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Journal of Addiction Medicine

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https://www.readbyqxmd.com/read/27926589/dystonia-in-methylphenidate-withdrawal-a-case-report
#1
Lara Grau-López, Constanza Daigre, Nestor Mercado, Miquel Casas, Carlos Roncero
Few studies have described movement disorders as withdrawal symptoms during psychostimulant detoxification. Although dystonia has been reported as an uncommon adverse effect of methylphenidate treatment, it has not been described in the context of methylphenidate withdrawal. We report a case of dystonia as the main withdrawal symptom in a methylphenidate-dependent adult participating in an inpatient methylphenidate detoxification program. Although movement disorders such as dystonia are very rare adverse effects of methylphenidate withdrawal, practitioners need to be alert to this risk in order to initiate appropriate treatment...
December 6, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27898499/comt-and-bdnf-gene-variants-help-to-predict-alcohol-consumption-in-alcohol-dependent-patients
#2
Anna Klimkiewicz, Anna Mach, Andrzej Jakubczyk, Jakub Klimkiewicz, Anna Wnorowska, Maciej Kopera, Sylwia Fudalej, Margit Burmeister, Kirk Brower, Marcin Wojnar
BACKGROUND: The neurobiology of alcohol dependence (AD) involves alterations in neurotransmitters and the stress response. We hypothesized that an interaction between functional variants of dopaminergic and neurotrophic genes may influence drinking in AD. METHODS: The relationship between alcohol consumption and single-nucleotide polymorphisms, Val66Met in the brain-derived neurotrophic factor (BDNF), and Val158Met in the catechol-O-methyltransferase (COMT), was analyzed among 281 alcohol-dependent individuals...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27898498/intention-to-drive-after-drinking-among-medical-students-contributions-of-the-protection-motivation-theory
#3
Ricardo Abrantes Amaral, André Malbergier, Danielle Ruiz Lima, Verena Castellani Vitor Santos, Clarice Gorenstein, Arthur Guerra de Andrade
OBJECTIVE: The aim of this study was to investigate whether cognitive variables proposed by the protection motivation theory (PMT) were predictive of occasional and frequent intention to drive after drinking in medical students. METHODS: One hundred fifty-five students attending preclinical years at a Medical School in São Paulo, Brazil, participated in the study. They were asked about their last month substance use, history of drinking and driving, including driving after binge drinking, and risk perceptions based on a self-report questionnaire with statements about protection motivation, threat, and coping appraisals from the PMT model...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27898497/medications-for-addiction-treatment-changing-language-to-improve-care
#4
Sarah E Wakeman
The term medication-assisted treatment has been widely adopted in reference to the use of opioid agonist therapy. Although it is arguably better than the older terms of replacement or substitution therapy, medication-assisted treatment implies that medications are a corollary to whatever the main part of treatment is. No other medication for other health conditions is referred to this way. It has finally been recognized that to improve care and reduce stigma, we must use medically accurate and person-first language, describing those with the disease of addiction as people with substance use disorder...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27898496/distinctive-trajectories-of-opioid-use-over-an-extended-follow-up-of-patients-in-a-multisite-trial-on-buprenorphine%C3%A2-%C3%A2-naloxone-and-methadone
#5
Yih-Ing Hser, David Huang, Andrew J Saxon, George Woody, Andrew L Moskowitz, Abigail G Matthews, Walter Ling
OBJECTIVES: Uncovering heterogeneities in longitudinal patterns (trajectories) of opioid use among individuals with opioid use disorder can increase our understanding of disease progression and treatment responses to improve care. The present study aims to identify distinctive opioid use trajectories and factors associated with these patterns among participants randomized to treatment with methadone (MET) or buprenorphine + naloxone (BUP). METHODS: Growth mixture modeling was applied to identify distinctive opioid use trajectories among 795 opioid users after their enrollment in a multisite trial during 2006 to 2009, with follow-up interviews conducted during 2011 to 2014...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27898495/frequency-of-e-cigarette-use-health-status-and-risk-and-protective-health-behaviors-in-adolescents
#6
Michael S Dunbar, Joan S Tucker, Brett A Ewing, Eric R Pedersen, Jeremy N V Miles, Regina A Shih, Elizabeth J D'Amico
OBJECTIVES: E-cigarettes (ECs) are increasingly popular among adolescents, who perceive them as "safer" than cigarettes. Although research has examined risk factors for adolescent EC use, little is known about how EC use correlates with health status and protective health behaviors. METHODS: In all, 2488 adolescents (mean age = 17.31 years, SD = 0.67; 46% male) completed a survey on EC and cigarette use, physical and mental health, physical activity, diet, sleep, and alcohol and other drug (AOD) use...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27775955/depression-anxiety-and-stress-among-people-with-chronic-hepatitis-c-virus-infection-and-a-history-of-injecting-drug-use-in-new-south-wales-australia
#7
Emmanuel Fortier, Maryam Alavi, Julie Bruneau, Michelle Micallef, Jacinta Perram, Sanjeev Sockalingam, Adrian J Dunlop, Annie C Balcomb, Carolyn A Day, Carla Treloar, Nicky Bath, Paul S Haber, Gregory J Dore, Jason Grebely
OBJECTIVE: The aims of this study were to assess symptoms of depression, anxiety, and stress and associated sociodemographic factors among people living with chronic hepatitis C virus (HCV) infection with a history of injecting drug use and to assess the association between symptoms of depression, anxiety, or stress and HCV treatment intent, specialist assessment, or treatment uptake. METHODS: The Enhancing Treatment for Hepatitis C in Opioid Substitution Settings was an observational cohort study evaluating the provision of HCV assessment and treatment among people with chronic HCV and a history of injecting drug use, recruited from 9 community health centers and opioid substitution therapy (OST) clinics (New South Wales, Australia)...
