Effects of Friends' Substance Use Via Self-Report and Network Analysis

Abstract (250 words)In substance use treatment settings, there is a high prevalence of comorbid mental health problems. Yet an integrated approach for managing comorbidity, implementation of evidence-based intervention in drug and alcohol settings remains problematic. Technology can help the adoption of evidence-based practice and successfully implement effective treatment health care pathways. This study sought to examine aspects of electronic resources utilisation (barriers and facilitators) by clinicians participating in the PCC training. MethodA self-report questionnaire and a semi-structured interview was designed to measure overall satisfaction with the PCC portal and e-resources available throughout the 9-month intervention for participating clinicians. An adapted version of the ‘Non-adoption, Abandonment, Scale-up, Spread and, Sustainability’ (NASSS) framework was used to facilitate discussion in regards to the study findings. ResultsA total of 20 clinicians from drug and alcohol services responded to all the measures. Facilitators of portal use included: i. clinician acceptance of the PCC portal; ii. guidance from the clinical supervisor or clinical champion that encouraged the use of e-resources. Some of the barriers included: i. complexity of the illness (condition), ii. clinicians’ preference (adopter system) for face-to-face resources and training modes (e.g. clinical supervision, clinical champion workshops), and iii. lack of face-to-face training on how to use the portal (technology and organisation).ConclusionBased on the NASSS framework, we were able to identify several barriers and facilitators including such as the complexity of the illness, lack of face-to-face training and clinician preference for training mediums. Recommendations include ongoing consultation of clinicians to assist in the development of tailored e-health resources and offering in-house training on how to operate and effectively utilise these resources.

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Solution-Focused Brief Therapy With Substance-Using Individuals

Research on Social Work Practice ◽

10.1177/1049731516650517 ◽

2016 ◽

Vol 28 (4) ◽

pp. 452-462 ◽

Cited By ~ 13

Author(s):

Johnny S. Kim ◽

Jody Brook ◽

Becci A. Akin

Keyword(s):

Substance Use ◽

Linear Models ◽

Brief Therapy ◽

Controlled Trial ◽

Addiction Severity Index ◽

Self Report ◽

Effect Sizes ◽

Control Group ◽

Solution Focused Brief Therapy ◽

Solution Focused

Objective: This study examined the effectiveness of solution-focused brief therapy (SFBT) intervention on substance abuse and trauma-related problems. Methods: A randomized controlled trial design was used to evaluate the effectiveness of SFBT in primary substance use treatment services for child welfare involved parents in outpatient treatment for substance use disorders. Mixed linear models were used to test within- and between-group changes using intent-to-treat analysis ( N = 64). Hedges’s g effect sizes were also calculated to examine magnitude of treatment effects. Results: Both groups decreased on the Addiction Severity Index-Self-Report and the Trauma Symptom Checklist-40. The between group effect sizes were not statistically significant on either measures, thus SFBT produced similar results as the research supported treatments the control group received. Conclusion: Results support the use of SFBT in treating substance use and trauma and provide an alternative approach that is more strengths based and less problem focused.

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Use of Occupation-Based Outcome Measure and Strength-Based Self-Report with Persons with Substance Use Disorders: A Prospective Cohort Study

Occupational Therapy in Mental Health ◽

10.1080/0164212x.2021.1875956 ◽

2021 ◽

pp. 1-16

Author(s):

Jeffrey Sargent ◽

Kristin Valdes

Keyword(s):

Substance Use ◽

Cohort Study ◽

Substance Use Disorders ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Outcome Measure ◽

Self Report ◽

Strength Based

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Substance use, Unlike Dolutegravir, is Associated with Mood Symptoms in People Living with HIV

AIDS and Behavior ◽

10.1007/s10461-021-03272-2 ◽

2021 ◽

Author(s):

Lisa Van de Wijer ◽

Wouter van der Heijden ◽

Mike van Verseveld ◽

Mihai Netea ◽

Quirijn de Mast ◽

...

