P. Wohl, P. Wohl, P. Trunec̃ka, J. Sperl, E. Honsova, J. Spicak
{"title":"Alcohol Use in Patients After Liver Transplantation for Alcoholic Liver Cirrhosis Detected by the Questionnaire (Regional Experience)","authors":"P. Wohl, P. Wohl, P. Trunec̃ka, J. Sperl, E. Honsova, J. Spicak","doi":"10.2174/1874941001205010036","DOIUrl":"https://doi.org/10.2174/1874941001205010036","url":null,"abstract":"Background: Alcoholic liver cirrhosis is a common indication for liver transplantation. Recurrence of alcohol use was retrospectively analyzed after liver transplantation. Methods: From X/1995 to II/2002, 42 out of 246 patients underwent liver transplantation for alcoholic liver cirrhosis. We administered a questionnaire to all patients surviving at least 1 year post liver transplantation for alcoholic liver cirrhosis. Liver biopsy was performed annually. The results of the questionnaires of both alcohol use and sobriety group were compared with laboratory parameters, graft histopathology, socioeconomic status and survival rate. Results: Sixteen patients admitted alcohol consumption in the questionnaire. Serious graft damage was diagnosed in 4 recipients, 2 of them died due to graft failure, one for another reason, 12 returned to alcohol use. We have found more steatosis, presence of Mallory hyaline and no difference in fibrosis between alcohol use and sobriety group. The alcohol use and sobriety group differed in body mass index, triacylglycerols, medium corpuscular volume and activity of � - glutamyltransferase. Cumulative survival rate (1, 3, 5 years) was significantly lower in alcohol use group than in sobriety group. Conclusion: Patients after liver transplantation for alcoholic liver cirrhosis with alcohol use had lower survival rate as compared with sobriety group. Considering the differences in histopathology and laboratory parameters in patients with and without alcohol use after liver transplantation, administration of questionnaires seems to be a valid tool for recurrence of alcohol use detection.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2012-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097788","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}
G. Thorens, A. Wullschleger, R. Khan, S. Achab, D. Zullino
{"title":"What is Addictive in Internet","authors":"G. Thorens, A. Wullschleger, R. Khan, S. Achab, D. Zullino","doi":"10.2174/1874941001205010014","DOIUrl":"https://doi.org/10.2174/1874941001205010014","url":null,"abstract":"Focusing on World of Warcraft (WoW), the most popular massive multiplayer online role playing game (MMORPG), the present article stresses, that, similarly to addictive drugs, certain features of Internet applications may act on the mesolimbic dopaminergic system, and thus become addictive. Regarding their addictive potential, the properties of the Internet technology can be discussed regarding two aspects: (a) accessibility/facility of use, and (b) rapidity of action. The addictive properties of WoW have probably been facilitated by the last technological developments, rendering the game more accessible, and permitting very strong time correlations between potentially addictive stimuli and the reinforced cognitions and behaviors.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"47 30 1","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097623","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}
Y. Khazaal, Constantina Xirossavidou, R. Khan, Y. Edel, Fadi Zébouni, D. Zullino
{"title":"Cognitive-Behavioral Treatments for \"Internet Addiction\"","authors":"Y. Khazaal, Constantina Xirossavidou, R. Khan, Y. Edel, Fadi Zébouni, D. Zullino","doi":"10.2174/1874941001205010030","DOIUrl":"https://doi.org/10.2174/1874941001205010030","url":null,"abstract":"During the last years, Internet misuse was increasingly described as a possible \"Internet addiction\". Based on some similarities with well known addictive behaviors, it was hypothesized that several cognitive, behavioral and emotional patterns are involved in the maintenance of problematic Internet use. The present paper summarizes the motivational and cognitive behavioral approaches used during the treatment of \"Internet addiction\". A limited number of preliminary studies evaluated these treatments and conclude to the usefulness of these approaches. Due to the several limitations of these previous studies, further works including controlled design are highly warranted.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097741","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":"Editorial - Compulsive Internet Use: Is Addiction Medicine Concerned?","authors":"D. Zullino, Y. Khazaal","doi":"10.2174/1874941001205010012","DOIUrl":"https://doi.org/10.2174/1874941001205010012","url":null,"abstract":"Besides many other technological advances, the last two decennia have particularly been characterized by the appearance and rapid expansion of internet, its innovations and its countless products. On one side, its rapid and often overwhelming imposition into many aspects of our daily life is becoming an increasing challenge for many people. On the other side, there is a growing evidence of excessive utilization patterns among a considerable part of internet users, which came to the attention of mental health professionals in many countries over the world.