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https://www.readbyqxmd.com/read/28525781/sleep-waves-and-recovery-from-drug-and-alcohol-dependence-towards-a-rhythm-analysis-of-sleep-in-residential-treatment
#1
Robert Meadows, Sarah Nettleton, Joanne Neale
This paper reports on a study of sleep amongst men and women who are living in residential rehabilitation centres in the UK and who are receiving support for their recovery from addiction to alcohol and other forms of substance use. Conceptually and methodologically, the paper draws on the work of the French sociologist Lefebvre and, in particular, his rhythmanalysis. We argue that this approach offers a useful way of exploring sleep in terms of biological, experiential, temporal, spatial and social rhythms...
May 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28511843/interpellating-recovery-the-politics-of-identity-in-recovery-focused-treatment
#2
Renae Fomiatti, David Moore, Suzanne Fraser
Much research tends to treat alcohol and other drug 'recovery' as a process of positive identity change and development. In this article, we depart from this dominant approach by examining how the social and material practices of alcohol and other drug treatment are themselves active in the constitution of 'recovery identity'. Using Judith Butler's theorisation of interpellation, we examine the accounts of treatment experiences and practices provided in interviews with people who inject drugs. In contrast to the existing literature, we argue that the 'recovering addict' is a socially produced category rather than a coherent psychological identity...
May 13, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28476273/treatment-seeking-as-a-mechanism-of-change-in-a-randomized-controlled-trial-of-a-mobile-health-intervention-to-support-recovery-from-alcohol-use-disorders
#3
Joseph E Glass, James R McKay, David H Gustafson, Rachel Kornfield, Paul J Rathouz, Fiona M McTavish, Amy K Atwood, Andrew Isham, Andrew Quanbeck, Dhavan Shah
BACKGROUND: We estimated the efficacy of the Addiction-Comprehensive Health Enhancement Support System (A-CHESS) in increasing the use of services for addiction and examined the extent to which this use of services mediated the effects of A-CHESS on risky drinking days and abstinence from drinking. METHODS: We conducted secondary data analyses of the A-CHESS randomized controlled trial. Recruitment occurred in five residential treatment programs operated by two addiction treatment organizations...
June 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28463852/substance-use-among-nurses-and-nursing-students-a-joint-position-statement-of-the-emergency-nurses-association-and-the-international-nurses-society-on-addictions
#4
Stephen Strobbe, Melanie Crowley
Alcohol and other substance use by nurses potentially places patients, the public, and nurses themselves at risk for serious injury or death. Nursing students are also at risk for problems related to substance use. When viewed and treated as a chronic medical illness, treatment outcomes for substance use disorders are comparable with those of other diseases and can result in lasting benefits. Professional monitoring programs that employ an alternative-to-discipline approach have been shown to be effective in the treatment of health professionals with substance use disorders and are considered a standard for recovery, with high rates of completion and return to practice...
May 2, 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28441678/the-addiction-recovery-clinic-a-novel-primary-care-based-approach-to-teaching-addiction-medicine
#5
Stephen R Holt, Nora Segar, Dana A Cavallo, Jeanette M Tetrault
PROBLEM: Substance use is highly prevalent in the United States, but little time in the curriculum is devoted to training internal medicine residents in addiction medicine. APPROACH: In 2014, the authors developed and launched the Addiction Recovery Clinic (ARC) to address this educational gap while also providing outpatient clinical services to patients with substance use disorders. The ARC is embedded within the residency primary care practice and is staffed by three to four internal medicine residents, two board-certified addiction medicine specialists, one chief resident, and one psychologist...
May 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28441272/treating-smoking-in-adults-with-co-occurring-acute-psychiatric-and-addictive-disorders
#6
Smita Das, Norval J Hickman, Judith J Prochaska
OBJECTIVES: Tobacco use is undertreated in individuals with psychiatric and substance use disorders (SUDs), with concerns that quitting smoking may compromise recovery. We evaluated outcomes of a tobacco intervention among psychiatric patients with co-occurring SUDs. METHODS: Data from 2 randomized tobacco treatment trials conducted in inpatient psychiatry were combined; analyses focused on the subsample with co-occurring SUDs (n = 216). Usual care provided brief advice to quit and nicotine replacement therapy during the smoke-free hospitalization...
April 24, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28432902/ayahuasca-s-entwined-efficacy-an-ethnographic-study-of-ritual-healing-from-addiction
#7
Piera Talin, Emilia Sanabria
BACKGROUND: A range of studies has demonstrated the efficacy of the psychoactive Amazonian brew ayahuasca in addressing substance addiction. These have revealed that physiological and psychological mechanisms are deeply enmeshed. This article focuses on how interactive ritual contexts support the healing effort. The study of psychedelic-assisted treatments for addiction has much to gain from ethnographic analyses of healing experiences within the particular ecologies of use and care, where these interventions are rendered efficacious...
