scholarly journals Mood Symptoms and Impairment Due to Substance Use: A Network Perspective on Comorbidity

2020 ◽  
Author(s):  
Daniel Moriarity ◽  
Payton J. Jones
Keyword(s):  
Substance Use ◽  
Suicidal Ideation ◽  
Network Models ◽  
The Other ◽  
Self Report ◽  
Mood Symptoms ◽  
Problematic Substance Use ◽  
Bidirectional Relationship ◽  
Problematic Substance ◽  
Future Risk

Background: Mood disorders and problematic substance use are highly comorbid and confer reciprocal risk for each other. Despite theories that posit that specific features of one disorder pose risk for the other, there is a dearth of studies utilizing complementary analytic approaches, such as network analysis. Methods: A sample of 445 participants (59.8% female, Mage = 20.3 years) completed measures of depression and hypo/mania symptoms and substance use-related impairment. Results: Impulsive and interpersonal impairment were the domains of impairment most highly co-occurring with mood symptoms. Suicidal ideation, sadness, decreased need for sleep, and guilt were the mood symptoms most highly co-occurring with substance use-related impairment. Cross-lagged panel network models found that interpersonal impairment due to substance use was the strongest cross-construct predictor of mood symptoms and that suicidal ideation and guilt were the mood symptoms most predictive of substance-related impairment. Social, intrapersonal, and physical impairment due to substance use were the domains most predicted by previous mood symptoms and decreased need for sleep, guilt, and euphoria were the most strongly predicted by past substance use-related impairment. Limitations: Measures do not assess all mood symptoms, participants with low reward sensitivity were excluded, self-report measures, some variables were single-items. Conclusions: Results suggest that components of these syndromes that confer future risk for the other might not be the same components that are predicted by the other, highlighting that the bidirectional relationship between mood symptoms and problematic substance use might be better conceptualized at the element, rather than diagnostic, level.

scholarly journals Disentangling substance use and related problems: urgency predicts substance-related problems beyond the degree of use

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Malin K. Hildebrandt ◽  
Raoul Dieterich ◽  
Tanja Endrass
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Delay Discounting ◽  
Sensation Seeking ◽  
Self Report ◽  
Future Research ◽  
Targeted Prevention ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
And Control

Abstract Background Substance use disorders are reliably associated with high impulsivity and sensation seeking. Importantly, both precede problematic substance use, implicating them as risk factors. Individuals with substance use disorders show variable degrees of substance use (combined quantity and frequency) and substance-related problems and differ in both aspects from healthy controls. Dimensional research has indicated differential associations of impulsivity-related traits as well as sensation seeking with the degree of substance use and substance-related problems. The current study aimed to clarify whether impulsivity-related traits and sensation seeking predict substance-related problems above and beyond the degree of substance use and are thus specifically linked to problems, the dimension that characterizes substance use disorders. Method We assessed impulsivity-related traits and sensation seeking using self-report, as well as delay discounting, a behavioral indicator of impulsivity, in a sample of 258 substance-using adults. Results Sensation seeking and impulsivity-related traits significantly predicted the degree of substance use, with sensation seeking explaining the largest portion of variance. In contrast, self-reported impulsivity, in particular when experiencing negative emotions (urgency), but not sensation seeking or delay discounting, predicted substance-related problems when controlling for the degree of substance use. Conclusions This suggests that urgency, but not sensation seeking, may be specifically linked to substance-related problems and thus especially relevant for substance use disorders. Taken together, this study underlines the necessity to assess and control for the degree of substance use in risk factor research concerning substance-related problems. Thus, it may inform future research improving targeted prevention and therapy.

scholarly journals Disentangling Substance Use and Disorder: Urgency, But Not Sensation Seeking, Predicts Substance-Related Problems Above and Beyond The Degree of Substance Use.

2020 ◽  
Author(s):  
Malin Hildebrandt ◽  
Raoul Dieterich ◽  
Tanja Endrass
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Delay Discounting ◽  
Sensation Seeking ◽  
Self Report ◽  
Future Research ◽  
Targeted Prevention ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
And Control

Abstract Background: Substance use disorders are reliably associated with high impulsivity and sensation seeking. Importantly, both precede problematic substance use, implicating them as risk factors. Individuals with substance use disorders show variable degrees of substance use (combined quantity and frequency) and substance-related problems and differ in both aspects from healthy controls. Dimensional research has indicated differential associations of impulsivity-related traits as well as sensation seeking with the degree of substance use and substance-related problems. The current study aimed to clarify whether impulsivity-related traits and sensation seeking predict substance-related problems above and beyond the degree of substance use and are thus specifically linked to problems, the dimension that characterizes substance use disorders. Method: We assessed impulsivity-related traits and sensation seeking using self-report, as well as delay discounting, a behavioral indicator of impulsivity, in a sample of 258 substance-using adults. Results: Sensation seeking and impulsivity-related traits significantly predicted the degree of substance use, with sensation seeking explaining the largest portion of variance. In contrast, self-reported impulsivity, in particular when experiencing negative emotions (urgency), but not sensation seeking or delay discounting, predicted substance-related problems when controlling for the degree of substance use. Conclusions: This suggests that urgency, but not sensation seeking, may be specifically linked to substance-related problems and thus especially relevant for substance use disorders. Taken together, this study underlines the necessity to assess and control for the degree of substance use in risk factor research concerning substance-related problems. Thus, it may inform future research improving targeted prevention and therapy.

scholarly journals Mapping, assessing and promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems

2021 ◽  
pp. 145507252098597
Author(s):  
Nina Kavita Heggen Bahl ◽  
Anne Signe Landheim ◽  
Hilde Eileen Nafstad ◽  
Rolv Mikkel Blakar ◽  
Morten A. Brodahl
Keyword(s):  
Substance Use ◽  
Clinical Pathways ◽  
Collaborative Study ◽  
Social Situation ◽  
National Guidelines ◽  
Social Situations ◽  
Recovery Processes ◽  
Substance Use Problems ◽  
Problematic Substance Use ◽  
Problematic Substance

Aim: The recent nationally implemented clinical pathways for the treatment of substance use problems in Norway require mapping and assessing of patients’ needs, challenges, and resources. However, there is a lack of tools for systematically mapping and assessing patients’ social situations and social networks as part of the national guidelines. The aim of this article is to present a tool developed to map and assess the patient’s social situation, and to propose approaches for promoting multiple psychological senses of community (MPSOC) through clinical pathways for treating substance use problems. Methods: The proposed tool and approaches are developed based on findings in a previous in-depth collaborative study of MPSOC and recovery among people with substance use problems who received help and services from Norwegian municipalities. Findings: The findings suggest that multiple communities (geographical, relational and ideal) and senses of communities (within and outside treatment) simultaneously can influence individual recovery processes from problematic substance use in both positive as well as negative ways. As such, these community dimensions are of central importance to include in mapping and assessing of patients’ social situations, as well as in the promotion of MPSOC through clinical pathways. Conclusions: The suggested tool and approaches can increase the likelihood of achieving key aims of the national clinical pathways. Most important, mapping, assessing and promoting MPSOC through clinical pathways may promote long-term recovery processes and positive recovery capital for persons with substance use problems.

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