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Journal of Addiction Medicine

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https://www.readbyqxmd.com/read/29341974/feasibility-and-effectiveness-of-continuing-methadone-maintenance-treatment-during-incarceration-compared-with-forced-withdrawal
#1
Kelly E Moore, Lindsay Oberleitner, Kathryn M Z Smith, Kathleen Maurer, Sherry A McKee
BACKGROUND: Methadone maintenance treatment (MMT) is underutilized in correctional settings, and those receiving MMT in the community often undergo withdrawal upon incarceration. Federal and state regulations present barriers to providing methadone in correctional facilities. For this investigation, a community provider administered methadone to inmates who had been receiving methadone prior to incarceration. We hypothesized that inmates continued on MMT would have improved behavior during incarceration and post-release...
January 16, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29334513/opioid-use-disorders-attributed-to-tramadol-among-egyptian-university-students
#2
Medhat M Bassiony, Mohamed Abdelghani, Ghada M Salah El-Deen, Mervat S Hassan, Hayam El-Gohari, Usama M Youssef
BACKGROUND: Tramadol use is an overwhelming problem in Egypt with tremendous medical and social consequences especially among youth. Use liability among Egyptian university students is underevaluated. This study aimed to estimate the prevalence and associated correlates of tramadol use among students from Zagazig University, Egypt. METHODS: A cross-sectional study included a total of 1135 undergraduate students, from 10 colleges in Zagazig University. Participants were randomly selected and assessed for tramadol use using The Drug Use Disorders Identification Test (DUDIT) and The Drug Use Disorders Identification Test-Extended (DUDIT-E)...
January 12, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29334512/association-between-alcohol-use-and-angina-symptoms-among-outpatients-from-the-veterans-health-administration
#3
Emily C Williams, Chris L Bryson, Haili Sun, David H Au, Katharine A Bradley
BACKGROUND: Alcohol use is associated with angina incidence, but associations between alcohol use and experience of angina among patients with coronary artery disease (CAD) have not been described. METHODS: Outpatients with CAD from 7 clinics in the Veterans Health Administration were surveyed; alcohol use was measured using the validated Alcohol Use Disorders Identification Test-Consumption scores categorized into 6 groups: nondrinking, low-risk drinking, and mild, moderate, severe, and very severe unhealthy alcohol use...
January 12, 2018: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29283956/examining-the-association-between-psychiatric-disorders-and-cocaine-binges-results-from-the-cosmo-study
#4
Louis-Christophe Juteau, Élise Roy, Djamal Berbiche, Nelson Arruda, Julie Bruneau, Didier Jutras-Aswad
OBJECTIVES: Although cocaine binges and mental health problems have both been identified as significant risk factors for different health hazards, little is known about the relationship between mental health and cocaine binging. Hence, the aim of this study is to examine the association between psychiatric disorders and cocaine binge. METHODS: Participants were part of a prospective cohort study of individuals who either smoke or inject cocaine. The dependent variable, namely a cocaine binge within the past month, was defined as the repetitive use of large quantities of cocaine until the individual was unable to access more of the drug or was physically unable to keep using...
December 27, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29280749/the-nicotine-content-of-a-sample-of-e-cigarette-liquid-manufactured-in-the-united-states
#5
Barrett H Raymond, Katreena Collette-Merrill, Roger G Harrison, Sabrina Jarvis, Ryan Jay Rasmussen
OBJECTIVES: Use of electronic cigarettes has dramatically increased in the United States since 2010, with a forecasted growth of 37% between 2014 and 2019. There is little research on e-liquid nicotine concentration from domestic manufacturers. However, limited research outside of the United States found wide inconsistencies between the labeled concentration of nicotine in e-liquids and the actual nicotine concentration. METHODS: The 7 most popular online manufacturers or distributors were identified...
December 26, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29227321/an-innovative-model-for-naloxone-use-within-an-otp-setting-a-prospective-cohort-study
#6
Joanna G Katzman, Mikiko Y Takeda, Snehal R Bhatt, Monica Moya Balasch, Nina Greenberg, Howard Yonas
OBJECTIVES: Unintentional opioid overdose deaths are a public health crisis, and naloxone is the most effective harm reduction tool to curb many of these deaths. There is growing evidence that take-home naloxone can prevent opioid overdose in targeted populations. The goal of this study is to measure the opioid overdose reversal rate with take-home naloxone among participants with a diagnosis of opioid use disorder (OUD) in an opioid treatment program (OTP) setting. METHODS: Patients enrolled in an outpatient OTP program were eligible for this prospective cohort study between April 4, 2016 and July 4, 2016...
December 7, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29219856/the-interaction-of-depressive-symptoms-and-hazardous-drinking-in-relation-to-tobacco-craving-among-treatment-seeking-depressed-smokers-sex-differences
#7
Rubén Rodríguez-Cano, Ana López-Durán, Daniel J Paulus, Carmela Martínez-Vispo, Elena Fernández Del Río, Elisardo Becoña, Michael J Zvolensky
OBJECTIVES: The present study sought to address whether there is sex effect in the interactive effect between depressive symptoms and hazardous drinking in the prediction of smoking craving after cognitive-behavioral smoking cessation treatment among those with at least mild depression. METHODS: Participants (n = 114, mean age 42.0, SD = 9.73, 64% women) were treatment-seeking smokers who attended 6 weekly 1-hour sessions involving psychological treatment for cessation...
