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Substance Abuse Treatment, Prevention, and Policy

Stephan Arndt, De Shauna Jones
No abstract text is available yet for this article.
March 12, 2018: Substance Abuse Treatment, Prevention, and Policy
Louise Penzenstadler, Stéphane Kolly, Stéphane Rothen, Yasser Khazaal, Ueli Kramer
BACKGROUND: Dual diagnosis is common in Borderline Personality Disorder (BPD), one of the most common being Substance Use Disorder (SUD). Previous studies have shown that general psychiatric management (GPM) was effective in reducing borderline symptoms. In the present study, we tested whether the short GPM was as effective in the BPD + SUD as in the BPD group. METHODS: We analysed a group of 99 patients presenting a BPD. 51 of these patients presented a SUD...
February 26, 2018: Substance Abuse Treatment, Prevention, and Policy
Sanghamitra Pati, Abhimanyu Singh Chauhan, Pranab Mahapatra, Devraj Hansdah, Krushna Chandra Sahoo, Sandipana Pati
BACKGROUND: Evidence-based research has documented the association between alcohol intake during pregnancy and increased risk of miscarriage, stillbirth and congenital birth defects. Alcohol consumption is a complex behavior whose origins lay in cultural norms and the social structure. In tribal communities in India, alcohol misuse among women is a public health problem. This study is intended to explore perceptions and beliefs among tribal women and the community towards alcohol consumption during pregnancy...
February 20, 2018: Substance Abuse Treatment, Prevention, and Policy
Long Quynh Khuong, Tuong-Vi Thi Vu, Van-Anh Ngoc Huynh, Truc Thanh Thai
BACKGROUND: Social support plays a crucial role in the treatment and recovery process of patients engaging in methadone maintenance treatment (MMT). However, there is a paucity of research about social support among MMT patients, possibly due to a lack of appropriate measuring tools. This study aimed to evaluate the psychometric properties of the Vietnamese version of the Medical Outcomes Study: Social Support Survey (MOS-SSS) among MMT patients. METHODS: A cross-sectional survey of 300 patients was conducted in a methadone clinic in Ho Chi Minh City, Vietnam...
February 14, 2018: Substance Abuse Treatment, Prevention, and Policy
André Q C Miguel, Clarice S Madruga, Viviane Simões, Rodolfo Yamauchi, Claudio J da Silva, Renata R Abdalla, Michael McDonell, Sterling McPherson, John M Roll, Jair J Mari, Ronaldo R Laranjeira
BACKGROUND: Contingency management (CM) has recently shown efficacy in promoting abstinence and retention in treatment among crack cocaine users in Brazil. However, partially because of unawareness and resistance among health care providers, CM has not been widely employed. The objective of this study was to conduct a secondary analysis in order to evaluate how CM participants perceive their treatment experience. METHODS: Twenty-seven crack cocaine users, previously assigned to 12 weeks of CM treatment, were assessed with a structured questionnaire designed to assess their personal opinion of, difficulty in understanding, and acceptance of the CM intervention, as well as their opinion regarding its impact on their treatment responses...
February 12, 2018: Substance Abuse Treatment, Prevention, and Policy
Hannah McKenna, Charlene Treanor, Dermot O'Reilly, Michael Donnelly
PURPOSE: To review studies about the reliability and validity of self-reported alcohol consumption measures among adults, an area which needs updating to reflect current research. METHODS: Databases (PUBMED (1966-present), MEDLINE (1946-present), EMBASE (1947-present), Cumulative Index of Nursing and Allied Health Literature (CINAHL) (1937-present), PsycINFO (1887-present) and Social Science Citation Index (1976-present)) were searched systematically for studies from inception to 11th August 2017...
February 2, 2018: Substance Abuse Treatment, Prevention, and Policy
Simasadat Noorbakhsh, Jamal Shams, Mohamadmahdi Faghihimohamadi, Hanieh Zahiroddin, Mats Hallgren, Hakan Kallmen
BACKGROUND: Iran is a developing and Islamic country where the consumption of alcoholic beverages is banned. However, psychiatric disorders and alcohol use disorders are often co-occurring. We used the Alcohol Use Disorders Identification Test (AUDIT) to estimate the prevalence of alcohol use and examined the psychometric properties of the test among psychiatric outpatients in Teheran, Iran. METHODS: AUDIT was completed by 846 consecutive (sequential) patients. Descriptive statistics, internal consistency (Cronbach alpha), confirmatory and exploratory factor analyses were used to analyze the prevalence of alcohol use, reliability and construct validity...
