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Journal of Addiction Medicine

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https://www.readbyqxmd.com/read/29140822/optimizing-pregnancy-treatment-interventions-for-moms-opti-mom-a-pilot-study
#1
Gerald T Cochran, Valerie Hruschak, Walitta Abdullah, Elizabeth Krans, Antoine B Douaihy, Stephanie Bobby, Rachel Fusco, Ralph Tarter
OBJECTIVES: The public health burden of opioid use disorder (OUD) among pregnant women has significantly increased in recent years. The Optimizing Pregnancy Treatment Interventions for Moms study was a pilot project that examined the feasibility of a patient navigation (PN) intervention model to reduce substance use and improve mental health, quality of life, and to increase engagement with treatment services among pregnant women with OUD. METHODS: A 1-group repeated-measures pilot study was conducted with treatment-seeking pregnant women with opioid dependence initiating buprenorphine maintenance treatment...
November 14, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29068827/predicting-smoking-lapses-in-the-first-week-of-quitting-an-ecological-momentary-assessment-study
#2
Catherine Bolman, Peter Verboon, Vivianne Thewissen, Viviane Boonen, Karin Soons, Nele Jacobs
OBJECTIVES: This study focused on lapse shortly after an attempt to quit smoking. Ecological momentary assessment (EMA) studies have mapped real-time situational factors that induce lapses in everyday life. However, the possible role of nonsmoking intention is disregarded in the dynamic context of daily life, whereas intention plays a key role in behavior change and shifts during smoking cessation. This study therefore aimed to capture the influence of intention on lapse, next to the known risk factors of negative affect, low self-efficacy, craving, positive outcome expectations towards smoking (POEs), being around smokers, and stress...
October 24, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29068826/opioid-addiction-in-pregnancy-does-depression-negatively-impact-adherence-with-prenatal-care
#3
Lauren Hensley, Suela Sulo, Sarah Kozmic, Barbara V Parilla
OBJECTIVE: We aimed to evaluate whether depression in pregnancy in women with opioid dependency negatively impacts adherence with prenatal care. METHODS: This was a retrospective chart analysis of opioid-dependent pregnant women over a 6-year period at 2 large referral and tertiary care centers. The primary outcome was adherence with prenatal care based on the concurrent diagnosis of depression. Adherence was assessed by looking at the number of observed versus expected prenatal visits...
October 24, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29068825/the-economic-burden-of-pathological-gambling-and-co-occurring-mental-health-and-substance-use-disorders
#4
Rosa Rodriguez-Monguio, Evelyn Brand, Rachel Volberg
OBJECTIVES: Disordered gambling often co-occurs with psychiatric and substance use disorders. The study aim was to assess the healthcare costs of pathological gambling (PG) and co-occurring mental health and substance use disorders by payer. This is the first-of-its-kind economic analysis of addictive behaviors and mental health disorders. METHODS: Study data were derived from the Massachusetts All-Payer Claims Data-a representative health claims database-for the period 2009 to 2013...
October 24, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28984682/anxiety-depression-and-pain-symptoms-associations-with-the-course-of-marijuana-use-and-drug-use-consequences-among-urban-primary-care-patients
#5
Nicolas Bertholet, Debbie M Cheng, Tibor P Palfai, Christine Lloyd-Travaglini, Jeffrey H Samet, Richard Saitz
OBJECTIVES: This exploratory study aims to investigate whether anxiety, depression, and pain are associated with changes in marijuana use and drug use consequences among primary care patients. METHODS: In all, 331 adult primary care patients with marijuana as the only drug used were followed prospectively to investigate associations between anxiety/depression symptoms (no/minimal symptoms; anxiety or depression symptoms; symptoms of both) and pain (1-10 scale: none [0]; low [1-3]; medium [4-6]; high [7-10]) (independent variables) and substance use outcomes in regression models...
October 9, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28930773/a-case-of-opioid-overdose-and-subsequent-death-after-medically-supervised-withdrawal-the-problematic-role-of-rapid-tapers-for-opioid-use-disorder
#6
Derek C Chang, Jan Klimas, Evan Wood, Nadia Fairbairn
BACKGROUND: Relapse to opioid use is common after rapid opioid withdrawal. As a result, short-term tapers of opioid agonist/partial agonist medications, such as methadone and buprenorphine/naloxone, are no longer recommended by recent clinical care guidelines for the management of opioid use disorder. Nonetheless, rapid tapers are still commonplace in medically supervised withdrawal settings. CASE SUMMARY: We report a case of an individual with opioid use disorder who was prescribed a rapid buprenorphine/naloxone taper in a medically supervised withdrawal facility and who had a subsequent opioid overdose and death after discharge...
