{"title":"Motherhood, Psychological Risks, and Resources in Relation to Alcohol Use Disorder: Are There Differences between Black and White Women?","authors":"Sundari Balan, Gregory Widner, Hsing-Jung Chen, Darrell Hudson, Sarah Gehlert, Rumi Kato Price","doi":"10.1155/2014/437080","DOIUrl":"10.1155/2014/437080","url":null,"abstract":"<p><p>Rates of alcohol use disorders (AUD) are generally low among women who have ever had children (mothers) compared to women who have never had children (nonmothers), presenting a <i>motherhood advantage</i>. It is unclear if this advantage accrues to \"Black\" and \"White\" women alike. Using National Epidemiological Survey on Alcohol and Related Conditions (NESARC) wave 2 cross-sectional data that is rich in alcohol use and psychological measures, we examined the following: (a) if motherhood is protective for past-year AUD among Black (<i>N</i> = 4, 133) and White women (<i>N</i> = 11, 017); (b) potential explanatory psychological mechanisms; and (c) the role of race. Prevalence of a past-year DSM-IV AUD was lower among White mothers compared to White nonmothers, but this same advantage was not observed for Black women. Perceived stress was a risk for all women, but race-ethnic segregated social networks and perceived discrimination predicted current AUD for Black mothers. Unlike White mothers, current psychological factors but not family history of alcohol problems predicted AUD for Black mothers. Future prospective studies should address the mechanisms by which race, motherhood, and psychological factors interactively affect AUD in women.</p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 437080","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32485976","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}
ISRN AddictionPub Date : 2014-03-04eCollection Date: 2014-01-01DOI: 10.1155/2014/912863
Theresa M Winhusen, Eugene C Somoza, Daniel F Lewis, Frankie Kropp, Jeff Theobald, Ahmed Elkashef
{"title":"An Evaluation of Substance Abuse Treatment and HIV Education on Safe Sex Practices in Cocaine Dependent Individuals.","authors":"Theresa M Winhusen, Eugene C Somoza, Daniel F Lewis, Frankie Kropp, Jeff Theobald, Ahmed Elkashef","doi":"10.1155/2014/912863","DOIUrl":"https://doi.org/10.1155/2014/912863","url":null,"abstract":"<p><p>Background. There is a strong association between crack/cocaine use and increased sexual risk behavior, but little research on the efficacy of HIV education for decreasing such behavior in crack/cocaine-addicted individuals in substance abuse treatment. Method. Datasets from two cocaine dependence trials including either one or three HIV education sessions, respectively, were analyzed for changes over time in the proportion of participants practicing safe sex. A pooled dataset from two earlier trials not offering HIV education was also analyzed. Results. We included 83 participants from the 1-session trial and 65 participants from the 3-session trial. Both sets of participants evidenced a significant increase in the proportion of participants having safe sex with casual partners. Participants in the 3-session HIV education study also evidenced a significant increase in the proportion of participants having safe sex with regular partners. In the trials without HIV education, no change in safe sex practices was found, and change in condom use was observed only among female participants. Conclusions. These findings are consistent with recommendations that HIV education/counseling should be provided to individuals in substance abuse treatment. A randomized controlled trial to confirm these results may be warranted. This trial is registered with NCT00033033, NCT00086255, NCT00015106, and NCT00015132. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 ","pages":"912863"},"PeriodicalIF":0.0,"publicationDate":"2014-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/912863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152402","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}
ISRN AddictionPub Date : 2014-03-03eCollection Date: 2014-01-01DOI: 10.1155/2014/308789
K L Kumpfer
{"title":"Family-based interventions for the prevention of substance abuse and other impulse control disorders in girls.","authors":"K L Kumpfer","doi":"10.1155/2014/308789","DOIUrl":"10.1155/2014/308789","url":null,"abstract":"<p><p>Standardized family-based interventions are the most effective way of preventing or treating adolescent substance abuse and delinquency. This paper first reviews the incidence of adolescent substance abuse worldwide emphasizing gender and causes by etiological risk and protective factors. New epigenetic research is included suggesting that nurturing parenting significantly prevents the phenotypic expression of inherited genetic diseases including substance abuse. Evidence-based family interventions are reviewed including family change theories behind their success, principles and types of family-based interventions, research