Addiction Research & Theory最新文献_第10页

Increasing support for alternatives to incarceration for drug use: is the brain disease model of addiction effective? 增加对替代药物使用监禁的支持:成瘾的脑部疾病模型有效吗?

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-07-04 DOI: 10.1080/16066359.2022.2090543

Mia M. Ricardo, C. Henderson, Krystia Reed, Temilola K. Salami, Laura E. Drislane

{"title":"Increasing support for alternatives to incarceration for drug use: is the brain disease model of addiction effective?","authors":"Mia M. Ricardo, C. Henderson, Krystia Reed, Temilola K. Salami, Laura E. Drislane","doi":"10.1080/16066359.2022.2090543","DOIUrl":"https://doi.org/10.1080/16066359.2022.2090543","url":null,"abstract":"Abstract The National Institute of Drug Addiction has promoted the Brain Disease Model of Addiction (BDMA) for several decades, believing it will have a positive impact on drug-related social policies. Per research, neither understanding nor accepting the BDMA positively influences social behavior and decision making related to decreased stigma or increased support for treatment and funding for substance use disorders. An alternative model, the Malleability Model, focuses on the changeability of psychopathology associated with psychiatric disorders, and is associated with decreased hopelessness and increased prognostic optimism. The Moral Weakness Model focuses on moral character as the reason for addiction and is associated with punitive responses to use disorders. The current study sought to identify whether Malleability values were more predictive of willingness to vote for harm reduction (HR) policies than BDMA and Moral values (H1); and if agreement with Malleability values were more predictive of willingness to fund such policies than agreement with BDMA and Moral values (H2). Contrary to hypotheses, results indicated the Malleability Model failed to predict votes and donations, while agreement with the Moral Weakness Model and conservative political affiliation was predictive of lower HR donations. Agreement with the BDMA did not reliably predict votes and donations to policies; the associations reflected were tenuous and should be interpreted with caution. Overall, results indicated the Malleability Model did not increase votes and donations to HR policies, while agreement with Moral Weakness Model and conservative affiliation consistently predicted votes and donations.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83120311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

God forbid! Rethinking substance use, religion, and spirituality 但愿不发生这样的事!重新思考物质使用、宗教和灵性

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-06-07 DOI: 10.1080/16066359.2022.2081840

Gareth Davey, A. Waldstein, Xiang Zhao

引用次数: 1

Why do they gamble and what does it mean? Latent class analysis of gambling motives among young male gamblers 他们为什么赌博?赌博意味着什么?年轻男性赌徒赌博动机的潜在阶层分析

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-05-27 DOI: 10.1080/16066359.2022.2074407

Paweł Ślęczka, B. Braun-Michl, L. Schwarzkopf, M. Spörrle, L. Kraus

{"title":"Why do they gamble and what does it mean? Latent class analysis of gambling motives among young male gamblers","authors":"Paweł Ślęczka, B. Braun-Michl, L. Schwarzkopf, M. Spörrle, L. Kraus","doi":"10.1080/16066359.2022.2074407","DOIUrl":"https://doi.org/10.1080/16066359.2022.2074407","url":null,"abstract":"Abstract Background Motives to gamble are important in the functional analysis of problematic gambling. This study examines the possibility of classifying young male gamblers based on their motives to gamble and compares the identified groups to validate the obtained classification. Method Based on a screening survey among 2,681 young men from Bavaria, n=170 frequent or problem gamblers (Mage = 22.3 years, SD = 2.5) were recruited to participate in a survey with a 2-year follow-up. Latent class analyses (LCA) were conducted based on baseline answers to 10 items measuring five domains of gambling motives: enhancement, coping, self-gratification, and social and financial motives. The identified classes were compared regarding baseline gambling attitudes and impulsiveness as well as gambling behavior and gambling disorder (GD) criteria at baseline and follow-up. Results Analyses revealed a four-class solution based on reported motives: ‘primarily fun-motivated gamblers’ (n=100, 58.8%), who gambled mostly for fun; ‘asset and self-gratification seekers’ (n=19, 11.2%) with a high risk of GD at baseline; ‘thrill seekers’ (n=42, 24.7%) with high impulsiveness; and ‘polymotivated coping gamblers’ (n=9, 5.3%) with a higher risk of GD than the ‘primarily fun-motivated gamblers’ in cross-sectional and longitudinal analyses. Conclusions The identified group differences support the validity of the classification. ‘Thrill seekers’ and ‘polymotivated coping gamblers’ correspond to the impulsive and emotionally vulnerable pathways described by Blaszczynski and Nower (2002) respectively. The two other groups appear to be subtypes of the behaviorally conditioned type. Motivation-based classification offers a promising approach to identifying individuals with an elevated risk of GD.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84852577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study 从物质使用障碍中恢复的人的持续睡眠问题:一项混合方法研究

