Life Disruptions on Alcohol Consumption in Young Adults Early in the COVID-19 Pandemic","authors":"N. Khauli, Jill V. Reavis, Valeria Martini, D. Harmon, A. Haas","doi":"10.1080/07347324.2023.2205828","DOIUrl":"https://doi.org/10.1080/07347324.2023.2205828","url":null,"abstract":"ABSTRACT Using data from a national online sample, the current study examined factors impacting changes in alcohol use immediately following the WHO pandemic declaration (March 2020), including pre-COVID risk for alcohol use disorder (AUD). Participants with pre-COVID AUD risk, who experienced at least one COVID-related problem (e.g. housing, finances), demonstrated the greatest increase in weekly drinking. However, college students at-risk for AUD pre-COVID, with academic disruptions, showed the greatest consumption increases. The findings provide insight into the complex relationships between COVID-19 related disruptions, preexisting AUD risk, and their impact on risky drinking during a critical period in the pandemic. Implications for future public health prevention and intervention responses are discussed.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"322 - 337"},"PeriodicalIF":0.9,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47152348","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 Sexual Experiences and Sexual Problems Encountered by Men with Alcohol Use Disorder: A Qualitative Study","authors":"Havva Gezgİn Yazici, L. Utaş Akhan","doi":"10.1080/07347324.2023.2206792","DOIUrl":"https://doi.org/10.1080/07347324.2023.2206792","url":null,"abstract":"ABSTRACT Alcohol use disorder affects various body systems and gives rise to sexual problems. Our aim in this qualitative study was to increase the visibility of the sexual problems and related life experiences of men receiving treatment at an Alcohol and Substance Dependency Treatment and Education Center (Turkish acronym, AMATEM) for alcohol use disorder. Methods: The study was conducted over the period February-April 2022 on the basis of a descriptive and phenomenological design; data were collected in semi-structured individual interviews held with the participants. Results: In-depth interviews were conducted with fifteen male patients of a mean age of 36.58 ± 6.25 who were being treated for a diagnosis of alcohol use disorder. We determined four ongoing themes in the study: perceptions of sexuality, difficulties in sexual relations, barriers to receiving medical support for sexual problems, and help-seeking behaviors. Conclusion: Our findings showed that the participants believed that sexuality was a need and that when they indulged in alcohol, they experienced a loss of libido, had problems in becoming aroused, had long-lasting problems with ejaculation, impotence, and difficulty with orgasm.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"296 - 308"},"PeriodicalIF":0.9,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49166314","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":"Participant Experiences in Student Recovery Programs in Canada: An Interpretative Phenomenological Analysis","authors":"Mack Park, Sara L. Fudjack, Kendall Soucie, Onawa P. LaBelle","doi":"10.1080/07347324.2023.2204819","DOIUrl":"https://doi.org/10.1080/07347324.2023.2204819","url":null,"abstract":"ABSTRACT Student recovery programs are an emerging trend across university campuses in Canada, yet little is known about the experiences of students who utilize these programs. Canada’s first student recovery program launched in 2019, with six additional launching shortly thereafter. The current study offers a first look at the student experience in recovery programs at the first Canadian institutions to offer recovery support on campus. We used qualitative methods to examine individual recovery trajectories, program participation, stigma, barriers to recovery on campus, and the impact of a campus-based recovery program on various areas of their lives. Our findings highlight three main themes: (i) inclusivity and diversity of the programs, (ii) increasing recovery capital and dimensions of well-being, and (iii) reducing barriers to recovery on campus. The results inform how Canadian student recovery programs meet the needs of their students and identify areas for improvement using a recovery-informed lens to center the lived experiences of students in recovery. Findings from this initial study may drive the development of future student recovery programs at Canadian institutions and inform new initiatives by existing programs outside of Canada.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"106 1","pages":"338 - 361"},"PeriodicalIF":0.9,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41296219","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":"Childhood Trauma and Substance Use Treatment Length of Stay and Completion","authors":"Bailee Stones, Cory B. Dennis","doi":"10.1080/07347324.2023.2205830","DOIUrl":"https://doi.org/10.1080/07347324.2023.2205830","url":null,"abstract":"ABSTRACT Using clinical data mining (CDM) methodology, this study evaluates the relationship between childhood trauma and treatment outcomes among adults with substance use disorders. Data come from three substance use treatment facilities operating under the same agency using the same treatment program (N = 444). We examined the influence of childhood trauma, neglect, and school violence on substance use treatment completion and length of stay. We also looked at the connection between client’s family history of substance use and their experience of neglect and childhood trauma. We found that family history of substance use was significantly related to both neglect and childhood trauma. We also found that the number of weeks a client spent in treatment was associated treatment location. Furthermore, client age at admission and program completion were significantly related. Marital status, sex, and number of diagnoses significantly related to childhood trauma. These findings suggest that comprehensive assessments that focus on understanding client demographics and history of family substance use can guide effective intervention. Further research on how childhood trauma influences substance use treatment outcomes can also help improve treatment.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"265 - 277"},"PeriodicalIF":0.9,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47304614","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 Importance of Rest in Trauma Services: Perhaps We Should Consider Naps!","authors":"Dana C. Branson, Elizabeth D. Arlington, Christopher S. Bradley","doi":"10.1080/07347324.2023.2204818","DOIUrl":"https://doi.org/10.1080/07347324.2023.2204818","url":null,"abstract":"ABSTRACT With the increase in social service agencies providing trauma-informed care (TIC) as part of their holistic approach to client care, evidence of effective practices has emerged. This research study explores clients’ requests for real-time rest in residential treatment facilities as a part of their trauma treatment. The article will discuss the intricacies of co-occurring issues and trauma, prevalence, and further complicating issues of Adverse Childhood Experiences (ACE), the neurology of trauma that is indicative of the need for increased physical and emotional rest, and the tenets of TIC principles that emphasize the need for client safety, individuality in interventions, and client choice for positive treatment outcomes. The results from a mixed methods design involving participants from substance use disorder (SUD) treatment facilities (n = 47) and themes concerning desired real-time rest will be reviewed, as well as implications for residential treatment facilities providing TIC.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"41 1","pages":"278 - 295"},"PeriodicalIF":0.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46742354","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}