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Substance use disorder

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https://www.readbyqxmd.com/read/28822681/firearm-storage-practices-in-households-of-adolescents-with-and-without-mental-illness
#1
Joseph A Simonetti, Mary Kay Theis, Ali Rowhani-Rahbar, Evette J Ludman, David C Grossman
PURPOSE: Safe firearm storage practices are associated with a lower risk of self-inflicted injury and death. Whether such practices and relevant beliefs differ between households of adolescents with and without mental illness is unknown. METHODS: We used survey and administrative data to perform a two-stage cross-sectional study of parents/guardians of adolescents who were 11-17 years, enrolled in a managed care plan in 2004 and living in a household with a firearm...
August 16, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28822277/the-role-of-anxiety-sensitivity-in-reactivity-to-trauma-cues-in-treatment-seeking-adults-with-substance-use-disorders
#2
R Kathryn McHugh, Kim L Gratz, Matthew T Tull
BACKGROUND: Exposure to traumatic events and posttraumatic stress disorder (PTSD) are common among individuals with substance use disorders (SUDs). Although the presence of trauma exposure and/or PTSD among those with SUDs is associated with a range of negative outcomes, much remains to be understood about the factors contributing to these outcomes. Anxiety sensitivity (the tendency to respond fearfully to the signs and symptoms of anxiety) has been linked to greater PTSD symptoms and the use of substances to cope with PTSD symptoms, and is a promising factor for understanding the negative outcomes associated with co-occurring PTSD and SUDs...
July 31, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28819922/therapeutic-alliance-client-need-for-approval-and-perfectionism-as-differential-moderators-of-response-to-ehealth-and-traditionally-delivered-treatments-for-comorbid-depression-and-substance-use-problems
#3
Frances J Kay-Lambkin, Amanda L Baker, Kerrin Palazzi, Terry J Lewin, Brian J Kelly
PURPOSE: This study sought to undertake an exploratory analysis of the impact of therapeutic alliance and dysfunctional attitudes (perfectionism and need for approval) on outcomes for participants receiving therapist-delivered and eHealth interventions for comorbid depression and alcohol/cannabis use problems. These factors have been shown in previous research to moderate response to psychological treatment for depression and related disorders. METHOD: Participants (N = 274) with concurrent depression and alcohol/cannabis misuse were randomized to 10 sessions of therapist-delivered cognitive behavior therapy/motivational interviewing (CBT/MI), computer-delivered CBT/MI with brief therapist assistance (SHADE CBT/MI), or supportive counseling (PCT)...
August 17, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28819570/hcv-integrated-care-a-randomized-trial-to-increase-treatment-initiation-and-svr-with-direct-acting-antivirals
#4
Erik J Groessl, Lin Liu, Marisa Sklar, Samuel B Ho
BACKGROUND AND AIMS: Psychiatric or substance use disorders are barriers to successful HCV antiviral treatment. In a randomized, controlled trial (RCT), the effects of HCV Integrated Care (IC) for increasing treatment rates and sustained viral response (SVR) were studied with direct acting antivirals (DAA). METHODS: In 2012-13, VA patients, whose screening was positive for depression, PTSD, or substance use (N = 79), were randomized to IC or Usual Care (UC). IC consisted of brief psychological interventions and case management...
2017: International Journal of Hepatology
https://www.readbyqxmd.com/read/28818717/the-effect-of-post-traumatic-stress-disorder-on-the-risk-of-developing-prescription-opioid-use-disorder-results-from-the-national-epidemiologic-survey-on-alcohol-and-related-conditions-iii
#5
Ahmed N Hassan, Bernard Le Foll, Sameer Imtiaz, Jürgen Rehm
OBJECTIVE: To evaluate the effect of baseline post-traumatic stress disorder (PTSD) and each symptoms cluster on the risk of developing opioid use disorder (OUD) in those exposed to opioid painkillers and to assess the effect of comorbid PTSD and OUD on functioning, OUD severity, and treatment seeking compared with individuals with OUD only. METHODS: We obtained data from 4025 individuals exposed to opioid painkillers from the National Epidemiologic Survey on Alcohol and Related Conditions III...
