Pub Date : 2021-02-05DOI: 10.1097/ADT.0000000000000246
Teuku Fadhli, D. Situmorang
Objectives: Anxiety can cause someone to be counterproductive or experience psychological disorders, causing discomfort in social activities, less active participation in behavior. This study aims to prove the effectiveness of cognitive behavioral therapy (CBT) approach and the cognitive restructuring (CR) technique to reduce individual psychosocial anxiety through group counseling, which covers high school adolescents. The CBT approach with the CR technique for dealing with personal psychosocial anxiety provides valuable space for movement. The CBT approach with the CR technique will change the maladaptive beliefs that arise because of anxiety. This intervention aims to increase self-defense and self-control by stimulating rational problem-solving abilities, social skills, and active participation in social activities. Methods: The research method was a nonequivalent group pretest-posttest design with a control or comparison group. On the basis of the paired sample t test, there is a significant difference in the mean. The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak. Conclusions: The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak.
{"title":"Implementation of Cognitive Behavioral Therapy With Cognitive Restructuring Technique to Reduce Psychosocial Anxiety in the COVID-19 Outbreak","authors":"Teuku Fadhli, D. Situmorang","doi":"10.1097/ADT.0000000000000246","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000246","url":null,"abstract":"Objectives: Anxiety can cause someone to be counterproductive or experience psychological disorders, causing discomfort in social activities, less active participation in behavior. This study aims to prove the effectiveness of cognitive behavioral therapy (CBT) approach and the cognitive restructuring (CR) technique to reduce individual psychosocial anxiety through group counseling, which covers high school adolescents. The CBT approach with the CR technique for dealing with personal psychosocial anxiety provides valuable space for movement. The CBT approach with the CR technique will change the maladaptive beliefs that arise because of anxiety. This intervention aims to increase self-defense and self-control by stimulating rational problem-solving abilities, social skills, and active participation in social activities. Methods: The research method was a nonequivalent group pretest-posttest design with a control or comparison group. On the basis of the paired sample t test, there is a significant difference in the mean. The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak. Conclusions: The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44181126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-03DOI: 10.1097/ADT.0000000000000241
T. Okasha, Afaf Abd Elsamie, H. Azzam, D. Elserafi, M. Morsy, E. Shorub
Objectives: Although the relationship between substance use disorders (SUDs) and emotion regulation is a topic of great scientific interest, little is still known about the nature of this association. The aim of this study is to examine emotion regulation among patients with SUDs and assess the different predictors that affect it. Patients and Methods: In all, 100 male patients with SUDs were selected from Okasha Institute of Psychiatry, Ain Shams University and were compared with 100 healthy controls matched for age, sex, and education. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders I; Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders II; Temperament and Character Inventory; Barratt impulsiveness scale (BIS), version 11; Trait Meta Mood Scale; and addiction severity index were used. Results: Emotional repair was significantly lower in cases compared with control group specifically cases with personality disorders. Cases had significantly lower scores in harm avoidance and persistence and higher in novelty seeking. In addition, cases showed significantly higher total, motor, attention, and nonplan scores of BIS compared with the control group. Furthermore, there was a negative correlation between attention to feeling, clarity of feeling, and repair of mood, and BIS items. Meanwhile, there was a negative correlation between emotional repair and novelty seeking, harm avoidance, persistence, and self-transcendence. Lastly, there was a significant negative correlation between attention to feeling and duration of substance use. Conclusion: The study confirms that emotion regulation is a mediator for SUDs especially with long duration of illness, presence of certain personality traits and disorders, and high impulsivity.
