{"title":"Alcohol Use and Suicide Proneness in College Students: A Proposed Model.","authors":"Dorian A Lamis, Patrick S Malone, Danielle R Jahn","doi":"10.1080/17523281.2013.781535","DOIUrl":"https://doi.org/10.1080/17523281.2013.781535","url":null,"abstract":"<p><p>This study was designed to assess relations among alcohol use, alcohol-related problems, negative-life events, depressive symptoms, and suicide proneness in a cross-sectional sample of undergraduate college students (<i>N</i> = 1100). Alcohol use was assumed to be causally prior to alcohol-related problems and negative life events, which were in turn modeled as occurring prior to depressive symptoms, which were in turn modeled as prior to suicide proneness. Results revealed that, as expected, suicide proneness was positively related to depressive symptoms, alcohol-related problems, negative life events, and alcohol use, and depressive symptoms were positively associated with alcohol-related problems and negative life events. Additionally, the relation between alcohol use and depressive symptoms was partially mediated by alcohol-related problems and negative life events; and the alcohol use-suicide proneness link was significantly mediated by alcohol-related problems, negative life events, and depressive symptoms. Implications are offered for the improved identification and treatment of at-risk young adults.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 1","pages":"59-72"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2013.781535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32259956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Darrin M Aase, Leonard A Jason, Joseph R Ferrari, Yan Li, Greg Scott
{"title":"Comorbid mental health and substance abuse issues among individuals in recovery homes: Prospective environmental mediators.","authors":"Darrin M Aase, Leonard A Jason, Joseph R Ferrari, Yan Li, Greg Scott","doi":"10.1080/17523281.2013.806342","DOIUrl":"https://doi.org/10.1080/17523281.2013.806342","url":null,"abstract":"<p><p>Individuals with comorbid internalizing psychological symptoms and substance abuse issues often have more negative outcomes and evidence a relative disparity in treatment gains compared to those with only substance abuse issues. The present study examined social mechanisms over time for individuals living in self-governed recovery homes (Oxford Houses) such as 12-step group activities and social support, which likely influence both abstinence and psychological outcomes. Participants (<i>n</i> = 567) from a national United States sample of Oxford Houses completed baseline and multiple follow-up self-report assessments over a one-year period. A structural equation model was utilized to evaluate predicted relationships among baseline symptoms, 12-step activities, social support, and outcome variables. Results indicated that internalizing symptoms were associated with subsequent mutual help activities, but not directly with social support. Living in an Oxford House for six months and number of 12-step meetings attended were partially mediated by social support variables in predicting abstinence outcomes, but not psychological outcomes. Environments such as Oxford Houses may be viable options for recovering individuals with comorbid internalizing psychological problems, although social support mechanisms primarily promote abstinence. Implications for future research and for Oxford House policies are discussed.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 2","pages":"170-183"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2013.806342","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32215118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julianne C Flanagan, Andrew Teer, Francis M Beylotte, Therese K Killeen, Sudie E Back
{"title":"Correlates of Recent and Lifetime Aggression among Veterans with Co-Occurring PTSD and Substance Use Disorders.","authors":"Julianne C Flanagan, Andrew Teer, Francis M Beylotte, Therese K Killeen, Sudie E Back","doi":"10.1080/17523281.2014.924986","DOIUrl":"https://doi.org/10.1080/17523281.2014.924986","url":null,"abstract":"<p><strong>Objective: </strong>Aggressive behavior is strongly associated with both posttraumatic stress disorder (PTSD) and substance use disorders (SUD) among civilians. However, little research has examined correlates of aggression among Veterans with co-occurring PTSD and SUD.</p><p><strong>Methods: </strong>This exploratory study examined the prevalence and correlates of recent (i.e., past 30 days) and lifetime aggressive behavior among a sample of U.S. Veterans (N=97) enrolled in a study examining integrated psychosocial treatment of co-occurring PTSD/SUD.</p><p><strong>Results: </strong>The findings revealed high rates of recent and lifetime aggressive behaviors (39.2% and 57.7%, respectively). Participants who endorsed recent aggressive behaviors were younger, had less education, more severe PTSD numbing and hyperarousal symptoms, were more likely to report recent suicidal ideation, more frequent alcohol and marijuana use, had higher rates of physical and sexual abuse, greater combat exposure, and more severe aftermath of battle experiences. Participants who endorsed lifetime aggression were younger, reported more total PTSD symptom severity, PTSD re-experiencing severity, depression severity, and fewer post-deployment stressors compared to those who did not. Logistic regression analyses indicated that education and number of drinking days were correlated with recent aggression while depression and post-deployment stressors were correlated with lifetime aggression.</p><p><strong>Conclusions: </strong>The findings demonstrate high rates of aggressive behaviors among Veterans with PTSD/SUD, as well as clinically relevant correlates of aggressive behaviors. Although preliminary, the findings suggest potential targets for improving assessment and treatment of Veterans with PTSD/SUD.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 4","pages":"315-328"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2014.924986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32834183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Barrett, K. Mills, M. Teesson, Philippa L. Ewer