October 21, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27763941/analysis-of-patient-reported-outcomes-of-quality-of-life-and-functioning-before-and-after-treatment-of-major-depressive-disorder-comorbid-with-alcohol-use-disorders
#8
Itai Danovitch, Alexander Joseph Steiner, Anna Kazdan, Matthew Goldenberg, Margaret Haglund, James Mirocha, Katherine Collison, Brigitte Vanle, Jonathan Dang, Waguih William IsHak
OBJECTIVE: Alcohol use disorders (AUDs) are common among persons with major depressive disorder (MDD) and have an adverse impact on course of illness and patient outcomes. The aim of this study was to examine whether AUD adversely impacted patient-centered outcomes in a sample of research subjects evaluated as part of a large clinical trial for depression. The outcomes of interest to this post hoc analysis are quality of life (QOL), functioning, and depressive symptom severity. METHODS: We analyzed 2280 adult MDD outpatient research subjects using data from the Sequenced Treatment Alternatives to Relieve Depression trial...
October 18, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27753720/cannabis-as-secondary-drug-is-not-associated-with-a-greater-risk-of-death-in-patients-with-opiate-cocaine-or-alcohol-dependence
#9
Daniel Fuster, Arantza Sanvisens, Ferran Bolao, Paola Zuluaga, Inmaculada Rivas, Magi Farré, Jordi Tor, Robert Muga
BACKGROUND: The health burden of cannabis use in patients with other substance dependencies is not fully understood. OBJECTIVE: To assess the impact of cannabis use as secondary drug on mortality of patients with other major substance use disorders. PARTICIPANTS: Patients with opiate, cocaine, or alcohol dependence admitted to detoxification from 2001 to 2010 at a teaching hospital in Badalona, Spain. MAIN MEASUREMENTS: Sociodemographic characteristics, drug use, medical comorbidities, and urine drug screens were obtained at admission...
October 6, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27753719/erectile-dysfunction-among-patients-on-methadone-maintenance-therapy-and-its-association-with-quality-of-life
#10
Joni Bing Fei Teoh, Anne Yee, Mahmoud Danaee, Chong Guan Ng, Ahmad Hatim Bin Sulaiman
OBJECTIVES: Erectile dysfunction (ED) is a problem commonly encountered by patients on methadone maintenance therapy (MMT). This study aimed to assess the prevalence of ED among this group of patients along with its risk factors and association with quality of life (QOL). METHODS: Male patients on MMT in a tertiary hospital in Malaysia were included in the study. A total of 134 patients with sexual partners were assessed for ED using the International Index of Erectile Function...
October 6, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27753718/under-reporting-of-risky-drug-use-among-primary-care-patients-in-federally-qualified-health-centers
#11
Curtis Bone, Lilian Gelberg, Mani Vahidi, Barbara Leake, Julia Yacenda-Murphy, Ronald M Andersen
OBJECTIVE: The Affordable Care Act encourages integration of behavioral health into primary care. We aim to estimate the level of under-reporting of drug use in federally qualified health centers (FQHCs) among self-reported risky drug users. METHODS: Adult patients in the waiting rooms of 4 FQHCs who self-reported risky drug use on the screening instrument World Health Organization's Alcohol, Smoking and Substance Involvement Screening Test (score 4-26), who participated in the "Quit Using Drugs Intervention Trial," submitted urine samples for drug testing...
October 6, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27649265/sex-differences-in-methamphetamine-use-and-dependence-in-a-thai-treatment-center
#12
Teerayuth Rungnirundorn, Viroj Verachai, Joel Gelernter, Robert T Malison, Rasmon Kalayasiri
BACKGROUND AND OBJECTIVE: Males and females who use methamphetamine (MA) differ in sociodemographics, MA diagnoses, comorbidities, and brain activity. The objective of this study was to investigate sex differences in the characteristics of MA use and dependence in patients at a Thai substance treatment center. METHODS: Demographic, MA use, and diagnostic data for 782 MA users were obtained by using the Semi-Structured Assessment for Drug Dependence and Alcoholism-Thai version...