results, cultural adaptation steps for ethnic and international translation, and dissemination issues. The author's Strengthening Family Program is used as an example of how these principles of effective prevention and cultural adaptation can result in highly effective prevention programs not only for substance abuse, but for other impulse control disorders as well. The conclusions include recommendations for more use of computer technologies to cut the high cost of family interventions relative to youth-only prevention programs and increase the public health impact of evidence-based prevention programs. The paper recommends that to reduce health care costs these family-based approaches should be applied to the prevention and treatment of other impulse control disorders such as obesity and type 2 diabetes, sexually transmitted diseases, and delinquency. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 ","pages":"308789"},"PeriodicalIF":0.0,"publicationDate":"2014-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33146749","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}
ISRN AddictionPub Date : 2014-02-18eCollection Date: 2014-01-01DOI: 10.1155/2014/719681
Hervé Kuendig, Marina Delgrande Jordan
{"title":"Adolescents smoking in the crosslight of other substance use and parental and peers' smoking behaviors.","authors":"Hervé Kuendig, Marina Delgrande Jordan","doi":"10.1155/2014/719681","DOIUrl":"https://doi.org/10.1155/2014/719681","url":null,"abstract":"<p><p>This study investigates the connectedness of adolescents' smoking status, history of alcohol and cannabis use, and parental and peers' smoking, dimensions only rarely explored concurrently. Multinomial regression models that compared the smoking status of adolescents were estimated based on a representative sample of 3,560 adolescents aged 14-15 from Switzerland. While 49.0% of respondents had never smoked, 9.0% smoked on a daily basis and 12.0% occasionally; 32.6% had never drank alcohol and 74.7% had never used cannabis. Overall, parental and peers' smoking and other substance use factors are significantly associated with smoking status. Yet, history of substance use revealed less consistent associations with smoking status among current smokers (daily versus occasional smoking). The findings highlight the connectedness of adolescents' and other substance use behaviors and support the relevance of concurrent prevention initiatives targeting adolescents with specific substance use profiles and/or growing up in prosmoking social milieus. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 ","pages":"719681"},"PeriodicalIF":0.0,"publicationDate":"2014-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/719681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33152401","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}
ISRN AddictionPub Date : 2014-02-05eCollection Date: 2014-01-01DOI: 10.1155/2014/927290
Theresa M Winhusen, Daniel F Lewis, Eugene C Somoza, Paul Horn
{"title":"Pharmacodynamics must inform statistics: an example from a cocaine dependence pharmacotherapy trial.","authors":"Theresa M Winhusen, Daniel F Lewis, Eugene C Somoza, Paul Horn","doi":"10.1155/2014/927290","DOIUrl":"https://doi.org/10.1155/2014/927290","url":null,"abstract":"<p><p>Background. There is no FDA-approved medication for cocaine dependence or consensus on the statistical approach for analyzing data from cocaine dependence pharmacotherapy trials. The goal of this paper is to illustrate the importance of understanding medication's pharmacodynamics when specifying the statistical model to test its efficacy. Method. Data from a double-blind placebo controlled trial of reserpine for cocaine dependence are analyzed. Since the antihypertensive properties of reserpine are well established, blood pressure data are utilized to evaluate the ability of two statistical models, one that does not take the pharmacodynamics of reserpine into account and one that does, to detect reserpine's antihypertensive effect. Results. The statistical model specified without regard to reserpine's pharmacodynamics failed to find a significant medication effect for either systolic (P = 0.49) or diastolic (P = 0.59) blood pressure. Contrariwise, the model based on the pharmacodynamics of reserpine found a significant effect for both systolic (P = 0.002) and diastolic (P = 0.004) blood pressure. Conclusions. If the pharmacodynamics of a study medication are not considered when specifying statistical models, then erroneous conclusions may be reached. This trial is registered with NCT00033033. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 ","pages":"927290"},"PeriodicalIF":0.0,"publicationDate":"2014-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/927290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33298683","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}
ISRN AddictionPub Date : 2014-01-06eCollection Date: 2014-01-01DOI: 10.1155/2014/486383