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"12-13"},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097604","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":"Problematic Use of the Internet and Self-Regulation: A Review of the Initial Studies","authors":"J. Billieux, M. Linden","doi":"10.2174/1874941001205010024","DOIUrl":"https://doi.org/10.2174/1874941001205010024","url":null,"abstract":"Problematic Internet Use (PIU) is considered as an inability to control one's use of the Internet, which eventually involves negative consequences in daily life. Among the various psychological factors potentially involved in the development of PIU, the role of poor self-regulation capacities (e.g., high impulsivity and sensation seeking, low inhibitory control, poor decision-making abilities) has recently received increased attention. Although the number of studies currently available on this topic remains limited, our aim here is to review their findings. After briefly defining PIU and discussing the main instruments which have been developed to assess it, this article describes the studies that have investigated the relations between PIU and self-regulation. Their heterogeneous findings are discussed and avenues for future research are provided.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097729","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":"Developing Pharmacotherapy for Cyberaddictions","authors":"S. Achab, Manuela Bertolini, L. Karila","doi":"10.2174/1874941001205010020","DOIUrl":"https://doi.org/10.2174/1874941001205010020","url":null,"abstract":"When developing a new pharmacotherapy for a given indication one has to differentiate between de novo developments and drug repurposing. The practice of drug repurposing can be based on 2 core concepts: (1) the Known compound-new target and (2) the Known target-new indication approach. Concerning cyberaddictions, the known target- new indication approach becomes the most promising in consideration of different hypotheses classifying cyberaddiction within other well defined psychiatric disorders, for which efficacious pharmacotherapies have been corroborated. Supposing similar or identical neurobiological underpinnings, a common pharmacological target can be formulated as working hypothesis. Research on new pharmacotherapies for cyberaddiction can thus be conceptualized along different axes which follow the various current theorizations concerning the diagnosis categorization of cyberaddictions. As Internet addiction shares features which are in common with substance use disorders or obsessive-compulsive disorders, treatments found to be efficacious in these disorders may be promising development candidates for cyberaddiction. Also, cyberaddiction has been conceptualized to represent the corollary of other psychiatric disorders. Thus, currently mainly three research tracks can be distinguished: (a) the addictions track (b) the OCD track, and (c) the comorbidity track.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2012-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097633","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}
M. Donmall, Andrew Jones, S. Weston, L. Davies, K. Hayhurst, T. Millar
{"title":"The Drug Treatment Outcomes Research Study (DTORS): Research Design and Baseline Data","authors":"M. Donmall, Andrew Jones, S. Weston, L. Davies, K. Hayhurst, T. Millar","doi":"10.2174/1874941001205010001","DOIUrl":"https://doi.org/10.2174/1874941001205010001","url":null,"abstract":"The Drug Treatment Outcomes Research Study (DTORS) is the more recent of two such major English studies. Over the past decade, a substantial policy shift has emphasised the role of treatment in diverting drug misusing offenders from the criminal justice system. At the same time, changes in the drug-using population, particularly increasing levels of crack cocaine use, have led to an acute need to evaluate the extent to which drug treatment works. DTORS consists of three components: the main, quantitative element tracking the treatment progress of N=1,796 drug treatment seekers; qualitative work using data from a sample of treatment seekers and treatment providers; and a cost effectiveness analysis. This paper provides an overview of the methods used for the main quantitative element; a longitudinal, nationwide, multi- site, observational, cohort study using survey interviews to assess the impact of treatment on drug use, offending, and health. An overview of the DTORS baseline sample is provided and compared with the target population of drug treatment seekers in England. Participants were drug users seeking treatment from community based or residential treatment services, assessed at baseline and followed up over a 12-month period. The baseline DTORS sample was predominantly male (73%) and aged 25 to 34 (47%). Primary problem drugs included heroin (57%) and crack (12%) with drugs used in the month prior to baseline having a mean value of £1,213. 72% committed offences in the 12 months before recruitment, most commonly shoplifting or buying and selling stolen goods.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"5 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2012-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097572","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":"A Comparison of Social (Weekend) Smokers, Regular (Daily) Smokers and a Never-Smoked Group Upon Everyday Prospective Memory","authors":"T. Heffernan, T. O’neill","doi":"10.2174/1874941001104010072","DOIUrl":"https://doi.org/10.2174/1874941001104010072","url":null,"abstract":"Our previous studies suggested that smokers have a worse performance on everyday prospective memory (PM) tasks than non-smokers. The present study compared regular and social smokers to see if there is a dose-response relationship between smoking and PM. We recruited 28 social (weekend) smokers (SS), 28 regular (daily) smokers (RS) and 28 people who had never smoked (NS) from among social science students who reported no psychiatric or drug and alcohol problems. The participant's PM was assessed by means of a Prospective Remembering Video Procedure (PRVP). After controlling for between-group variations in weekly (moderate) alcohol use, mood and IQ, the findings revealed that NS performed better than RS (F= 1.44, p<0.01) and SS (F= 1.70, p<0.01), with no significant difference between RS and SS (F= 1.00, p=.38).Smokers have a lower performance on our PM task than non-smokers, regardless of the type of smoking pattern.