Deceptive Dynamics in Drug Addiction and Their Role in Control Beliefs and Health Status Reporting: A Study on People With Substance Use Disorder in Treatment

2019 ◽  
Vol 49 (4) ◽  
pp. 575-592 ◽  
Author(s):  
Andrea Caputo
Keyword(s):  
Substance Use ◽  
Health Status ◽  
Impression Management ◽  
Substance Use Disorder ◽  
Internal Control ◽  
Treatment Success ◽  
Control Beliefs ◽  
Background Information ◽  
Drug Rehabilitation ◽  
Health Related

This study aims at exploring deceptive dynamics (i.e., impression management [IM], self-deception, and emotional manipulation [EM]) and their role in control beliefs and health status reporting in a sample of people treated for substance use disorder. Seventy-eight participants following drug rehabilitation treatment were recruited, who provided background information and completed measures of social desirability responding, EM, locus of control, and health-related status. Moderated-regression analyses and t tests were performed. The results highlight that self-deception is associated with not reporting the use of secondary substances and being in treatment for a shorter time period. IM appears as the main deceptive tendency able to account for internal control beliefs and better mental health. Some interaction effects emerge among the examined deceptive tendencies, which suggest to deepen the role of EM as a risk factor for drug relapse and treatment success.

Correlates of Youth Suicide Attempters in Australian Community and Clinical Samples

2003 ◽  
Vol 37 (3) ◽  
pp. 286-293 ◽  
Author(s):  
Gregory L. Carter ◽  
Cathy Issakidis ◽  
Kerrie Clover
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Suicidal Behaviour ◽  
Clinical Sample ◽  
Community Sample ◽  
Community Control ◽  
Clinical Group ◽  
Health Related

Objective: This study (i) explores differences between a clinical sample of deliberate selfpoisoning (DSP) patients and a community sample who reported previous attempted suicide (AS); and (ii) examines correlates of suicidal behaviour in these groups compared with a community control group (CC) with no suicidal behaviour. Method: The study design was: case–case, case–control and cross-sectional population studies. A clinical sample of DSP (n = 51), a community sample of AS (n = 31) and a community sample with no suicidal behaviour (n = 842) were used, all aged 18–24 years. The DSP and AS groups were compared on several variables and two logistic regression models were developed for risk of (i) DSP and (ii) AS compared to community controls. Results: The adjusted odds ratios for DSP were: female gender (OR = 5.7, CI = 1.7–19.4), anxiety (OR = 7.4, CI = 2.2–25.1), affective (OR = 23.0, CI = 6.9–76.5), or substance-use disorder (OR = 19.2, CI = 5.6–65.4) and greater mental health related disability (OR = 0.5, CI = 0.3–0.7 for 1 SD decrease). For AS the results were: anxiety (OR = 9.4, CI = 1.7–52.8) or substance-use disorder (OR = 3.0, CI = 1.1–8.7) and greater mental health disability (OR = 0.5, CI = 0.4–0.7). Affective disorder was close to significant for the AS group (OR = 4.0, CI = 0.9–17.1). Conclusions: Correlates of DSP/AS were usually more powerful in the clinical group, but showed a similar pattern of psychiatric disorder and disability factors in both groups, supporting a continuum of risk factors across these groups. Interventions based on modifiable risk factors could target the same factors for public health, primary care or hospital populations: anxiety, depression and substance use disorders and mental health related disability.

scholarly journals Patterns and Predictors of Growth in Divorced Fathers’ Health Status and Substance Use

2009 ◽  
Vol 4 (1) ◽  
pp. 60-70 ◽  
Author(s):  
David S. DeGarmo ◽  
John B. Reid ◽  
Leslie D. Leve ◽  
Patricia Chamberlain ◽  
John F. Knutson
Keyword(s):  
Substance Use ◽  
Health Status ◽  
Father Involvement ◽  
Variance Components ◽  
Marijuana Use ◽  
Hard Drug ◽  
Clinically Depressed ◽  
Health Related ◽  
Generative Fathering ◽  
Reduced Drinking

Health status and substance use trajectories are described over 18 months for a county sample of 230 divorced fathers of young children aged 4 to 11. One third of the sample was clinically depressed. Health problems, drinking, and hard drug use were stable over time for the sample, whereas depression, smoking, and marijuana use exhibited overall mean reductions. Variance components revealed significant individual differences in average levels and trajectories for health and substance use outcomes. Controlling for fathers’ antisociality, negative life events, and social support, fathering identity predicted reductions in health-related problems and marijuana use. Father involvement reduced drinking and marijuana use. Antisociality was the strongest risk factor for health and substance use outcomes. Implications for application of a generative fathering perspective in practice and preventive interventions are discussed.

