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Journal of Dual Diagnosis

Jasmine R Eddinger, Tori M Humiston, Madison L Sutton, Lisa Jobe-Shields, Joah L Williams
OBJECTIVE: Thousands of Americans grieve the sudden death of a loved one each year. These sudden deaths may be the result of violent deaths, as in the cases of homicide, suicide, or fatal accidents, or may occur as the result of natural causes such as heart attacks or strokes. Sudden loss survivors often experience negative mental health outcomes such as depression, prolonged grief disorder, and posttraumatic stress disorder. Survivors may also misuse alcohol for varied reasons after these losses, which can put them at risk for alcohol-related consequences...
November 19, 2018: Journal of Dual Diagnosis
Marek S Kopacz, Craig J Bryan, Todd M Bishop, Lisham Ashrafioun
OBJECTIVE: Conceptual understandings of meaning-making suggest that it may have protective value in regard to alcohol misuse and suicidal behavior. Accordingly, the aim of this study was to examine whether meaning-making attenuated the relationship between alcohol misuse and suicide risk severity in a population of active-duty service members. METHODS: The sample (N = 97) was recruited while presenting for emergency behavioral health services in circumstances indicative of high-risk suicidality: endorsing current suicidal ideation with intent to die...
November 19, 2018: Journal of Dual Diagnosis
Stéphane Potvin, Jules R Dugré, Cherine Fahim, Alexandre Dumais
OBJECTIVE: Compared to the general population, tobacco smoking cessation rates are lower in populations with schizophrenia. Unfortunately, the potential neurophysiologic mechanisms underlying these low cessation rates in schizophrenia have been seldom studied using functional neuroimaging. Recently, it has been shown that tobacco cravings are increased in smokers with schizophrenia compared to smokers with no comorbid psychiatric disorder. Given the critical role of the brain reward system in the neurobiology of addiction, we sought to examine the functional connectivity of core regions of this system in smokers with schizophrenia during the viewing of appetitive smoking cues...
November 16, 2018: Journal of Dual Diagnosis
Ish P Bhalla, Elina A Stefanovics, Robert A Rosenheck
OBJECTIVE: A distinct group of patients has recently been described who experience polysubstance use disorder characterized by use of multiple addictive substances. This study examines baseline characteristics and longitudinal outcomes of a group of such patients in specialized intensive Veterans Health Administration posttraumatic stress disorder (PTSD) programs and followed 4 months after discharge. METHODS: Patients with diagnosed PTSD or subsyndromal PTSD and who used a single substance at baseline were compared to those who used two or three and more than three different addictive substances on measures of PTSD symptom severity and functioning...
November 16, 2018: Journal of Dual Diagnosis
Alicia R Haas, Shannon R Forkus, Ateka A Contractor, Nicole H Weiss
OBJECTIVE: Posttraumatic stress symptoms (PTSS) have been found to be associated with alcohol (mis)use among college students. Anxiety sensitivity has been theoretically and empirically linked to both PTSS and alcohol (mis)use. The goal of the present study was to extend research by examining the relations among PTSS, anxiety sensitivity, and alcohol misuse within a sample of trauma-exposed Black college students. METHODS: Participants were 121 Black undergraduate college students who endorsed exposure to a traumatic event (M age = 22...
November 12, 2018: Journal of Dual Diagnosis
Johann M D'Souza, Margaret Wardle, Charles E Green, Scott D Lane, Joy M Schmitz, Anka A Vujanovic
OBJECTIVE: Substance use disorders and posttraumatic stress symptoms are commonly comorbid. Previous studies have established that those with substance use disorders or posttraumatic stress disorder (PTSD) have lower high frequency-heart rate variability (HF-HRV) compared to controls, suggesting that low HF-HRV may be a biomarker of a common physiological mechanism underlying both disorders. We evaluated HF-HRV as a potential biomarker of a common underlying process by testing whether lower HF-HRV related to greater severity of substance use and PTSD symptoms in individuals with both substance use disorders and at least four symptoms of PTSD...