{"title":"Mental health correlates of anger and violence among individuals entering substance use treatment","authors":"E. Barrett, K. Mills, M. Teesson, Philippa L. Ewer","doi":"10.1080/17523281.2012.725425","DOIUrl":"https://doi.org/10.1080/17523281.2012.725425","url":null,"abstract":"Individuals with substance use disorders (SUDs) have consistently been shown to report elevated levels of anger and rates of violence perpetration. Given that heightened anger can increase risk for violence and also impede treatment for SUD, it is important to identify correlates of anger and violence among individuals in SUD treatment settings. While previous research has identified factors associated with anger and violence among individuals with SUD, these studies tend not to adequately address the role of comorbidity or trait aggression in their samples. This is particularly important given that comorbid mental health disorders, for example post traumatic stress disorder (PTSD), have been shown to be associated with anger and violence perpetration among individuals with SUD. This paper aims to examine demographic and mental health correlates of anger and violence among individuals in treatment for SUD. Structured interviews were carried out with 58 participants recruited from a residential detoxificat...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"18 1","pages":"287-302"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82822770","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":"The seeds of dual diagnosis discourse in an Australian state","authors":"Bridget Roberts","doi":"10.1080/17523281.2012.741611","DOIUrl":"https://doi.org/10.1080/17523281.2012.741611","url":null,"abstract":"The problem of ‘dual diagnosis’, the co-occurrence of mental health and substance use problems, while far from new in human experience, has become in recent decades a focus for research, policy and practice internationally. This article inquires into the emergence of dual diagnosis discourse in a particular place and time, the State of Victoria, Australia in the early 1990s, and reflects on implications for current health service practice and administration. An interpretive approach draws upon the research literatures, analysis of policy and related documents and interviews with a purposive sample of 19 stakeholders, conducted during 2010 and 2011. Qualitative analysis indicated that the main initial impetus was a perceived increase in the exclusion of people with severe concurrent mental illness and substance use problems from specialist services. Contributing factors included deinstitutionalization, the restructuring of government funding and professional interests. We conclude that ‘dual diagnosis’ off...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"31 1","pages":"325-338"},"PeriodicalIF":0.0,"publicationDate":"2013-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78528537","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}
Sadmir Ciketic, R. Mcketin, C. Doran, J. Najman, J. Veerman, R. Hayatbakhsh
{"title":"Health-related quality of life (HRQL) among methamphetamine users in treatment","authors":"Sadmir Ciketic, R. Mcketin, C. Doran, J. Najman, J. Veerman, R. Hayatbakhsh","doi":"10.1080/17523281.2012.713390","DOIUrl":"https://doi.org/10.1080/17523281.2012.713390","url":null,"abstract":"Little is known about the effectiveness of available treatment options for methamphetamine (MA) abuse and dependence. This study aimed to measure improvements in health-related quality of life (HRQL) among MA users associated with different treatment options. Data are from 501 individuals (366 males and 135 females) recruited into the Methamphetamine Treatment Evaluation Study (MATES) who were aged 16 years and over. Participants completed the SF-12 Short Form questionnaire on entry to treatment (or to the study), and again 3 months (n = 404) and 12 months after starting treatment (n = 375). The SF-6D scoring algorithm was used to elicit single preference-based measures of HRQL from participants in the non-treated group (n = 101) and three treatment modalities: counselling (n = 40), residential rehabilitation (n = 248) and detoxification (n = 112), at baseline, 3 and 12 months post-treatment entry. There was complete data available at the three time points for 349 participants. The results indicate that b...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"11 1","pages":"250-261"},"PeriodicalIF":0.0,"publicationDate":"2013-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74738992","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}
Julie Maslowsky, John E Schulenberg, Patrick M O'Malley, Deborah D Kloska