The Potential for Delivering Substance Use Disorder Treatments to Emerging Adults in Child Welfare Settings

2017 ◽  
pp. 219-240
Author(s):  
Judy Havlicek ◽  
Jordan Braciszewski
Keyword(s):  
Substance Use ◽  
Child Welfare ◽  
Emerging Adults ◽  
Substance Use Disorders ◽  
Transition To Adulthood ◽  
Substance Use Disorder ◽  
Foster Youth ◽  
Aging Out ◽  
Background Information ◽  
Positive Health

Foster youth exiting child welfare systems through emancipation or aging out are at elevated risk for substance use disorders. Many may experience challenges to accessing substance use disorder treatment after foster care. This chapter explores the potential for delivering substance use disorder treatments to emerging adults in the context of federal policy, which has expanded over the past three decades to better support the transition that foster youth make to adulthood. First, background information on aging-out foster youth is provided, and what is known about alcohol and substance use disorders and associated treatment is reviewed. The chapter also discusses potential barriers to treatment engagement and offers considerations for developing programs that address population-specific needs. This review of substance use and aging-out foster youth comes at a time when the transition to adulthood is increasingly considered an important developmental period to target interventions aimed at promoting positive health behaviors.

scholarly journals Preference-weighted health-related quality of life measures and substance use disorder severity

Addiction ◽  
2008 ◽  
Vol 103 (8) ◽  
pp. 1320-1329 ◽  
Author(s):  
Jeffrey M. Pyne ◽  
Michael French ◽  
Kathryn McCollister ◽  
Shanti Tripathi ◽  
Richard Rapp ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Health Related Quality ◽  
Quality Of Life Measures ◽  
Related Quality ◽  
Health Related

scholarly journals Research Recruitment: A Case Study on Women with Substance Use Disorder

2021 ◽  
Author(s):  
Kristy Cook ◽  
Kim Larson
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Research Participation ◽  
Macro Level ◽  
Drug Rehabilitation ◽  
Limited Information ◽  
Women's Voices ◽  
Research Recruitment ◽  
Direct Observations

Women with substance use disorder may evade research participation because of individual and societal factors. Limited information exists on recruitment of women with substance use disorder. The purpose of this study was to delineate recruitment challenges among women with substance use disorder and identify successful recruitment strategies. An exploratory case study was used to examine recruitment of women with substance use disorder. This case study was informed by a pilot study in 2017-2018, where data were generated from 25 direct observations and three key informants from a drug rehabilitation treatment agency. Analysis took an explanation-building approach, which incorporated chronological field notes from direct observations, memos from key informant conversations, and the extant literature to revise our initial proposition. Macro-level contextual factors influencing recruitment were: (a) establishment of a triage system, (b) reactivation of agency ethics committee, (c) scheduled accreditation site visits, (d) varied guidelines, and (e) required treatment regimen. Recruitment may benefit from multiple sites, staff training in protocol, increased researcher presence, and the opportunity for women’s voices to be heard. This study advances knowledge of macro-level challenges faced during recruitment of women with substance use disorder in southeast USA. Indirect and direct recruitment, when combined, could maximize participation.

scholarly journals Oral health-related quality of life among a group of patients with substance use disorders in rehabilitation treatment: a cross-sectional study

2021 ◽  
Author(s):  
Saeed Amiri ◽  
Hajar Shekarchizadeh
Keyword(s):  
Substance Use ◽  
Oral Health ◽  
Drug Use ◽  
Substance Use Disorder ◽  
Cross Sectional Study ◽  
Caries Experience ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related

Abstract Background Little is known about the effect of illicit drugs on oral health-related quality of life. Our aim was to investigate oral health-related quality among patients with substance use disorder, and its association with dental caries experience and drug use profile. Methods Applying a stratified cluster random sampling method, we conducted a cross-sectional study on 267 in-treatment patients with substance use disorder in Isfahan, Iran in 2016. Self-administered questionnaires requested participants’ demographics and drug use profile. A trained dental student carried out personal interviews utilizing Oral Impact on Daily Performance (OIDP) instrument. Clinical examinations were conducted to record dental caries experience. T-test, ANOVA, pearson and spearman correlation coefficient, and linear regression model served for statistical analysis (p < 0.05). Results A great majority of the participants reported past use of opium (85%) followed by heroin (42.7%) and amphetamines (20.2%). The most common routes of drug administration were combined routes (44.6%) followed by smoking (36.7%). The mean score of OIDP was 22.4 ± 8.6. As high as 74.1% of the participants reported at least one OIDP impact. The most prevalent OIDP impact was “difficulty eating” (64.8%). The most prevalent cause of the impacts were “dental decay” and “tooth loss”. No significant association revealed between OIDP and patients’ demographics and drug use profile (p > 0.05). Participants with higher caries experience, reported greater OIDP (p < 0.05). Conclusions There is an oral impact on the daily performance of patients with substance use disorder. Patients with higher caries experience reported greater OIDP. Thus, in addition to normative assessment of oral health, clinicians should consider the patients' self-reported oral problems, and the social and mental aspects of oral conditions.

