Emotional reactivity and difficulties in emotional regulation in drug users: a study in adolescents undergoing treatment in a therapeutic community

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lídia Serra ◽  
Luís Silva ◽  
Duarte Vilar
Keyword(s):  
Emotional Regulation ◽  
Drug Users ◽  
Emotional Reactivity ◽  
Rating Scale ◽  
Therapeutic Community ◽  
School Absenteeism ◽  
Content Type ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
Substance Consumption

Purpose The purpose of this study is to investigate which emotions and difficulties in the emotional regulation of adolescents with illicit substance consumption. Design/methodology/approach In total, 41 adolescents undergoing treatment for the use of alcohol and drugs were recruited. The instruments used were the emotional rating scale and the difficulties in the regulation of emotions scale. Findings Emotional reactivity showed significant differences in the sadness dimension in relation to the number of cannabis cigarettes smoked daily and length of stay, and in the surprise dimension in relation to the number of cannabis cigarettes smoked daily. There was a significant correlation between happiness and age, surprise and number of siblings, sadness and school absenteeism and fear, school absenteeism and number of substances consumed. In regard to difficulties in emotional regulation, there were significant differences between the groups, in strategies regarding the gender of the participants and the number of substances consumed, in non-acceptance and impulses and in the number of substances consumed and in the awareness of the type and number of substances consumed. There was a significant correlation between strategies, non-acceptance, awareness and impulses and the number of substances consumed. Originality/value This study demonstrated that the emotional problems of adolescents admitted to a therapeutic community are predictors of illicit substance use.

Making a difference? Ten years of managing people with intellectual disability and forensic needs in the community

2015 ◽  
Vol 6 (3/4) ◽  
pp. 165-174 ◽  
Author(s):  
Jana de Villiers ◽  
Michael Doyle
Keyword(s):  
Substance Use ◽  
Intellectual Disability ◽  
Case Management ◽  
Patient Group ◽  
Demographic Data ◽  
Community Services ◽  
Service Development ◽  
Content Type ◽  
Illicit Substance ◽  
Illicit Substance Use

Purpose – Nationally community services for patients with intellectual disability and forensic needs are limited, and research to guide service development for this patient group with highly complex needs is sparse. The purpose of this paper is to provide an overview of referrals to and case management by the multi-agency Fife Forensic Learning Disability Service (FFLDS), including demographic data, treatment, risk assessments and outcomes. Design/methodology/approach – All referrals received between 2004 and 2014 were reviewed to identify key demographic factors and to clarify the outcome of the referrals. Risks levels and presence of factors related to ongoing risk management were identified. For those accepted, final outcomes were noted. Findings – In total, 145 referrals were received by FFLDS between 1 January 2004 and 31 December 2014. Of these 117 were accepted for ongoing case management. In total 106 patients were discharged from FFLDS over the review period, with the vast majority remaining in community settings. Patients were overwhelmingly male, with an age range of 16-79 (mean age of 30). Approximately half of referrals were from criminal justice agencies, and sexual and violent offences predominated. Alcohol and/or illicit substance use was problematic in 49 per cent of patients. Research limitations/implications – FFLDS needs to consider building links with Drug and Alcohol Services, for assistance in developing expertise in managing problematic alcohol and/or illicit substance use. Links with professionals working with female offenders may increase the rate of referral of female patients. Originality/value – Policy and legal frameworks emphasise the need to manage people with learning disabilities and forensic needs in the least restrictive environment possible. This paper provides information on a cohort of forensic patients over a ten-year period, including characteristics and outcomes, to inform the evaluation of these frameworks and the planning of both community and in-patient services for this patient group.

scholarly journals 0262 An Exploratory Examination of the Relationship Between Negative Affect, Stress and Emotional Reactivity, Mindfulness, and Sleep Incompatible Behaviors

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A100-A100
Author(s):  
S Nagy ◽  
S M Pickett ◽  
J Sosa ◽  
A Garcell
Keyword(s):  
Negative Affect ◽  
Stress Management ◽  
Emotional Reactivity ◽  
Rating Scale ◽  
Negative Emotion ◽  
Sleep Hygiene ◽  
Poor Sleep ◽  
Dispositional Mindfulness ◽  
Sleep Behaviors ◽  
The Relationship

Abstract Introduction Stress has been identified as a barrier to engaging in positive health behaviors. Sleep interventions, including sleep hygiene recommendations, highlight stress management as an important treatment component. However, the relationship between negative emotion, stress management or emotion regulation, and positive sleep behaviors has largely been unexamined. Therefore, the current study, through secondary analyses, examined the relationships between negative affect, stress and emotional reactivity and sleep incompatible behaviors. Lastly, the indirect effect that dispositional mindfulness, as a possible self-regulatory mechanism, may have on the relationship was also examined. It was hypothesized that greater levels of stress, emotional reactivity, and negative arousal along with lower levels of dispositional mindfulness would predict higher engagement in sleep incompatible behaviors. Methods Participants (n=308) identified mostly as female (55.8%) and White/Caucasian (83.2%) and with an average age of 36.76 (SD = 12.20). Participants completed the Perceived Stress and Reactivity Scale (PSRS), the Positive and Negative Affect Scale (PANAS), the Sleep Behaviors Self-Rating Scale, and the Five Facet Mindfulness Questionnaire (FFMQ). A multiple regression analysis was conducted using the relevant subscales from the PSRS, PANAS, and FFMQ to predict the occurrence of behaviors incompatible with healthy sleep. Results The hypothesis was partially supported. Results indicated that the model significantly predicted sleep incompatible behavior (R2= .108, F(9, 299) = 4.042, p < .001), with only negative affect (β= .163, t(299) = 2.555, p = .011) and nonreactivity (β= -.219, t(299) = -2.484, p = .014) remaining significant when all variables were entered in the model. Conclusion The findings demonstrate that negative affect and reactivity are significant predictors of engagement in poor sleep hygiene practices. They also suggest that certain facets of dispositional mindfulness has an indirect relationship with sleep incompatible behaviors. The results may contribute to the development of sleep health interventions and highlight the need for future research. Support N/A

