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Journal of Dual Diagnosis

Noreen L Watson, Jaimee L Heffner, Jennifer B McClure, Jonathan B Bricker
OBJECTIVES: Although social anxiety is associated with higher prevalence of smoking and lower cessation rates, little is known about the underlying mechanisms of these relationships. Research suggests that socially anxious smokers have higher levels of smoking-specific experiential avoidance and are inclined to smoke to avoid internal smoking cues. However, it is unknown which types of internal smoking cues they avoid. Thus, this study aimed to address this gap in the literature. METHODS: Participants (N = 450) were adult smokers from a group-based trial for smoking cessation...
October 14, 2016: Journal of Dual Diagnosis
Stella M Resko, Suzanne Brown, Natasha S Mendoza, Shantel Crosby, Antonio González-Prendes
OBJECTIVE: Perception of need is a key factor that influences decisions to seek help and complete treatment for substance use and mental health problems. In the current study, we examine patterns of perceived treatment needs among women with co-occurring substance use disorders and post-traumatic stress disorder (PTSD) and explore how these patterns are associated with demographics, psychosocial variables, and treatment-related factors. METHODS: Secondary data analysis of the Women and Trauma Study from the National Institute on Drug Abuse's Clinical Trial Network was conducted...
October 14, 2016: Journal of Dual Diagnosis
Suzanne Brown, Laurel M Hicks, Elizabeth M Tracy
OBJECTIVE: Approximately 73% of women entering treatment for substance use disorders are mothers of children under the age of 18 (SAMHSA, 2009), and the high rate of mental health disorders among mothers with substance use disorders increases their vulnerability to poor parenting practices. Parenting efficacy and social support for parenting have emerged as significant predictors of positive parenting practices among families at risk for child maltreatment. The purpose of the current study was to examine the impact of parenting support and parenting efficacy on the likelihood of out-of-home placement and custody status among the children of mothers with dual substance use and mental health disorders...
October 14, 2016: Journal of Dual Diagnosis
Autumn Harnish, Patrick Corrigan, Thomas Byrne, Debra A Pinals, Stephanie Rodrigues, David Smelson
OBJECTIVE: This pilot study examined whether substance use or mental illness was more stigmatizing among individuals with co-occurring mental health and substance abuse problems. METHODS: This study included 48 individuals with co-occurring substance use and mental health problems enrolled in a Substance Abuse and Mental Health Services funded treatment program. Subjects received a baseline assessment that included addiction, mental health, and stigma measures. RESULTS: The sample consisted primarily of white males with an average age of 38 years...
October 10, 2016: Journal of Dual Diagnosis
Joseph M Johnson, Chris Y Wu, Gerald Scott Winder, Michael I Casher, Vincent D Marshall, Jolene R Bostwick
Objective This study examines the association between cannabis use and the hospital course of patients admitted to the psychiatric inpatient unit with a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder. Many confounding variables potentially contribute to the clinical presentation of hospitalized patients in the psychiatric unit. Illicit drug use, in particular, has been associated with acute agitation, and questions can be raised as to what lasting effects drug use prior to admission may have throughout a patient's hospital stay...
October 6, 2016: Journal of Dual Diagnosis
Rodrigo Marín-Navarrete, María Elena Medina-Mora, Viviana E Horigian, Ihsan M Salloum, Luis Villalobos-Gallegos, José Fernández-Mondragón
OBJECTIVE: In Mexico, specialized treatment services for people with co-occurring disorders are limited within public health services, while private options are deemed too costly. More than 2,000 community-based residential care facilities have risen as an alternative and are the main source of treatment for individuals with substance use disorders; however, suboptimal practices within such facilities are common. Information on the clinical characteristics of patients receiving care in these facilities is scarce and capacity to provide high-quality care for co-occurring disorders is unknown...
August 5, 2016: Journal of Dual Diagnosis
Doug Polcin, Rachael Korcha, Shalika Gupta, Meenakshi Sabina Subbaraman, Amy A Mericle
OBJECTIVE: Sober living houses are alcohol- and drug-free recovery residences that help individuals with substance use disorders maintain long-term abstinence. Given the prevalence of co-occurring mental disorders among individuals entering substance use treatment, it is likely that many such residents are also contending with psychiatric symptoms, and it is unclear how these symptoms may affect their sobriety. This study sought to describe the prevalence and trajectories of different types of symptoms among sober living house residents and examine how these symptoms affect substance use outcomes...
April 2016: Journal of Dual Diagnosis
Robert E Drake, Alan I Green
No abstract text is available yet for this article.
April 2016: Journal of Dual Diagnosis
Colleen Clark, Christina C Guenther, Jessica N Mitchell
OBJECTIVE: The purpose of this article is to examine two evidence-based models of case management for people with co-occurring disorders and histories of chronic homelessness and to better understand their roles in permanent supported housing. Critical Time Intervention and Assertive Community Treatment are examined in terms of key elements, how they assist in ending homelessness, as well as the role they play in an individual's recovery from co-occurring disorders. METHODS: Participants in two supported housing programs were interviewed at baseline and 6 months...
April 2016: Journal of Dual Diagnosis
Nanna Gilliam Toftdahl, Merete Nordentoft, Carsten Hjorthøj
OBJECTIVE: It remains unclear whether there is an association between severity of cannabis use and psychotic symptom severity over time. Shedding light on this under-researched matter could have clinical implications for this patient group. METHODS: This was a secondary analysis of a randomized, parallel-group, superiority, assessor-blinded trial. We followed 60 patients with dually diagnosed psychosis and cannabis use disorders from the Danish CapOpus trial, which included assessments at baseline, post-treatment (6 months) and 10 months...