Keyword(s):

Substance Use ◽

Term Treatment ◽

Assessment Tools ◽

Self Report ◽

People Living With Hiv ◽

Antiretroviral Drug ◽

Long Term Treatment ◽

Living With Hiv ◽

Neuropsychiatric Side Effects

AbstractContradictory data have been reported concerning neuropsychiatric side effects of the first-line antiretroviral drug dolutegravir, which may be partly due to lack of control groups or psychiatric assessment tools. Using validated self-report questionnaires, we compared mood and anxiety (DASS-42), impulsivity (BIS-11), and substance use (MATE-Q) between dolutegravir-treated and dolutegravir-naive people living with HIV (PLHIV). We analyzed 194, mostly male, PLHIV on long-term treatment of whom 82/194 (42.3%) used dolutegravir for a median (IQR) of 280 (258) days. Overall, 51/194 (26.3%) participants reported DASS-42 scores above the normal cut-off, 27/194 (13.5%) were classified as highly impulsive, and 58/194 (29.9%) regularly used recreational drugs. Regular substance use was positively associated with depression (p = 0.012) and stress scores (p = 0.045). We observed no differences between dolutegravir-treated and dolutegravir-naive PLHIV. Our data show that depressed and anxious moods and impulsivity are common in PLHIV and associate with substance use and not with dolutegravir use.

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083 Circadian Preference is Associated with Impulsivity at Both the Trait and State Level

SLEEP ◽

10.1093/sleep/zsab072.082 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A35-A35

Author(s):

Brant Hasler ◽

Meredith Wallace ◽

Jessica Graves ◽

Sarah Pedersen

Keyword(s):

Substance Use ◽

White Women ◽

Multilevel Models ◽

State Level ◽

Self Report ◽

Future Research ◽

Sleep Timing ◽

Composite Scale ◽

Primary Sample ◽

Circadian Preference

Abstract Introduction Impulsivity is a multifaceted construct with well-documented risk for substance use problems. A circadian preference towards eveningness has been linked to trait, global impulsivity. Here we extend existing literature by investigating whether eveningness is associated with multiple facets of impulsivity at both trait- and state-level impulsivity. We also examined these associations utilizing daily measures of sleep timing and duration. Methods The primary sample included 78 moderate-to-heavy social drinkers (aged 21–35, 100% White men) with circadian preference data (Composite Scale of Morningness: CSM). Five facets of impulsivity were assessed via the UPPS-P, both at baseline (full scale) and up to 6 times per day over 10 days (reduced scale). Daily sleep timing (midsleep) and duration were assessed via self-report over 10 days. Multilevel models were used to examine between- and within-person associations, accounting for covariates and correcting for multiple comparisons. Results Between-person models found that eveningness was associated with multiple facets of impulsivity, at trait (lack of perseverance) and state levels (negative urgency, positive urgency, lack of perseverance, and lack of premeditation). However, average midsleep and duration were generally unrelated to impulsivity when accounting for circadian preference. Within-person models in the primary sample largely paralleled the between-person findings. In a larger, more diverse sample (29.1% self-identified as Black, 29.7% female) without CSM data, later midsleep timing was associated with greater mean state-level impulsivity across multiple facets. These effects largely appear to be driven by White women. Conclusion A circadian preference for eveningness is strongly associated with multiple facets of impulsivity, at both trait- and state-levels, potentially increasing risk for substance use. This association does not appear to be driven by actual daily sleep timing and/or duration. Future research with objective measures of sleep in larger, more diverse samples will be important to clarify implications for sleep-focused prevention and/or treatment of substance use. Support (if any) Supported by grants from NIH (R01AA026249; K01 AA021135), as well as a Foundation Grant from ABMRF/The Foundation for Alcohol Research.

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The role of rash-impulsivity, emotional dysregulation and reward drive in comorbid disordered eating and substance use disorders

Advances in Dual Diagnosis ◽

10.1108/add-01-2021-0002 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Natalie Merinuk ◽

Stephanie C. Varcoe ◽

Peter J. Kelly ◽

Laura D. Robinson

Keyword(s):

Substance Use ◽

Disordered Eating ◽

Psychological Factors ◽

Emotional Dysregulation ◽

Self Report ◽

Eating Behaviours ◽

Cross Sectional ◽

Content Type ◽

The Relationship

Purpose Substance use disorder (SUD) frequently co-occurs with other psychological conditions, such as eating disorders (EDs). Psychological factors such as emotional dysregulation, rash impulsivity (RI) and reward sensitivity (RS) play a role in the etiology of each disorder, yet little is known about the combined effects of these on comorbid SUDs and EDs or disordered eating behaviours (DEBs). This study aims to examine the role of these psychological factors in comorbid DEBs and SUDs among individuals in treatment for SUDs. The role of gender is tested as a moderator. Design/methodology/approach A cross-sectional self-report survey was completed by 131 participants attending Australian residential substance use treatment centres. A binomial logistic regression analysis was performed to examine the effects of emotional dysregulation, RI and RS on comorbid DEB and SUD. Further, moderation analyses were used to examine the moderating effect for gender on the relationship between these three personality variables and comorbidity. Findings The most commonly reported primary substance of use was alcohol (43.5%), followed by amphetamines (38.6%). Findings showed that emotional dysregulation and RI were significantly related to an increase in comorbidity likelihood; however, RS was not. Gender moderated the relationship between comorbidity and RI only. Originality/value The significant positive relationship found between RI and comorbidity for females only was a novel finding for the current study. Further research is needed to develop an understanding of the etiology of comorbidity.