The mechanism and effect of chronic electrical stimulation of the globus pallidus for treatment of Parkinson disease

2004 ◽  
Vol 100 (6) ◽  
pp. 997-1001 ◽  
Author(s):  
Mitsuhiro Ogura ◽  
Naoyuki Nakao ◽  
Ekini Nakai ◽  
Yuji Uematsu ◽  
Toru Itakura
Keyword(s):  
Electrical Stimulation ◽  
Parkinson Disease ◽  
Globus Pallidus ◽  
Rating Scale ◽  
Underlying Mechanism ◽  
Clinical Effects ◽  
Content Type ◽  
Chronic Electrical Stimulation ◽  
Fine Print ◽  
Stimulation Of

Object. Although chronic electrical stimulation of the globus pallidus (GP) has been shown to ameliorate motor disabilities in Parkinson disease (PD), the underlying mechanism remains to be clarified. In this study the authors explored the mechanism for the effects of deep brain stimulation of the GP by investigating the changes in neurotransmitter levels in the cerebrospinal fluid (CSF) during the stimulation. Methods. Thirty patients received chronic electrical stimulation of the GP internus (GPi). Clinical effects were assessed using the Unified PD Rating Scale (UPDRS) and the Hoehn and Yahr Staging Scale at 1 week before surgery and at 6 and 12 months after surgery. One day after surgery, CSF samples were collected through a ventricular tube before and 1 hour after GPi stimulation. The concentration of neurotransmitters such as γ-aminobutyric acid (GABA), noradrenaline, dopamine, and homovanillic acid (HVA) in the CSF was measured using high-performance liquid chromatography. The treatment was effective for tremors, rigidity, and drug-induced dyskinesia. The concentration of GABA in the CSF increased significantly during stimulation, although there were no significant changes in the level of noradrenaline, dopamine, and HVA. A comparison between an increased rate of GABA concentration and a lower UPDRS score 6 months postimplantation revealed that the increase in the GABA level correlated with the stimulation-induced clinical effects. Conclusions. Stimulation of the GPi substantially benefits patients with PD. The underlying mechanism of the treatment may involve activation of GABAergic afferents in the GP.

The Prevalence of Illicit Substance Use Among Students of Medical Sciences in Tehran: Results from Four Repeated Surveys from 2006 to 2009

2016 ◽  
Vol 26 (2) ◽  
pp. 152-161 ◽  
Author(s):  
Masoumeh Amin-Esmaeili ◽  
Masud Yunesian ◽  
Elaheh Sahimi-Izadian ◽  
Mahdieh Moinolghorabaei ◽  
Afarin Rahimi-Movaghar
Keyword(s):  
Substance Use ◽  
Medical Sciences ◽  
Illicit Substance ◽  
Illicit Substance Use

A novel approach to diagnose ADHD using virtual reality

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ha Min Son ◽  
Dong Gyu Lee ◽  
Yoo-Sook Joung ◽  
Ji Woo Lee ◽  
Eun Ju Seok ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Diagnostic Test ◽  
Rating Scale ◽  
Necessary Condition ◽  
Natural Environments ◽  
Content Type ◽  
Adhd Diagnosis ◽  
Dsm 5 ◽  
Novel Approach ◽  
Potential Patient

Purpose The current golden standard for attention deficit hyperactivity disorder (ADHD) diagnosis is clinical diagnosis based on psychiatric interviews and psychological examinations. This is suboptimal, as clinicians are unable to view potential patients in multiple natural settings – a necessary condition for objective diagnosis. The purpose of this paper is to improve the objective diagnosis of ADHD by analyzing a quantified representation of the actions of potential patients in multiple natural environments. Design/methodology/approach The authors use both virtual reality (VR) and artificial intelligence (AI) to create an objective ADHD diagnostic test. Diagnostic and statistical manual of mental disorders, 5th Edition (DSM-5) and ADHD Rating Scale are used to create a rule-based system of quantifiable VR-observable actions. As a potential patient completes tasks within multiple VR scenes, certain actions trigger an increase in the severity measure of the corresponding ADHD symptom. The resulting severity measures are input to an AI model, which classifies the potential patient as having ADHD in the form inattention, hyperactivity-impulsivity, combined or neither. Findings The result of this study shows that VR-observed actions can be extracted as quantified data, and classification of this quantified data achieves near-perfect sensitivity and specificity with a 98.3% accuracy rate on a convolutional neural network model. Originality/value To the best of the authors’ knowledge, this is the first study to incorporate VR and AI into an objective DSM-5-based ADHD diagnostic test. By including stimulation to the visual, auditory and equilibrium senses and tracking movement and recording voice, we present a method to further the research of objective ADHD diagnosis.

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