Journal of Dual Diagnosis最新文献_第2页

Factors Associated With Increased Substance Use Disorder Care in VA PTSD Specialty Outpatient Treatment. 退伍军人事务部创伤后应激障碍专科门诊治疗中增加药物使用障碍护理的相关因素。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI: 10.1080/15504263.2024.2348105

Quyen Q Tiet, Laila Davis, Craig Rosen, Sonya B Norman, Yani E Leyva, Heather Duong

{"title":"Factors Associated With Increased Substance Use Disorder Care in VA PTSD Specialty Outpatient Treatment.","authors":"Quyen Q Tiet, Laila Davis, Craig Rosen, Sonya B Norman, Yani E Leyva, Heather Duong","doi":"10.1080/15504263.2024.2348105","DOIUrl":"10.1080/15504263.2024.2348105","url":null,"abstract":"Objective: Substance use disorders (SUDs) commonly co-occur with posttraumatic stress disorder (PTSD). Understanding PTSD clinics that serve higher percentages of patients with PTSD/SUD is crucial for improving SUD care in clinics with lower percentages of such patients. This study examined the differences between Veterans Affairs (VA) PTSD treatment sites with higher percentages (\"High%\") and lower percentages (\"Low%\") of patients with PTSD/SUD as well as exploring the roles of the PTSD/SUD specialists.Methods: The study collected quantitative and qualitative data from 18 clinic directors and 21 specialists from 33 VA PTSD specialty outpatient clinics from 2014 to 2016. The clinics were chosen from the top and bottom quartiles based on two criteria: (1) the percentage of patients with PTSD/SUD and (2) the percentage of patients with PTSD/SUD who completed at least three SUD visits within the first month of their SUD treatment. The interviews sought to identify distinguishing characteristics between the High% and Low% clinics in terms of treatment access and practices for patients with PTSD/SUD.Results: More of the High% clinics reported providing evidence-based, patient-centered, and integrated/concurrent PTSD/SUD treatment and had staff members with more up-to-date knowledge and skills than the Low% clinics. We also found the roles of the PTSD/SUD specialists were demanding and confusing, leading to high turnover rates.Conclusions: The two groups of PTSD clinics differed in three key factors: Resources, knowledge and skills of staff members, and local policies. Future research should focus on addressing resource limitations, knowledge gaps, and local policy disparities in Low% clinics. By emulating the practices of High% clinics, VA PTSD clinics can improve SUD care for patients with PTSD/SUD.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"223-235"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which Factors Are Associated With Comorbid Psychiatric Conditions in Patients Affected by Substance Use Disorders? The Impact of COVID-19 Pandemic on Dual-Diagnosis Subjects. 哪些因素与受药物使用障碍影响的患者合并精神疾病有关？COVID-19大流行对双重诊断对象的影响。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-07-01 Epub Date: 2024-05-10 DOI: 10.1080/15504263.2024.2346519

Ilaria Tagliabue, Alice Caldiroli, Enrico Capuzzi, Riccardo Borgonovo, Alberto Scalia, Alessandro Ferrè, Matteo Sibilla, Marco Turco, Letizia M Affaticati, Giovanna Crespi, Giovanni Galimberti, Antonios Dakanalis, Fabrizia Colmegna, Massimiliano Buoli, Massimo Clerici

