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Lived Experiences of Students in Collegiate Recovery Programs at Three Large Public Universities 三所大型公立大学大学生康复项目学生的生活体验
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-11-25 DOI: 10.1080/07347324.2021.2005502
Jason Whitney
ABSTRACT This study examined the lived experiences of 12 students in recovery from Substance Use Disorders (SUDs) who were members of Collegiate Recovery Programs (CRPs) at three academically-recognized universities that are also designated to be “party schools.” Using a three-interview series for in-depth phenomenological interviewing, this study investigated how students in recovery in CRPs make sense of their pasts, their present-day lives, and their futures. By analyzing students’ use of narrative, their use of social and cultural discourses, and the shifting subject positions they adopted, co-opted, and disputed in their ongoing identity construction as individuals in recovery, three main discursive themes were identified: First, recovery discourses were primarily rooted in the discourses of Alcoholics Anonymous. A second set of discourses drove students to acquire the qualifications necessary to gain a professional career and to avoid falling out of their social class. In the third set of discourses, students in CRPs defined and claimed social power for themselves, and their CRPs helped them establish various means to be “cool” in college. Reshuffling discourses to (re)position themselves, students in CRPs resisted college discourses that invited them to return to active use.
摘要本研究调查了12名物质使用障碍(SUD)康复学生的生活经历,他们是三所学术认可的大学(也被指定为“党校”)的大学生康复计划(CRP)的成员,这项研究调查了CRP康复期的学生如何理解他们的过去、现在的生活和未来。通过分析学生对叙事的使用,他们对社会和文化话语的使用,以及他们在作为康复个体的身份建构中所采取、选择和争议的主题立场的转变,确定了三个主要的话语主题:首先,康复话语主要源于匿名酗酒者的话语。第二组话语驱使学生获得获得获得职业生涯所需的资格,避免脱离社会阶层。在第三组话语中,CRP中的学生为自己定义和主张社会权力,他们的CRP帮助他们建立了在大学里“酷”的各种手段。CRP中的学生通过重新整理话语来(重新)定位自己,抵制邀请他们重新积极使用的大学话语。
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引用次数: 1
A Perspective from the Field: How Can We Empower the Next Generation of Physician to Heal the Opioid Epidemic? 从现场的角度看:我们如何赋予下一代医生治疗阿片类药物流行病的能力?
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-11-14 DOI: 10.1080/07347324.2021.2002226
Andrew Wylie, K. Zacharoff
ABSTRACT Despite the continued emphasis on prescription opioids in the media and rise in substance use seen during the COVID-19 pandemic, medical school graduates today are unprepared to turn the tide on the opioid epidemic. In this paper, we review the current state of these topics in undergraduate medical education and explore what an educationally driven, forward-thinking approach to “healing” problematic substance use in our society might entail. These initiatives are discussed with the ultimate purpose of detailing how the education of future clinicians is necessary to improve our outcomes with the epidemic. We offer four educational initiatives relating to (1) comprehensive pain management, (2) developing a natural history of SUD by uniting psychiatric and neurological perspectives (3) providing patient exposure and training opportunities (4) enhancing and standardizing care through evidence-based medicine. This perspective is contextualized with a brief discussion of the national climate and societal factors that act inseparably on the present crisis. In focusing our efforts on the next generation of physicians, we hope to reform and improve the practices of future providers and begin to elicit meaningful change.
尽管媒体持续强调处方阿片类药物,并且在COVID-19大流行期间药物使用有所增加,但今天的医学院毕业生尚未准备好扭转阿片类药物流行的趋势。在本文中,我们回顾了本科医学教育中这些主题的现状,并探讨了教育驱动的、前瞻性的方法来“治疗”我们社会中有问题的物质使用可能需要的。讨论这些举措的最终目的是详细说明未来临床医生的教育如何对改善我们应对这一流行病的结果是必要的。我们提供以下四项教育计划:(1)全面的疼痛管理;(2)通过结合精神病学和神经学的观点来发展SUD的自然史;(3)提供患者接触和培训机会;(4)通过循证医学加强和规范护理。这一观点与对当前危机不可分割地起作用的国家气候和社会因素的简要讨论相结合。我们把精力集中在下一代医生身上,希望改革和改善未来医疗服务提供者的做法,并开始引发有意义的变化。
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引用次数: 1
Prevalence of Alcohol Consumption among Indian Female Adolescents 印度女性青少年饮酒情况调查
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-11-14 DOI: 10.1080/07347324.2021.2004963
Shahnawaz Ahmad
ABSTRACT This study has collected empirical studies, reviewed the data, and presented them in a single report to comprehensively understand the prevalence of alcohol consumption among Indian female adolescents. The findings indicate a dearth of studies on the issue; many studies have excluded females from being sampled. Those included have trivially explored and mentioned prevalence-related data in results or discussion sections only without much attention to spell out the findings per gender aspect. No specific emphasis has been given to female adolescents’ alcohol consumption in any of the studies reviewed. Half of these studies have reported less than 20% prevalence, and the remaining half have measured less than 7% of the prevalence rate for alcohol consumption among female adolescents in India. However, the dearth of studies indicates that the actual figure of alcohol prevalence among female adolescents in India would be much higher than that. Empirical studies mainly focused on female adolescents’ alcohol consumption are highly desirable.
