Journal of Dual Diagnosis最新文献

{"title":"Posttraumatic Stress, Alcohol Use, and Alcohol Use Motives among Non-Hispanic Black/African American College Students: The Role of Emotion Regulation.","authors":"Shelby J McGrew, Amanda M Raines, Rheeda L Walker, Samuel J Leonard, Anka A Vujanovic","doi":"10.1080/15504263.2022.2160037","DOIUrl":"10.1080/15504263.2022.2160037","url":null,"abstract":"<p><strong>Objective: </strong>The associations between posttraumatic stress disorder (PTSD) symptom severity, alcohol use, and alcohol use motives are well-established. Emotion regulation difficulties have been implicated in the association between PTSD symptoms and alcohol use. A dearth of empirical work, however, has examined these associations among Black/African American college students, a population with high prevalence of exposure to potentially traumatic events, PTSD symptomatology, and alcohol-related consequences.</p><p><strong>Methods: </strong>This study examined PTSD symptoms, emotion regulation difficulties, and alcohol use severity and motives among a sample of Black/African American trauma-exposed college students (<i>N</i> = 282; 77.4% identified as female; <i>M age</i> = 22.36, <i>SD</i> = 4.71).</p><p><strong>Results: </strong>PTSD symptom severity was related to alcohol use and coping and conformity motives for alcohol use through heightened emotion regulation difficulties. Findings were significant above and beyond the effects of trauma load (i.e., number of potentially traumatic event types experienced).</p><p><strong>Conclusions: </strong>This study extends past work to an understudied population and contributes to groundwork for culturally informed interventions.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"3-15"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000405","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}

{"title":"A Qualitative Study Exploring the Benefits and Challenges of Implementing Client Centred Care (CCC) in an Alcohol and Other Drug Treatment Service.","authors":"Esther L Davis,&nbsp;Isabella Ingram,&nbsp;Frank P Deane,&nbsp;Mark Buckingham,&nbsp;Danielle Breeze,&nbsp;Tayla Degan,&nbsp;Peter J Kelly","doi":"10.1080/15504263.2022.2159603","DOIUrl":"https://doi.org/10.1080/15504263.2022.2159603","url":null,"abstract":"<p><p><b>Objective:</b> Client centered care (CCC) is strongly advocated for improving the quality of health care. The aim of the current study was to explore client and staff perspectives of a new model of CCC implemented in a residential alcohol and other drug (AOD) treatment service. Specifically, the study aimed to (i) describe the defining features of CCC, and (ii) describe the benefits and challenges of implementing CCC at the service. <b>Methods:</b> Participants were 18 clients and eight staff who took part in focus groups and interviews. Thematic analysis of four client focus groups and eight staff individual interviews was conducted. <b>Results:</b> Staff identified the defining features of CCC as flexible, comprehensive, open-minded, and inclusive. Clients and staff shared predominantly positive views on the CCC model. Shared themes included the challenge of balancing flexibility and structure, and delivering comprehensive and individualized care within the limits of staff knowledge, skills, and resources. <b>Conclusions:</b> Results suggest that implementing CCC across an AOD treatment setting has clear benefits to staff and clients, along with challenges that require careful consideration and planning. Future research should evaluate the effectiveness of providing guidelines that address many of the challenges associated with implementing CCC.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"49-59"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9222234","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}

