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https://www.readbyqxmd.com/read/29444687/psychometric-properties-of-the-medical-outcomes-study-social-support-survey-among-methadone-maintenance-patients-in-ho-chi-minh-city-vietnam-a-validation-study
#1
Long Quynh Khuong, Tuong-Vi Thi Vu, Van-Anh Ngoc Huynh, Truc Thanh Thai
BACKGROUND: Social support plays a crucial role in the treatment and recovery process of patients engaging in methadone maintenance treatment (MMT). However, there is a paucity of research about social support among MMT patients, possibly due to a lack of appropriate measuring tools. This study aimed to evaluate the psychometric properties of the Vietnamese version of the Medical Outcomes Study: Social Support Survey (MOS-SSS) among MMT patients. METHODS: A cross-sectional survey of 300 patients was conducted in a methadone clinic in Ho Chi Minh City, Vietnam...
February 14, 2018: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/29441714/time-dependent-regional-brain-distribution-of-methadone-and-naltrexone-in-the-treatment-of-opioid-addiction
#2
Belin G Teklezgi, Annapurna Pamreddy, Sooraj Baijnath, Hendrik G Kruger, Tricia Naicker, Nirmala D Gopal, Thavendran Govender
Opioid addiction is a serious public health concern with severe health and social implications; therefore, extensive therapeutic efforts are required to keep users drug free. The two main pharmacological interventions, in the treatment of addiction, involve management with methadone an mu (μ)-opioid agonist and treatment with naltrexone, μ-opioid, kappa (κ)-opioid and delta (δ)-opioid antagonist. MET and NAL are believed to help individuals to derive maximum benefit from treatment and undergo a full recovery...
February 14, 2018: Addiction Biology
https://www.readbyqxmd.com/read/29432086/overcoming-medication-stigma-in-peer-recovery-a-new-paradigm
#3
Noa Krawczyk, Tianna Negron, Maia Nieto, Deborah Agus, Michael I Fingerhood
BACKGROUND: Treatment for opioid use disorder involving opioid-based pharmacotherapies is considered most effective when accompanied by psychosocial interventions. Peer-led support groups are widely available and have been described by many as fundamental to the recovery process. However, some individuals using medications face stigma in these settings, which can be contradictory and counterproductive to their recovery. METHODS: This article describes the development of the Ability, Inspiration and Motivation or "AIM" group, an alternative peer support group that aims to remove medication stigma from peer-recovery...
February 12, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29428325/regional-cerebral-blood-flow-predictors-of-relapse-and-resilience-in-substance-use-recovery-a-coordinate-based-meta-analysis-of-human-neuroimaging-studies
#4
Sarah E Forster, Michael Walsh Dickey, Steven D Forman
BACKGROUND: Predicting relapse vulnerability can inform level-of-care and personalized substance use treatment. Few reliable predictors of relapse risk have been identified from traditional clinical, psychosocial, and demographic variables. However, recent neuroimaging findings highlight the potential prognostic import of brain-based signals, indexing the degree to which neural systems have been perturbed by addiction. These proposed "neuromarkers" forecast the likelihood, severity, and timing of relapse but the reliability and generalizability of such effects remains to be established...
February 5, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29420414/the-comprehensive-addiction-and-recovery-act-opioid-use-disorder-and-midwifery-practice
#5
Jeanne Murphy, Daisy Goodman, M Christina Johnson, Mishka Terplan
The federal response to the opioid use disorder crisis has included a mobilization of resources to encourage office-based pharmacotherapy with buprenorphine, an effort culminating in the 2016 Comprehensive Addiction and Recovery Act, signed into law as Public Law 114-198. The Comprehensive Addiction and Recovery Act was designed to increase access to treatment with special emphasis on services for pregnant women and follow-up for infants affected by prenatal substance exposure. In this effort, the Comprehensive Addiction and Recovery Act laudably expands eligibility for obtaining a waiver to prescribe buprenorphine to nurse practitioners and physician assistants...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29415850/patterns-of-co-occurring-addictions-posttraumatic-stress-disorder-and-major-depressive-disorder-in-detoxification-treatment-seekers-implications-for-improving-detoxification-treatment-outcomes
#6
RaeAnn E Anderson, Bryce Hruska, Alec P Boros, Christopher J Richardson, Douglas L Delahanty
BACKGROUND AND OBJECTIVES: Poly-substance use and psychiatric comorbidity are common among individuals receiving substance detoxification services. Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) are the most common co-occurring psychiatric disorders with substance use disorder (SUD). Current treatment favors a one-size-fits-all approach to treating addiction focusing on one substance or one comorbidity. Research examining patterns of substance use and comorbidities can inform efforts to effectively identify and differentially treat individuals with co-occurring conditions...