摘要本研究收集了实证研究,对数据进行了回顾,并将其呈现在一份报告中,以全面了解印度女性青少年饮酒的流行情况。研究结果表明,对这一问题缺乏研究;许多研究将女性排除在抽样之外。其中包括的人在结果或讨论部分对流行率相关数据进行了琐碎的探索和提及,但没有太多注意按性别方面阐明研究结果。在所审查的任何研究中,都没有特别强调女性青少年的饮酒情况。其中一半的研究报告了不到20%的患病率,其余一半的研究测量了印度女性青少年饮酒的患病率不到7%。然而,缺乏研究表明,印度女性青少年的实际饮酒率将远高于此。主要关注女性青少年饮酒情况的实证研究是非常可取的。
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引用次数: 1
Incorporating Values into Personalized Feedback Interventions for Young Adult Drinking: A Pilot Randomized Trial 将价值观纳入年轻人饮酒的个性化反馈干预:一项试点随机试验
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-11-14 DOI: 10.1080/07347324.2021.1999190
E. Brett, T. Leffingwell, Susanna V Lopez, E. Leavens, Delaney S. Dunn
ABSTRACT The primary aim of the current study is to determine the incremental efficacy of adding a novel values component to a personalized feedback intervention for young adult drinking. Undergraduate students (N = 254) were randomized to receive either traditional, traditional with values assessment, or values enhanced feedback. Results showed significant decreases in drinks per week (p < .01) and alcohol-related consequences (p < .05) across all feedback conditions. Further research is needed to determine whether using values-based feedback could enhance intervention effects and how best to incorporate feedback in a way that is feasible and acceptable to recipients.
当前研究的主要目的是确定在针对年轻人饮酒的个性化反馈干预中增加一种新的价值成分的增量效果。本科生(N = 254)随机接受传统、传统价值评估和价值增强反馈。结果显示,在所有反馈条件下,每周饮酒量显著减少(p < 0.01),酒精相关后果显著减少(p < 0.05)。需要进一步研究,以确定使用基于价值的反馈是否可以增强干预效果,以及如何以可行和接受者可接受的方式最好地纳入反馈。
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引用次数: 1
Themes of Healing, Recovery, and Transformation Reflections on Three Books 治疗、恢复和转变的主题——三书反思
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-28 DOI: 10.1080/07347324.2021.1996303
T. McGovern
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引用次数: 0
Therapeutic Recreation Activities Combined with a 12-Step Faith-Based Program for Adults Experiencing Addiction, Mental Health, and Homelessness: A Case Study 治疗性娱乐活动与成人成瘾、心理健康和无家可归的12步信仰项目相结合:案例研究
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-21 DOI: 10.1080/07347324.2021.1981181
L. Litchke, B. Quinn, Kassandra Turner, Kelci Trapp
ABSTRACT The aim of this case study was to explore the changes in emotional well-being for 12 adult (13 males, 1 female) residents with addiction, mental health, and homelessness issues who participated in a program that combined recreation therapy complementary physical and creative arts activities followed by a 12-step Christian meeting, twice a week for 2 hours over a 6-week period. Results revealed a 27% reduction in anxiety and a decrease in perceived stress of 24%. Negative mood symptoms also reduced by 13%. Resiliency, positive mood, and enjoyment showed 9%, 4%, and 13% improvements respectively. Depression remaining unchanged. This program showed promise in improving common symptoms for adults experiencing addiction, mental health, and homelessness issues.