April 2016: Journal of Dual Diagnosis
Amy A Mericle, Christine E Grella
No abstract text is available yet for this article.
April 2016: Journal of Dual Diagnosis
Daniel J Paulus, Jafar Bakhshaie, Chad Lemaire, Monica Garza, Melissa Ochoa-Perez, Jeanette Valdivieso, Ricardo Valdes Velasco, Daniel Bogiaizian, Brooke Y Kauffman, Zuzuky Robles, Clayton Neighbors, Michael J Zvolensky
OBJECTIVE: Latinos are the largest and most rapidly growing racial/ethnic group in the United States. In Latino communities, alcohol is the most widely abused substance, yet there is little empirical understanding of the factors underlying problematic alcohol use among Latinos. The current study explored whether negative affectivity exerted an indirect effect via emotion dysregulation in relation to two alcohol-related outcomes. METHODS: Participants were 316 Latinos attending a community-based primary care facility (Mage = 39...
April 2016: Journal of Dual Diagnosis
David A Smelson, Heather Zaykowski, Nathan Guevermont, Julianne Siegfriedt, Leon Sawh, David Modzelewski, Sam Tsemberis, Vincent Kane
OBJECTIVES: While permanent housing, addictions, and mental health treatment are often critical needs to achieve housing stability and community reintegration, few studies have systematically integrated them into a single comprehensive approach for people experiencing chronic homelessness. This pilot study examined the feasibility and preliminary outcomes of systematically integrating permanent supportive housing and an evidence-based co-occurring disorders intervention called Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (MISSION)...
April 2016: Journal of Dual Diagnosis
Kristen Paquette, Laura A Pannella Winn
Housing options for people exiting homelessness and seeking recovery from substance use disorders are limited. Policies tend to favor low-demand models such as housing first and permanent supportive housing that do not require abstinence, but offer immediate housing placement based on consumer choice and separate housing from clinical services. While these models have proven effective in promoting housing retention, especially among individuals with a primary diagnosis of mental illness, evidence to support positive outcomes related to people with a primary or co-occurring substance use disorder are mixed...
April 2016: Journal of Dual Diagnosis
Mark Abroms, Leo Sher
No abstract text is available yet for this article.
April 2016: Journal of Dual Diagnosis
Laura Pannella Winn, Kristen Paquette
OBJECTIVE: States across the country are recognizing recovery housing, an abstinence-based living environment promoting recovery from alcohol and other drugs, as an important yet underrepresented choice within their housing and treatment continuums. However, strategies for bringing recovery housing to scale are not well known. Building upon broader quality improvement efforts in Ohio, this paper aims to identify barriers and facilitators to expanding recovery housing in Ohio by understanding the perspectives of relevant stakeholders...
April 2016: Journal of Dual Diagnosis
Nina A Cooperman, Shou-En Lu, Kimber P Richter, Steven L Bernstein, Jill M Williams
OBJECTIVE: We aimed to evaluate how psychiatric and personality disorders influence smoking cessation goals and attempts among people with opiate dependence who smoke. This information could aid the development of more effective cessation interventions for these individuals. METHODS: Participants (N = 116) were recruited from two methadone clinics, completed the Millon Clinical Multiaxial Inventory-III, and were asked about their smoking behavior and quitting goals...
April 2016: Journal of Dual Diagnosis
Kathryn Hefner, Robert Rosenheck, Jeremy Merrel, Marcedes Coffman, Gerry Valentine, Mehmet Sofuoglu
OBJECTIVE: Individuals with mental illness and substance use disorders smoke at elevated rates and tend to have greater difficulty quitting smoking as compared to the general population. Some believe that e-cigarettes may reduce harm associated with smoking, but little is known about e-cigarette use, perceptions, and motivations for their use among individuals with mental health and/or substance use disorders. METHODS: Rates and correlates of e-cigarette use, perceptions, and sources of information about e-cigarettes among smokers seeking mental health and/or substance use services (N = 188) at the VA Connecticut Healthcare System were assessed via a brief survey...
April 2016: Journal of Dual Diagnosis
Shaun M Eack, Susan S Hogarty, Srihari S Bangalore, Matcheri S Keshavan, Jack R Cornelius
OBJECTIVE: Substance use problems are common among people with schizophrenia, as are significant cognitive impairments. Because of potential shared neurobiological pathways, it is possible that cognitive remediation interventions may be associated with improvements in both substance use and cognition. This study examined the impact of cognitive remediation on alcohol and cannabis use and the cognitive correlates of changes in substance use among outpatients with schizophrenia. METHODS: Individuals with schizophrenia who were receiving outpatient services at a psychiatric clinic and had moderate or higher addiction severity scores (N = 31) were randomized to 18 months of cognitive enhancement therapy (n = 22) or usual care (n = 9)...
2016: Journal of Dual Diagnosis
Kelly A Aschbrenner, John A Naslund, Lydia E Gill, Stephen J Bartels, Dror Ben-Zeev
OBJECTIVE: Mobile health (mHealth) approaches have the potential to transform prevention, wellness, and illness management for people with dual diagnosis consisting of co-occurring mental illness and substance use disorders by providing timely and cost-effective interventions in clients' natural environments. However, little is known about how clients interact with mHealth interventions to manage their illness. This qualitative study explored the content of mobile phone text messages between clients with dual diagnosis and a clinician who engaged them in daily assessment and intervention text exchanges...
2016: Journal of Dual Diagnosis
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