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Addictive Disorders & Their Treatment

Michelle S Naps, Daniel Maass, Henry R Kranzler, Rachel V Smith, Erin Ingram, David W Oslin
OBJECTIVES: The Veterans Health Administration has implemented annual screening for heavy drinking during primary care encounters using the 3-item Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) questionnaire and made specialized services available to patients with alcohol use disorders (AUDs). We sought to identify the factors that influence whether a patient who has an elevated AUDIT-C score receives appropriate care in the context of an integrated mental health services program...
September 2018: Addictive Disorders & Their Treatment
Lian-Yu Chen, Silvia S Martins, Eric C Strain, Ramin Mojtabai, Carla L Storr
Objectives: We aimed to examine whether there are sex and age differences in psychosocial risk factors of marijuana use during adolescence. Methods: Data were drawn from 57,767 adolescents (8th and 10th graders) from the 2012-2013 Monitoring the Future study. We examined the association between socio-demographic and behavioral correlates with different frequencies of past-year marijuana use (non-use, occasional use: <10 time, frequent use: 10-39 times, and regular use: 40+ times)...
March 2018: Addictive Disorders & Their Treatment
Adriana Farré, Judit Tirado-Muñoz, Marta Torrens
Mood and substance use disorders (SUDs) are mental conditions that are highly prevalent in the general population. Cooccurrence of major depression and SUD, also known as dual depression, is very common in the field of substance addiction. Sex differences are found in both major depression and SUD. This review, after presenting the state of the art of dual depression as regards prevalence, ethiopathologic mechanisms, and clinical aspects, is focused on dual depression in women. An overview of some potential factors associated with the sex gap in dual depression such as injecting, sexual risk behavior, intimate partner violence, and the reproductive cycle is presented...
December 2017: Addictive Disorders & Their Treatment
Kara R Douglas-Newman, Rachel V Smith, Mary V Spiers, Timothy Pond, Henry R Kranzler
OBJECTIVES: Although HIV+ individuals may be at increased risk of alcohol-related cognitive impairment, the relations between drinking level and cognitive performance in these individuals are not well understood. We examined whether higher levels of recent drinking in HIV+ individuals were associated with poorer cognitive performance, particularly in executive functioning (EF) and memory. METHODS: We administered a comprehensive cognitive battery to 120 seropositive subjects (101 men) who reported alcohol consumption in the preceding 90 days...
September 2017: Addictive Disorders & Their Treatment
Douglas L Polcin, Rachael Korcha
Studies show individuals entering sober living recovery houses (SLHs) make significant, sustained improvement on measures of substance abuse problems, employment, and arrests. The current study assessed changes in housing status among SLH residents over 18 months and the relative influences of housing status and psychiatric distress on substance abuse outcomes. Two hundred forty one men and 58 women, all age 18 and older, were interviewed within their first week of entering 20 SLHs and again at 6-, 12-, and 18-month follow-up...
September 2017: Addictive Disorders & Their Treatment
Lucy L M Patston, Kylie A Travers, David A L Newcombe
OBJECTIVES: Screening and brief intervention (SBI) is an evidence-based technique for reducing harmful consumption of alcohol and other drugs, which has been shown to be effective in Emergency Departments (EDs). The feasibility of SBI in the ED, however, remains contentious and no studies have been conducted on this topic in a New Zealand ED. MATERIALS AND METHODS: This study recruited 8 experienced ED nurses who attempted to provide SBI, using the ASSIST-Lite tool, to as many of their patients as possible over one calendar month...
September 2017: Addictive Disorders & Their Treatment
Stevan A Gonzalez, Daniel S Fierer, Andrew H Talal
Direct-acting antivirals for hepatitis C virus infection may revolutionize treatment among persons with substance use disorders. Despite persons with substance use disorders having the highest hepatitis C virus prevalence and incidence, the vast majority have not engaged into care for the infection. Previously, interferon-based treatments, with substantial side effects and the propensity to exacerbate mental health conditions, were major disincentives to pursuit of care for the infection. Direct-acting antivirals with viral eradication rates of >90%, significantly improved side effect profiles, and shorter treatment duration are dramatic improvements over prior treatment regimens that should promote widespread hepatitis C virus care among persons with substance use disorders...