摘要本案例研究的目的是探索12名有成瘾、心理健康和无家可归问题的成年居民(13名男性,1名女性)的情绪健康状况的变化,他们参加了一个项目,该项目将娱乐治疗与身体和创造性艺术活动相结合,然后是一个12步的基督教会议,每周两次,为期6周,每次2小时。结果显示,焦虑减少了27%,感知压力减少了24%。负面情绪症状也减少了13%。恢复力、积极情绪和快乐分别提高了9%、4%和13%。萧条没有改变。该项目有望改善成瘾、心理健康和无家可归问题成年人的常见症状。
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引用次数: 1
Implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training in Large Cohorts of Second Year Medical Students 筛查、短暂干预和转诊治疗(SBIRT)培训在大二医学生群体中的实施
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-13 DOI: 10.1080/07347324.2021.1972775
Joshua Willms, Lisa Popp, B. Jones, Franklyn C. Babb, R. Cook, Shruthiranjani Nedumaran, Andrew K. Littlefield, David R. M. Trotter
ABSTRACT Substance use disorders are debilitating disorders with far reaching effects. However, many healthcare providers do not receive sufficient training on how to identify or respond to individuals who are at risk for SUDs. Because of this, residents of rural communities, who are served by fewer healthcare providers, are unlikely to encounter providers who are trained to respond effectively to SUDs. SBIRT is a tool used to intervene among patients engaging in risky substance use. Although numerous SBIRT training programs exist across the country, most have focused on relatively small groups of trainees, and have prioritized the training of mental health professionals. In response to this finding, we implemented a large-scale SBIRT training program designed to prepare approximately 540 medical students to meet the needs of patients at risk for or suffering from SUDs in West Texas. In this paper, we focused on medical student perceptions of the quality and utility of our SBIRT educational initiative. Student evaluations of the SBIRT training remained high across three cohorts of second-year medical students. The goal of this report is to provide recommendations to help enable any group to develop, adapt, and implement large-scale SBIRT training programs in other locations.
摘要物质使用障碍是一种影响深远的衰弱性疾病。然而,许多医疗保健提供者没有接受足够的培训,了解如何识别或应对有SUDs风险的个人。正因为如此,由较少的医疗保健提供者提供服务的农村社区居民不太可能遇到受过有效应对SUD培训的提供者。SBIRT是一种用于干预高危药物使用患者的工具。尽管全国各地都有许多SBIRT培训项目,但大多数项目都侧重于相对较小的受训群体,并优先培训心理健康专业人员。针对这一发现,我们实施了一项大规模的SBIRT培训计划,旨在为大约540名医学生做好准备,以满足德克萨斯州西部有SUD风险或患有SUD的患者的需求。在本文中,我们重点关注医学生对SBIRT教育计划的质量和效用的看法。在三组医学二年级学生中,学生对SBIRT培训的评价仍然很高。本报告的目标是提供建议,以帮助任何团队在其他地点制定、调整和实施大规模SBIRT培训计划。
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引用次数: 0
Behavior Change Techniques Used in Binge Drinking Interventions among College Students: A Systematic Review 行为改变技术在大学生酗酒干预中的应用:系统综述
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-13 DOI: 10.1080/07347324.2021.1987178
Jessica Sorcher, Paul Branscum
ABSTRACT The Behavior Change Technique Taxonomy version one (BCTTv1) was used to identify behavior change techniques (BCTs) to understand the current state of science of binge drinking interventions targeting college students. Thirteen studies were reviewed and 32 different BCTs were identified, with the most frequently coded BCTs being Feedback on behavior (2.2) and Social comparison (6.2). There was no apparent reason for how many BCTs were used in each intervention. Binge drinking interventions must use more diverse methods and focus on using several BCT categories like Regulation (11), which develops skills for behavioral maintenance, to create more effective prevention efforts.