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-05-18 DOI: 10.1080/16066359.2022.2074406

Aleksander H. Erga, Sverre Nesvåg, Ingrid Elin Dahlberg, J. McKay

{"title":"Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study","authors":"Aleksander H. Erga, Sverre Nesvåg, Ingrid Elin Dahlberg, J. McKay","doi":"10.1080/16066359.2022.2074406","DOIUrl":"https://doi.org/10.1080/16066359.2022.2074406","url":null,"abstract":"Abstract Background The aims of this study are to examine the one-year trajectory of sleep problems, identify clinical correlates, and describe subjective experiences related to persistent sleep problems during recovery from substance use disorders (SUD). Methods This study builds on a sequential mixed method design. The quantitative component features data from a prospective longitudinal study of 127 poly-SUD patients in the Stavanger area in Norway, while the qualitative component describes a thematic analysis of interviews with 16 persons from this study still experiencing sleep problems after at least one year of abstinence. Results The prevalence of sleep problems at baseline for the whole cohort was 79%. Among the 59 patients who were abstinent after one year, N = 20 (33.9%) had moderate and N = 11 (18.6%) had severe sleep problems. Persistent sleep problems were associated with psychological distress and were experienced as a major challenge in the struggle to stay drug free. Establishing daily routines related to work, school, and care for children were coping strategies for participants with persistent sleep problems. Conclusions Persistent sleep problems are often overlooked in a clinical setting. Based on our findings, these issues pose a major challenge in the struggle to stay drug free. For patients with psychological distress, and lack of responsibilities that established daily routines, sleep difficulties may result in increased risk of drug use episodes that result in relapse. These results argue that screening and evidence-based methods for insomnia and sleep health-programs should be commonplace adjunct intervention for patients with SUDs.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85803417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 1

Sober sitter or coconsumer? Psychedelics, online forums and preferences for interpersonal interactions 清醒的保姆还是消费者?迷幻药，在线论坛和人际交往偏好

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-05-06 DOI: 10.1080/16066359.2022.2065268

S. Thal, Liam B. Engel, S. Bright

{"title":"Sober sitter or coconsumer? Psychedelics, online forums and preferences for interpersonal interactions","authors":"S. Thal, Liam B. Engel, S. Bright","doi":"10.1080/16066359.2022.2065268","DOIUrl":"https://doi.org/10.1080/16066359.2022.2065268","url":null,"abstract":"Abstract Contemporary clinical research into the psychotherapeutic administration of psychedelics has primarily emphasized the importance of therapeutic interpersonal interactions to assist clients prepare for and integrate the acute effects of psychedelics. Alternative therapeutic frameworks have encouraged active talk therapy between therapists and clients during the administration phase. We used data gathered from forums to investigate consumer preferences concerning interpersonal interactions during their psychedelic-occasioned experience. Google was used to locate relevant posts on the psychedelic forums The Shroomery and The DMT Nexus. We analyzed these posts using thematic analysis, in which two researchers independently categorized posts in accordance with emergent themes. These themes were then refined through iterative reflexivity. We then identified four themes pertaining to psychedelic consumer interpersonal interaction preferences: nonintrusive; boundary setting; help; and sober sitter or coconsumer. Further analysis revealed parallels between consumer preferences and clinical guidelines for psychedelic-assisted psychotherapy, including the emphasis of carer acceptance; minimal involvement; nondirection; hazard management and emotional stability. However, there was also disparity between consumer preferences and guidelines, specifically concerning desires for consumer agency; for psychedelic consumption alongside other consumers, and for carers who had consumed psychedelics themselves. These findings have clinical implications and thus may aid the development of future guidelines.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88985772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 4

Beliefs in free will and determinism: associations with social cognition and gambling behavior 自由意志和决定论的信仰:与社会认知和赌博行为的关联

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-04-13 DOI: 10.1080/16066359.2022.2062330

