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American Journal on Addictions

Shannon R Kenney, Bradley J Anderson, Genie L Bailey, Michael D Stein
BACKGROUND AND OBJECTIVES: Polysubstance use is associated with relapse and poor treatment outcomes among people dependent on heroin. Despite the high prevalence of polysubstance use among patients detoxifying from heroin, little is known about patients' expectations to abstain or use non-opiate substances. The current study examined factors associated with expectations about abstaining from alcohol, cocaine, and benzodiazepines (BZDs) following heroin withdrawal management. METHODS: Between May and December of 2015, we surveyed 417 patients (71...
December 12, 2018: American Journal on Addictions
Gregory G Homish, Rachel A Hoopsick, Sarah Cercone Heavey, D Lynn Homish, Jack R Cornelius
BACKGROUND AND OBJECTIVES: There is strong evidence of the association between Posttraumatic Stress Disorder (PTSD) symptoms and substance use. Previous work has found sex differences in these associations. With revisions to the DSM, it is important to understand how overall PTSD symptoms and the new symptom clusters relate to substance use among Reserve/Guard soldiers-a high risk group. METHODS: Data are from the baseline assessment of Operation: SAFETY (Soldiers and Families Excelling Through the Years), a longitudinal study of US Army Reserve/National Guard (USAR/NG) soldiers (N = 389 males, N = 84 females)...
December 12, 2018: American Journal on Addictions
Verica Milivojevic, Jonathan Covault, Gustavo A Angarita, Kristen Siedlarz, Rajita Sinha
BACKGROUND AND OBJECTIVES: Neuroactive steroids (NAS) may play a role in addiction, with observed increases in response to acute stress and drug use, but decreases with chronic substance use, suggesting that NAS neuroadaptations may occur with chronic substance use. However, levels of NAS in addicted individuals have not been systematically examined. Here, we evaluated a panel of NAS in men and women with cocaine use disorder (CUD) who participated in a clinical laboratory study of progesterone...
December 11, 2018: American Journal on Addictions
Evelyn Brand, Rosa Rodriguez-Monguio, Rachel Volber
BACKGROUND AND OBJECTIVES: Pathological gambling often co-occurs with other psychiatric disorders. Gender differences in treatment-seeking behaviors among patients with pathological gambling diagnosis remain poorly understood. This study assessed gender differences in healthcare services utilization in patients seeking treatment for pathological gambling, substance use, and mental health co-occurring conditions. METHODS: Study data were derived from a representative sample of the Massachusetts All Payers Claims Database for the period 2009-2013...
December 7, 2018: American Journal on Addictions
James W McKowen, Benjamin M Isenberg, Nicholas W Carrellas, Courtney A Zulauf, Nalan E Ward, Ronna S Fried, Timothy E Wilens
BACKGROUND AND OBJECTIVES: Data suggest individuals with substance use disorders (SUD) exhibit high rates of executive functioning (EF) impairment, and that EF level can predict treatment retention. The primary aim of the present study was to investigate if patients who completed a 1 month intensive outpatient program (IOP) for SUD demonstrated recovered EF. METHODS: Baseline and follow-up neurocognitive functioning was assessed by the Cambridge Neuropsychological Test Automated Battery (CANTAB) and the self-reported Behavior Rating Inventory of Executive Functioning (BRIEF-A) questionnaire...
November 2, 2018: American Journal on Addictions
Pouya Azar, Mohammadali Nikoo, Isabelle Miles
BACKGROUND AND OBJECTIVES: Although buprenorphine/naloxone is widely recognized as first-line therapy for opioid use disorder, the requirement for moderate withdrawal prior to initiation in efforts to avoid precipitated withdrawal can be a barrier to its initiation. METHODS: We present a case utilizing transdermal fentanyl as a bridging treatment to eliminate withdrawal during the transition from methadone to buprenorphine/naloxone in a patient who had ongoing significant intravenous heroin use while on methadone...
November 2, 2018: American Journal on Addictions
Michael D Harries, Katherine Lust, Gary A Christenson, Sarah A Redden, Jon E Grant
BACKGROUND AND OBJECTIVES: Prescription opioid misuse is an established problem in the United States. Less information is known regarding the clinical and cognitive characteristics of prescription opioid misusers, specifically in a college age population. This study sought to characterize individuals who misuse prescription opioids and the differences between current, past and non-misusers. METHODS: A 156-item survey was administered to over 9,449 university students at a large, public Midwestern university...
October 17, 2018: American Journal on Addictions
Peter Barglow
BACKGROUND AND OBJECTIVES: Outcome intervention data from Medicare, veteran, prison, and United States' public populations can identify best practices to decrease opioid misuse. Prescription policies for treating pain in the United States and other countries are relevant to preventing overdose. METHODS: Three strategies are considered: (1) Demand Reduction counsels and educates patients and current or potential opioid users about risks and treatment options to reduce motivation to consume opioids...