{"title":"Which Factors Are Associated With Comorbid Psychiatric Conditions in Patients Affected by Substance Use Disorders? The Impact of COVID-19 Pandemic on Dual-Diagnosis Subjects.","authors":"Ilaria Tagliabue, Alice Caldiroli, Enrico Capuzzi, Riccardo Borgonovo, Alberto Scalia, Alessandro Ferrè, Matteo Sibilla, Marco Turco, Letizia M Affaticati, Giovanna Crespi, Giovanni Galimberti, Antonios Dakanalis, Fabrizia Colmegna, Massimiliano Buoli, Massimo Clerici","doi":"10.1080/15504263.2024.2346519","DOIUrl":"10.1080/15504263.2024.2346519","url":null,"abstract":"Objective: To investigate demographic/cinical variables associated to dual diagnosis and the psychological reaction of dual-diagnosis patients to COVID-19 pandemic.Methods: Information was collected at the Addiction Service of Monza, Italy. The Impact of Event Scale-Revised (IES-R), a self-report questionnaire measuring the subjective response to a traumatic event, was administered. Univariate analyses and binary logistic regression were performed. IES-R scores were compared between groups defined by qualitative variables through one-way analyses of variance (ANOVA).Results: 118 outpatients were included, 48.3% with dual diagnosis. Alcohol use disorder and being female were associated to dual diagnosis. IES-R scores were significantly higher in the dual-diagnosis group, especially for personality disorders (PDs). IES-R scores were higher in patients taking treatment for substance use disorder (SUD).Conclusions: Females and alcohol abusers were at-risk subjects for dual diagnosis. Patients with SUD and PDs may benefit from additional support, especially when traumatic life events occur.Trial registration: ClinicalTrials.gov Identifier: NCT04694482.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"201-209"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining Profiles and Treatment Outcomes in Dual Diagnosis: Comparison of Coordinated Treatment With Mental Health Services Versus Addiction Center Alone. A Real-World Data Analysis. 检查双重诊断的概况和治疗结果：与心理健康服务协调治疗和单独戒毒中心治疗的比较：真实世界数据分析。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-07-01 Epub Date: 2024-03-13 DOI: 10.1080/15504263.2024.2323976

Cinta Mancheño-Velasco, Marta Narváez-Camargo, Daniel Dacosta-Sánchez, Manuel Sánchez-García, Óscar M Lozano

{"title":"Examining Profiles and Treatment Outcomes in Dual Diagnosis: Comparison of Coordinated Treatment With Mental Health Services Versus Addiction Center Alone. A Real-World Data Analysis.","authors":"Cinta Mancheño-Velasco, Marta Narváez-Camargo, Daniel Dacosta-Sánchez, Manuel Sánchez-García, Óscar M Lozano","doi":"10.1080/15504263.2024.2323976","DOIUrl":"10.1080/15504263.2024.2323976","url":null,"abstract":"Objective: The aim of this work was to examine the profile and treatment outcomes of patients with dual pathology depending on whether the patients were attending addiction centers or are being treated in a coordinated model by mental health services.Methods: Data from 7225 dual diagnosis patients were used, of whom 2417 (33.5%) received treatment in the mental health coordinated modality. Clinical information was taken from the patients' electronic health record.Results: Differences were found in patients' sociodemographic and comorbidity profiles according to treatment modality. In general, coordinated care yielded favorable outcomes (higher attendance and lower dropout rates but no differences in retention). The logistic regression analysis identified predictors of patient profiles in coordinated care, emphasizing having a severe mental health disorder (OR = 3.878, 95% CI [3.443, 4.368]; p = .000), being referred by social/health services, or having retired status. Main differences were observed according to the comorbid diagnosis presented, particularly in cases in which the patient had impulse control, hyperkinetic, or cluster C personality disorder.Conclusions: While therapeutic outcomes are influenced by associated comorbidities, the disorders prognosis can be favorable with appropriate treatment. Furthermore, analysis of differences according to treatment modality allows for predicting the type of patient who will receive a particular service, which enables the development of tailored treatments.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"266-278"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implications of Impulsivity on Criminal Behavior in Individuals With Substance Use Disorder. 冲动对药物使用障碍患者犯罪行为的影响。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-06-27 DOI: 10.1080/15504263.2024.2370411

Esther Hernández Fantin, Daniela Benzano, Felipe Ornell, Andressa Goldman Ruwel, Lisia von Diemen, Felix Henrique Paim Kessler, Jaqueline Bohrer Schuch

{"title":"Implications of Impulsivity on Criminal Behavior in Individuals With Substance Use Disorder.","authors":"Esther Hernández Fantin, Daniela Benzano, Felipe Ornell, Andressa Goldman Ruwel, Lisia von Diemen, Felix Henrique Paim Kessler, Jaqueline Bohrer Schuch","doi":"10.1080/15504263.2024.2370411","DOIUrl":"https://doi.org/10.1080/15504263.2024.2370411","url":null,"abstract":"Objective: Our aim was to analyze the association between criminal behavior and impulsivity in individuals with drug addiction and investigate whether impulsiveness mediates the relationship between drug use severity and legal problems.Methods: This cross-sectional study included 773 men diagnosed with addiction (295 alcohol users and 478 users of crack/polysubstance) while undergoing addiction treatment. The BIS-11 and ASI-6 were applied to assess impulsivity, criminal behavior, and drug use.Results: The prevalence of criminal behavior was 41.7% (n = 123) in alcohol users and 64.9% (n = 310) in users of crack/polysubstance. Earlier use of different substances and higher impulsivity scores were observed in individuals with criminal history. Mediation analyses revealed that impulsiveness acts as a mediator factor between substance use and criminal behavior, enhancing the severity of legal problems.Conclusion: Our findings can help in deciding on tailored treatment strategies, focusing not only on substance use, but also on the prevention of social problems, criminality, and impulsivity.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clusters Based on Within-Treatment Symptom Trajectories as Predictors of Dropout in Treatment for Posttraumatic Stress Disorder and Substance Use Disorder. 创伤后应激障碍和药物使用障碍治疗辍学的预测因素--基于治疗内症状轨迹的聚类。