March 2018: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29410011/presumed-structural-and-functional-neural-recovery-after-long-term-abstinence-from-cocaine-in-male-military-veterans
#7
Qinghua He, Xiaolu Huang, Ofir Turel, Marya Schulte, David Huang, April Thames, Antoine Bechara, Yih-Ing Hser
Cumulative evidence suggests that cocaine use could alter the structure and function of different brain systems. However, the extent to which the altered brain structure and function possibly recover over time after cocaine abstinence remains less clear. The present study examines 39 male military veterans with different stages of cocaine addiction and long-term abstinence (from 1 year up to 30 years) and evaluates plausible changes in brain structure and function of specific brain regions that sub-serve addictions...
February 1, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29382624/implementing-a-mobile-health-system-to-integrate-the-treatment-of-addiction-into-primary-care-a-hybrid-implementation-effectiveness-study
#8
Andrew Quanbeck, David H Gustafson, Lisa A Marsch, Ming-Yuan Chih, Rachel Kornfield, Fiona McTavish, Roberta Johnson, Randall T Brown, Marie-Louise Mares, Dhavan V Shah
BACKGROUND: Despite the near ubiquity of mobile phones, little research has been conducted on the implementation of mobile health (mHealth) apps to treat patients in primary care. Although primary care clinicians routinely treat chronic conditions such as asthma and diabetes, they rarely treat addiction, a common chronic condition. Instead, addiction is most often treated in the US health care system, if it is treated at all, in a separate behavioral health system. mHealth could help integrate addiction treatment in primary care...
January 30, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29382367/effects-of-automated-smartphone-mobile-recovery-support-and-telephone-continuing-care-in-the-treatment-of-alcohol-use-disorder-study-protocol-for-a-randomized-controlled-trial
#9
James R McKay, David H Gustafson, Megan Ivey, Fiona McTavish, Klaren Pe-Romashko, Brenda Curtis, David A Oslin, Daniel Polsky, Andrew Quanbeck, Kevin G Lynch
BACKGROUND: New smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor...
January 30, 2018: Trials
https://www.readbyqxmd.com/read/29359892/implementation-of-the-provision-of-the-comprehensive-addiction-and-recovery-act-of-2016-relating-to-the-dispensing-of-narcotic-drugs-for-opioid-use-disorder-final-rule
#10
(no author information available yet)
The Comprehensive Addiction and Recovery Act (CARA) of 2016, which became law on July 22, 2016, amended the Controlled Substances Act (CSA) to expand the categories of practitioners who may, under certain conditions on a temporary basis, dispense a narcotic drug in Schedule III, IV, or V for the purpose of maintenance treatment or detoxification treatment. Separately, the Department of Health and Human Services, by final rule effective August 8, 2016, increased to 275 the maximum number of patients that a practitioner may treat for opioid use disorder without being separately registered under the CSA for that purpose...
