Journal of Dual Diagnosis最新文献_第3页

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

Evaluating Alcohol Use Severity in Terms of Cigarette Smoking-Related Processes and Anxiety/Depression Among Adult Latinx Smokers. 从吸烟相关过程和焦虑/抑郁的角度评估拉丁裔成年吸烟者的酗酒严重程度。

IF 1.5 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-01 Epub Date: 2024-03-12 DOI: 10.1080/15504263.2024.2325531

Michael J Zvolensky, Justin M Shepherd, Bryce K Clausen, Brooke Y Redmond, Marcel de Dios, Miguel Ángel Cano

{"title":"Evaluating Alcohol Use Severity in Terms of Cigarette Smoking-Related Processes and Anxiety/Depression Among Adult Latinx Smokers.","authors":"Michael J Zvolensky, Justin M Shepherd, Bryce K Clausen, Brooke Y Redmond, Marcel de Dios, Miguel Ángel Cano","doi":"10.1080/15504263.2024.2325531","DOIUrl":"10.1080/15504263.2024.2325531","url":null,"abstract":"Objective: Although empirical work focused on smoking-drinking comorbidity among Latinx persons is growing, no work has explored the relation between alcohol use severity in terms of co-occurring smoking processes and mental health. Therefore, the present investigation aimed to explore the prevalence and role of alcohol use severity in relation to clinically significant tobacco and mental health problems among English-speaking Latinx adults who smoke cigarettes.Methods: Participants included 338 English-speaking Latinx adults who smoked cigarettes daily (Mage = 35.5 years; SD = 8.65; age range 18-61; 37.3% female).Results: Results indicated that approximately 68% of male and 61% of female smokers scored above established clinical cutoffs for hazardous and harmful alcohol use and possible alcohol dependence. Moreover, alcohol use severity was associated with increased risk for cigarette dependence, perceived barriers for quitting, and more problematic symptoms when trying to quit. Alcohol use severity was also related to more severe anxiety and depressive symptoms.Conclusions: Overall, the current findings suggest that intervening to reduce alcohol use severity may be important to improving smoking cessation and mental health among Latinx persons who smoke.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"99-110"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11021163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Destination Matters More: Relapse following Hospital-Based Treatment of Substance Use Disorders With and Without Co-Occurring Disorders. 目的地更重要：以医院为基础治疗合并或不合并药物使用障碍后的复发。

IF 2.2 4区医学

Journal of Dual Diagnosis Pub Date : 2024-04-01 Epub Date: 2024-02-17 DOI: 10.1080/15504263.2024.2311634

Magalí Andreu, Mercè Balcells-Olivero, Noelia Alcaraz, Oriol Marco, Laura Bueno, Antoni Gual, Pablo Barrio

{"title":"Destination Matters More: Relapse following Hospital-Based Treatment of Substance Use Disorders With and Without Co-Occurring Disorders.","authors":"Magalí Andreu, Mercè Balcells-Olivero, Noelia Alcaraz, Oriol Marco, Laura Bueno, Antoni Gual, Pablo Barrio","doi":"10.1080/15504263.2024.2311634","DOIUrl":"10.1080/15504263.2024.2311634","url":null,"abstract":"Objectives: Addressing substance use in psychiatric care encounters significant barriers, but the emergence of specialized services offers an opportunity to advance and scale up the integration of addiction services within psychiatric settings. However, research gaps still exist in this field, particularly in understanding the substance relapse rates of people with co-occurring disorders after a psychiatric hospitalization. This study aimed to investigate and compare the relapse rates of patients under inpatient care with exclusively addiction-related issues and those with co-occurring disorders after a hospitalization in a psychiatric ward and gain insights into differences in outcomes for these two patient groups.Methods: This retrospective analysis examined electronic medical records of patients admitted to the Acute Psychiatry Ward of the Hospital Clinic of Barcelona with a substance use disorder diagnosis between January 2019 and February 2021. Cox regression was used to identify variables independently associated with the first relapse episode.Results: From a total of 318 admissions (79.2% with psychiatric comorbidity), 76.1% relapsed during the study follow-up, with a median survival time of 54 days. Younger age, female gender, voluntary admission, and outpatient follow-up were independently associated with relapse. The presence of a co-occurring disorder was not associated with relapse.Conclusion: This study highlights the need for interventions aimed at improving post-discharge abstinence rates for addiction-related hospitalizations. It also challenges the notion that co-occurring disorders automatically imply a worsened prognosis and emphasizes the importance of addressing addiction and psychiatric comorbidity in a comprehensive, integrated, and specialized manner.","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":" ","pages":"111-121"},"PeriodicalIF":2.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898253","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