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-06-06 DOI: 10.1080/15504263.2024.2355953

Elizabeth Alpert, Adam Kaplan, David Nelson, David W Oslin, Melissa A Polusny, Erin P Ingram, Shannon M Kehle-Forbes

{"title":"Clusters Based on Within-Treatment Symptom Trajectories as Predictors of Dropout in Treatment for Posttraumatic Stress Disorder and Substance Use Disorder.","authors":"Elizabeth Alpert, Adam Kaplan, David Nelson, David W Oslin, Melissa A Polusny, Erin P Ingram, Shannon M Kehle-Forbes","doi":"10.1080/15504263.2024.2355953","DOIUrl":"https://doi.org/10.1080/15504263.2024.2355953","url":null,"abstract":"Objective: Dropout rates are high in treatments for co-occurring posttraumatic stress disorder (PTSD) and substance use disorders (SUDs). We examined dropout predictors in PTSD-SUD treatment. Methods: Participants were 183 veterans receiving integrated or phased motivational enhancement therapy and prolonged exposure. Using survival models, we examined demographics and symptom trajectories as dropout predictors. Using latent trajectory analysis, we incorporated clusters based on symptom trajectories to improve dropout prediction. Results: Hispanic ethnicity (integrated arm), Black or African American race (phased arm), and younger age (phased arm) predicted dropout. Clusters based on PTSD and substance use trajectories improved dropout prediction. In integrated treatment, participants with consistently-high use and low-and-improving use had the highest dropout. In phased treatment, participants with the highest and lowest PTSD symptoms had lower dropout; participants with the lowest substance use had higher dropout. Conclusions: Identifying within-treatment symptom trajectories associated with dropout can help clinicians intervene to maximize outcomes. ClinicalTrials.gov Identifier: NCT01211106.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Neural Network Analysis Examining Substance Use Problems Co-Occurring with Anxiety and Depressive Disorders Among Adults Receiving Mental Health Treatment. 人工神经网络分析法研究接受心理健康治疗的成年人中同时存在的焦虑症和抑郁症药物使用问题。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-05-26 DOI: 10.1080/15504263.2024.2357623

Orrin D Ware, Kerry A Lee, Brianna Lombardi, Daniel L Buccino, Jamey J Lister, Eunsong Park, Kate Roberts, Anthony Estreet, Tonya Van Deinse, Hannah Neukrug, Amy Blank Wilson, Daejun Park, Paul Lanier

{"title":"Artificial Neural Network Analysis Examining Substance Use Problems Co-Occurring with Anxiety and Depressive Disorders Among Adults Receiving Mental Health Treatment.","authors":"Orrin D Ware, Kerry A Lee, Brianna Lombardi, Daniel L Buccino, Jamey J Lister, Eunsong Park, Kate Roberts, Anthony Estreet, Tonya Van Deinse, Hannah Neukrug, Amy Blank Wilson, Daejun Park, Paul Lanier","doi":"10.1080/15504263.2024.2357623","DOIUrl":"10.1080/15504263.2024.2357623","url":null,"abstract":"Objective: The co-occurrence of anxiety disorders, depressive disorders, and substance use problems was examined. Methods: The Mental Health Client-Level Data dataset was used to conduct logistic regression models and an artificial neural network analysis. Logistic regression analyses were conducted among adults with anxiety (n = 547,473) or depressive disorders (n = 1,610,601) as their primary diagnosis who received treatment in a community mental health center. The artificial neural network analysis was conducted with the entire sample (N = 2,158,074). Results: Approximately 30% of the sample had co-occurring high-risk substance use or substance use disorder. Characteristics including region of treatment receipt, age, education, gender, race and ethnicity, and the presence of co-occurring anxiety and depressive disorders were associated with the co-occurring high-risk substance use or a substance use disorder. Conclusions: Findings from this study highlight the importance of mental health facilities to screen for and provide integrated treatment for co-occurring disorders.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Microaggressions Mediate the Association Between Posttraumatic Stress and Alcohol Use Among Women of Color Experiencing Intimate Partner Violence 种族微词对遭受亲密伴侣暴力的有色人种妇女中创伤后应激反应与酗酒之间的关系起中介作用