August 8, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28818639/addictive-behaviors-and-healthcare-renunciation-for-economic-reasons-in-a-french-population-based-sample
#6
Stéphanie Baggio, Marc Dupuis, Jean-Baptiste Richard, François Beck
BACKGROUND: Healthcare renunciation for economic reasons is a major health concern, but it has been scarcely investigated among drug users, even if drug users constitute a vulnerable population in need of medical care. This study investigated associations of healthcare renunciation for economic reasons and addictive behaviors (alcohol, tobacco, cannabis, illicit drug use, and gambling) in a population-based sample of adults living in France, a country with universal health coverage. METHODS: Data were collected using the 2014 Health Barometer, a French cross-sectional survey conducted among a random representative sample of the general population aged 18-64 (n=12,852)...
August 14, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28817578/deliberate-self-harm-behavior-among-young-violent-offenders
#7
Natalie Laporte, Andrejs Ozolins, Sofie Westling, Åsa Westrin, Eva Billstedt, Björn Hofvander, Märta Wallinius
Deliberate self-harm behavior (DSH) can have profound effects on a person's quality of life, and challenges the health care system. Even though DSH has been associated with aggressive interpersonal behaviors, the knowledge on DSH in persons exhibiting such behaviors is scarce. This study aims to (1) specify the prevalence and character of DSH, (2) identify clinical, neurocognitive, psychosocial, and criminological characteristics associated with DSH, and (3) determine predictors of DSH among young violent offenders...
2017: PloS One
https://www.readbyqxmd.com/read/28815876/a-treatment-development-study-of-a-cognitive-and-mindfulness-based-therapy-for-adolescents-with-co-occurring-post-traumatic-stress-and-substance-use-disorder
#8
Lisa R Fortuna, Michelle V Porche, Auralyd Padilla
OBJECTIVE: Substance use is common among adolescents with post-traumatic stress disorder (PTSD). We aimed to develop and study an integrated treatment for adolescents with co-occurring disorders. DESIGN: This is a therapy development and open pilot trial study of a manualized therapy for adolescents with post-traumatic stress, depression, and substance use that uses a combination of cognitive therapy (CT) and mindfulness. METHODS: Descriptive statistics and paired sample t-tests were calculated to assess for changes in PTSD symptoms, depression, and substance use frequency from baseline to end of treatment using standardized measures and validated by urine drug screens...
August 16, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28815629/impulsive-decision-making-in-young-adult-social-drinkers-and-detoxified-alcohol-dependent-patients-a-cross-sectional-and-longitudinal-study
#9
Nadine Bernhardt, Stephan Nebe, Shakoor Pooseh, Miriam Sebold, Christian Sommer, Julian Birkenstock, Ulrich S Zimmermann, Andreas Heinz, Michael N Smolka
BACKGROUND: Impulsive decision making relates to problematic substance use. Specifically, altered delay discounting has been suggested as a behavioral marker for addiction, while other relevant facets of choice impulsivity such as probability discounting or loss aversion are clearly understudied. METHODS: Two studies were performed collecting behavioral data on choice impulsivity with a value-based decision-making battery providing estimates of delay discounting, probability discounting for gains and losses, and loss aversion...
August 17, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28815375/disparities-in-emergency-department-wait-time-among-patients-with-mental-health-and-substance-related-disorders
#10
Samuel T Opoku, Bettye A Apenteng, Emmanuel A Akowuah, Soumitra Bhuyan
This study examined disparities in emergency department (ED) wait time for patients with mental health and substance-related disorders (PwMHSDs), using data from the 2009-2011 National Hospital Ambulatory Medical Care Survey (NHAMCS). Wait time was defined as the time between arrival at ED and being seen by an ED provider. Results from multivariable regression models show racial disparities, with non-Hispanic Black PwMHSDs experiencing longer ED wait time, compared to non-Hispanic White PwMHSDs. A temporal decline in ED wait time was also observed over the study period...