June 2017: Addictive Disorders & Their Treatment
Kristine Tarp, Anna Mejldal, Anette S Nielsen
OBJECTIVES: The objectives of this study are (1) to compare the satisfaction between patients who have received treatment as usual face-to-face (TAU group) and patients who have received optional videoconferencing-based treatment for alcohol use disorders (TAU+I group); and (2) to elaborate on the TAU+I group's satisfaction with the treatment in general and the technical equipment. METHODS: The design consisted of mixed methods: a survey and a qualitative study...
June 2017: Addictive Disorders & Their Treatment
Jan Klimas, Huiru Dong, Sabina Dobrer, M-J Milloy, Thomas Kerr, Evan Wood, Kanna Hayashi
No abstract text is available yet for this article.
March 2017: Addictive Disorders & Their Treatment
Denis Antoine, Sean Heffernan, Amina Chaudhry, Van King, Eric C Strain
BACKGROUND: Technology-assisted treatment (TAT) can be an effective supplement to established face-to-face therapy modalities with a growing literature in substance use disorder (SUD) treatment. TAT access, interest, and familiarity are potential limitations to the use and efficacy of these approaches to treatment. METHODS: 174 participants in outpatient SUD treatment were administered a survey regarding technology device and Internet access, and interest in engaging in TAT SUD counseling (SUDC)...
December 2016: Addictive Disorders & Their Treatment
Claire E Blevins, Samantha G Farris, Richard A Brown, David R Strong, Ana M Abrantes
OBJECTIVE: Smoking cessation self-efficacy and adaptive coping are posited as two important treatment targets in smoking cessation interventions, especially in the context of handling strong urges to smoke. Yet, less is known about whether intervention-related changes in these constructs predict long-term smoking outcomes. The current study aimed to examine changes in smoking urges, smoking cessation self-efficacy, and adaptive coping following a health-focused and cognitive-behavioral telephone-delivered smoking cessation treatment, and the association to smoking reduction during long-term, 12-month follow-up...
December 2016: Addictive Disorders & Their Treatment
Jillian Mullen, Charles W Mathias, Tara E Karns, Yuanyuan Liang, Nathalie Hill-Kapturczak, John D Roache, Richard J Lamb, Donald M Dougherty
OBJECTIVE: The purpose of this study was to determine if behavioral impulsivity under multiple conditions (baseline, after alcohol consumption or after serotonin depletion) predicted naturalistic alcohol use or treatment outcomes from a moderation-based contingency management intervention. METHOD: The current data analysis pulls information from three phases of a large study: 1) Phase 1 examined baseline and the effects of alcohol use and serotonin depletion on three types of behavioral impulsivity: response initiation (IMT task), response inhibition (GoStop task), and delay discounting (SKIP task); 2) Phase 2 involved 28 days of naturalistic drinking; and 3) Phase 3 involved 3 months of contingency management...
September 2016: Addictive Disorders & Their Treatment
Mark B Powers, Michelle L Davis, Brooke Y Kauffman, Scarlett O Baird, Michael Zvolensky, David Rosenfield, Bess H Marcus, Timothy S Church, Georita Frierson, Michael W Otto, Jasper A J Smits
OBJECTIVES: Anxiety sensitivity (AS) is associated with poor smoking cessation outcomes. One reason may be that smokers with high AS smoke differently (i.e., to manage negative affect and uncomfortable bodily sensations) than other smokers, leading to stronger addiction (due to an affect/sensation based and thereby highly variable rather than a regular smoking routine). Thus, we examined the relationship between AS and smoking variability in a group of treatment-seeking smokers. METHODS: Participants (N = 136; 52...