Tom St Quinton, B. Morris, A. W. Crescioni

{"title":"Beliefs in free will and determinism: associations with social cognition and gambling behavior","authors":"Tom St Quinton, B. Morris, A. W. Crescioni","doi":"10.1080/16066359.2022.2062330","DOIUrl":"https://doi.org/10.1080/16066359.2022.2062330","url":null,"abstract":"Abstract Beliefs about free will and determinism have been shown to associate with and influence behavior. The present study examined the relationship between these beliefs, key social cognitive constructs, and gambling behavior. A cross-sectional design was used with assessments taken of participants’ (N = 316) past gambling behavior; beliefs in free will and determinism; and attitude, perceived behavioral control, and intention toward gambling. Four weeks after survey completion, participants (N = 218) reported their gambling behavior. A MANOVA examined differences between gambling frequency and constructs. Bivariate correlations and regressions were undertaken to understand the relationships between constructs and gambling behavior. Results showed frequent gamblers had significantly greater positive attitudes and intentions toward gambling compared to infrequent gamblers. Infrequent gamblers also had significantly stronger perceived behavioral control and beliefs in free will than frequent gamblers. Free will significantly predicted attitude and perceived behavioral control, and explained additional variance in intention above attitude and perceived behavioral control. There was no effect for determinism. Finally, gambling behavior was explained by intention and perceived behavioral control, but not beliefs in free will and determinism. The study provides evidence for the association between free will beliefs, key social cognitive constructs, and gambling behavior. Future research should confirm the causal role of these relations.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86358539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 2

Gambling-Related completed suicides: a scoping review 与赌博有关的自杀:范围审查

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-04-06 DOI: 10.1080/16066359.2022.2055001

M. Andreeva, Sophie Audette-Chapdelaine, Magaly Brodeur

{"title":"Gambling-Related completed suicides: a scoping review","authors":"M. Andreeva, Sophie Audette-Chapdelaine, Magaly Brodeur","doi":"10.1080/16066359.2022.2055001","DOIUrl":"https://doi.org/10.1080/16066359.2022.2055001","url":null,"abstract":"Abstract Gambling disorder is a behavioral addiction with various consequences for those who suffer from it, such as lower quality of life, financial difficulties, psychiatric comorbidities, and increased suicide risk. The objective of this scoping review is to describe the available literature regarding gambling activities and completed suicides and underline future avenues of research on this important subject. We conducted an electronic literature search at the end of July 2021 in the following databases: Academic search complete, CINAHL +, APA Psyc Articles, APA Psyc Extra, Psychology and Behavioral Sciences Collection, Psyc Info, SOC Index, and SCOPUS. The search yielded a total of 1108 articles, of which 613 remained after the removal of duplicates. Upon title and abstract review, 51 articles remained. After full-text reading, a total of 18 articles were included in this review. To be selected, articles had to meet the following criteria: be published in a peer-reviewed journal, be available in English or French, and discuss gambling-related suicides as the main subject. The available literature shows distinct risk factors among suicide decedents with a history of problem gambling and that this population presents an elevated suicide risk. Recognizing and understanding the increased suicide risk in patients with gambling disorder will allow primary care professionals to provide better-adapted care to this population. To better comprehend this phenomenon further studies are required, with larger samples, qualitative or mixed-method designs, and a focus on diverse populations.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87835259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 8

Alcohol use disorder relapse factors: an exploratory investigation of craving, alcohol dependence severity, and meaning in life 酒精使用障碍复发因素:渴望、酒精依赖严重程度和生活意义的探索性调查

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-03-26 DOI: 10.1080/16066359.2022.2040488

W. Sliedrecht, H. Seesink, C. Vrijmoeth, Ranne de Waart, R. Wiers, B. Ostafin, H. Schaap-Jonker, H. Roozen, K. Witkiewitz, G. Dom

{"title":"Alcohol use disorder relapse factors: an exploratory investigation of craving, alcohol dependence severity, and meaning in life","authors":"W. Sliedrecht, H. Seesink, C. Vrijmoeth, Ranne de Waart, R. Wiers, B. Ostafin, H. Schaap-Jonker, H. Roozen, K. Witkiewitz, G. Dom","doi":"10.1080/16066359.2022.2040488","DOIUrl":"https://doi.org/10.1080/16066359.2022.2040488","url":null,"abstract":"Abstract For decades predictors of alcohol use disorder (AUD) relapse have been studied, and around 40 different clinical and demographic relapse determinants have been identified. This paper aims to investigate the relationship of two of these AUD relapse factors, namely craving and meaning in life (MiL). We hypothesized that greater meaning in life would be associated with lower cravings and lower relapse rates. An AUD subsample of 81 patients within a clinical population that participated in ongoing exploratory research on religious/spiritual factors related to substance use disorders was followed up to 1 year. Craving (as measured with the Penn Alcohol Craving Scale) and meaning in life (as measured with the Meaning in Life Questionnaire- presence subscale) measures were assessed at baseline and relapse was assessed at 6- and 12-month follow up. Main effects and the interaction between craving and meaning in life in predicting alcohol relapse (with relapse defined as ‘any alcohol use’ and ≥ 3 consecutive days of drinking) were calculated/subject of analyses. We also investigated the relationship between relapse and alcohol dependence severity as measured with the Leeds Dependence Questionnaire. Baseline craving and dependence severity were related to relapse, but there were no associations between meaning in life and levels of craving or alcohol relapse. Our findings suggest a need for additional research on characterizing the Meaning in Life concept.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81694132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 5