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-14 DOI: 10.1080/15504263.2024.2336629

Silvi C. Goldstein, Shannon R. Forkus, Natalie Q. Fenn, Emmanuel D. Thomas, Nazaret C. Suazo, Nicole H. Weiss

引用次数: 0

Impact of Depressive Symptom Severity on Buprenorphine/Naloxone and Methadone Outcomes in People With Prescription-Type Opioid Use Disorder: Results From a Pragmatic Randomized Controlled Trial 抑郁症状严重程度对丁丙诺啡/纳洛酮和美沙酮治疗处方型阿片类药物使用障碍患者疗效的影响：务实随机对照试验的结果

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-05 DOI: 10.1080/15504263.2024.2329267

Gabriel Bastien, Anita Abboud, Christina McAnulty, Laurent Elkrief, Omar Ledjiar, M. Eugenia Socias, Bernard Le Foll, Anees Bahji, Suzanne Brissette, Stéphanie Marsan, Didier Jutras-Aswad

引用次数: 0

Posttraumatic Stress and Alcohol Use Among Hispanic/Latinx University Students: A Moderated Indirect Effect Model of Coping-Related Drinking and Anxiety Sensitivity 西班牙裔/拉美裔大学生的创伤后压力与饮酒：与应对相关的饮酒和焦虑敏感性的调节间接效应模型

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-03 DOI: 10.1080/15504263.2024.2335177

Antoine Lebeaut, Maya Zegel, Nathaniel A. Healy, Shelby J. McGrew, Andres G. Viana, Anka A. Vujanovic

引用次数: 0

Pain Intensity, Pain-Related Anxiety, and Hazardous Drinking Among Individuals With PTSD. 创伤后应激障碍患者的疼痛强度、与疼痛相关的焦虑和危险饮酒。

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-01 Epub Date: 2024-02-26 DOI: 10.1080/15504263.2024.2319034

Sarah E Polhill, Emma C Lape, Alexa G Deyo, T Smit, M J Zvolensky, Emily L Zale, Joseph W Ditre

{"title":"Pain Intensity, Pain-Related Anxiety, and Hazardous Drinking Among Individuals With PTSD.","authors":"Sarah E Polhill, Emma C Lape, Alexa G Deyo, T Smit, M J Zvolensky, Emily L Zale, Joseph W Ditre","doi":"10.1080/15504263.2024.2319034","DOIUrl":"10.1080/15504263.2024.2319034","url":null,"abstract":"Objective: Evidence suggests that pain intensity may be indirectly linked to hazardous drinking and PTSD symptom severity via pain-related anxiety. The goal of this analysis was to test the hypotheses in a population with PTSD symptoms that pain intensity would be positively and indirectly associated with hazardous drinking, alcohol dependence, alcohol-related problems, and PTSD symptom severity via pain-related anxiety.Methods: Heavy drinkers with probable PTSD were recruited via Qualtrics panels (N = 371, 53% Female, Mage = 39.68, SD = 10.86). Linear regression and conditional process models were conducted to examine indirect associations between pain intensity and primary outcomes via pain-related anxiety.Results: Pain intensity was found to be indirectly associated with hazardous drinking, alcohol dependence, alcohol-related problems, and PTSD symptom severity via greater pain-related anxiety.Conclusion: These initial findings suggest that pain-related anxiety may play an important role in relations between the experience of pain and hazardous patterns of alcohol consumption among individuals with probable PTSD. Future research is needed to determine the temporal nature of these associations and to examine the potential utility of treatments that address pain-related anxiety in the context of comorbid pain, PTSD, and hazardous drinking.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"122-131"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0