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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
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
D Andrew Tompkins, Jessica A Sides, Joseph A Harrison, Eric C Strain
OBJECTIVES: Alcohol use disorders (AUDs) represent a large public health burden with relatively few efficacious pharmacotherapies. Randomized controlled trials (RCTs) for new AUD therapies can be hampered by ineffective recruitment, leading to increased trial costs. The current analyses examined the effectiveness of recruitment efforts during two consecutive outpatient RCTs of novel AUD pharmacotherapies conducted between 2009 and 2012. METHODS: During an initial phone screen, participants identified an ad source for learning about the study...
December 2015: Addictive Disorders & Their Treatment
Donald M Dougherty, Nathalie Hill-Kapturczak, Yuanyuan Liang, Tara E Karns, Sarah L Lake, Sharon E Cates, John D Roache
OBJECTIVES: Transdermal alcohol monitoring is used extensively in forensic settings to identify whether individuals have violated court-ordered mandates to abstain from drinking. Despite widespread use in that setting, comparatively few studies have explored the clinical utility of transdermal alcohol monitoring. Furthermore, of the few studies conducted, most have relied on the forensically established conservative criteria to identify whether or not a drinking episode has occurred. Here, we explore how transdermal alcohol monitoring data can be used to estimate more clinically meaningful parameters relevant to clinical treatment programs...
September 2015: Addictive Disorders & Their Treatment
Dawn W Foster, Nicholas P Allan, Norman B Schmidt, Michael J Zvolensky
OBJECTIVE: The present research examined the impact of cannabis motives on tobacco outcomes. METHODS: The sample included 403 daily smokers (214 males, mean age 35.24 years). A bifactor model of cannabis motives was examined to determine whether this approach might best elucidate relations between cannabis motives and smoking. RESULTS: Coping motives were associated with reduced barriers for smoking, fewer negative smoking expectancies, and decreased positive reinforcement with respect to smoking...
September 2015: Addictive Disorders & Their Treatment
David Eddie, Elizabeth E Epstein, Amy M Cohn
OBJECTIVES: The present investigation examined the role of gender, family history of alcohol and drug use disorders, temperament, childhood behavior problems, and adult psychopathology, on adult alcohol use disorder (AUD) severity. METHODS: Structural equation modeling was used to examine multiple etiological pathways to adult alcohol use disorder (AUD) severity. Participants included 335 treatment-seeking males and females with current or lifetime DSM-III-R alcohol dependence (96%) or abuse (4%) enrolled in one of five treatment outcome studies...
June 2015: Addictive Disorders & Their Treatment
Nadeeka R Dias, Scott D Lane, Nuvan Rathnayaka, Joy M Schmitz, Charles E Green
OBJECTIVES: Underlying heterogeneity among individuals with cocaine dependence is widely postulated in the literature, however, identification of a group of factors that explain risk of cocaine use severity has yet to be confirmed. METHODS: Latent mixture modeling evaluated 338 cocaine-dependent individuals recruited from the community to assess the evidence for the presence of distinct subgroups. Variables included 5 baseline questionnaires measuring cognitive function (Shipley), impulsivity (BIS), mood (BDI), affective lability (ALS), and addiction severity (ASI)...
June 2015: Addictive Disorders & Their Treatment
Esther Choo, Megan Ranney, Terrie Wetle, Kathleen Morrow, Michael Mello, Daniel Squires, Chantal Tapé, Aris Garro, Caron Zlotnick
BACKGROUND: Drug use and partner abuse often coexist among women presenting to the emergency department (ED). Technology offers one solution to the limited time and expertise available to address these problems. AIMS: The aims of this study were to explore womens' attitudes about use of computers for screening and intervening in drug use and partner abuse. METHODS: Seventeen adult women with recent histories of partner abuse and drug use were recruited from an urban ED to participate in one-on-one semi-structured interviews...
June 2015: Addictive Disorders & Their Treatment
Andrew M Kiselica, Amy M Cohn, Brett T Hagman
OBJECTIVES: Young adults have some of the highest rates of problem drinking and alcohol use disorders (AUDs) relative to any other age. However, recent evidence suggests that the DSM-IV hierarchical classification system of AUDs does not validly represent symptoms in the population; instead, it evinces a unitary, dimensional classification scheme. The DSM-5 has been altered to fit this changing, evidence-based conceptualization. Nevertheless, little is understood about the degree to which known risk factors for DSM-IV AUD diagnoses will transfer to the new DSM-5 guidelines in this group of high-risk drinkers...
March 2015: Addictive Disorders & Their Treatment
Brian T Montague, Christopher W Kahler, Suzanne M Colby, R Kathryn McHugh, Daniel Squires, Brianne Fitzgerald, Don Operario, Donna Gallagher, Peter M Monti, Kenneth H Mayer
OBJECTIVES: Unhealthy alcohol use is common among HIV-infected patients and contributes to co-morbidities, cognitive decline, unprotected sex, and poor medication adherence. Studies consistently show missed opportunities to address unhealthy alcohol use as part of care. Although treatment of other drug use has been integrated into HIV care in some settings, more information is needed regarding provider attitudes regarding the need for integration of alcohol treatment and HIV care. METHODS: We surveyed 119 HIV and 159 addiction providers regarding the following domains: existing knowledge, desire for new knowledge (with subdomains relative advantage, compatibility, and complexity of integrating knowledge), and individual and program development needs...
March 2015: Addictive Disorders & Their Treatment
Mandy D Owens, Barbara S McCrady
OBJECTIVES: Many individuals involved with the criminal justice system also meet criteria for a substance use disorder. Social support has been identified as an important factor in alcohol and drug relapse, and also for individuals who are incarcerated. The purposes of this study were to describe personal characteristics and the social networks of adult male probationers with substance use disorders and test how changes in social networks related to alcohol or drug use after release from jail...
December 1, 2014: Addictive Disorders & Their Treatment
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