April 19, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28428748/resting-state-neuroimaging-and-neuropsychological-findings-in-opioid-use-disorder-during-abstinence-a-review
#8
REVIEW
Hada Fong-Ha Ieong, Zhen Yuan
Dependence to opiates, including illicit heroin and prescription pain killers, and treatment of the opioid use disorder (OUD) have been longstanding problems over the world. Despite intense efforts to scientific investigation and public health care, treatment outcomes have not significantly improved for the past 50 years. One reason behind the continuing use of heroin worldwide despite such efforts is its highly addictive nature. Brain imaging studies over the past two decades have made significant contribution to the understanding of the addictive properties as to be due in part to biological processes, specifically those in the brain structure and function...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28390903/obesity-is-associated-with-lack-of-inhibitory-control-and-impaired-heart-rate-variability-reactivity-and-recovery-in-response-to-food-stimuli
#9
Grazia Fernanda Spitoni, Cristina Ottaviani, Anna Maria Petta, Pietro Zingaretti, Massimiliano Aragona, Antonio Sarnicola, Gabriella Antonucci
Recent theories compare obesity with addiction in terms of lack of inhibitory control in both clinical populations. The present study hypothesized impaired inhibition in obese patients reflected both in executive functions and reduced vagal tone (indexed by a decrease in heart rate variability; HRV) in response to food stimuli. Twenty-four inpatients with obesity (19 women) and 37 controls (24 women) underwent ECG monitoring during baseline, food stimuli viewing, and a recovery phase. Tests and questionnaires assessing inhibitory control and psychopathological dispositions were also administered...
April 6, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28386520/behavioral-and-stereological-analysis-of-the-effects-of-intermittent-feeding-diet-on-the-orally-administrated-mdma-ecstasy-in-mice
#10
Zeinab Ebrahimian, Zeinab Karimi, Mohammad Javad Khoshnoud, Mohammad Reza Namavar, Bahram Daraei, Mohsen Raza Haidari
Background: 3,4-methylenedioxy-methamphetamine or MDMA (also known as "ecstasy" or "molly") is a commonly abused drug that affects behavior and can lead to neuronal damage. Intermittent feeding is an effective dietary protocol that promotes neuroprotection and improves behavioral outcomes in animal models of neurotoxicity and neurodegenerative diseases. In this study, we investigated the behavioral and histological outcomes of the effect of intermittent feeding on the orally administered MDMA in mice. Methods: The animals (male albino mice) were divided into four groups: ad libitum (AL), intermittent feeding (IF) (food given every other day), and AL and IF control groups...
January 2017: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28383206/what-is-alcoholics-anonymous-a-path-from-addiction-to-recovery-marc-galanter-new-york-usa-oxford-university-press-2016-isbn-9780190276560-255-pp-paperback-price-%C3%A2-19-99
#11
https://www.readbyqxmd.com/read/28376287/recovery-from-alcohol-dependence-do-smoking-indicators-predict-abstinence
#12
Anna Hufnagel, Ulrich Frick, Monika Ridinger, Norbert Wodarz
BACKGROUND AND OBJECTIVES: There is inconsistent evidence about the potential influence of smoking on recovery from alcohol dependence. Our study aimed at assessing the impact of smoking-behavior on relapse during a 12 months follow-up period following a detoxification in patients with Alcohol Use Disorder (AUD). METHODS: Three hundred Patients with AUD (74.9% smoking) were recruited from two inpatient detoxification units in psychiatric hospitals in Germany and their alcohol consumption was prospectively followed for 1 year...
June 2017: American Journal on Addictions
https://www.readbyqxmd.com/read/28375881/institutional-substance-use-disorder-intervention-improves-general-internist-preparedness-attitudes-and-clinical-practice
#13
Sarah E Wakeman, Genevieve Pham Kanter, Karen Donelan
OBJECTIVE: To assess the impact of hospital substance use disorder (SUD) initiative, which, beginning in October 2014, implemented an inpatient addiction consult team, a postdischarge addiction clinic, recovery coaches, and SUD treatment within primary care on general internists' attitudes, clinical practice, and preparedness to care for SUD. METHODS: Pre and postintervention survey of general internal medicine physicians at Massachusetts General Hospital, in Boston, Massachusetts, in September 2014 (n = 290) and 2015 (n = 296) was conducted...