January 30, 2018: Substance Abuse Treatment, Prevention, and Policy
Laura B Monico, Shannon Gwin Mitchell
BACKGROUND: As the availability of prescription opioids decreases and the availability of heroin increases, some prescription opioid users are transitioning to heroin. This study seeks to explore factors associated with respondents' transition from prescription opioid use to heroin. METHODS: In-depth, semi-structured qualitative interviews (n = 20) were conducted with buprenorphine patients in an opioid treatment program. Respondents were predominantly White (n = 13) and male (n = 13), with a range of treatment tenure (4 days to 2 years)...
January 29, 2018: Substance Abuse Treatment, Prevention, and Policy
Tara Beaulieu, Lianping Ti, M-J Milloy, Ekaterina Nosova, Evan Wood, Kanna Hayashi
BACKGROUND: People who use illicit drugs (PWUD) are commonly diagnosed with major depressive disorder (MDD). However, little is known about whether PWUD living with MDD experience additional barriers to accessing health services compared to those without MDD. We sought to identify whether MDD symptoms were associated with perceived barriers to accessing health services among people who use illicit drugs (PWUD) in Vancouver, Canada. METHODS: Data were collected through prospective cohorts of PWUD in Vancouver, Canada between 2005 and 2016...
January 19, 2018: Substance Abuse Treatment, Prevention, and Policy
Chiu-Ching Chang, Jung-Yu Liao, Chiu-Mieh Huang, Hsiao-Pei Hsu, Chih-Che Chen, Jong-Long Guo
BACKGROUND: Studies indicate that adolescent-onset drug users experience a greater likelihood of dependence that continues into adulthood. The importance of early intervention was evident in treating adolescents before their substance use progressed. We examined the effectiveness of an intervention program that prevents students who experiment with drugs from reusing them. METHODS: The study was based on 10 out of 18 invited schools that were randomly assigned to either the intervention group (5 schools, n = 43) or the comparison group (5 schools, n = 41)...
January 16, 2018: Substance Abuse Treatment, Prevention, and Policy
Xia Zou, Yong Xu, Wen Chen, Yinghua Xia, Yin Liu, Cheng Gong, Li Ling
BACKGROUND: Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections among methadone maintenance treatment (MMT) participants remain high. Optimized HIV and HCV prevention strategies for MMT clinics in resource-limited regions are urgently needed. This study aims to develop an MMT system dynamic model (SDM) to compare and optimize HIV and HCV control strategies in the MMT system. METHODS: We developed an MMT-SDM structure based on literature reviews...
January 10, 2018: Substance Abuse Treatment, Prevention, and Policy
Carlos Gómez-Restrepo, Patricia Maldonado, Nelcy Rodríguez, Rafael Ruiz-Gaviria, Miguel Ángel Escalante, Raúl Ángel Gómez, Marcelo Ribeiro de Araujo, Ana Carolina Schmidt de Oliveira, Joel Salvador Chávez Rivera, Jorge Alberto Godínez García, Marina Piazza Ferrand, Dora Blitchtein-Winicki
BACKGROUND: In Latin America, substance related disorders are highly prevalent and one of the treatment strategies is the Therapeutic Communities (TCs), however, in Latin America there is scarce data about this treatment strategies, their quality, drop-out rates and patient satisfaction. METHODS: Based on a previous study in 5 Latin American countries, the TCs who had a score equal or higher than 9 according to the De Leon criteria which are some fundamental items that the TCs should meet, were selected to carry out a descriptive and retrospective study of qualitative and quantitative characteristics of the TCs...
December 20, 2017: Substance Abuse Treatment, Prevention, and Policy
Moonjung Bae, Jungjoong Yoon, Hyunyong Kang, Taegyu Kim
BACKGROUND: The motives for elite athletes to dope are related primarily to maintaining and improving their physical performance. Especially, elite athletes training to compete in the Olympics may feel unique situational pressure, which may in turn induce powerful motivation for doping and predict doping behavior. This study aimed to investigate possible factors associated with attitudes towards doping in Korean national athletes who competed in the Rio 2016 Olympic Games. METHODS: A total of 198 athletes (95 female, 103 male) completed the questionnaire, which covered demographic information, doping-related experiences, Performance Enhancement Attitude Scale (PEAS), Perfectionism in Sports Scale (PSS; coach's criticism, concern over mistakes, and personal standards), and Perceived Motivational Climate in Sport Questionnaire-2 (PMCSQ-2; ego-involving and task-involving climates)...