September 19, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28922195/dispositional-mindful-attention-in-relation-to-negative-affect-tobacco-withdrawal-and-expired-carbon-monoxide-on-and-after-quit-day
#7
Daniel J Paulus, Kirsten J Langdon, David W Wetter, Michael J Zvolensky
BACKGROUND: Mindfulness (or "Mindful Attention") has been described as the presence or absence of attention to, and awareness of, what is occurring in the present moment. Among smokers, greater mindfulness is associated with greater effect stability and reduced cue-induced craving. While studies have shown that mindfulness is associated with other smoking-related factors such as reduced withdrawal symptoms using cross-sectional data, relatively little is known about the associations between baseline mindful attention and future abstinence-related effect/withdrawal...
September 15, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28914663/physicians-decision-making-when-implementing-buprenorphine-with-new-patients-conjoint-analyses-of-data-from-a-cohort-of-current-prescribers
#8
Hannah K Knudsen, Michelle R Lofwall, Sharon L Walsh, Jennifer R Havens, Jamie L Studts
OBJECTIVES: Few studies have considered how providers make decisions to prescribe buprenorphine to new patients with opioid use disorder. This study examined the relative importance of patients' clinical, financial, and social characteristics on physicians' decision-making related to willingness to prescribe buprenorphine to new patients and the number of weeks of medication that they are willing to initially prescribe after induction. METHODS: A national sample of 1174 current prescribers was surveyed...
September 13, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28901998/relationships-between-components-of-emotional-intelligence-and-suicidal-behavior-in-alcohol-dependent-patients
#9
Maciej Kopera, Andrzej Jakubczyk, Anna Klimkiewicz, Hubert Suszek, Aleksandra Krasowska, Kirk J Brower, Marcin Wojnar
OBJECTIVES: The importance of investigating various emotional skills in assessment of suicide risk in alcohol-dependent (AD) individuals has recently become the focus of increasing interest. The objective of this study was to explore the relationships between self-reported components of emotional intelligence and lifetime prevalence of suicide attempts in a clinical sample of AD subjects. METHODS: A group of 80 inpatients entering an alcohol treatment program in Warsaw, Poland, was recruited...
September 8, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28885299/correlates-of-stigma-severity-among-persons-seeking-opioid-detoxification
#10
Nikki Bozinoff, Bradley J Anderson, Genie L Bailey, Michael D Stein
INTRODUCTION: Among people with opioid use disorder (OUD), stigma is a known barrier to accessing treatment and has negative impacts on physical and mental health. The purpose of this study was to understand the factors associated with self-stigma and perceived stigma severity among people with OUD entering an inpatient detoxification program. METHODS: Between December 2015 and August 2016, consecutive persons seeking inpatient opioid detoxification were asked to complete a survey that included sociodemographic, drug use, treatment variables, an 8-item General Self-Stigma scale, and a 3-item Treatment Stigma scale...
September 6, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28953504/concurrent-use-of-opioids-and-benzodiazepines-evaluation-of-prescription-drug-monitoring-by-a-united-states-laboratory
#11
Fred Leland McClure, Justin K Niles, Harvey W Kaufman, Jeffrey Gudin
OBJECTIVES: Recently, more than 63% of the 52,404 drug overdose deaths in the United States involved heroin and opioid pain medications. More than 30% of opioid-related deaths also involved benzodiazepines. Previous studies examining the extent of concurrent opioid and benzodiazepine use have relied on prescription data. To gain fuller insight into the extent of the concurrent use problem, we analyzed opioid and benzodiazepine prescription patterns in the context of drug testing results...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28953503/the-unexpected-urine-test-a-matter-far-from-simple
#12
Stefan G Kertesz
: For patients who receive opioids or benzodiazepines, urine drug tests shed some light on the question of whether patients take their medicines as directed. How often do patients prescribed these drugs fall short? A commercial laboratory's review of 144,535 urine samples found a high prevalence of disagreement between what clinic staff reported on laboratory requisitions and what was detected in the urine. Before concluding that most patients fail to take opioids and benzodiazepines correctly, we should take into account that urine tests sent to national laboratories reflect a skewed subset of patients who receive prescriptions...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28885301/perceptions-of-neighborhood-mediate-the-relationship-between-ptsd-symptoms-and-coping-in-a-neighborhood-matched-substance-using-sample
#13
Sara K Hertzel, Jennifer Schroeder, Landhing M Moran, Anika A Alvanzo, William J Kowalczyk, David H Epstein, Kenzie L Preston, Karran A Phillips
OBJECTIVES: People with substance use problems living in neighborhoods with high levels of disorder are disproportionately likely to experience trauma and develop PTSD symptoms. We sought to evaluate the relationships between objective neighborhood disorder, perceptions of neighborhood, and the use of maladaptive coping behaviors among both non-substance-using and substance-using participants with and without PTSD symptoms. METHODS: Participants (255 non-drug users [NDUs], 168 marijuana and/or alcohol users [MAUs], and 273 opioid and/or stimulant users) completed the Addiction Severity Index, PTSD Checklist-Civilian Version, The COPE Inventory, and the Perceived Neighborhood Scale...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28885300/use-of-smoking-cessation-methods-among-patients-receiving-office-based-buprenorphine-maintenance-treatment
