Alcoholism Treatment Quarterly最新文献

{"title":"Editorial","authors":"Regina B. Baronia, S. Bergeson","doi":"10.1080/07347324.2022.2044118","DOIUrl":"https://doi.org/10.1080/07347324.2022.2044118","url":null,"abstract":"In this second issue of Alcoholism Treatment Quarterly, volume 40, we present special groups and considerations in treatment and recovery for alcohol use (AUD) and substance use disorders (SUD). The first section focuses on young adults and college students. Whitney utilizes phenomenological methodology to analyze narratives of students in collegiate recovery programs (CRP) in three large public research universities. In this article, topics of recovery, identity, aligning with recovery groups, social implications of being “cool” and pursuing academic success and professional careers are explored. Gerber et al., support the expansion of collegiate recovery programs by providing a cost–benefit analysis of developing CRPs in institutions of higher learning. Brett et al., present findings showing that a values-based feedback added to the standard web-based personalized feedback intervention content utilized by college students in a large public university resulted in significant reductions in alcohol consumption and related consequences. Jason et al., report on facilitation of relationships and organizational characteristics in recovery homes being significant in understanding risk factors for eviction outcomes. Patterson Silver Wolf’s group analyzed data from the Treatment Episode Data Set (TEDS) and created profiles of individuals with alcohol use disorder who may be more likely to be treatment resistant in the interest of informing and shaping individualized AUD treatment. This next section presents articles on people with mental health disorders comorbid with alcohol and substance use disorders. Litchke explored the benefit of a combined recreation therapy with complementary physical and creative arts activities followed by a 12-step Christian meeting among adult residents with mental health and substance use disorders. This group of investigators finds a reduction in anxiety and perceived stress with improvements in resiliency and positive mood even as depression remained. Hune explores the experience of disconnectedness among persons with schizophrenia and substance use disorders. The findings of Schuckher and Sellin suggest the outcomes of AUD for socially stable women are enhanced with a treatment focus on the patient’s own goals of abstinence. This was found to be the most stable outcome leading the authors to posit that in this population it may be a strong motivating factor for success. We conclude this issue with a focus on the education component in treatment and recovery. Wylie and Zacharoff tackle the current opioid epidemic from the perspective of medical education. They offer four educational initiatives relating to comprehensive pain management, neuropsychiatric perspective of SUD, exposure and training opportunities, and enhancement of standard of care through evidencebased medicine. ALCOHOLISM TREATMENT QUARTERLY 2022, VOL. 40, NO. 2, 141–142 https://doi.org/10.1080/07347324.2022.2044118","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"141 - 142"},"PeriodicalIF":0.9,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43414470","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":"Binge Drinkers Shouldn’t Set Their Own Alcohol Reduction Goals! Evaluating the Effectiveness of Different Goal-Based Alcohol Reduction Interventions among Young People","authors":"Mark Rubin, A. Hutton","doi":"10.1080/07347324.2022.2037486","DOIUrl":"https://doi.org/10.1080/07347324.2022.2037486","url":null,"abstract":"ABSTRACT The present research aimed to investigate the relative effectiveness of three types of alcohol reduction intervention. Participants were 354 university students from an Australian university. After completing an initial survey, they were randomly assigned to either (a) follow national guidelines for alcohol consumption, (b) set their own personal alcohol consumption reduction goal, or (c) work with their peers to set a goal. Participants then recorded their alcohol consumption in a drinking diary over a period of four weeks. The results showed that participants in the personal goal condition reported significantly higher alcohol consumption than those in the national guidelines conditions, with participants in the group goal condition reporting mid-level alcohol consumption. This effect was moderated by binge drinking propensity. Personal goal setting was most likely to lead to higher alcohol consumption when participants scored relatively high on measures of binge drinking propensity. These findings highlight the point that different types of alcohol reduction interventions may be effective for different types of people. In particular, people who have a relatively high propensity for binge drinking should be encouraged to follow goals that have been set by authorities (e.g., national guidelines) rather than by themselves.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"311 - 321"},"PeriodicalIF":0.9,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45919354","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 Multifamily Group Curriculum for Family Members of Individuals with Substance Use Disorders: Updates, Perceptions, and Outcomes","authors":"Sterling T. Shumway, Spencer D. Bradshaw, Mazie Zielinski, C. D’Aniello, T. Kimball, Kristy L. Soloski","doi":"10.1080/07347324.2021.2019649","DOIUrl":"https://doi.org/10.1080/07347324.2021.2019649","url":null,"abstract":"ABSTRACT Substance use disorders (SUDS) are highly prevalent chronic health conditions that have dire impacts on the health and wellbeing of not only the individual with an SUD, but on their family members as well. This is important as the family is often one of the most important support groups for an individual seeking recovery from an SUD. The present study provides an update regarding a previously published and implemented multifamily group curriculum (MFGC) for family members of those with an SUD. More specifically, changes to the curriculum are highlighted, and results from data analyses on important factors associated with individual and family member recovery are shared and discussed. There is evidence of this updated MFGC continuing to be an effective intervention for family members with a loved-one seeking recovery from an SUD; however, greater and more long-term support for family members is still needed. Additionally, results of this study showed that change in important factors associated with family member wellbeing and family recovery is associated with relapse status of the loved-one seeking recovery from a SUD at a follow-up time point.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"358 - 378"},"PeriodicalIF":0.9,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42212513","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":"Predictors for Abstinence in Socially Stable Women Receiving Treatment for Alcohol Use Disorder","authors":"Fides Schückher, Kristina J. Berglund, I. Engström, T. Sellin","doi":"10.1080/07347324.2021.2018957","DOIUrl":"https://doi.org/10.1080/07347324.2021.2018957","url":null,"abstract":"ABSTRACT There is a knowledge gap about predictors of treatment outcomes in alcohol use disorder (AUD) in socially stable women. This study examined factors that may predict abstinence 12 months after the end of treatment for AUD in socially stable women. Fifty-seven women with AUD participated in 12-month follow-up. Information about sociodemographic, alcohol-related, psychiatric symptoms, psychological functioning, and participants’ treatment goals and ability to change alcohol habits were gathered from structured interviews and self-report instruments. Predictors for abstinence at the 12-month follow up were calculated by univariable and multivariable logistic regression models. Significant predictors for abstinence were having no history of childhood abuse (OR: 8.13; 95%CI: 2.22–29.75; p < .01) and a goal of abstinence at the end of treatment (OR: 15.17; 95%CI: 3.45–66.69; p < .001). Most participants (>60%) achieved their goals of abstinence or low-risk drinking. The results highlight the significance of identifying patients with experiences of childhood abuse, since such experiences may adversely affect the outcome of AUD treatment. Our findings also emphasize the importance of patients’ own goals of abstinence, since it resulted in the most stable outcome. Treatment could, therefore, also focus on motivating individuals to aim for abstinence.","PeriodicalId":45949,"journal":{"name":"Alcoholism Treatment Quarterly","volume":"40 1","pages":"244 - 257"},"PeriodicalIF":0.9,"publicationDate":"2022-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48392563","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 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}

{"title":"Alcohol use during COVID-19 in adults with severe untreated AUD.","authors":"Morica Hutchison,&nbsp;Aileen Aldalur,&nbsp;Stephen A Maisto,&nbsp;Andrew Chiang,&nbsp;Beau Abar,&nbsp;Tracy Stecker,&nbsp;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}

{"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}

{"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}