October 12, 2018: American Journal on Addictions
Claudia Tejeda-Romero, Ramón A Kobashi-Margáin, Lourdes Alvarez-Arellano, Juan Carlos Corona, Nadia González-García
BACKGROUND AND OBJECTIVES: Substance use disorders (SUDs) have high comorbidities with psychiatric disorders. Childhood and adolescence are particularly vulnerable developmental periods for the onset of SUDs. The objective of this study was to explore the differences, if any, between Mexican adolescents and young adults with respect to the prevalences of groups of psychiatric disorders, the types of substances used and the social factors involved. METHODS: This cross-sectional study included 781 patients evaluated at the Youth Integration Center in Mexico City...
September 28, 2018: American Journal on Addictions
Shelly F Greenfield
No abstract text is available yet for this article.
December 2018: American Journal on Addictions
Joseph J Avery, Jordan Starck, Yuanda Xu, Jonathan D Avery, Joel Cooper
BACKGROUND AND OBJECTIVES: While a large percentage of criminal offenders suffer from substance use disorders (SUDs), virtually nothing is known about the attitudes criminal defense attorneys possess toward their clients who are facing substance-related charges. This is a serious concern, as the burden of steering individuals with SUDs into treatment often falls to criminal defense attorneys. The goal of this study was to examine the attitudes of criminal defense attorneys toward individuals who have been accused of drug crimes...
December 2018: American Journal on Addictions
Maher Karam-Hage
No abstract text is available yet for this article.
December 2018: American Journal on Addictions
(no author information available yet)
No abstract text is available yet for this article.
December 2018: American Journal on Addictions
J David Stiffler
No abstract text is available yet for this article.
December 2018: American Journal on Addictions
(no author information available yet)
No abstract text is available yet for this article.
December 2018: American Journal on Addictions
Maria L Mittal, Irina Artamonova, Pieter Baker, Steffanie A Strathdee, Javier Cepeda, Arnulfo Bañuelos, Mario Morales, Jaime Arredondo, Teresita Rocha-Jimenez, Erika Clairgue, Elaine Bustamante, Efrain Patiño, Tommi Gaines, Leo Beletsky
BACKGROUND AND OBJECTIVES: Policing practices do not reflect recent decriminalization of drug possession in Mexico. We assessed knowledge of cannabis law as part of a police education program (PEP) post-drug law reform in Tijuana. METHODS: Officers took pre-/post-PEP surveys; random subsample (n = 759) received follow-up assessments. Longitudinal logistic regression (pre-, post-, 3-months post-PEP) measured knowledge of cannabis law. RESULTS: PEP increased conceptual knowledge of cannabis law from baseline to post-training (AOR = 56...
December 2018: American Journal on Addictions
Eric Weintraub, Aaron David Greenblatt, Joy Chang, Seth Himelhoch, Christopher Welsh
BACKGROUND AND OBJECTIVES: The opioid epidemic in the United States has resulted in a public health emergency. Medication-assisted treatment (MAT) with methadone and buprenorphine are evidence-based treatments for opioid use disorder. However, numerous barriers hinder access to treatment in rural areas. The use of telemedicine to deliver psychiatric services is demonstrated to be safe and effective; however, limited data exist on the novel application of telemedicine in the delivery of MAT...
December 2018: American Journal on Addictions
Sade E Johns, Qin Wang, Lisa K Straub, F Gerard Moeller
BACKGROUND AND OBJECTIVES: Substance misuse is increasing in the older population, which may have differing effects on behavior compared to younger substance participants. Differences in trait and state impulsivity were assessed in younger and older cocaine-dependent participants. METHODS: Thirty-one younger cocaine-dependent participants (n = 31) and 21 older cocaine-dependent participants (n = 21) were assessed using the Barrett Impulsiveness Scale-11 and the Immediate Memory Task...
October 2018: American Journal on Addictions
Joseph J Palamar, Austin Le
BACKGROUND AND OBJECTIVES: The popularity of tryptamines such as N,N-dimethyltryptamine (DMT) appears to be increasing in the United States (US), but epidemiologic literature on prevalence of use is scant. This paper aims to determine trends in prevalence and correlates of past-year tryptamine use among a nationally representative sample of young adults in the US. METHODS: Participants in the National Survey on Drug Use and Health survey were queried about past-year use of tryptamines-specifically DMT, α-methyltryptamine (AMT), and 5-MeO-DIPT ("Foxy")...
October 2018: American Journal on Addictions
Alexandra Bouvard, Maud Dupuy, Pierre Schweitzer, Mathieu Revranche, Melina Fatseas, Fuschia Serre, David Misdrahi, Marc Auriacombe, Joel Swendsen
BACKGROUND AND OBJECTIVES: Mobile testing of executive deficits in substance-related addictions is highly novel but requires validation. METHODS: Sixty-one individuals (34 patients, 27 healthy controls) completed Ecological Momentary Assessments with mobile executive tests. RESULTS: Compliance with the tests was high (78% to 91%) in both the patient and control groups. No fatigue effects were detected, practice effects were observed for controls only, and convergent validity was found relative to neuropsychological assessments...
October 2018: American Journal on Addictions
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