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"4 1","pages":"72-75"},"PeriodicalIF":0.0,"publicationDate":"2011-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097560","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}
R. Barman, R. Mahi, Naveen Kumar, K. Sharma, B. S. Sidhu, Daljit Singh, Neeraj Mittal
{"title":"Barriers to Treatment of Substance Abuse in a Rural Population of India","authors":"R. Barman, R. Mahi, Naveen Kumar, K. Sharma, B. S. Sidhu, Daljit Singh, Neeraj Mittal","doi":"10.2174/1874941001104010065","DOIUrl":"https://doi.org/10.2174/1874941001104010065","url":null,"abstract":"Background: In spite of having strong religious and cultural influences, substance abuse among adult population is very high in Punjab, a north Indian state of India in the border of Pakistan. A large majority of individuals with alcohol and substance dependence do not seek treatment. The primary objective of the study was to evaluate the barriers for which people in general population having alcohol and substance dependence do not seek treatment. There is paucity of data in India regarding barriers in treatment of substance abuse. Therefore, it was very tempting to evaluate these barriers. Method: Data was collected from the rural population of a randomly selected village by directly going to their home. Substance dependence was diagnosed by DSM-IVTR criteria in 412 persons and was assessed by Barriers to Treatment Inventory scale (BTI). Results: Among all the barriers ‘time conflict’ predominated in the study population by 51.2% followed by two other barriers ‘absence of problem’ (48.8%) and ‘fear to treatment’ (40.3%). Admission difficulty and poor treatment availability were relatively less prominent barriers. Female substance dependents had major problem with privacy (87.5%), fear to treatment (75%) and absence of problem (75%). Conclusion: This study shows that there are several barriers, certain beliefs, social influences and obligations in the population for which people can’t take treatment. Social stereotypes and fear to treatment due to poor health services add further vulnerability. Minimization of the barriers should be done by changes in education, screening, outreach, detection, and referral patterns in alcohol & substance abuse treatment delivery systems.","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"4 1","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2011-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68097525","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":"Factors associated with medication adherence among psychiatric outpatients at substance abuse risk.","authors":"Stephen Magura, Andrew Rosenblum, Chunki Fong","doi":"10.2174/1874941001104010058","DOIUrl":"https://doi.org/10.2174/1874941001104010058","url":null,"abstract":"<p><p>Substance misuse is usually associated with poorer psychiatric medication adherence among psychiatric patients. Identifying predictors of medication adherence among patients with dual psychiatric and substance misuse problems is important because poor adherence is associated with relapse and re-hospitalization. The subjects were patients newly admitted to a psychiatric outpatient program who were prescribed psychiatric medication from different providers during the six months prior to admission; all also had substance misuse histories (N=131). Confidential research interviews were conducted that included a modified Medication Adherence Rating Scale (MARS) and drug toxicologies. Age (mean): 39 y; male 61%; Black 41%; Hispanic 38%; White 21%; completed high school/GED 41%; DSM-IV diagnoses: major depression 26%, schizoaffective 21%, bipolar 16%, schizophrenia 13%, other 24%; positive drug toxiology 55%. Potentially malleable factors correlated with lower adherence were: lower friends' support for drug/alcohol abstinence, more recovery-promoting behaviors, lower satisfaction with medication, more medication side effects, lower self-efficacy for drug avoidance, and lower social support for recovery. In multivariate regression analysis, only the last three factors remained as significant predictors of adherence. Low adherence is not attributable to simply forgetting to take medication. Strengthening adherence should also include better education about side effects and the importance of adherence to sustain the benefits of medication. Psychiatrists and other medical providers should also be encouraged to address patients' adherence strategies, since the time devoted to addressing that during treatment may prevent serious adverse events such as relapse to substance abuse, treatment drop-out and re-hospitalization.</p>","PeriodicalId":89289,"journal":{"name":"The open addiction journal","volume":"4 ","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/1874941001104010058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31143901","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}