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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: 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: Double-blind parallel randomized controlled trial in 81 people with PTSD who smoked cigarettes. Participants were recruited from Veterans Affairs outpatient clinics and flyers in the community...
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
Peter J Kelly, Camilla J Townsend, Briony A Osborne, Amanda L Baker, Frank P Deane, Carol Keane, Isabella Ingram, Joanne Lunn
INTRODUCTION: Nicotine Replacement Therapy (NRT) is recommended as a frontline smoking cessation tool for people attending mental health and substance dependence treatment services. Previous research suggests that NRT is underutilized in these settings. To improve the use of NRT amongst people attending residential treatment for substance use disorders (SUDs) it is important that the factors influencing smokers' decisions to use NRT are understood. The study aimed to examine: (1) smoking cessation strategies used by participants in previous quit attempts, (2) participants' attitudes towards NRT (i...
February 28, 2018: Journal of Dual Diagnosis
Eva Louie, Vicki Giannopoulos, Andrew Baillie, Gabriela Uribe, Simon Byrne, Mark Deady, Maree Teesson, Amanda Baker, Paul S Haber, Kirsten C Morley
OBJECTIVE: Comorbid mental health and substance use problems are highly prevalent in substance use treatment settings and generally lead to poorer treatment outcomes. Pathways to Comorbidity Care (PCC) is a multimodal training program developed to encourage an integrated service approach to improve clinicians capacity to identify and manage comorbid substance use and mental health outcomes within public drug and alcohol treatment settings. METHODS: In this paper we describe the concepts underlying the PCC package and the use of implementation science to assess and overcome potential barriers, including clinicians preferences, knowledge about best practice, and professional culture...
February 28, 2018: Journal of Dual Diagnosis
J Chilton, D Crone, P J Tyson
BACKGROUND: Dual diagnosis covers a broad spectrum of mental health and substance misuse conditions occurring concurrently (NICE, 2016 ). Its manifestation is complex and, as such, the disorder is recognized as influencing adherence to prescribed medication and service engagement and has a worse prognosis than substance use and mental health conditions occurring independently. AIMS: To determine the effectiveness of psychoeducational group therapy in a sample of dual diagnosis patients...
February 20, 2018: Journal of Dual Diagnosis
Erin Gandelman, Ismene Petrakis, Lorig Kachadourian, Elizabeth Ralevski
OBJECTIVE: Negative affect intensity and hostility have both been implicated in alcohol use disorders (AUD) and posttraumatic stress disorder (PTSD) when they occur separately, but neither have been compared or explored among those with comorbid AUD and PTSD. This study is a secondary analysis designed to compare levels of negative affect intensity and hostility among those with AUD to those with comorbid AUD and PTSD. METHODS: Participants (n = 113) were recruited from the placebo-controlled groups of two distinct 12-week clinical trials (NCT00342563 and NCT00744055)...
February 20, 2018: Journal of Dual Diagnosis
Linda Zhang, Monica Norena, Anne Gadermann, Anita Hubley, Lara Russell, Tim Aubry, Matthew J To, Susan Farrell, Stephen Hwang, Anita Palepu
OBJECTIVE: Individuals who are homeless or vulnerably housed have a higher prevalence of concurrent disorders, defined as having a mental health diagnosis and problematic substance use, compared to the general housed population. The study objective was to investigate the effect of having concurrent disorders on health care utilization among homeless or vulnerably housed individuals, using longitudinal data from the Health and Housing in Transition Study. METHODS: In 2009, 1190 homeless or vulnerably housed adults were recruited in Ottawa, Toronto, and Vancouver, Canada...
January 2018: Journal of Dual Diagnosis
Jaimee L Heffner, Noreen L Watson, Jennifer B McClure, Robert M Anthenelli, Sarah Hohl, Jonathan B Bricker
OBJECTIVE: Smokers with bipolar disorder (BD) have low rates of successful quitting, yet no prior studies have evaluated the process of quitting among these smokers in the context of a current quit attempt. To facilitate development of more effective interventions, we conducted a qualitative exploration of challenges and facilitators of quitting in an intervention study for smokers with BD. METHODS: Participants were adult daily smokers with BD (n = 10) who completed a 10-week smoking cessation intervention consisting of Acceptance and Commitment Therapy (ACT) and nicotine patch...
January 2018: Journal of Dual Diagnosis
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