August 16, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/28814468/persistent-effects-of-acute-stress-on-fear-and-drug-seeking-in-a-novel-model-of-the-comorbidity-between-post-traumatic-stress-disorder-and-addiction
#11
Christie L Pizzimenti, Tom M Navis, K Matthew Lattal
Even following long periods of abstinence, individuals with anxiety disorders have high rates of relapse to drugs of abuse. Although many current models of relapse demonstrate effects of acute stress on drug-seeking, most of these studies examine stressful experiences that occur in close temporal and physical proximity to the reinstatement test. Here, we assess the effects of a stressful experience in one context on fear and drug-seeking in a different context. We adapt the stress-enhanced fear learning procedure to examine impacts on drug-seeking long after the stressful experience occurred...
September 2017: Learning & Memory
https://www.readbyqxmd.com/read/28814330/novel-remote-electronic-medication-supply-model-for-opioid-dependent-outpatients-with-polypharmacy-first-long-term-case-study
#12
Samuel S Allemann, Kenneth M Dürsteler, Johannes Strasser, Marc Vogel, Marcel Stoeckle, Kurt E Hersberger, Isabelle Arnet
BACKGROUND: Patients with substance use disorders grow older thanks to effective treatments. Together with a high prevalence of comorbidities, psychological problems, and low social support, these patients are at high risk for medication non-adherence. Established treatment facilities face challenges to accommodate these complex patients within their setting. Electronic medication management aids (e-MMAs) might be appropriate to simultaneously monitor and improve adherence for these patients...
August 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28814325/australian-adolescents-beliefs-and-help-seeking-intentions-towards-peers-experiencing-symptoms-of-depression-and-alcohol-misuse
#13
D I Lubman, A Cheetham, A F Jorm, B J Berridge, C Wilson, F Blee, L Mckay-Brown, N Allen, J Proimos
BACKGROUND: Many young people are reluctant to seek professional help for mental health problems, preferring to rely on their friends for support. It is therefore important to ensure that adolescents can identify signs of psychological distress in their peers, talk to them about these, and help them access appropriate services when necessary. The current study examined adolescents' ability to recognise symptoms of depression and alcohol misuse, perceived barriers to help-seeking, and their intentions to encourage a peer to seek help from a range of informal and formal help sources...
August 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28814121/perceptions-of-iranian-female-drug-users-toward-hiv-testing-a-qualitative-content-analysis
#14
Mansoureh Jamshidimanesh, Effat Merghati Khoie, Seyed Abbas Mousavi, Afsaneh Keramat, Mohammad Hassan Emamian
BACKGROUND: Drug-dependent women are the vulnerable population deprived of access to health services and also have particular relevance to public health perspective because they are important bridge population for driving HIV/AIDS epidemic. This qualitative study aimed to explore the perception of drug-dependent women regarding HIV testing. METHODS: In this qualitative study, we approached 23 women with substance use disorders in 2 of the selected drop-in centers in the south Tehran...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28814100/suicidal-behaviour-among-adolescents-and-young-adults-with-self-reported-chronic-illness
#15
Mark A Ferro, Anne E Rhodes, Melissa Kimber, Laura Duncan, Michael H Boyle, Katholiki Georgiades, Andrea Gonzalez, Harriet L MacMillan
OBJECTIVE: The aims of this study were to estimate the: (1) 12-mo prevalence of suicidal thoughts, plans, and attempts in a population sample of adolescents and young adults with and without chronic illness; (2) associations among chronic illness and suicidal thoughts and behaviour (STB); and, (3) moderating roles of mood and substance use disorder on this association. METHOD: Individuals were aged 15 to 30 y ( n = 5,248) from the Canadian Community Health Survey-Mental Health...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28813562/polygenic-scores-for-major-depressive-disorder-and-risk-of-alcohol-dependence