Ravi Philip Rajkumar
{"title":"Substance use disorders in men presenting to a psychosexual clinic.","authors":"Ravi Philip Rajkumar","doi":"10.1155/2014/486383","DOIUrl":"https://doi.org/10.1155/2014/486383","url":null,"abstract":"<p><p>Introduction. Substance use disorders (SUDs) are commonly associated with a variety of psychiatric disorders. Community-based studies have found a significant association between SUDs and sexual dysfunction in men, with a possible causal relation in the case of nicotine. Methods. The case records of 105 men presenting to a clinic for patients with psychosexual disorders were reviewed. Men with and without comorbid SUDs were compared in terms of demographic, clinical, and familial variables. Results. 25 of the 105 men (23.8%) had a lifetime diagnosis of SUD, and 19 (18.1%) had a current SUD. The commonest substances involved were nicotine (n = 21, 20%) and alcohol (n = 9, 9.5%). Men with comorbid SUDs were more likely to report a family history of substance dependence, particularly alcoholism. Single men with SUDs were more likely to have a comorbid mood disorder. Conclusion. SUDs, particularly nicotine and alcohol use disorders, are common comorbidities in patients with psychosexual disorders. Identifying and treating these disorders in this population are important aspects of management. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2014 ","pages":"486383"},"PeriodicalIF":0.0,"publicationDate":"2014-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/486383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33146750","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}
ISRN AddictionPub Date : 2013-12-26eCollection Date: 2013-01-01DOI: 10.1155/2013/674534
Anna G Polunina, Evgeny A Bryun
{"title":"Neuropsychological Functions of μ- and δ-Opioid Systems.","authors":"Anna G Polunina, Evgeny A Bryun","doi":"10.1155/2013/674534","DOIUrl":"https://doi.org/10.1155/2013/674534","url":null,"abstract":"<p><p>Brain opioid innervation is involved in many pathophysiological processes related to drug addiction. The main idea of the present review is that μ-/δ-opioid innervation is an intrinsic component of the motor/approach behavior network, which is activated synergetically with dopaminergic mesocorticolimbic network. Contribution of opioid innervation to the motor/approach behavior processing includes generation of positive emotions and inhibition of pain and stress reactions in order that the individual would be able to reach the vital goal. We cite the neuroanatomical data which showed that motor subcortical nuclei contain the most abundant opioid innervation and its activation is an obligatory component of positive emotions. In the majority of life situations, motor/approach behavior network concomitantly activates pain/stress control opioid network. Intensive cognitive activity induces activation of opioid innervation as well, and both enhancing and impairing effects of opioid agonists on cognitive functioning were demonstrated. Overall, the functioning of endogenous opioid networks may be summarized as following: NO physical/cognitive activity = NO positive emotions plus NO pain/stress control. We suppose that contemporary findings concerning neuropsychological functions of endogenous opioid system explain many controversial issues in neuropsychiatric conditions predisposing to drug addiction and neurological mechanisms of opioid addiction. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2013 ","pages":"674534"},"PeriodicalIF":0.0,"publicationDate":"2013-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/674534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33146745","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}
{"title":"The choice of screening instrument matters: the case of problematic cannabis use screening in spanish population of adolescents.","authors":"Danica Thanki, Antónia Domingo-Salvany, Gregorio Barrio Anta, Amparo Sánchez Mañez, Noelia Llorens Aleixandre, Josep Maria Suelves, Begoña Brime Beteta, Julián Vicente","doi":"10.1155/2013/723131","DOIUrl":"https://doi.org/10.1155/2013/723131","url":null,"abstract":"<p><p>The aim of this study was to examine the feasibility of problem cannabis use screening instruments administration within wide school surveys, their psychometric properties, overlaps, and relationships with other variables. Students from 7 Spanish regions, aged 14-18, who attended secondary schools were sampled by two-stage cluster sampling (net sample 14,589). Standardized, anonymous questionnaire including DSM-IV cannabis abuse criteria, Cannabis Abuse Screening Test (CAST), and Severity of Dependence Scale (SDS) was self-completed with paper and pencil in the selected classrooms. Data was analysed using classical psychometric theory, bivariate tests, and multinomial logistic regression analysis. Not responding to instruments' items (10.5-12.3%) was associated with reporting less frequent cannabis use. The instruments overlapped partially, with 16.1% of positives being positive on all three. SDS was more likely to identify younger users with lower frequency of use who thought habitual cannabis use posed a considerable problem. CAST positivity was associated with frequent cannabis use and related problems. It is feasible to use short psychometric scales in wide school surveys, but one must carefully choose the screening instrument, as different instruments identify different groups of users. These may correspond to different types of problematic cannabis use; however, measurement bias seems to play a role too. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2013 ","pages":"723131"},"PeriodicalIF":0.0,"publicationDate":"2013-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/723131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33298684","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}
ISRN AddictionPub Date : 2013-11-11eCollection Date: 2013-01-01DOI: 10.1155/2013/250751
Svetoslav Savov, Nikola Atanassov
{"title":"Deficits of affect mentalization in patients with drug addiction: theoretical and clinical aspects.","authors":"Svetoslav Savov, Nikola Atanassov","doi":"10.1155/2013/250751","DOIUrl":"https://doi.org/10.1155/2013/250751","url":null,"abstract":"<p><p>Traditionally treated with wariness, drug addictions have provoked a serious interest in psychodynamically oriented clinicians in recent decades. This paper discusses the development of contemporary psychodynamic conceptualizations of addictions, focusing specifically on mentalization-based theories. The concept of mentalization refers to a complex form of self-regulation which includes attribution of psychological meaning to one's own behavior and affective states, as well as those of the others. We hypothesize that drug-addicted patients have severe impairments in mentalizing, associated with developmental deficits, characteristic for the borderline personality disorder and psychosomatic conditions. Psychodynamic models of mentalization and their corresponding research operationalizations are reviewed, and implications for a contemporary understanding of drug addictions and psychotherapy are drawn. The authors propose that mentalization-oriented theories provide an adequate conceptualization, which is open to empirical testing and has clear and pragmatic guidelines for treatment. </p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2013 ","pages":"250751"},"PeriodicalIF":0.0,"publicationDate":"2013-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/250751","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33298682","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}
ISRN AddictionPub Date : 2013-09-23eCollection Date: 2013-01-01DOI: 10.1155/2013/768258
Erica Gollub, Elena Cyrus-Cameron, Kay Armstrong, Tamara Boney, Delinda Mercer, Danielle Fiore, Sumedha Chhatre
{"title":"Active Drug-Using Women Use Female-Initiated Barrier Methods to Reduce HIV/STI Risk: Results from a Randomized Trial.","authors":"Erica Gollub, Elena Cyrus-Cameron, Kay Armstrong, Tamara Boney, Delinda Mercer, Danielle Fiore, Sumedha Chhatre","doi":"10.1155/2013/768258","DOIUrl":"10.1155/2013/768258","url":null,"abstract":"<p><strong>Unlabelled: </strong>Background. We tested an original, woman-focused intervention, based on body empowerment, and female-initiated barrier methods, including the female condom (FC) and cervical barriers. Methods. Eligible women were >= 18 years of age, HIV seronegative, and active drug users, reporting 30% or greater unprotected sex acts. Both controls (C) and intervention (I) participants received enhanced HIV/STI harm reduction counseling. I participants underwent 5 additional weekly group sessions. We compared change in frequency of unprotected vaginal intercourse across arms at 12 months. Results. Among 198 enrolled women, over 95% completed followup. Two-thirds were African-American; most of them used crack, had a primary partner, and reported sex exchange. In paired t-tests from baseline to followup, the frequency of unprotected vaginal sex dropped significantly for I (primary P < 0.00, nonprimary P < 0.002) and C (primary P < 0.008, nonprimary P < 0.000) arms with all partners. The difference in change across arms was of borderline significance for primary partner (P = 0.075); no difference was seen for nonprimary partner (P = 0.8). Use of male condom and FC increased with both partner types over time, but more consistently among I women.</p><p><strong>Conclusion: </strong>The \"value-added\" impact of the intervention was observed mainly with primary partners. Body knowledge with routine FC counseling should be incorporated into interventions for drug-using women.</p>","PeriodicalId":89949,"journal":{"name":"ISRN Addiction","volume":"2013 ","pages":"768258"},"PeriodicalIF":0.0,"publicationDate":"2013-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33146746","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}