{"title":"<i>Journal of Dual Diagnosis</i>: Highlights From 2022.","authors":"E Sherwood Brown","doi":"10.1080/15504263.2023.2160141","DOIUrl":"https://doi.org/10.1080/15504263.2023.2160141","url":null,"abstract":"The past year was a very successful one for the Journal. It received its highest impact factor to date (2.324). In addition, total citations were at their highest level. The CiteScore (Scopus) Best Quartile (the journal’s highest CiteScore ranking in a Scopus subject category) was Q2. Average number of days from submission to first decision was 40, and average number of days from acceptance to online publication was 33. The publications in the Journal continue to reflect the diversity of the field. The Journal received submissions from across the globe. Reflecting the growing interest in the relationship between trauma and substance use, the Journal published many papers on trauma and posttraumatic stress disorder (PTSD) in 2022. Hoyt et al. (2022) observed that direct-acting antivirals for hepatitis C infection were associated with a reduction in alcohol use in patients with PTSD and alcohol use disorder. Goodrum et al. (2022) examined relationships between interpersonal violence in women with PTSD and various substance use disorders. The authors found particularly strong relationships between elevated PTSD symptoms and opioid and cocaine use. Flynn et al. (2022) reported that PTSD avoidance symptoms were associated with alcohol craving in veterans. Tasmim et al. (2022) attempted to determine why opioid use disorder develops in some people with PTSD when exposed to opioids and not in others. They observed that childhood trauma and neglect increased the risk of experiencing opioid use disorder. Blakey et al. (2022) examined predictors of PTSD and alcohol or drug use disorder. The authors found that panic attacks, as well as younger age and male sex, all were risk factors for PTSD with a co-occurring drug or alcohol use disorder. Peltier et al. (2022) also examined predictors of PTSD. The authors observed that substance use disorders predict the development of PTSD. This finding was particularly strong in women. Reyes et al. (2022) observed in Black emerging adults that PTSD symptoms were positively associated with drug and alcohol misuse. Furthermore, the relationship was moderated by perceived levels of social support. The potential role of inflammation in substance use disorders and other psychiatric illnesses is an emerging area of research. Two papers in the Journal addressed this topic. Interestingly, Romeo et al. (2022) reported that cessation of cannabis use in patients with schizophrenia was associated with an increase in inflammatory biomarkers. Dirani et al. (2022) examined eosinophil-tolymphocyte ratio (ELR) in people with alcohol use disorder with and without bipolar disorder. The patients with bipolar disorder had higher ELR values, suggesting greater inflammation in these patients with dual diagnosis. The use of technology in dual diagnosis is an active area of investigation and development. Whiteley et al. (2022) reviewed the literature on digital interventions for cannabis use. They concluded that there is ample evidence of the ef","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"1-2"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9123396","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}

{"title":"Pain Intensity Moderates the Association between Obsessive-Compulsive Symptoms and Problematic Alcohol Use among Emerging Adults.","authors":"Jafar Bakhshaie,&nbsp;Eric A Storch,&nbsp;Andrew H Rogers,&nbsp;Michael J Zvolensky","doi":"10.1080/15504263.2022.2157181","DOIUrl":"https://doi.org/10.1080/15504263.2022.2157181","url":null,"abstract":"<p><p><b>Objective:</b> Emerging adulthood is a vulnerable period for problematic alcohol use, defined by a pattern of use associated with physical and functional impairment. Obsessive-compulsive psychopathology, which demonstrates high rates of onset in emerging adults, seems to be related to problematic alcohol use in this age group, consistent with research among the general population suggesting an association between emotional disorders and alcohol use in the context of coping drinking motives. Pain intensity, another risk factor of problematic alcohol use, may link obsessive-compulsive symptoms to problematic alcohol use among emerging adults. Therefore, the current study examined the moderating role of pain intensity on the association between obsessive-compulsive symptoms and problematic alcohol use among emerging adults. <b>Methods:</b> Participants were 198 college students (81.30% female, <i>M</i>_age = 22.33, <i>SD</i> = 4.38) who reported problematic alcohol use. <b>Results:</b> Results from the current study supported a significant moderation role of pain intensity for the association between obsessive-compulsive symptoms and problematic alcohol use, whereby the association between obsessive-compulsive symptoms and problematic alcohol use was stronger for emerging adults with high compared to low pain intensity. <b>Conclusions:</b> These results highlighted a clinically-relevant interaction between obsessive-compulsive symptoms and pain intensity concerning the risk of problematic alcohol use among emerging adults as a vulnerable population.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"16-25"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10560363","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}