#16
Allan M Andersen, Robert H Pietrzak, Henry R Kranzler, Li Ma, Hang Zhou, Xiaoming Liu, John Kramer, Samuel Kuperman, Howard J Edenberg, John I Nurnberger, John P Rice, Jay A Tischfield, Alison Goate, Tatiana M Foroud, Jacquelyn L Meyers, Bernice Porjesz, Danielle M Dick, Victor Hesselbrock, Eric Boerwinkle, Steven M Southwick, John H Krystal, Myrna M Weissman, Douglas F Levinson, James B Potash, Joel Gelernter, Shizhong Han
Importance: Major depressive disorder (MDD) and alcohol dependence (AD) are heritable disorders with significant public health burdens, and they are frequently comorbid. Common genetic factors that influence the co-occurrence of MDD and AD have been sought in family, twin, and adoption studies, and results to date have been promising but inconclusive. Objective: To examine whether AD and MDD overlap genetically, using a polygenic score approach. Design, Settings, and Participants: Association analyses were conducted between MDD polygenic risk score (PRS) and AD case-control status in European ancestry samples from 4 independent genome-wide association study (GWAS) data sets: the Collaborative Study on the Genetics of Alcoholism (COGA); the Study of Addiction, Genetics, and Environment (SAGE); the Yale-Penn genetic study of substance dependence; and the National Health and Resilience in Veterans Study (NHRVS)...
August 16, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28813419/vaccine-driven-pharmacodynamic-dissection-and-mitigation-of-fenethylline-psychoactivity
#17
Cody J Wenthur, Bin Zhou, Kim D Janda
Fenethylline, also known by the trade name Captagon, is a synthetic psychoactive stimulant that has recently been linked to a substance-use disorder and 'pharmacoterrorism' in the Middle East. Although fenethylline shares a common phenethylamine core with other amphetamine-type stimulants, it also incorporates a covalently linked xanthine moiety into its parent structure. These independently active pharmacophores are liberated during metabolism, resulting in the release of a structurally diverse chemical mixture into the central nervous system...
August 16, 2017: Nature
https://www.readbyqxmd.com/read/28813319/reward-functioning-in-posttraumatic-stress-and-substance-use-disorders
#18
REVIEW
Anka A Vujanovic, Margaret C Wardle, Lia J Smith, Erin C Berenz
Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. Research on PTSD-SUD comorbidity has increasingly focused upon better understanding biopsychosocial factors that may contribute to their co-occurring etiology, maintenance, and treatment. Anhedonia, defined as a lack of pleasure from or interest in rewards, stems from deficits in reward functioning and is associated with specific neurocircuitries. Few studies have investigated the role of reward functioning in PTSD-SUD...
April 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28812248/building-a-community-of-health-professionals-to-establish-a-shared-learning-experience-in-psychiatry-and-substance-use-disorders-for-health-professions-students
#19
Andrew Muzyk, Kathryn Andolsek, Patricia Mullan, Christine Tew, Charles Sanders, Anne Derouin, Brigit Carter, Shelley Holmer
No abstract text is available yet for this article.
August 15, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28811835/mental-health-care-providers-perceptions-of-the-barriers-to-suicide-prevention-amongst-people-with-substance-use-disorders-in-south-africa-a-qualitative-study
#20
Daniel Goldstone, Jason Bantjes
BACKGROUND: Substance use is a well-established, and potentially modifiable, risk factor for suicide. Suicide prevention interventions are typically framed within the biomedical paradigm and focus on addressing individual risk factors, improving access to psychiatric care, and improving the skills of medical personnel to recognise at-risk individuals. Few studies have focused on contextual factors that hinder suicide prevention in people with substance use disorders, particularly in low-resource settings...
2017: International Journal of Mental Health Systems
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