{"title":"Emotional Regulation as a Mediating Factor in Substance Use Disorders","authors":"T. Okasha, Afaf Abd Elsamie, H. Azzam, D. Elserafi, M. Morsy, E. Shorub","doi":"10.1097/ADT.0000000000000241","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000241","url":null,"abstract":"Objectives: Although the relationship between substance use disorders (SUDs) and emotion regulation is a topic of great scientific interest, little is still known about the nature of this association. The aim of this study is to examine emotion regulation among patients with SUDs and assess the different predictors that affect it. Patients and Methods: In all, 100 male patients with SUDs were selected from Okasha Institute of Psychiatry, Ain Shams University and were compared with 100 healthy controls matched for age, sex, and education. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders I; Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders II; Temperament and Character Inventory; Barratt impulsiveness scale (BIS), version 11; Trait Meta Mood Scale; and addiction severity index were used. Results: Emotional repair was significantly lower in cases compared with control group specifically cases with personality disorders. Cases had significantly lower scores in harm avoidance and persistence and higher in novelty seeking. In addition, cases showed significantly higher total, motor, attention, and nonplan scores of BIS compared with the control group. Furthermore, there was a negative correlation between attention to feeling, clarity of feeling, and repair of mood, and BIS items. Meanwhile, there was a negative correlation between emotional repair and novelty seeking, harm avoidance, persistence, and self-transcendence. Lastly, there was a significant negative correlation between attention to feeling and duration of substance use. Conclusion: The study confirms that emotion regulation is a mediator for SUDs especially with long duration of illness, presence of certain personality traits and disorders, and high impulsivity.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42884548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-27DOI: 10.1097/ADT.0000000000000245
M. Preve
{"title":"Could Agomelatine Play a Role to Treat Anhedonia in Heroin Dependence?","authors":"M. Preve","doi":"10.1097/ADT.0000000000000245","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000245","url":null,"abstract":"","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46242097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-27DOI: 10.1097/ADT.0000000000000243
M. Naeim, A. Rezaeisharif, A. Kamran
Background: Addiction is one of the most important issues today that has affected all institutions, including the family and the society, and the close connection between this issue and the correct methods of raising children in the family is undeniable. Objective: This study aimed to investigate the role of impulsivity and cognitive emotion regulation in the tendency toward addiction in students of Ardabil universities. Methods: The methodology applied in this research was descriptive correlation. A total of 520 male students who study at Ardabil universities were selected by 2-stage random sampling. To measure the variables, the Barratt Impulsivity Scale, the Cognitive Emotion Regulation Questionnaire (CERQ-P), and the Addiction Preparation Scale of Weed and Butcher were used. Results: To analyze the findings, the Pearson correlation coefficient and multiple regressions were used. The obtained results show that there is a positive correlation between impulsivity and tendency to addiction (P<0.01). Also, there is a correlation among all components of impulsivity and tendency to addiction (P<0.01). Statistically, there is a positive correlation between cognitive emotion regulation and tendency to addiction (P<0.01). The results of multivariate regression showed that motor impulsivity, cognitive impulsivity, nonplanning, self-blame, acceptance, rumination, and putting into perspective were significantly able to predict the tendency to addiction. Conclusions: Noting that the variables of impulsivity and cognitive emotion regulation can properly predict the tendency to addiction, university counseling centers can, through workshops, teach the students different ways of controlling these variables in a variety of situations and so they will be able to prevent the tendency toward drug use.
背景:成瘾是当今影响到包括家庭和社会在内的所有机构的最重要问题之一,而这个问题与家庭中正确的养育孩子的方法之间的密切联系是不可否认的。目的:探讨冲动性和认知情绪调节在阿达比尔大学学生成瘾倾向中的作用。方法:采用描述性相关分析方法。采用两阶段随机抽样的方法,选取在阿达比尔大学就读的520名男生。测量变量采用Barratt冲动性量表、认知情绪调节问卷(CERQ-P)和Weed and Butcher成瘾准备量表。结果:采用Pearson相关系数和多元回归分析。结果表明,冲动性与成瘾倾向呈正相关(P<0.01)。冲动性各成分与成瘾倾向之间存在显著的相关性(P<0.01)。认知情绪调节与成瘾倾向呈显著正相关(P<0.01)。多元回归结果显示,运动冲动、认知冲动、无计划、自责、接纳、反刍、透视对成瘾倾向有显著的预测作用。结论:鉴于冲动性和认知情绪调节这两个变量可以很好地预测成瘾倾向,大学心理咨询中心可以通过研讨会的形式,教授学生在不同情况下控制这些变量的不同方法,从而预防吸毒倾向的发生。