November 11, 2018: Journal of Dual Diagnosis
Michael Kidorf, Stephanie Solazzo, Haijuan Yan, Robert K Brooner
OBJECTIVE: The present study evaluated rates of co-occurring current psychiatric and substance use disorders in a sample of opioid-dependent treatment-seeking injection drug users referred from syringe exchange. METHODS: Participants (N = 208) completed the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-R to assess current (within the past year) psychiatric and substance use disorders and the two most commonly diagnosed personality disorders (antisocial and borderline personality disorders)...
October 17, 2018: Journal of Dual Diagnosis
Yeqing Yuan, Jennifer I Manuel
OBJECTIVE: Individuals with mental health and/or substance abuse problems experience disparities in health care utilization. While previous studies have focused on individual and social determinants of health care use in these populations, few have investigated the role of residential stability, especially in relation to different types of service use (i.e., inpatient vs. outpatient treatment). The present study examined the relationship between residential mobility, defined as the number of residential relocations in the past year, and past-year use of four types of behavioral services (i...
October 10, 2018: Journal of Dual Diagnosis
Lauren E Reeves, Brandon A Gaudiano, Jane Metrik, Carolina Guzman Holst, Alexandra Morena, Valerie J Sydnor, Lauren M Weinstock, Gary Epstein-Lubow
OBJECTIVE: Individuals with psychotic-spectrum disorders use tobacco and cannabis at higher rates than the general population and individuals with other psychiatric disorders, which may contribute to increased rates of medical problems and mortality. The present study examined whether individuals with psychosis and comorbid tobacco and/or cannabis use disorders exhibit differing clinical characteristics in terms of their sociodemographic, mental health, substance use, physical health, and medication use patterns...
September 28, 2018: Journal of Dual Diagnosis
Isabella Ingram, Peter J Kelly, Frank P Deane, Amanda L Baker, Dayle K Raftery
OBJECTIVES: Loneliness is a distressing emotional experience that is likely to be prevalent among people accessing treatment for substance dependence problems. The first aim of the current study was to report on the validity of the Social and Emotional Loneliness Scale for Adults-Short Version (SELSA-S), a multidimensional measure of loneliness, for use in substance-dependent treatment populations. In order to further the understanding of loneliness among this population, loneliness was examined in relation to demographic, physical, and mental health variables...
September 28, 2018: Journal of Dual Diagnosis
Ryan J Martin, Beth H Chaney
OBJECTIVE: In clinical and athlete populations, research has found that experiencing a concussion (or traumatic brain injury) is correlated with experiencing other psychiatric conditions, including depression and alcohol problems. However, less is known about concussion comorbidity in other population segments. The purpose of this study is to examine the relationships between concussions and depression symptoms, anxiety symptoms, and hazardous drinking among a large sample of college students (N = 1776) enrolled in a mandatory health course...
September 5, 2018: Journal of Dual Diagnosis
Tone Helene Bergly, Mikael Julius Sømhovd
OBJECTIVE: Attention-deficit/hyperactivity disorder (ADHD) frequently co-occurs with substance use disorders and has some overlapping symptoms with mild cognitive impairment, including executive functions. We wanted to investigate whether patients with ADHD have an excess risk of mild cognitive impairment-like symptoms, as defined by the Montreal Cognitive Assessment (MoCA). Second, we assessed the impact of ADHD medication on the dichotomized MoCA for patients with ADHD. METHODS: The participants in this study were 129 inpatients at seven treatment clinics in Norway...
September 5, 2018: Journal of Dual Diagnosis
Dana Serino, Bradley S Peterson, Tove S Rosen
OBJECTIVE: The aim of this research was to assess psychosocial history and psychological functioning in women who use drugs during pregnancy and determine how drug exposure affects child development. METHODS: Pregnant women using marijuana (n = 38) and cocaine (n = 35) and receiving methadone maintenance (n = 24), along with a control (n = 49) group of pregnant women, were enrolled and followed every six months through 18-24 months postnatally. RESULTS: There was a significantly higher incidence of mental illness among mothers in the drug-using groups...