{"title":"Depressive symptoms, conduct problems, and risk for polysubstance use among adolescents: Results from US national surveys.","authors":"Julie Maslowsky, John E Schulenberg, Patrick M O'Malley, Deborah D Kloska","doi":"10.1080/17523281.2013.786750","DOIUrl":"https://doi.org/10.1080/17523281.2013.786750","url":null,"abstract":"<p><p>Polysubstance use in adolescence is a known precursor to chronic substance misuse. Identifying risk factors for polysubstance use is necessary to inform its prevention. The present study examined the association of elevated levels of multiple mental health symptoms with adolescents' engagement in polysubstance use (past month use of alcohol, cigarettes, and marijuana). In a US national sample of 8<sup>th</sup>, 10<sup>th</sup>, and 12<sup>th</sup> grade students from Monitoring the Future surveys, we estimated probability of polysubstance use associated with high levels of depressive symptoms, conduct problems, or both. Depressive symptoms and conduct problems, alone and particularly in combination, were associated with drastically elevated probability of polysubstance use. Adolescents with high levels of both depressive symptoms and conduct problems had the highest probability of polysubstance use. Among 8<sup>th</sup> and 10<sup>th</sup> graders, probability of polysubstance use associated with co-occurring mental health problems was significantly higher for girls than boys.</p>","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"7 2","pages":"157-169"},"PeriodicalIF":0.0,"publicationDate":"2013-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17523281.2013.786750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32160732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Montanari, A. Baldacchino, Manuela Pasinetti, Danica Thanki, J. Vicente
{"title":"Co-morbidity of substance use and mental disorders. What do we know on the prevalence of psychiatric comorbidity in Europe and what are the ways forward?","authors":"L. Montanari, A. Baldacchino, Manuela Pasinetti, Danica Thanki, J. Vicente","doi":"10.1080/17523281.2013.770654","DOIUrl":"https://doi.org/10.1080/17523281.2013.770654","url":null,"abstract":"","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"17 1","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2013-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87267617","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":"Use and abuse: understanding the intersections of childhood abuse, alcohol and drug use and mental health","authors":"J. Breckenridge, M. Salter, E. Shaw","doi":"10.1080/17523281.2012.703224","DOIUrl":"https://doi.org/10.1080/17523281.2012.703224","url":null,"abstract":"It is well recognized that there is a relationship between child abuse, mental illness, and alcohol and drug abuse. This article reports on the findings of a qualitative research project exploring the experiences of adult survivors of child abuse in alcohol and other drugs (AOD) services, as well as the experiences of AOD workers with this client group. The project complements existing research on the relationship between child abuse, AOD use and adult mental health; however, it uniquely explores these issues from the perspectives of clients and workers. This article will present three key research findings from this research project: making the links between abuse in childhood and AOD use as adults; compartmentalized service provision and rigid treatment paradigms; and lastly, constructing effective and comprehensive AOD services. The article concludes with an analysis of the skills and strategies required to better facilitate building a platform of care and treatment for adult survivors of child abuse w...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"25 1","pages":"314-327"},"PeriodicalIF":0.0,"publicationDate":"2012-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83302552","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":"The prevalence of cognitive impairment in a rural in-patient substance misuse treatment programme","authors":"J. Allan, M. Kemp, A. Golden","doi":"10.1080/17523281.2012.711767","DOIUrl":"https://doi.org/10.1080/17523281.2012.711767","url":null,"abstract":"Cognitive impairment is one factor known to affect people's ability to participate in substance misuse treatment because of the range of cognitive, behavioural and emotional problems such impairment can cause. Some of the behaviours described as common features of cognitive impairment, such as impaired self-monitoring and self-regulation and lack of initiative are seen in some treatment modalities to be causes and consequences of addiction thereby prescribing a moral rationale to behaviour that may have a physical cause. The aim of this study was to identify the prevalence of cognitive impairment in a rural Australian substance treatment in-patient population. The Addenbrook's Cognitive Examination – Revised (ACE-R) was used to screen consenting patients (n = 50). Six (12%) scores were less than or equal to 82 (moderate to severe cognitive impairment), and 20 (40%) were less than or equal to 88 (mild to moderate cognitive impairment). Statistical techniques were used to determine if cognitive impairment w...","PeriodicalId":88592,"journal":{"name":"Mental health and substance use : dual diagnosis","volume":"36 1","pages":"303-313"},"PeriodicalIF":0.0,"publicationDate":"2012-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89489652","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}