January 23, 2018: Federal Register
https://www.readbyqxmd.com/read/29338767/effect-of-exercise-versus-cognitive-behavioural-therapy-or-no-intervention-on-anxiety-depression-fitness-and-quality-of-life-in-adults-with-previous-methamphetamine-dependency-a-systematic-review
#11
REVIEW
Linzette Morris, Jessica Stander, Wardah Ebrahim, Stephanie Eksteen, Orissa Anna Meaden, Ané Ras, Annemarie Wessels
BACKGROUND: Methamphetamine (MA) is a highly addictive psychostimulant used by approximately 52 million people worldwide. Chronic MA abuse leads to detrimental physiological and neurological changes, as well as increases in anxiety and depression, and decreases in overall fitness and quality of life. Exercise has been reported to possibly reverse physiological and neurological damage caused by previous MA use, and to reduce anxiety and depression in this population. The aim of this systematic review was to identify, clinically appraise and synthesise the available evidence for the effectiveness of exercise, compared to cognitive behavioural therapy (CBT), standard care or no intervention, on decreasing anxiety and depression and improving fitness and quality of life in previous MA users...
January 16, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29338020/autonomic-stress-reactivity-and-craving-in-individuals-with-problematic-internet-use
#12
Tania Moretta, Giulia Buodo
The link between autonomic stress reactivity and subjective urge/craving has been less systematically examined in behavioral addictions (i.e. problematic Internet use) than in substance use disorders. The present study investigated whether problematic Internet users (PU) show enhanced autonomic stress reactivity than non-PU, indexed by lower Heart Rate Variability (HRV) and higher Skin Conductance Level (SCL) reactivity during the Trier Social Stress Test (TSST), whether greater reactivity is related to stronger Internet craving, and whether problematic Internet usage is associated with some dysfunctional psychological features...
2018: PloS One
https://www.readbyqxmd.com/read/29302226/minding-the-brain-the-role-of-pharmacotherapy-in-substance-use-disorder-treatment
#13
Dakwar Elias, Herbert D Kleber
With its medicalization as a brain-based disease, addiction has come to be regarded as amenable to biomedical treatment approaches, most commonly pharmacotherapy. Various vulnerabilities are recognized to contribute to maladaptive substance use, and have been linked to diverse neurobiological alterations that may be targeted with pharmacotherapy: withdrawal, craving and cue reactivity, and aberrant reward processing are the most significant. Here, we summarize current thinking regarding pharmacotherapy for substance-use disorders, grouping medications by the type of vulnerability they propose to address and providing insight into their neurobiological mechanisms...
September 2017: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/29300100/randomized-clinical-trial-evaluating-the-preliminary-effectiveness-of-an-integrated-anxiety-disorder-treatment-in-substance-use-disorder-specialty-clinics
#14
Kate Wolitzky-Taylor, Jennifer Krull, Richard Rawson, Peter Roy-Byrne, Richard Ries, Michelle G Craske
OBJECTIVE: Anxiety and substance use disorders are highly comorbid and mutually maintain each other. Treatments for anxiety disorders that are well integrated into substance use disorder treatment have the potential to improve both anxiety and substance use outcomes. METHOD: Ninety-seven individuals seeking treatment at a community-based, evidence-based intensive outpatient program for substance use disorders who also had anxiety disorders were randomized to either (a) usual care (UC) at the intensive outpatient program; or (b) UC + coordinated anxiety learning and management for addiction recovery centers (CALM ARC), a 7-session, group-based, computer-assisted but therapist-directed treatment for anxiety disorders adapted for individuals with anxiety disorder and substance use disorder comorbidity...
January 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29277147/factors-that-promote-and-hinder-medication-adherence-from-the-perspective-of-inmates-in-a-provincial-remand-center-a-mixed-methods-study
#15
Lauren Cuthbertson, Karolina Kowalewski, Jennifer Edge, Keith Courtney
Effective medication delivery to inmates within correctional facilities is essential for managing symptoms, preventing relapse, slowing disease progression, and enabling recovery. Despite its importance, medication adherence in correctional facilities is poor. This mixed methods study explores the factors that affect medication adherence from the perspective of 20 inmates at a provincial remand center in Alberta, Canada. Themes describing factors that promote or hinder medication adherence emerged: patient-related factors (addiction, social support, insight into disease, and purpose of medications), health care provider-related factors (health care provider attributes and trust in physicians), and correctional setting factors...