April 25, 2018: Journal of Dual Diagnosis
Eric A Dedert, Paul A Dennis, Patrick S Calhoun, Michelle F Dennis, Jean C Beckham
OBJECTIVE: The aim of this research was to determine whether augmenting standard smoking cessation treatment by wearing an active nicotine patch before the smoking quit date improves rates of smoking cessation in individuals with posttraumatic stress disorder (PTSD) and to explore mechanisms of treatment response such as decreased cigarette craving and symptom relief from smoking. METHODS: This was a double-blind parallel randomized controlled trial in 81 people with PTSD who smoked cigarettes...
April 25, 2018: Journal of Dual Diagnosis
Mojgan Padyab, Bengt-Åke Armelius, Kerstin Armelius, Siv Nyström, Björn Blom, Ann-Sofie Grönlund, Lena Lundgren
OBJECTIVE: In Sweden, the Addiction Severity Index (ASI) is the Swedish National Board of Health and Welfare's recommended substance use disorder assessment tool and used routinely for patient intakes. Our study of 213 individuals assessed for substance use disorder with the ASI used nine years of the National Patient Register and examined whether clinical social workers' assessments of addiction severity at baseline were associated with later hospitalizations for mental health disorder (MHD)...
April 23, 2018: Journal of Dual Diagnosis
Menachem M Sofer, Alexander Kaptsan, Jonathan Anson
OBJECTIVES: Currently, Israel has a single governmental inpatient dual diagnosis detoxification unit. We provide a cross-section of patient profiles in this study as well as explore possible associations between clinical/demographic factors and the unplanned early discharge of patients from the unit, aiming at improving rehabilitation success rates. METHODS: In this retrospective study, medical records of all patients admitted to the unit between January 1, 2012, and July 1, 2013, were examined (N = 323)...
April 18, 2018: Journal of Dual Diagnosis
Adam P McGuire, Natalie P Mota, Lauren M Sippel, Kevin M Connolly, Judith A Lyons
OBJECTIVE: Resilience has been associated with less severe psychiatric symptomatology and better treatment outcomes among individuals with posttraumatic stress disorder (PTSD) and substance use disorders. However, it remains unknown whether resilience increases during psychotherapy within the comorbid PTSD and substance use disorder population with unique features of dual diagnosis, including trauma cue-related cravings. We tested whether veterans seeking psychotherapy for comorbid PTSD and substance use disorder reported increased resilience from pre- to posttreatment...
April 18, 2018: Journal of Dual Diagnosis
Jesse Walker, Kaitlin E Bountress, Casey D Calhoun, Isha W Metzger, Zachary Adams, Ananda Amstadter, Suzanne Thomas, Carla Kmett Danielson
OBJECTIVE: Trauma exposure is common, with estimates of 28 to 90% of adults reporting at least one traumatic event over their lifetime. Those exposed to traumatic events are at risk for alcohol misuse (i.e., binge drinking), posttraumatic stress disorder (PTSD), or both. A potential underlying mechanism for this comorbidity is increased impulsivity-the tendency to act rashly. Little work to date has examined the impact of different impulsogenic traits on this comorbidity. METHODS: This study (n = 162) investigated trauma-exposed young adults (age 21-30) who had endorsed a lifetime interpersonal trauma...
March 5, 2018: Journal of Dual Diagnosis
Thomas A Thornhill, Anne C Black, Marc I Rosen
INTRODUCTION: Adults with mental health disorders whose ability to work is sufficiently impeded are entitled to financial supports from the Social Security Administration. Beneficiaries determined to be incapable of managing these funds are supposed to be assigned a representative payee to assist beneficiaries in meeting their needs. However, patterns of payee assignment suggest that payee assignment is impacted by factors other than those the Social Security Administration instructs clinicians to consider...
March 5, 2018: Journal of Dual Diagnosis
E Sherwood Brown, Alan Green
No abstract text is available yet for this article.
March 5, 2018: Journal of Dual Diagnosis
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