{"title":"The Role of Impulsivity and Cognitive Emotion Regulation in the Tendency Toward Addiction in Male Students","authors":"M. Naeim, A. Rezaeisharif, A. Kamran","doi":"10.1097/ADT.0000000000000243","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000243","url":null,"abstract":"Background: Addiction is one of the most important issues today that has affected all institutions, including the family and the society, and the close connection between this issue and the correct methods of raising children in the family is undeniable. Objective: This study aimed to investigate the role of impulsivity and cognitive emotion regulation in the tendency toward addiction in students of Ardabil universities. Methods: The methodology applied in this research was descriptive correlation. A total of 520 male students who study at Ardabil universities were selected by 2-stage random sampling. To measure the variables, the Barratt Impulsivity Scale, the Cognitive Emotion Regulation Questionnaire (CERQ-P), and the Addiction Preparation Scale of Weed and Butcher were used. Results: To analyze the findings, the Pearson correlation coefficient and multiple regressions were used. The obtained results show that there is a positive correlation between impulsivity and tendency to addiction (P<0.01). Also, there is a correlation among all components of impulsivity and tendency to addiction (P<0.01). Statistically, there is a positive correlation between cognitive emotion regulation and tendency to addiction (P<0.01). The results of multivariate regression showed that motor impulsivity, cognitive impulsivity, nonplanning, self-blame, acceptance, rumination, and putting into perspective were significantly able to predict the tendency to addiction. Conclusions: Noting that the variables of impulsivity and cognitive emotion regulation can properly predict the tendency to addiction, university counseling centers can, through workshops, teach the students different ways of controlling these variables in a variety of situations and so they will be able to prevent the tendency toward drug use.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43230431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-22DOI: 10.1097/ADT.0000000000000240
A. Shamsalinia, Vida Shafti, M. Nikpour, F. Ghaffari
Aims: This study aims at the development and psychometric evaluation of the Female Substance Abusers’ Reproductive Health Scale (FSARHS). Design, Setting and Participants: This is the protocol of a sequential exploratory mixed-method study. The study will be conducted in an FSARHS development phase and an FSARHS psychometric evaluation phase. In the first phase, a qualitative study and a literature review will be conducted for item generation. In the qualitative study, semi-structured interviews will be held with female substance abusers. Data will be analyzed through conventional content analysis and the draft of FSARHS will be developed. In the psychometric evaluation phase, the face, content, and construct validity and reliability of FSARHS will be assessed. Conclusions: FSARHS can be used by reproductive health policy makers and health care providers at national and international levels in order to assess reproductive health among female substance abusers.
{"title":"Development and Psychometric Evaluation of the Female Substance Abusers’ Reproductive Health Scale: Study Protocol for a Sequential Exploratory Mixed-method Study","authors":"A. Shamsalinia, Vida Shafti, M. Nikpour, F. Ghaffari","doi":"10.1097/ADT.0000000000000240","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000240","url":null,"abstract":"Aims: This study aims at the development and psychometric evaluation of the Female Substance Abusers’ Reproductive Health Scale (FSARHS). Design, Setting and Participants: This is the protocol of a sequential exploratory mixed-method study. The study will be conducted in an FSARHS development phase and an FSARHS psychometric evaluation phase. In the first phase, a qualitative study and a literature review will be conducted for item generation. In the qualitative study, semi-structured interviews will be held with female substance abusers. Data will be analyzed through conventional content analysis and the draft of FSARHS will be developed. In the psychometric evaluation phase, the face, content, and construct validity and reliability of FSARHS will be assessed. Conclusions: FSARHS can be used by reproductive health policy makers and health care providers at national and international levels in order to assess reproductive health among female substance abusers.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46563700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-22DOI: 10.1097/ADT.0000000000000244
Bahadır Demir, A. Altındağ
Objective: We aimed to examine hemoglobin (HGB), hematocrit (HCT), mean corpuscular volume (MCV), mean cell hemoglobin concentration, red blood cell count (RBC), platelet count (PLT), ferritin, vitamin B12, and folic acid levels in heroin addicts by comparing them with healthy controls. Materials and Methods: This study included a total of 325 patients with only heroin use; and 163 healthy individuals. Participants, who had hematological disorders and other chronic diseases, were excluded from the study. HGB, HCT, MCV, mean cell hemoglobin concentration, RBC, PLT, ferritin, vitamin B12, and folic acid levels were compared between groups. Results: The patient group comprised of 318 males and 7 females with the mean age of 26.39±6.18 years. There was no significant difference between patient and control group in terms of age, sex, body mass index and alcohol consumption. HGB, HCT, folic acid levels, and RBC were lower in the patient group than control. There was no significant correlation among HGB, HCT, RBC, PLT, and the sociodemographic characteristics of patients. Conclusion: The effects of heroin on the hematological parameter should be considered. Heroin effects on HGB, HTC, RBC, and folic acid may tend to decrease. Prospective, longitudinal studies, and studies involving intoxication-remission periods are needed.