#14
Pooja A Shah, Chinazo O Cunningham, Mia T Brisbane, Joseph P DeLuca, Shadi Nahvi
OBJECTIVES: Provision of smoking-cessation treatment is limited in office-based buprenorphine maintenance treatment (BMT) settings. This study describes smoking and smoking-cessation behaviors among patients receiving office-based BMT. METHODS: Cross-sectional study of patients receiving office-based BMT at a community health center in the Bronx, NY. We interviewed patients assessing sociodemographic, and substance use and tobacco use characteristics, including methods used for smoking cessation...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28863009/methadone-and-the-qtc-interval-paucity-of-clinically-significant-factors-in-a-retrospective-cohort
#15
Gavin Bart, Zachary Wyman, Qi Wang, James S Hodges, Rehan Karim, Bradley A Bart
OBJECTIVE: Methadone is associated with prolongation of the electrocardiographic QTc interval. QTc prolongation may be linked to cardiac dysrhythmia and sudden cardiac death. The rate of these events is unknown in methadone-maintained patients. METHODS: This retrospective cohort study of 749 patients with opioid use disorder receiving methadone maintenance therapy through a single safety-net hospital, queried the electronic health record for electrocardiogram results, demographics, methadone dose, and diagnostic codes consistent with cardiac conduction disorder (International Classification of Disease, Ninth Revision [ICD-9] 426) and cardiac dysrhythmia (ICD-9 427)...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28858889/prescriptions-written-for-opioid-pain-medication-in-the-veterans-health-administration-between-2000-and-2016
#16
Michael A Grasso, Clare T Grasso, David A Jerrard
OBJECTIVES: The purpose of this study was to identify national opioid pain medication (OPM) prescribing trends within the Veterans Health Administration (VA), and assess the impact of educational campaigns introduced in 2010 and 2013. METHODS: We created a national cohort that documents more than 21 million patient records and 97 million outpatient OPM prescriptions covering a 17-year period. We examined OPM prescriptions in emergency departments, outpatient clinics, and inpatient settings...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28858888/acceptability-of-an-opioid-relapse-prevention-text-message-intervention-for-emergency-department-patients
#17
Brian Suffoletto, Joseph Yanta, Ryan Kurtz, Gerald Cochran, Antoine Douaihy, Tammy Chung
OBJECTIVE: To explore whether a text message-based relapse prevention intervention (Preventing and Interrupting Early Relapse [PIER]1) is acceptable to treatment-seeking adults with opioid use disorder (OUD) after Emergency Department (ED) discharge using mixed-methods design. METHODS: Adults seeking care in an urban ED for OUD (nā€Š=ā€Š20; mean age 22; 55% female; 75% white race) completed a baseline survey, and were invited to enroll in PIER1, which was delivered in 7-day blocks, with the option to re-enroll at the end of each block, up to 4 blocks...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28777202/nitrite-inhalant-use-and-hiv-infection-among-chinese-men-who-have-sex-with-men-in-2-large-cities-in-china
#18
Xiaofang Wang, Yanqi Li, Zunyou Wu, Zhenzhu Tang, Kathleen H Reilly, Quanxing Nong
OBJECTIVE: This study aims to examine the role that nitrite inhalants play in HIV infection and risky sex behaviors among Chinese men who have sex with men (MSM). METHODS: The study consisted of a baseline and a follow-up survey conducted in Beijing and Nanning, China. The baseline study recruited participants through online advertisements and peer referral to complete a questionnaire interview, oral rapid HIV test, and blood HIV and syphilis tests. The follow-up included a questionnaire interview, and optional oral and/or blood HIV testing...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28767537/addressing-stigma-in-medication-treatment-of-adolescents-with-opioid-use-disorder
#19
Sarah M Bagley, Scott E Hadland, Brittany L Carney, Richard Saitz
: In September 2016, the American Academic of Pediatrics released a policy statement that adolescents with opioid use disorder should be offered pharmacotherapy with buprenorphine/naloxone, methadone, or naltrexone. In our clinical practice, however, we have encountered the perception among patients, families, and clinicians alike that medications should be used as a last resort. That we should wait until things get worse is a discarded approach. As addiction specialists, it is imperative that we prevent and identify risky use and use disorders, then intervene early and offer timely, evidence-based treatment...
November 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28767536/risk-factors-associated-with-skin-and-soft-tissue-infections-among-hospitalized-people-who-inject-drugs
#20
Kristina T Phillips, Bradley J Anderson, Debra S Herman, Jane M Liebschutz, Michael D Stein
OBJECTIVES: Skin and soft tissue infections (SSTIs) are common among people who inject drugs (PWID), and can lead to serious morbidity and costly emergency room and hospital utilization. A range of high-risk injection practices may contribute to these infections. The goal of the current study was to examine risk practices that were associated with SSTIs in a sample of hospitalized PWID. METHODS: PWID (Nā€Š=ā€Š143; 40.6% female) were recruited from inpatient medical units at a large urban hospital and completed a baseline interview that focused on infection risk...
November 2017: Journal of Addiction Medicine
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