December 6, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29194102/neurocognitive-profiling-of-adult-treatment-seekers-enrolled-in-a-clinical-trial-of-a-web-delivered-intervention-for-substance-use-disorders
#8
Efrat Aharonovich, Aimee N C Campbell, Matisyahu Shulman, Mei-Chen Hu, Tiffany Kyle, Theresa Winhusen, Edward V Nunes
OBJECTIVE: This study is a secondary descriptive analysis that explores and compares the cognitive profiles of adults entering treatment at geographically diverse community-based substance use disorder treatment facilities. METHODS: Performance on cognitive measures at baseline was compared across 5 primary substance subgroups of individuals (alcohol = 104; cocaine = 102; stimulants = 69; opioids = 108; marijuana = 114) enrolled in a web-based psychosocial treatment study conducted within the National Drug Abuse Treatment Clinical Trials Network...
November 30, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29176448/patients-experiences-of-using-a-cellular-photo-digital-breathalyzer-for-treatment-purposes
#9
Christina Nehlin, Kristina Carlsson, Caisa Öster
OBJECTIVES: The field of eHealth systems is rapidly developing and is now expanding into alcohol treatment settings. Despite a growing public and professional interest, cellular photo digital breathalyzers (CPDBs) have not been investigated in a clinical context so far. In this study, we aimed to investigate the experiences of patients in alcohol treatment who had been using a CPDB-TripleA- for a minimum of three months. What are their personal experiences of using the CPDB? Do the patients think it supports them to change their drinking habits, and if so, in what way? METHODS: A qualitative interview study with individuals who had been using the CPDB TripleA, for at least 3 months as complement to treatment (12-step program or hospital-based outpatient care)...
November 23, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29176447/pattern-of-methamphetamine-use-and-the-time-lag-to-methamphetamine-dependence
#10
Pongkwan Yimsaard, Michael M Maes, Viroj Verachai, Rasmon Kalayasiri
OBJECTIVES: Use of methamphetamine (MA) commonly co-occurs with the use of other substances. The present study aims to examine substance initiation patterns of other substances, including alcohol, nicotine, inhalants, and cannabis (OTH), in MA users and its consequence on the time lag of MA dependence. METHODS: Sociodemographic, environmental, and clinical data were obtained from MA users at a Thai substance treatment center. The Semi-Structured Assessment for Drug Dependence and Alcoholism was employed to diagnose drug dependence...
November 23, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29189295/effects-of-global-payment-and-accountable-care-on-medication-treatment-for-alcohol-and-opioid-use-disorders
#11
Julie M Donohue, Colleen L Barry, Elizabeth A Stuart, Shelly F Greenfield, Zirui Song, Michael E Chernew, Haiden A Huskamp
OBJECTIVES: The Alternative Quality Contract (AQC) implemented in 2009 by Blue Cross Blue Shield of Massachusetts (BCBSMA) is intended to improve quality and control costs by putting providers at risk for total medical spending and tying payment to performance on specified quality measures. We examined the AQC's early effects on use of and spending on medication treatment (MT) for addiction among individuals with alcohol use disorders (AUDs) and opioid use disorders (OUDs), conditions not subject to any performance measurement in the AQC...
November 20, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29189294/using-choice-architecture-to-integrate-substance-use-services-with-primary-care-commentary-on-donohue-et-al-2017
#12
Leo Beletsky
: At a time when death and disability linked to problematic substance use have reached crisis levels, integration of substance use disorder (SUD) services into primary care settings is a clear national priority. Incentive-based interventions can catalyze such adoption, but have thus far demonstrated limited efficaciousness. Behavioral Economics can inform efforts to incentivize healthcare providers to adopt SUD interventions. Choice architecture principles dictate pegging rewards to defined quality metrics, improving provider information about effective and cost-effective practices, and reducing barriers to SUD service provision through technological tools, tackling stigma, and addressing real and perceived regulatory burdens and risks...
November 20, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29176511/payer-policy-behavior-towards-opioid-pharmacotherapy-treatment-in-ohio
#13
Todd Molfenter, Carol Sherbeck, Sandy Starr, Jee-Seon Kim, Mark Zehner, Andrew Quanbeck, Nora Jacobson, Dennis McCarty
OBJECTIVE: Few studies examine how payers address the need for improved access to pharmacotherapy for opioid use disorders and the influence of environmental variables on access to opioid agonist and antagonist medications. METHOD: The 52 Ohio Addiction Drug Abuse and Mental Health Services (ADAMHS) Boards that disburse funds for treatment services for the uninsured and underinsured were surveyed to assess coverage for opioid agonist and antagonist treatment medications...
November 15, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/29140822/optimizing-pregnancy-treatment-interventions-for-moms-opti-mom-a-pilot-study
#14
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
#15
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
#16
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
#17
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/28953504/concurrent-use-of-opioids-and-benzodiazepines-evaluation-of-prescription-drug-monitoring-by-a-united-states-laboratory
#18
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
#19
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
#20
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
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