{"title":"Sleep and Rest-Activity Rhythms in Recovering Patients with Severe Concurrent Mental and Substance Use Disorder: A Pilot Study.","authors":"Myriam Juda,&nbsp;Joanna Pater,&nbsp;Ralph E Mistlberger,&nbsp;Christian G Schütz","doi":"10.1080/15504263.2022.2157694","DOIUrl":"https://doi.org/10.1080/15504263.2022.2157694","url":null,"abstract":"<p><p><b>Objective:</b> Mental health and substance use disorders are commonly associated with disrupted sleep and circadian rest-activity rhythms. How these disorders in combination relate to sleep and circadian organization is not well studied. We provide here the first quantitative assessment of sleep and rest-activity rhythms in inpatients with complex concurrent disorders, taking into account categories of substance use (stimulant <i>vs.</i> stimulant and opioid use) and psychiatric diagnosis (psychotic disorder and mood disorder). We also explore how sleep and rest-activity rhythms relate to psychiatric functioning. <b>Methods:</b> A total of 44 participants (10 female) between the age of 20-60 years (median = 29 years) wore wrist accelerometers over 5-70 days and completed standardized questionnaires assessing chronotype and psychiatric functioning (fatigue, psychiatric symptom severity, and impulsiveness). To examine potential influences from treatment, we computed (1) length of stay; (2) days of abstinence from stimulants and opioids as a measure of withdrawal; and (3) a sedative load based on prescribed medications. <b>Results:</b> Participants exhibited a sustained excessive sleep duration, frequent nighttime awakenings, and advanced rest-activity phase related to sedative load. Sleep disruptions were elevated in participants with a history of opioid use. Patients with a psychotic disorder showed the longest sleep and most fragmented and irregular rest-activity patterns. Non-parametric circadian rhythm analysis revealed a high rhythm amplitude by comparison with population norms, and this was associated with greater psychiatric symptom severity. Psychiatric symptom severity was also associated with greater fatigue and later MCTQ chronotype. <b>Conclusions:</b> This pilot study provides initial information on the prevalence and severity of sleep and circadian rhythm disturbances in individuals with severe concurrent disorders. The results underline the need for further studies to start to understand the role of sleep in the disease and recovery process in this understudied population.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"26-39"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9122929","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}

{"title":"Reviewers for <i>Journal of Dual Diagnosis</i>.","authors":"","doi":"10.1080/15504263.2023.2160143","DOIUrl":"https://doi.org/10.1080/15504263.2023.2160143","url":null,"abstract":"","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"I"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9179046","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}

{"title":"Experiences Using Family or Peer Support for Smoking Cessation and Considerations for Support Interventions: A Qualitative Study in Persons With Mental Health Conditions.","authors":"Catherine S Nagawa,&nbsp;Ian A Lane,&nbsp;Maryann Davis,&nbsp;Bo Wang,&nbsp;Lori Pbert,&nbsp;Stephenie C Lemon,&nbsp;Rajani S Sadasivam","doi":"10.1080/15504263.2022.2159732","DOIUrl":"https://doi.org/10.1080/15504263.2022.2159732","url":null,"abstract":"<p><p><b>Background:</b> The current study aimed to understand how people with mental health conditions who currently smoke or recently quit engaged with family members or peers when quitting and assessed interest in involving family or peers in cessation interventions. <b>Methods:</b> Adults with mental health conditions who smoke or had quit within the past 5 years were recruited from publicly funded mental health programs (<i>N</i> = 24). We conducted virtual qualitative interviews between November 2020 and August 2021 and analyzed the data using the rapid thematic analytic approach. <b>Results:</b> Most participants were men (62%), and 71% were current smokers. We found that: having family/peers who were interested in quitting presented communal quitting opportunities, communication that facilitated quitting tended to be encouraging, and strong relationships with family members increased willingness to involve them in cessation interventions. But family or peer support was less helpful for individuals who were not ready to quit. <b>Conclusion:</b> Training family and peers to engage in supportive behaviors may promote cessation in this population. Cessation interventions may benefit from recruiting support partners who share a strong relationship with the smoker.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"19 1","pages":"40-48"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9215891","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}