scholarly journals Use of a machine learning framework to predict substance use disorder treatment success

PLoS ONE ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. e0175383 ◽  
Author(s):  
Laura Acion ◽  
Diana Kelmansky ◽  
Mark van der Laan ◽  
Ethan Sahker ◽  
DeShauna Jones ◽  
...  
Keyword(s):  
Machine Learning ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Treatment Success ◽  
Substance Use Disorder Treatment ◽  
Learning Framework ◽  
Disorder Treatment

scholarly journals Longitudinal association of preference-weighted health-related quality of life measures and substance use disorder outcomes

Addiction ◽  
2011 ◽  
Vol 106 (3) ◽  
pp. 507-515 ◽  
Author(s):  
Jeffrey M. Pyne ◽  
Shanti Tripathi ◽  
Michael French ◽  
Kathryn McCollister ◽  
Richard C. Rapp ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Health Related Quality ◽  
Quality Of Life Measures ◽  
Longitudinal Association ◽  
Related Quality ◽  
Health Related

scholarly journals The Impact of an Inpatient Treatment on the Psychodynamic and Symptomatology in Couples Concordant for Substance Use: A Qualitative Study

2020 ◽  
Author(s):  
Aksel Hansen ◽  
Stefan Brokatzky ◽  
Kai Thomas ◽  
Christina Sternbauer ◽  
Myriam Rudaz ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Couples Therapy ◽  
Inpatient Treatment ◽  
Brief Symptom Inventory ◽  
Inpatient Setting ◽  
Drug Rehabilitation ◽  
Psychosocial Situation ◽  
The Impact

Abstract Background: Much literature is devoted to describing the psychosocial situation of patients with a substance use disorder and the course of their families and healthy partners. Couples where both partners have a substance use disorder are less well described and even less often studied. Method: This study described the psychodynamic and symptomatology, as measured by the Brief Symptom Inventory (BSI), of five concordant couples treated simultaneously as inpatients at the same specialized substance use disorder ward. Results: The psychodynamic characterization of the couples revealed that the female was often the organizer, whereas the male was either the motivator or the lackey. In addition, the female was often emotionally dependent on the male. Most individuals showed symptom reductions from pre- to post-treatment, although the men seemed to benefit to a greater extent than the women. Moreover, the patients did not necessarily desire couples therapy. Conclusion: Treating couples concordant for substance use together in the same inpatient setting is unusual, but possible. The dynamics of couples in drug rehabilitation should be further investigated taking into account possible gender differences.

scholarly journals Integrated Models of Care for People Living with Hepatitis C Virus and a Substance Use Disorder: Protocol for a Systematic Review (Preprint)

2017 ◽  
Author(s):  
Lianping Ti ◽  
Stephanie Parent ◽  
María Eugenia Socías
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Substance Use Disorder ◽  
Well Being ◽  
Models Of Care ◽  
Integrated Models ◽  
Health Related ◽  
The Impact

BACKGROUND People living with a substance use disorder (SUD) are a key population within the hepatitis C virus (HCV) epidemic. While integrated and community-based models of care have shown positive outcomes among this population, the literature has been primarily focused on the HIV context. This paper outlines a systematic review protocol on the impact of various integrated models of care, which includes HCV and SUD services, on various treatment, and health-related outcomes among this population. OBJECTIVE The objective of this review is to determine the impact of integrated models of care on HCV and addiction treatment and health-related outcomes for adults living with HCV and an SUD. METHODS We will search 5 databases, article reference lists, and abstracts from relevant conferences that investigate the impact of integrated models of care on treatment and health-related outcomes among people living with HCV and an SUD. Database searches will be conducted and titles, abstracts, and the full-text of the relevant studies will be independently reviewed in separate stages. The methodological quality of included studies will be assessed using a validated tool. Data from included articles will be extracted using a standardized form and synthesized in a narrative account. RESULTS For this project, we have received funding from the Canadian Institute of Health Research. To date, we have completed the search strategy, reviewed the titles, abstracts, and full-texts. Grading the selected studies and qualitative synthesis of the results are currently under way, and we expect the final results to be submitted for publication in the fall of 2018. CONCLUSIONS The systematic review will describe different integrated models of care that could be effective in improving the health and well-being of people living with HCV and an SUD. Results of this review could also identify quality improvement strategies to minimize the health and cost burden imposed on patients, healthcare professionals, and the healthcare system. CLINICALTRIAL PROSPERO CRD42017078445; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=78445 (Archived by WebCite at http://www.webcitation.org/6z4YnkE9G)

Sign in / Sign up

Export Citation Format

Share Document