{"title":"Is There a Relationship Between Heroin Dependence and Anemia?","authors":"Bahadır Demir, A. Altındağ","doi":"10.1097/ADT.0000000000000244","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000244","url":null,"abstract":"Objective: We aimed to examine hemoglobin (HGB), hematocrit (HCT), mean corpuscular volume (MCV), mean cell hemoglobin concentration, red blood cell count (RBC), platelet count (PLT), ferritin, vitamin B12, and folic acid levels in heroin addicts by comparing them with healthy controls. Materials and Methods: This study included a total of 325 patients with only heroin use; and 163 healthy individuals. Participants, who had hematological disorders and other chronic diseases, were excluded from the study. HGB, HCT, MCV, mean cell hemoglobin concentration, RBC, PLT, ferritin, vitamin B12, and folic acid levels were compared between groups. Results: The patient group comprised of 318 males and 7 females with the mean age of 26.39±6.18 years. There was no significant difference between patient and control group in terms of age, sex, body mass index and alcohol consumption. HGB, HCT, folic acid levels, and RBC were lower in the patient group than control. There was no significant correlation among HGB, HCT, RBC, PLT, and the sociodemographic characteristics of patients. Conclusion: The effects of heroin on the hematological parameter should be considered. Heroin effects on HGB, HTC, RBC, and folic acid may tend to decrease. Prospective, longitudinal studies, and studies involving intoxication-remission periods are needed.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47975282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-08DOI: 10.1097/ADT.0000000000000238
M. Naeim, A. Rezaeisharif, Samira Ghobadi Bagvand
Background: Today, because of the increasing prevalence of addiction in society, there are many costs for treating addicts and returning them to normal life. This will not be possible except for new and effective methods. Objectives: This study aimed to investigate the effect of the group counseling approach on the psychological well-being of adolescent girls treated with methadone. Methods: This is a quasiexperimental study with a pretest and post-test with a control group. For this purpose, 50 people were purposefully selected, then randomly divided into 2 groups of 25 students of control and experimental group and in 10 sessions, twice a week for 2 hours they underwent group therapy counseling. The instrument used in this study was the psychological well-being scale as pretest and post-test. Data were analyzed using descriptive statistics (mean and standard deviation) and multivariate analysis of covariance. Results: The results showed that the intervention with the therapeutic approach of group counseling in psychological well-being has a significant effect on the lives of target people in the experimental group (P<0.01). Conclusions: According to the results of the study, it is recommended that this type of education be considered along with medication to improve the psychological well-being of adolescents treated with methadone. Therapeutic approach group counseling as part of corrective action can reduce the anxious thoughts of patients receiving methadone treatment.
{"title":"The Effect of Group Counseling Therapy Approach to Psychological Well-Being of Adolescent Girls Treated With Methadone in Iran: A Randomized Controlled Trial","authors":"M. Naeim, A. Rezaeisharif, Samira Ghobadi Bagvand","doi":"10.1097/ADT.0000000000000238","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000238","url":null,"abstract":"Background: Today, because of the increasing prevalence of addiction in society, there are many costs for treating addicts and returning them to normal life. This will not be possible except for new and effective methods. Objectives: This study aimed to investigate the effect of the group counseling approach on the psychological well-being of adolescent girls treated with methadone. Methods: This is a quasiexperimental study with a pretest and post-test with a control group. For this purpose, 50 people were purposefully selected, then randomly divided into 2 groups of 25 students of control and experimental group and in 10 sessions, twice a week for 2 hours they underwent group therapy counseling. The instrument used in this study was the psychological well-being scale as pretest and post-test. Data were analyzed using descriptive statistics (mean and standard deviation) and multivariate analysis of covariance. Results: The results showed that the intervention with the therapeutic approach of group counseling in psychological well-being has a significant effect on the lives of target people in the experimental group (P<0.01). Conclusions: According to the results of the study, it is recommended that this type of education be considered along with medication to improve the psychological well-being of adolescents treated with methadone. Therapeutic approach group counseling as part of corrective action can reduce the anxious thoughts of patients receiving methadone treatment.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45624537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-04DOI: 10.1097/adt.0000000000000239
D. Situmorang
Objectives: During the coronavirus disease (COVID-19) outbreak, there is an unhealthy psychological symptom in most people worldwide, namely cabin fever. Quite a few people in this world do not know the benefits of music therapy in helping to prevent and overcome cabin fever. Methods: Through this opinion “piece,” the author aims to discuss tips to prevent and overcome cabin fever through several studies with music therapy. Conclusion: The author proposes that everyone can use music therapy in preventing and overcoming cabin fever.