Regional and rural clients’ presenting concerns and experiences of care when engaging with an online substance use counseling service 区域和农村客户在参与在线药物使用咨询服务时提出的关切和护理经验

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-02-26 DOI: 10.1080/16066359.2022.2039911

Patrick A. C. Haylock, A. Carter, M. Savic, D. Lubman

{"title":"Regional and rural clients’ presenting concerns and experiences of care when engaging with an online substance use counseling service","authors":"Patrick A. C. Haylock, A. Carter, M. Savic, D. Lubman","doi":"10.1080/16066359.2022.2039911","DOIUrl":"https://doi.org/10.1080/16066359.2022.2039911","url":null,"abstract":"Abstract Introduction People are increasingly turning to online services for help with substance use concerns. There has, however, been limited research on the use of online substance use services by regional and rural populations. This study explored: (1) the experiences of care of regional and rural clients of an Australian national online text-based substance use counseling service, Counselling Online; (2) their reasons for accessing the service; and (3) their interaction with the counselor. Design and methods We thematically analyzed transcripts of 31 online counseling sessions involving regional and rural clients seeking help for their alcohol, cannabis or amphetamine use. Results Regional and rural clients commonly experienced difficulties accessing local services, were often in distress, and were navigating rurally-influenced social challenges. Counselling Online provided support, education and helped clients explore their substance use. Clients generally found Counselling Online beneficial, however some counselors were unaware of the unique issues affecting regional and rural clients, such as transportation barriers and geographical isolation. Discussion and conclusions Online substance use services provide useful support to regional and rural clients, however we identified several opportunities for improving the service experience for regional and rural clients. These include training online counselors on the unique experiences of regional and rural clients, adapting referrals to match client preferences, and encouraging counselors to ask about the physical location in which clients are using the service.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83225644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 3

Overcoming the pains of recovery: the management of negative recovery capital during addiction recovery pathways 克服恢复的痛苦:在成瘾恢复过程中负恢复资本的管理

IF 2.9 3区医学

Addiction Research & Theory Pub Date : 2022-02-24 DOI: 10.1080/16066359.2022.2039912

Davis J Patton, D. Best, Lorna Brown

{"title":"Overcoming the pains of recovery: the management of negative recovery capital during addiction recovery pathways","authors":"Davis J Patton, D. Best, Lorna Brown","doi":"10.1080/16066359.2022.2039912","DOIUrl":"https://doi.org/10.1080/16066359.2022.2039912","url":null,"abstract":"Abstract Recovery is experienced in both positive and negative ways and this paper attempts to integrate the ‘pains of desistance’ approach into a recovery capital framework. Pains experienced as a result of negative recovery capital are often thought to stimulate motivations for positive behavioral change, usually through a ‘rock bottom’ type moment. Whilst recovery capital and barriers to recovery have been explored in the literature, conceptualizing these as push and pull factors, and exploring their dynamic interaction, especially at distinct phases of recovery has not. Toward filling these gaps, we use the life-narratives of 30 people in recovery to explore how the pains of recovery (push factors) alongside different forms of recovery capital (pull factors) impact upon and are managed differentially at distinct phases of the recovery journey. Findings indicate the pains of recovery rarely led to positive changes. Rather, a range of pull factors created and promoted positive changes. However, the life narratives reveal that recovery capital cannot be accrued or sustained without managing (eliminating or reducing) the pains of recovery. Overall, this work highlights the need for policy and practice to help reduce the pains of recovery, especially during early recovery to accelerate transition to more stable phases of recovery. As recovery is neither a linear pathway nor a journey without residual challenges for many people, there is much to be learned about effective ongoing management strategies in preventing a return to problematic use that utilize a push and pull framework.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73109311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 8