September 19, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27649264/medication-adherence-in-patients-undergoing-methadone-maintenance-treatment-in-xi-an-china
#13
Kaina Zhou, Hengxin Li, Xiaoli Wei, Xiaomei Li, Guihua Zhuang
OBJECTIVES: To identify medication adherence and its influencing factors among patients of 14 methadone maintenance treatment (MMT) clinics in Xi'an, China. METHODS: Data were obtained from the National AIDS Information System-Community Methadone Maintenance Treatment. All patients registered in the system were not permitted to take methadone at home without professionals' supervision. Medication adherence was assessed using categorical (ie, dropout or retained) and continuous (ie, treatment time, methadone use time, and percentage of methadone use days) variables...
September 19, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27649263/definitive-lc-ms-ms-drug-monitoring-impacts-substance-use-treatment-planning-and-patient-outcomes-a-brief-report
#14
Adam Rzetelny, Barbara Zeller, Nicholas Miller, Kenneth L Kirsh, Steven D Passik
Clinical drug monitoring has an increasingly important role in the treatment of substance use disorders. Through semistructured interviews, we asked substance-use counselors about the clinical impact of drug tests on patients' treatment planning and outcomes. This study was conducted around the time of a facility-wide switch to a laboratory utilizing definitive liquid chromatography with tandem mass spectrometry from a laboratory that had utilized the less-sensitive, presumptive immunoassay-based drug-testing methodology...
September 19, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27787293/response-to-dr-fiscella-transparency-and-debate-are-essential-to-improve-guidelines-and-measures
#15
Alex H S Harris, Cheng Chen, Constance M Weisner, Mady Chalk, Victor Capoccia, Cindy Parks Thomas
No abstract text is available yet for this article.
November 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27787292/guidelines-and-quality-measures-should-reflect-evidence-for-effectiveness-of-naltrexone
#16
Kevin Fiscella
No abstract text is available yet for this article.
November 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27610580/the-effect-of-substance-use-disorders-on-the-association-between-guideline-concordant-long-term-opioid-therapy-and-all-cause-mortality
#17
Julie R Gaither, Joseph L Goulet, William C Becker, Stephen Crystal, E Jennifer Edelman, Kirsha Gordon, Robert D Kerns, David Rimland, Melissa Skanderson, Amy C Justice, David A Fiellin
OBJECTIVE: Patients with substance use disorders (SUDs) prescribed long-term opioid therapy (LtOT) are at risk for overdose and mortality. Prior research has shown that receipt of LtOT in accordance with clinical practice guidelines has the potential to mitigate these outcomes. Our objective was to determine whether the presence of a SUD modifies the association between guideline-concordant care and 1-year all-cause mortality among patients receiving LtOT for pain. METHODS: Among HIV+ and HIV- patients initiating LtOT (≥90 days opioids) between 2000 and 2010 as part of the Veterans Aging Cohort Study, we used time-updated Cox regression and propensity-score matching to examine-stratified by SUD status-the association between 1-year all-cause mortality and 3 quality indicators derived from national opioid-prescribing guidelines...
November 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27574753/trends-and-correlates-of-cannabis-involved-emergency-department-visits-2004-to-2011
#18
He Zhu, Li-Tzy Wu
OBJECTIVES: To examine trends and correlates of cannabis-involved emergency department (ED) visits in the United States from 2004 to 2011. METHODS: Data were obtained from the 2004 to 2011 Drug Abuse Warning Network. We analyzed trend in cannabis-involved ED visits for persons aged ≥12 years and stratified by type of cannabis involvement (cannabis-only, cannabis-polydrug). We used logistic regressions to determine correlates of cannabis-involved hospitalization versus cannabis-involved ED visits only...
November 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27525469/opioid-overdose-risk-assessment-and-mitigation-in-outpatient-treatment
#19
Lewei Allison Lin, Avinash Hosanagar, Tae Woo Park, Amy S B Bohnert
The present clinical case discussion focuses on a patient with comorbid substance use disorder (SUD) and chronic pain, who experienced an overdose of heroin. The case illustrates the complex array of risk factors that contribute to overdose risk, discusses the use of naloxone, and highlights the need for further risk mitigation interventions in patients at risk for overdose.
November 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27504928/sex-differences-in-the-association-between-internalizing-symptoms-and-craving-in-methamphetamine-users
#20
Emily E Hartwell, Nathasha R Moallem, Kelly E Courtney, Suzette Glasner-Edwards, Lara A Ray
OBJECTIVES: Methamphetamine (MA) users often have substantial psychiatric comorbidities, with nearly a third reporting lifetime mood disorders and over a quarter reporting lifetime anxiety disorders. Female MA users are more likely to endorse depression and anxiety symptoms compared with men. Craving has been related to mood/anxiety symptoms in MA users. To extend the literature on sex differences in MA use disorder, the present study examines the role of sex as a moderator of the relationship between mood/anxiety symptoms and MA craving...
November 2016: Journal of Addiction Medicine
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