September 2016: Addictive Disorders & Their Treatment
Dalia N Balsamo, Antoine Douaihy, Jack R Cornelius, Dennis C Daley, Levent Kirisci, Scott M Hyman, Ihsan M Salloum
OBJECTIVES: To examine the differential impact of depressive and manic mood states on alcohol craving in patients with bipolar disorder and comorbid alcoholism. METHODS: Forty-four men and women, ages 18-65, with DSM-IV-TR comorbid diagnoses of bipolar I disorder and alcohol dependence were assessed over a three-month period to examine the extent to which their depressive and manic symptoms were associated with alcohol cravings (i.e., desire to use and not to use alcohol) at each assessment point, controlling for age, ethnicity, socio-economic status, baseline alcohol use, and number of assessments...
September 2016: Addictive Disorders & Their Treatment
Kevin A Hallgren, Shirley M Crotwell, Rosa E Muñoz, Becky K Gius, Barbara S McCrady, Benjamin O Ladd, Elizabeth E Epstein
OBJECTIVES: Alcohol Behavioral Couple Therapy (ABCT) is an efficacious treatment for alcohol use disorders. Coding treatment integrity can shed light on the active ingredients of ABCT, but there are no published studies of treatment integrity instruments for ABCT. The present study describes the development and initial reliability of the Treatment Integrity Rating System - Couples Version (C-TIRS) for ABCT. METHODS: The C-TIRS was used to rate 284 first- and mid-treatment ABCT sessions of 188 couples in four randomized clinical trials...
June 2016: Addictive Disorders & Their Treatment
Charles W Mathias, Nora E Charles, Yuanyuan Liang, Ashley Acheson, Sarah L Lake, Stacy R Ryan, Rene L Olvera, Donald M Dougherty
OBJECTIVES: While early onset of puberty among girls has been related to substance use involvement and other adverse outcomes, less research has examined pubertal development and outcomes in boys. Further, research on puberty has not been conducted in the context of other risk factors for substance use involvement such as impulsivity. To address these gaps, this study characterized boys' pubertal development from preadolescence to mid-adolescence and related it to substance use risk and behavioral impulsivity...
June 2016: Addictive Disorders & Their Treatment
Stacy R Ryan, Carly K Friedman, Yuanyuan Liang, Sarah L Lake, Charles W Mathias, Nora E Charles, Ashley Acheson, Donald M Dougherty
Impulsivity is strongly related to the development of adolescent substance use. Therefore, understanding factors that influence impulsive characteristics is important for the development of prevention and intervention programs. Intervention and prevention programs focused on factors that influence impulsive characteristics are especially important for those at particularly high risk for the expression of impulsivity - those with a family history of substance use disorder. A factor of particular interest is family functioning...
March 2016: Addictive Disorders & Their Treatment
Carilyn Ellis, William Hoffman, Sarah Jaehnert, Jane Plagge, Jennifer M Loftis, Daniel Schwartz, Marilyn Huckans
OBJECTIVES: Compared with non-addicted controls (CTLs), adults in remission from methamphetamine addiction (MA-REM) evidence impairments on objective measures of executive functioning and impulsivity. METHODS: To evaluate the impact of these impairments in MA-REM adults, demographically matched groups (MA-REM, n=30; CTLs, n=24) completed objective and self-report measures of executive functioning and impulsivity. RESULTS: MA-REM adults demonstrated significantly (p < 0...
March 2016: Addictive Disorders & Their Treatment
Jennifer Gilbert, Robert Schnoll, Mary F Morrison, Sindhu K Srinivas, Timothy Pond, Brenda Curtis, Jennifer Henry, Henry R Kranzler
OBJECTIVES: Although smoking during pregnancy is associated with poor pregnancy outcomes, many women continue to smoke throughout pregnancy. Behavioral interventions for smoking cessation yield modest benefits, particularly in lower socioeconomic groups. Pharmacotherapy, a first-line option for smoking cessation, has not shown clear benefits for pregnant smokers, partly due to limited adherence. We evaluated the feasibility of conducting a pharmacotherapy trial for smoking cessation in pregnant women, using text messaging to enhance medication adherence...
December 2015: Addictive Disorders & Their Treatment
Charles W Mathias, Tiffany M Duffing, Acheson Ashley, Nora E Charles, Sarah L Lake, Stacy R Ryan, Yuanyuan Liang, Donald M Dougherty
No abstract text is available yet for this article.
December 2015: Addictive Disorders & Their Treatment
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