{"title":"Associations of Mental Health Measures and Retention in a Community-Based Perinatal Care Recovery Support Program for Women of Childbearing Age With Substance Use Disorder.","authors":"Matthew Hodges, Joanna E Chambers, Scott Denne, Sarah E Wiehe, Qing Tang, Seho Park, Debra Litzelman","doi":"10.1080/15504263.2022.2124008","DOIUrl":"10.1080/15504263.2022.2124008","url":null,"abstract":"<p><p><b>Objective:</b> This research was undertaken to evaluate factors related to program retention among participants in a community-based peer recovery program for women of childbearing age with a history of substance use disorder. <b>Methods:</b> In all, 184 women of childbearing age with a history of substance use disorder were enrolled in a community-based peer recovery program. Half of the participants were pregnant or postpartum. The outcome of interest was retention in the program as measured at 2 and 6 months. Participants were paired with a peer recovery coach (PRC). PRCs were women with a personal history of substance use disorder who assisted with healthcare system navigation, facilitated access to local resources, and provided advice and emotional support. All PRCs were also licensed perinatal community health workers. Independent variables included gestational status, depression, anxiety, type and frequency of substance use, childhood trauma, abuse, readiness for treatment, and attachment patterns. <b>Results:</b> Anxiety was found to be a key factor associated with retention. Moderate anxiety was associated with higher rates of retention compared to normal to mild anxiety. Severe anxiety was associated with lower rates of retention compared to normal to mild anxiety. Attrition was highest in the first 2 months. <b>Conclusions:</b> Early integration with mental health services to address severe anxiety symptoms could potentially improve retention in substance use disorder recovery programs, thereby improving outcomes. More research is needed regarding severe anxiety and care-avoidant behaviors, particularly among women of childbearing age.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"18 4","pages":"211-219"},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10760096","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}

{"title":"Drug-Free Community Support in Inpatients with Co-occurring Psychiatric Disorders and Substance Use Problems.","authors":"Alexis Hammond,&nbsp;Marcelo Batkis,&nbsp;Phoebe Rostov,&nbsp;Haijuan Yan,&nbsp;Michael Kidorf","doi":"10.1080/15504263.2022.2125605","DOIUrl":"10.1080/15504263.2022.2125605","url":null,"abstract":"<p><p><b>Objective:</b> This study evaluated the presence of drug-free family and friends in the social networks of patients treated in an inpatient setting for co-occurring psychiatric disorders and substance use problems. <b>Methods:</b> Social network interviews were conducted with inpatients at the Johns Hopkins Bayview Acute Psychiatric Unit with co-occurring psychiatric disorders and substance use problems (<i>N</i> = 90). <b>Results:</b> Participants reported about five social network members, of which four were drug-free. Most participants (> 70%) were willing to include a drug-free person in the current inpatient treatment plan to support recovery efforts (<i>M</i> = 1.8 network members) and identified several areas of recovery support. <b>Conclusions:</b> These results demonstrate that people treated in an inpatient psychiatric setting have local drug-free family or friends that they are willing to include in the treatment process. These findings support further study of methods to mobilize network members to enhance social support during and following hospitalization.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"18 4","pages":"177-184"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506628/pdf/nihms-1848220.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10297062","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}

{"title":"A Review of Digital Interventions to Decrease Cannabis Use Among Patients With Comorbid Psychiatric Disorders.","authors":"Laura Whiteley,&nbsp;Elizabeth M Olsen,&nbsp;Kayla K Haubrick,&nbsp;Chaerim Kang,&nbsp;Ian Vaughan,&nbsp;Larry K Brown","doi":"10.1080/15504263.2022.2126058","DOIUrl":"10.1080/15504263.2022.2126058","url":null,"abstract":"<p><strong>Objective: </strong>Cannabis use disorder (CUD) is associated with an elevated risk for psychiatric disorders and symptoms, contributing to poor health outcomes and increased medical costs. Unfortunately, interventions that simultaneously address cannabis use and co-occurring psychiatric disorders are limited in availability. Targeted digital interventions to reduce cannabis use could be beneficial for patients with psychiatric disorders. Digital interventions could be easily disseminated and used in numerous clinical locations, including outpatient, inpatient, residential, and community psychiatric treatment settings.</p><p><strong>Methods: </strong>Literature on digital cannabis reduction interventions for persons with psychiatric disorders was examined between April 2021 and June 2021. Articles were obtained from PubMed and PsycINFO databases. English language randomized controlled trials (RCT), feasibility and acceptability studies, pilot studies, and published protocols were included.</p><p><strong>Results: </strong>There is significant evidence that digital interventions can effectively reduce cannabis use in general, non-clinical populations. However, there is less literature examining interventions for persons living with co-occurring psychiatric illness-most of which is tailored to patients living with chronic psychosis.</p><p><strong>Conclusions: </strong>There is great need for accessible and tailored digital interventions for co-occurring CUD and psychiatric disorders.</p>","PeriodicalId":46571,"journal":{"name":"Journal of Dual Diagnosis","volume":"18 4","pages":"199-210"},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311985/pdf/nihms-1891697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10117608","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}