{"title":"Is Music Therapy Effective in Cabin Fever Recovery?","authors":"D. Situmorang","doi":"10.1097/adt.0000000000000239","DOIUrl":"https://doi.org/10.1097/adt.0000000000000239","url":null,"abstract":"Objectives: During the coronavirus disease (COVID-19) outbreak, there is an unhealthy psychological symptom in most people worldwide, namely cabin fever. Quite a few people in this world do not know the benefits of music therapy in helping to prevent and overcome cabin fever. Methods: Through this opinion “piece,” the author aims to discuss tips to prevent and overcome cabin fever through several studies with music therapy. Conclusion: The author proposes that everyone can use music therapy in preventing and overcoming cabin fever.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41377665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.1097/ADT.0000000000000278
R. P. Fadli, Berru Amalianita, N. Zola, D. Situmorang, I. Ifdil
{"title":"Playing Badminton as a Movement Therapy for Reducing Internet Addiction During COVID-19 Outbreak","authors":"R. P. Fadli, Berru Amalianita, N. Zola, D. Situmorang, I. Ifdil","doi":"10.1097/ADT.0000000000000278","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000278","url":null,"abstract":"","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61913974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-22DOI: 10.1097/ADT.0000000000000237
Joe Johnson, Sarah Morris, Sanju George
Attention deficit hyperactivity disorder (ADHD) and substance use disorder (SUD) often co-exist and the link between the 2 is bidirectional, with higher rates of ADHD symptoms found in the SUD population and higher rates of SUD found among the ADHD population. Some possible mechanisms which could explain the increased risk of developing a SUD in those who have ADHD include self-medication, both ADHD and SUD arising from dysregulation of 1 or more of the dopaminergic circuits, genetic factors as well exposure to parental SUD. Given the complex relationship between ADHD and SUD, those working in SUD services should be vigilant to ADHD as a possible comorbid diagnosis and refer to a specialist ADHD service for further assessment where appropriate. On the basis of a detailed clinical assessment, it has to be decided whether SUD or ADHD should be the priority for treatment or if they both ought to be; in either case, ADHD and SUD treatment services must work collaboratively. The recommended first line pharmacological treatment option for adolescents and adults with ADHD is a stimulant medication, with nonstimulants being reserved as a second or third line option. In the brief review paper, the authors further discuss the various medications for treatment of ADHD, the benefits and risks of treating ADHD in those with SUD, discuss the role of specialist ADHD treatment services, and illustrate these with the help of 2 anonymized case vignettes.
{"title":"Managing Comorbid Attention Deficit Hyperactivity Disorder (ADHD) in Adults With Substance Use Disorder (SUD): What the Addiction Specialist Needs to Know","authors":"Joe Johnson, Sarah Morris, Sanju George","doi":"10.1097/ADT.0000000000000237","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000237","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) and substance use disorder (SUD) often co-exist and the link between the 2 is bidirectional, with higher rates of ADHD symptoms found in the SUD population and higher rates of SUD found among the ADHD population. Some possible mechanisms which could explain the increased risk of developing a SUD in those who have ADHD include self-medication, both ADHD and SUD arising from dysregulation of 1 or more of the dopaminergic circuits, genetic factors as well exposure to parental SUD. Given the complex relationship between ADHD and SUD, those working in SUD services should be vigilant to ADHD as a possible comorbid diagnosis and refer to a specialist ADHD service for further assessment where appropriate. On the basis of a detailed clinical assessment, it has to be decided whether SUD or ADHD should be the priority for treatment or if they both ought to be; in either case, ADHD and SUD treatment services must work collaboratively. The recommended first line pharmacological treatment option for adolescents and adults with ADHD is a stimulant medication, with nonstimulants being reserved as a second or third line option. In the brief review paper, the authors further discuss the various medications for treatment of ADHD, the benefits and risks of treating ADHD in those with SUD, discuss the role of specialist ADHD treatment services, and illustrate these with the help of 2 anonymized case vignettes.","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2020-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48736200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}