摘要行为改变技术分类法第一版(BCTTv1)用于识别行为改变技术(BCTs),以了解针对大学生的酗酒干预的科学现状。回顾了13项研究,确定了32种不同的BCT,其中最常见的编码BCT是行为反馈(2.2)和社会比较(6.2)。每次干预中使用多少BCT没有明显的原因。酗酒干预措施必须使用更多样的方法,并侧重于使用几个BCT类别,如条例(11),该条例发展了行为维持技能,以创造更有效的预防措施。
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引用次数: 0
Alcohol and Drug Use Screening among Justice-Involved Persons 司法人员的酒精和毒品使用筛查
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-09 DOI: 10.1080/07347324.2021.1972776
Spencer D. Bradshaw, Eugene W. Wang, S. Meeks, Kelly Chroback, Sarah Hirsch, Chloe Goad
ABSTRACT (a) Objective: This study examined the reliability and validity of the Texas Risk Assessment System (TRAS) alcohol and drug use screeners. (b) Method: We examined internal consistency, inter-item correlations, and used confirmatory factor analysis (CFA), and item response theory (IRT) to assess item-specific information regarding a single latent dimension of substance use severity. (c) Results: Results supported the TRAS alcohol and drug screeners to measure a single dimension of alcohol and drug use severity. More specifically, the instruments appear to be effective screeners of moderate to severe alcohol use problems, and thus effective screeners for referral for further assessment and possible treatment. (d) Conclusions: Treatment can only be provided for problems that are well defined and diagnosed. Continuing evaluation of substance abuse screeners and assessment is important, especially for justice-involved persons. Effective screeners can lead to more people getting needed assessment and treatment. Recommendations were to drop one item on each screener due to redundancy.
摘要(a)目的:本研究检验了德州风险评估系统(TRAS)酒精和药物使用筛查的信度和效度。(b)方法:我们检查了内部一致性,项目间相关性,并使用验证性因子分析(CFA)和项目反应理论(IRT)来评估关于物质使用严重程度的单一潜在维度的特定项目信息。(c)结果:结果支持TRAS酒精和药物筛选人员测量酒精和药物使用严重程度的单一维度。更具体地说,这些工具似乎是中度至重度酒精使用问题的有效筛查者,因此是转诊进一步评估和可能治疗的有效筛查者。(d)结论:只能对明确界定和诊断的问题提供治疗。对药物滥用筛查和评估的持续评估是重要的,特别是对涉及司法的人。有效的筛查可以使更多的人得到所需的评估和治疗。由于冗余,建议在每个筛选器上删除一个项目。
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引用次数: 0
Attitude Toward Alcohol Consumption among Indian Male Adolescents 印度男性青少年对饮酒的态度
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2021-10-09 DOI: 10.1080/07347324.2021.1981182
Shahnawaz Ahmad
ABSTRACT This study explored alcohol use among Indian male adolescents and examined their positive attitudes toward alcohol consumption. Data were collected using a baseline data questionnaire and two standardized scales (Alcohol Attitude Scale and Alcohol Smoking and Substance Involvement Screening Test) from adolescents in a school setting near Jaipur, India. Participants were informed about the aims and objectives of the study and individual data confidentiality and asked to sign a consent form and fill out a questionnaire. The analysis was carried out using SPSS software, and statistical tests were performed as per the needs and requirements. The mean age of respondents was found to be 14.3 ± 1.810 years; more than half (64.8%) have already experienced tobacco, and 20.9% have experienced alcohol. The mean for Attitude Toward Alcohol was 94.23 ± 11.25; a larger portion (72.55%) of respondents were found to have a positive attitude toward alcohol consumption, 26.4% have a moderate attitude, and only 1.1% were found to have a normal attitude toward alcohol consumption. A large portion with a positive attitude toward alcohol consumption indicates the risk and vulnerability of adolescents for alcohol use and abuse; urgent response is highly desirable.
摘要本研究调查了印度男性青少年的饮酒情况,并考察了他们对饮酒的积极态度。数据是使用基线数据问卷和两种标准化量表(酒精态度量表和酒精吸烟和物质参与筛查测试)从印度斋浦尔附近的一所学校的青少年中收集的。参与者被告知研究的目的和目标以及个人数据的保密性,并被要求签署同意书和填写问卷。使用SPSS软件进行分析,并根据需要和要求进行统计测试。调查对象的平均年龄为14.3±1.810岁;超过一半(64.8%)的人已经经历过烟草,20.9%的人经历过酒精。对酒精态度的平均值为94.23±11.25;大部分(72.55%)的受访者对饮酒持积极态度,26.4%的受访者持温和态度,只有1.1%的受访者对酒精消费持正常态度。大部分对饮酒持积极态度的人表明青少年有酗酒和酗酒的风险和脆弱性;紧急反应是非常可取的。
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引用次数: 2
期刊
Alcoholism Treatment Quarterly
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