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Cyberbullying victimisation and internalising and externalising problems among adolescents: the moderating role of parent–child relationship and child's sex

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796018000653 ◽

2018 ◽

Vol 29 ◽

Cited By ~ 2

Author(s):

H. Sampasa-Kanyinga ◽

K. Lalande ◽

I. Colman

Keyword(s):

Mental Health ◽

Substance Use ◽

Psychological Distress ◽

Poor Mental Health ◽

Self Report ◽

Parent Child Relationship ◽

Child Relationship ◽

Externalising Problems ◽

Bullying Victimisation ◽

Parent Child

Abstract Aims Previous research has found links between cyberbullying victimisation and internalising and externalising problems among adolescents. However, little is known about the factors that might moderate these relationships. Thus, the present study examined the relationships between cyberbullying victimisation and psychological distress, suicidality, self-rated poor mental health and substance use among adolescents, and tested whether parent–child relationship and child's sex would moderate these relationships. Methods Self-report data on experiences of cyberbullying victimisation, self-rated poor mental health, psychological distress, suicidality and substance use were derived from the 2013 Ontario Student Drug Use and Health Survey, a province-wide school-based survey of students in grades 7 through 12 aged 11–20 years (N = 5478). Logistic regression models adjusted for age, sex, ethnicity, subjective socioeconomic status and involvement in physical fighting, bullying victimisation and perpetration at school. Results Cyberbullying victimisation was associated with self-rated poor mental health (adjusted odds ratio (OR) 2.15; 95% confidence interval (CI) 1.64–2.81), psychological distress (OR 2.41; 95% CI 1.90–3.06), suicidal ideation (OR 2.38; 95% CI 1.83–3.08) and attempts (OR 2.07; 95% CI 1.27–3.38), smoking tobacco cigarette (OR 1.96; 95% CI 1.45–2.65), cannabis use (OR 1.82; 95% CI 1.32–2.51), and binge drinking (OR 1.44; 95% CI 1.03–2.02). The association between cyberbullying victimisation and psychological distress was modified by parent–child relationship and child's sex (three-way interaction term p < 0.05). The association between cyberbullying victimisation and psychological distress was much stronger among boys who have a negative relationship with their parents. Conclusions Findings suggest that cyberbullying victimisation is strongly associated with psychological distress in most adolescents with the exception of males who get along well with their parents. Further research using a longitudinal design is necessary to disentangle the interrelationship among child's sex, parent–child relationship, cyberbullying victimisation and mental health outcomes among adolescents in order to improve ongoing mental health prevention efforts.

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Substitute Behaviors following Residential Substance Use Treatment in the Western Cape, South Africa

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312815 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12815

Author(s):

Deborah Louise Sinclair ◽

Steve Sussman ◽

Maarten De Schryver ◽

Cedric Samyn ◽

Sabirah Adams ◽

...

Keyword(s):

South Africa ◽

Substance Use ◽

Self Report ◽

Substance Use Treatment ◽

Targeted Prevention ◽

Service Users ◽

Western Cape ◽

Satisfaction Scale ◽

Middle Income ◽

Brief Assessment

The dynamics of substitute behaviors and associated factors remain poorly understood globally, and particularly in low- and middle-income contexts. This prospective study describes the prevalence and types of substitute behaviors as well as predictors, correlates, and motivations associated with substitution in persons (n = 137) admitted to residential substance use treatment in the Western Cape province of South Africa. The brief assessment of recovery capital, overall life satisfaction scale, and an adapted version of the addiction matrix self-report measure were completed during and post-treatment. Results indicate that substitutes were employed consciously for anticipated appetitive effects, for time-spending, (re)connecting with others, and enjoyment. At follow-up, 36% of service users had substituted their primary substance(s) with another substance or behavior; 23% had relapsed and 40% had maintained abstinence. While some service users may be especially vulnerable to developing substitute behaviors, targeted prevention and intervention efforts can reduce this risk.

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