April 3, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28373890/restructuring-reward-mechanisms-in-nicotine-addiction-a-pilot-fmri-study-of-mindfulness-oriented-recovery-enhancement-for-cigarette-smokers
#14
B Froeliger, A R Mathew, P A McConnell, C Eichberg, M E Saladin, M J Carpenter, E L Garland
The primary goal of this pilot feasibility study was to examine the effects of Mindfulness-Oriented Recovery Enhancement (MORE), a behavioral treatment grounded in dual-process models derived from cognitive science, on frontostriatal reward processes among cigarette smokers. Healthy adult (N = 13; mean (SD) age 49 ± 12.2) smokers provided informed consent to participate in a 10-week study testing MORE versus a comparison group (CG). All participants underwent two fMRI scans: pre-tx and after 8-weeks of MORE...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/28353467/safety-of-a-rapidly-dissolving-buprenorphine-naloxone-sublingual-tablet-bnx-rdt-for-treatment-of-opioid-dependence-a-multicenter-open-label-extension-study
#15
Kent Hoffman, Marvin L Peyton, Michael Sumner
OBJECTIVE: To assess the safety of rapidly dissolving buprenorphine/naloxone sublingual tablets (BNX-RDT) in opioid-dependent patients. METHODS: This open-label, 24-week extension study enrolled patients who completed primary trials of BNX-RDT. Daily tablet doses ranged from 5.7 to 17.1 mg. The primary endpoint was safety; secondary assessments included opioid cravings, addiction severity, health-related quality of life (QOL), and workplace productivity at screening (final day of the primary trials) through study end, with changes measured from baseline of the primary trials...
March 28, 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28324807/parenting-self-efficacy-and-empowerment-among-expectant-mothers-with-substance-use-disorders
#16
Debra H Zand, Jessica L Chou, Kathy J Pierce, Lara B Pennington, Rosalie R Dickens, Jerri Michael, Donna McNamara, Taryn White
OBJECTIVE: to describe parenting self-efficacy and family empowerment among expectant mothers with substance use disorders. DESIGN: the study employed a quantitative cross-sectional design. PARTICIPANTS: participants were 71 pregnant women with substance use disorders entering a gender-specific, substance use disorder, residential treatment facility. MEASUREMENTS: measurement tools included: the demographic data form, the Parenting Sense of Competence Scale, the Addiction Severity Index, and the Family Empowerment Scale...
March 7, 2017: Midwifery
https://www.readbyqxmd.com/read/28315549/substance-abuse-and-addiction-implications-for-pain-management-in-patients-with-cancer%C3%A2
#17
Yu-Ping Chang
BACKGROUND: Substance use disorders (SUDs) are chronic diseases that may complicate the nursing care of patients with cancer, affecting their ability to adhere to treatment protocols, responses to cancer pain, and use of opioids for analgesia. OBJECTIVES: This article explores how the presence of an SUD may affect oncology nursing care and pain management. METHODS: The PubMed and CINAHL® databases were searched for articles from 1980-2016 using the keywords cancer, cancer pain, addiction, substance abuse, and alcoholism...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28301369/-should-patients-with-substance-use-disorders-be-prescribed-benzodiazepines-no
#18
Robert L DuPont
Patients with substance use disorders (SUDs) should not use benzodiazepines to treat anxiety, insomnia, or anything else, for the same reasons that they should not drink any alcohol or use other drugs, regardless of their primary drug used. Once the addiction "switch" is thrown on, it never again goes off. This question has additional relevance today because in 2016, the US Food and Drug Administration put black box warnings on all benzodiazepines and opioid analgesics about the serious risks associated with their concomitant use...
March 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28276737/planting-the-seeds-of-change-directionality-in-the-narrative-construction-of-recovery-from-addiction
#19
Zetta G Kougiali, Alessandra Fasulo, Adrian Needs, Darren Van Laar
OBJECTIVE: The dominant theoretical perspective that guides treatment evaluations in addiction assumes linearity in the relationship between treatment and outcomes, viewing behaviour change as a 'before and after event'. In this study we aim to examine how the direction of the trajectory of the process from addiction to recovery is constructed in personal narratives of active and recovering users. DESIGN: 21 life stories from individuals at different stages of recovery and active use were collected and analysed following the principles of narrative analysis...
June 2017: Psychology & Health
https://www.readbyqxmd.com/read/28267152/effects-of-naltrexone-are-influenced-by-childhood-adversity-during-negative-emotional-processing-in-addiction-recovery
#20
G Savulich, R Riccelli, L Passamonti, M Correia, J F W Deakin, R Elliott, R S A Flechais, A R Lingford-Hughes, J McGonigle, A Murphy, D J Nutt, C Orban, L M Paterson, L J Reed, D G Smith, J Suckling, R Tait, E M Taylor, B J Sahakian, T W Robbins, K D Ersche
Naltrexone is an opioid receptor antagonist used in the management of alcohol dependence. Although the endogenous opioid system has been implicated in emotion regulation, the effects of mu-opioid receptor blockade on brain systems underlying negative emotional processing are not clear in addiction. Individuals meeting criteria for alcohol dependence alone (n=18, alcohol) and in combination with cocaine and/or opioid dependence (n=21, alcohol/drugs) and healthy individuals without a history of alcohol or drug dependence (n=21) were recruited...
March 7, 2017: Translational Psychiatry
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