{"title":"Alcoholic women in treatment: early histories and early problem behaviors.","authors":"E S Gomberg","doi":"10.1300/J251v08n02_08","DOIUrl":"https://doi.org/10.1300/J251v08n02_08","url":null,"abstract":"<p><p>When data from interviews with 301 alcoholic women, drawn from 21 treatment facilities, are compared with interview responses of 137 age-matched nonalcoholic control women, differences in report of early life experience appear. The two groups of women do not differ significantly in report of painful early life events, but they do differ significantly in reports of response to these events and their affective reactions during their early years. Clinic and Control women also differ significantly in report of impulsive childhood and adolescent behaviors. Comparison of Clinic women of different ages with nonalcoholic age peers suggest that childhood and adolescent impulse control problems are more likely to be associated with earlier onset of alcoholism. Present data are based on retrospection and self-report. Assuming that alcoholic women introduce no more memory distortions than nonalcoholic women in evoking early life memories, the consistent finding is that early life emotional/behavioral problems are reported to a significantly greater extent by women who will later become alcoholic than by those who will not.</p>","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"8 2","pages":"133-47"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251v08n02_08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13889426","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":"Predictor variables of adolescent drinking.","authors":"M A Forney, P D Forney, W K Ripley","doi":"10.1300/J251v08n02_06","DOIUrl":"https://doi.org/10.1300/J251v08n02_06","url":null,"abstract":"<p><p>A survey was conducted to determine which socio-cultural and psychosocial variables had the ability to discriminate adolescent drinking behavior at four different age groups. A total of 3,017 sixth, eighth, tenth, and twelfth grade students in the Southeast participated in the study. Those students who were classified as moderate to heavy drinkers were more likely to be White, male, had higher scores on an alcohol knowledge test, were more liberal in their attitudes toward alcohol use, drank at an earlier age, and had friends who drank. When all predictor variables were considered as a group, the two most predominant characteristics for explaining student drinking behavior were peer behavior and attitudes toward alcohol. Parental drinking behaviors were significant for the younger students, but compared to the peer and attitude variables, their contributions to group separation were minor. Efforts to curb moderate or heavy drinking among adolescents should focus on the peer influences of adolescent drinking and related risk factors associated with problem drinking.</p>","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"8 2","pages":"97-117"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251v08n02_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13890857","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":"National and international strategies to control drug abuse.","authors":"J Westermeyer","doi":"10.1300/J251v08n02_01","DOIUrl":"https://doi.org/10.1300/J251v08n02_01","url":null,"abstract":"<p><p>Since drug problems continue to produce health problems in our society, it is important to understand world-wide issues favoring the continued existence of drug abuse. National decisions to attack the problem at the production end outside the U.S. have been viewed as being more efficient, more effective, less disruptive and less expensive than approaches to reduce consumption within our own boundaries. This review aims at clarifying the issues involved in national versus international strategies against drugs.</p>","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"8 2","pages":"1-35"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251v08n02_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13808774","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":"Substance abuse and international travel.","authors":"W R Lange, B A McCune","doi":"10.1300/J251v08n02_02","DOIUrl":"https://doi.org/10.1300/J251v08n02_02","url":null,"abstract":"<p><p>Travel for both business and pleasure can be a risk factor for substance abuse problems, for clinical deterioration in those with chemical dependence, and for relapse when an addiction has been in remission. Sedatives, opioids and alcohol can complicate many of the physiologic adjustments mandated by modern jet travel, such as adaptation to different altitudes, climates, and time zones. Additionally, substances of abuse can result in a deterioration of many clinical conditions during travel, and they can precipitate other medical problems while underway, including motion sickness, heat-related illness and diarrheal disease. Drugs and alcohol are crucial factors in both serious accidents and legal difficulties while traveling. Finally, involvement with drugs as well as close and intimate liaison with drug abusers and their consorts has associated with it a high degree of risk for exposure to serious infectious diseases worldwide.