January 1, 2017: Journal of Correctional Health Care
https://www.readbyqxmd.com/read/29261427/addiction-vulnerability-exploring-relationships-between-cigarette-smoking-substance-misuse-and-early-psychosis
#16
Vanessa Clark, Agatha M Conrad, Terry J Lewin, Amanda L Baker, Sean A Halpin, Ketrina A Sly, Juanita Todd
OBJECTIVE: Smoking rates in adolescents at risk of psychosis are significantly greater than those who are not at risk. Recent research suggests that cigarette smoking in adolescence may be a potential marker of transition to psychosis, although the exact relationship between the two remains unclear. Our aim was to examine whether tobacco smoking is a potential marker of transition to psychosis or subsequent episodes of psychosis, independently of other substance use, or alternatively, if smoking is essentially a general marker of later mental illness episodes...
December 20, 2017: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/29261341/benefit-requirements-for-substance-use-disorder-treatment-in-state-health-insurance-exchanges
#17
Bikki Tran Smith, Kathleen Seaton, Christina Andrews, Colleen M Grogan, Amanda Abraham, Harold Pollack, Peter Friedmann, Keith Humphreys
BACKGROUND: Established in 2014, state health insurance exchanges have greatly expanded substance use disorder (SUD) treatment coverage in the United States as qualified health plans (QHPs) within the exchanges are required to conform to parity provisions laid out by the Affordable Care Act and the Mental Health Parity and Addiction Equity Act (MHPAEA). Coverage improvements, however, have not been even as states have wide discretion over how they meet these regulations. OBJECTIVE: How states regulate SUD treatment benefits offered by QHPs has implications for the accessibility and quality of care...
December 20, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/29250216/longitudinal-differences-in-spirituality-and-religiousness-between-men-and-women-in-treatment-for-alcohol-use-disorders
#18
Amy R Krentzman
This study compares men and women with alcohol use disorders on levels and trajectories of spirituality and religiousness over 30 months while controlling for critical covariates. Men (n=92) and women (n=65) entering abstinence-based treatment were assessed for drinking behavior, spirituality, and psychosocial variables in a longitudinal panel study. Multiple regression tested for baseline differences and multi-level models tested for differences from baseline to 6 months (early recovery) and from 6 to 30 months (later recovery) in seven dimensions of spirituality/religiousness...
2017: Psychology of Religion and Spirituality
https://www.readbyqxmd.com/read/29244621/on-mourning-and-recovery-integrating-stages-of-grief-and-change-toward-a-neuroscience-based-model-of-attachment-adaptation-in-addiction-treatment
#19
R Andrew Chambers, Sue C Wallingford
Interpersonal attachment and drug addiction share many attributes across their behavioral and neurobiological domains. Understanding the overlapping brain circuitry of attachment formation and addiction illuminates a deeper understanding of the pathogenesis of trauma-related mental illnesses and comorbid substance use disorders, and the extent to which ending an addiction is complicated by being a sort of mourning process. Attention to the process of addiction recovery-as a form of grieving-in which Kubler-Ross's stages of grief and Prochaska's stages of change are ultimately describing complementary viewpoints on a general process of neural network and attachment remodeling, could lead to more effective and integrative psychotherapy and medication strategies...
2017: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29239048/drug-and-alcohol-treatment-providers-views-about-the-disease-model-of-addiction-and-its-impact-on-clinical-practice-a-systematic-review
#20
REVIEW
Anthony I Barnett, Wayne Hall, Craig L Fry, Ella Dilkes-Frayne, Adrian Carter
ISSUES: Addiction treatment providers' views about the disease model of addiction (DMA), and their contemporary views about the brain disease model of addiction (BDMA), remain an understudied area. We systematically reviewed treatment providers' attitudes about the DMA/BDMA, examined factors associated with positive or negative attitudes and assessed their views on the potential clinical impact of both models. APPROACH: Pubmed, EMBASE, PsycINFO, CINAHL Plus and Sociological Abstracts were systematically searched...
December 14, 2017: Drug and Alcohol Review
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