December 12, 2017: Substance Abuse Treatment, Prevention, and Policy
Xianming Fu, Kai Chen, Xiaobo Liao, Kangjun Shen
BACKGROUND: Illicit drug use has become an increasing public health and social concern in the past decades worldwide. Intravenous injection has an elevated risk of infection. Needle embolism is a rare complication of intravenous drug users, Retained broken needles can lead to local complications, such as infection, but they also have the potential to embolize to heart or lung, and lead to serious complications. METHOD: We reported a rare case of an intravenous drug user which a retained broken needle fragments in the inferior wall of the right ventricle...
December 8, 2017: Substance Abuse Treatment, Prevention, and Policy
Derek C Chang, Scott E Hadland, Ekaterina Nosova, Evan Wood, Thomas Kerr, Kora DeBeck
BACKGROUND: Although the initiation of injection drug use has been well characterized among at-risk youth, factors that support or impede cessation of injection drug use have received less attention. We sought to identify socioeconomic factors associated with cessation of injection drug use among street-involved youth. METHODS: From September 2005 to May 2015, data were collected from the At-Risk Youth Study (ARYS), a prospective cohort study of street-involved youth in Vancouver, Canada...
December 7, 2017: Substance Abuse Treatment, Prevention, and Policy
Alice Munro, Julaine Allan, Anthony Shakeshaft, Courtney Breen
BACKGROUND: The need for effective, culturally safe residential rehabilitation services for Aboriginal people is widely acknowledged, however the combination of treatment components that is optimally effective, is not well defined. Most existing Aboriginal residential rehabilitation research has focused on describing client characteristics, and largely ignored the impact of treatment and service factors, such as the nature and quality of therapeutic components and relationships with staff...
December 6, 2017: Substance Abuse Treatment, Prevention, and Policy
Travis M Scott, Monica Rivera Mindt, Chinazo O Cunningham, Franchesca Arias, Kelly Coulehan, Aprille Mangalonzo, Pat Olsen, Julia H Arnsten
BACKGROUND: Among persons with opioid use disorder (OUD), neuropsychological dysfunction is associated with depression, and better neuropsychological function is associated with opioid abstinence. However, it is unknown whether depressive symptomatology or adherence to opiate agonist treatment are associated with neuropsychological change over time. METHODS: We recruited 20 buprenorphine/naloxone-treated adults with OUD (M Age = 45.2 years [SD = 8.1]; 25% female) to complete baseline and 6 month visits containing a neuropsychological test battery and self-reported measures of depressive symptomatology and medication adherence...
November 15, 2017: Substance Abuse Treatment, Prevention, and Policy
Awoke Mihretu, Solomon Teferra, Abebaw Fekadu
BACKGROUND: Substance use disorders along with neuropsychiatric disorders contributed about 14% of the global burden of disease. Harmful alcohol use, is a known contributor for many harms (accidents, suicide, violence, and complication of other psychiatric and medical disorders). In the Western countries, alcohol and nicotine are gateway drugs to cannabis use, and cannabis use is a risk factor for other illicit drugs such as cocaine and heroin. Khat use is another psychoactive substance which is common in East African and Arabian Peninsula...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
Perrine Roux, Daniela Rojas Castro, Khadim Ndiaye, Laélia Briand Madrid, Virginie Laporte, Marion Mora, Gwenaelle Maradan, Stéphane Morel, Bruno Spire, Patrizia Carrieri
BACKGROUND: Injectable opioids are an interesting option for people who inject drugs (PWID) that do not respond to oral Opioid Maintenance Treatment (OMT). To date, intravenous (IV) buprenorphine - a safer drug than full-opioid agonists in terms of overdose risk - has never been tested in a clinical trial on opioid dependence. We designed a survey to better understand the profile of PWID eligible for IV buprenorphine, and their willingness to receive it. METHODS: This cross-sectional community-based national survey was conducted through face-to-face interviews (in low-threshold and addiction care services) and online questionnaires (on https://psychoactif...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
Kristen A Morin, Joseph K Eibl, Alexandra M Franklyn, David C Marsh
BACKGROUND: Addressing opioid use disorder has become a priority in Ontario, Canada, because of its high economic, social and health burden. There continues to be stigma and criticism relating to opioid use disorder and treatment options. The result has been unsystematic, partial, reactive policies and programs developed based on divergent points of view. The aim of this manuscript is to describe how past and present understandings, narratives, ideologies and discourse of opioid use, have impacted policies over the course of the growing opioid crisis...
November 2, 2017: Substance Abuse Treatment, Prevention, and Policy
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