</p>","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"8 2","pages":"37-51"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251v08n02_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13808775","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":"Heterosexual contacts of intravenous drug abusers: implications for the next spread of the AIDS epidemic.","authors":"D. Murphy","doi":"10.1300/J251V07N02_08","DOIUrl":"https://doi.org/10.1300/J251V07N02_08","url":null,"abstract":"There is a scarcity of knowledge about the sexual behavior patterns of the intravenous drug abuser (IVDA), despite the potential role of this group in the heterosexual transmission of AIDS. Using a representative sample of 93 clients from the Addiction Research and Treatment Corporation (ARTC), who consented to be anonymously interviewed, this study investigated sexual behavior patterns and practices of these intravenous drug abusers. Over half of the 758 sexual contacts reported by this sample were non-IVDAs. Results indicated that IVDA males in comparison with IVDA females reported a significantly greater percentage of heterosexual contacts which were non-IVDAs. However, when controlling for needle sharing, this association was significant only for those who shared. The findings indicate the importance of targeting, not only IVDAs with regards to health educational interventions, but also sexually active non-IVDAs, especially females, in communities where intravenous drug abuse is prevalent.","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"7 2 1","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"1988-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251V07N02_08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66186265","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":"To test or not to test: the value of routine testing for antibodies to the human immunodeficiency virus (HIV).","authors":"B. Stimmel","doi":"10.1300/J251V07N02_04","DOIUrl":"https://doi.org/10.1300/J251V07N02_04","url":null,"abstract":"","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"21 1","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"1988-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251V07N02_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66186648","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":"Neurocognitive impairment in alcoholics: review and comparison with cognitive impairment due to AIDS.","authors":"M. Pohl","doi":"10.1300/J251V07N02_10","DOIUrl":"https://doi.org/10.1300/J251V07N02_10","url":null,"abstract":"This review indicates that cognitive dysfunction and dementia, specifically caused by chronic alcohol use, consist of subtle changes in cognition which are easily missed and/or forgotten. The nature of the dysfunction and specific neuropsychiatric and neurodiagnostic tests will be reviewed. There are important treatment implications regarding these subtle changes in mental function. Treatment implications will also be summarized. Finally, a comparison will be made between the cognitive impairment experience by patients with Acquired Immune Deficiency Syndrome from that experienced by alcoholics.","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"7 2 1","pages":"107-16"},"PeriodicalIF":0.0,"publicationDate":"1988-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251V07N02_10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66187073","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":"Pharmacological issues in alcohol and substance abuse.","authors":"Lynn Kasner Morgan Mls, J. Raper","doi":"10.1300/J251v07n01_07","DOIUrl":"https://doi.org/10.1300/J251v07n01_07","url":null,"abstract":"","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"7 1 1","pages":"1-79"},"PeriodicalIF":0.0,"publicationDate":"1988-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251v07n01_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66186501","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":"Clonidine and alcohol withdrawal.","authors":"P. Cushman","doi":"10.1300/J251V07N01_02","DOIUrl":"https://doi.org/10.1300/J251V07N01_02","url":null,"abstract":"Clonidine attenuates opiate withdrawal syndrome, via reduction in catecholamine activity in the brain, most probably at the locus ceruleus. Clonidine and locus ceruleus lesions, in animals with alcohol dependency as with the opiates, modify alcohol withdrawal. Both alcohol loading and withdrawal from steady alcohol use alter catecholamines in man and animals. Clonidine's potential to treat alcoholics in withdrawal is reviewed. Several double blind studies showed clonidine, or similar analogues, to be somewhat superior to placebo in acute alcohol withdrawal. Major improvements were in pulse, blood pressure and composite alcohol withdrawal scores. Side effects were minor and mainly included mild sedation, or postural hypotension. In the only available published study clonidine compared reasonably well to a standard sedative in alcohol withdrawal, and greatly influential in plasma catecholamine levels. Other components of alcohol withdrawal, as seizures and hallucinations-delirium tremens have not been documented to change with clonidine. The alpha-2-adrenergic agonists in alcohol treatment seemed modestly effective for treatment of some parts of alcohol withdrawal. They represent a promising, novel, but still investigational approach. Additional data, particularly comparing them to the benzodiazepines, are needed before their potential in therapeutics can be assessed.","PeriodicalId":77481,"journal":{"name":"Advances in alcohol & substance abuse","volume":"7 1 1","pages":"17-28"},"PeriodicalIF":0.0,"publicationDate":"1988-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J251V07N01_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66186297","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}