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Contemporary Issues for Alcohol Research and Services 酒精研究与服务的当代问题
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-05-27 DOI: 10.1080/07347324.2023.2216000
Regina B. Baronia, Zachery Sneed, S. Bergeson
We open this issue with articles on trauma. Stones & Dennis assessed the relationship of childhood trauma and treatment outcomes in adults with substance use disorders using clinical data mining. Family history of substance use was found significantly related to both neglect and childhood trauma. Age at admission and program completion were also significantly related. Branson and colleagues presented a mixed methods study that found the need for client safety, individualization of interventions and client choice important for positive treatment outcomes in trauma-informed care. There is recognition of the need for increased physical and emotional rest in clients in residential treatment facilities as part of their trauma treatment. The next section focuses on behavior in people with alcohol and substance use disorders. Yazici & Akhan conducted a semi-structured individual interview schedule to explore sexual problems among people with alcohol use disorder. Themes of perceptions of sexuality, difficulties in sexual relations, barriers to medical support for sexual problems, and help-seeking behaviors were elaborated using a descriptive and phenomenological design. Sexual problems associated with loss of libido, arousal, impotence, and orgasm were reported. Their findings support the importance of sexuality among their subjects with alcohol use disorder. Meshesha and peers held virtual focus group sessions with participants who have alcohol use disorder and endorsed substance-free activities as a key aid to successful recovery. While motivation for initial engagement in substance-free activities may be from external sources such as a therapist, continued participation in these activities are linked more to personal, intrinsic motives. These findings support the necessity of substance-free activities, particularly those related to self-care, social connections, service and creative outlets, in the early recovery period. The next two articles look at college age individuals with alcohol use disorders as a special population. Using data from a national online sample, Khauli, Haas, et al. found college students at-risk for alcohol use disorder pre-COVID had the greatest increase in consumption during the pandemic. The preexisting AUD risk and academic disruptions have impacted risky drinking behavior during the pandemic. Park, LaBelle and team evaluated the trend of student recovery programs emerging in Canada using qualitative methods to assess individual recovery trajectories, program participation, stigma, barriers to recovery, and the impact of campus-based recovery programs. They highlight the inclusivity and diversity of these programs, increasing recovery capital and dimensions of well-being, and reducing barriers to recovery. Berry presents a physician’s perspective on alcohol-related liver disease in people with long-standing alcohol use disorder. He advocates for maintaining therapeutic positivity even in the terminally ill as one considers p
我们用关于创伤的文章来打开这个问题。Stones&Dennis使用临床数据挖掘评估了成人药物使用障碍儿童创伤与治疗结果的关系。研究发现,药物使用的家族史与忽视和儿童创伤都有显著关系。入院时的年龄和项目完成情况也显著相关。Branson及其同事提出了一项混合方法研究,发现在创伤知情护理中,客户安全、干预措施个性化和客户选择的必要性对积极的治疗结果很重要。人们认识到,作为创伤治疗的一部分,住院治疗机构的客户需要更多的身体和情感休息。下一节重点关注酒精和物质使用障碍患者的行为。Yazici&Akhan进行了一项半结构化的个人访谈,以探讨酒精使用障碍患者的性问题。通过描述性和现象学设计,阐述了性观念、性关系困难、性问题医疗支持障碍和求助行为等主题。报告了与性欲丧失、性唤起、阳痿和性高潮相关的性问题。他们的研究结果支持了性行为在酒精使用障碍患者中的重要性。Meshesha和同事们与患有酒精使用障碍的参与者举行了虚拟焦点小组会议,并支持无物质活动是成功康复的关键帮助。虽然最初参与无物质活动的动机可能来自治疗师等外部来源,但继续参与这些活动更多地与个人的内在动机有关。这些发现支持了在康复早期进行无物质活动的必要性,特别是与自我护理、社会关系、服务和创造性渠道有关的活动。接下来的两篇文章将患有酒精使用障碍的大学年龄人群视为一个特殊群体。Khauli,Haas等人利用全国在线样本的数据发现,在新冠肺炎之前,有饮酒障碍风险的大学生在疫情期间的饮酒量增幅最大。先前存在的澳元风险和学业中断影响了疫情期间的高风险饮酒行为。Park、LaBelle和团队使用定性方法评估了加拿大新出现的学生康复计划的趋势,以评估个人康复轨迹、项目参与、污名、康复障碍以及校园康复计划的影响。他们强调了这些计划的包容性和多样性,增加了复苏资本和福祉层面,并减少了复苏障碍。Berry介绍了一位医生对长期饮酒障碍患者的酒精相关肝病的看法。在考虑姑息治疗时,他主张即使在绝症患者中也要保持治疗的积极性。我们用之前发表的一篇文章的勘误表来结束这个问题。《2023年酒精中毒治疗季刊》,第41卷,第3期,263–264https://doi.org/10.1080/07347324.2023.2216000
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引用次数: 0
Impacts of Public Health Status and Life Disruptions on Alcohol Consumption in Young Adults Early in the COVID-19 Pandemic COVID-19大流行早期公共卫生状况和生活中断对年轻人饮酒的影响
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-29 DOI: 10.1080/07347324.2023.2205828
N. Khauli, Jill V. Reavis, Valeria Martini, D. Harmon, A. Haas
ABSTRACT Using data from a national online sample, the current study examined factors impacting changes in alcohol use immediately following the WHO pandemic declaration (March 2020), including pre-COVID risk for alcohol use disorder (AUD). Participants with pre-COVID AUD risk, who experienced at least one COVID-related problem (e.g. housing, finances), demonstrated the greatest increase in weekly drinking. However, college students at-risk for AUD pre-COVID, with academic disruptions, showed the greatest consumption increases. The findings provide insight into the complex relationships between COVID-19 related disruptions, preexisting AUD risk, and their impact on risky drinking during a critical period in the pandemic. Implications for future public health prevention and intervention responses are discussed.
本研究使用来自全国在线样本的数据,研究了在世卫组织宣布大流行(2020年3月)后立即影响酒精使用变化的因素,包括covid前酒精使用障碍风险(AUD)。有新冠肺炎风险的参与者,至少经历过一个与新冠肺炎相关的问题(如住房、财务),每周饮酒的增加幅度最大。然而,在新冠肺炎前面临AUD风险的大学生,由于学业中断,消费增长幅度最大。这些发现提供了对COVID-19相关中断、先前存在的澳元风险及其在大流行关键时期对危险饮酒的影响之间复杂关系的深入了解。讨论了对未来公共卫生预防和干预反应的影响。
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引用次数: 1
The Sexual Experiences and Sexual Problems Encountered by Men with Alcohol Use Disorder: A Qualitative Study 酒精使用障碍男性的性经历和性问题:一项定性研究
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-28 DOI: 10.1080/07347324.2023.2206792
Havva Gezgİn Yazici, L. Utaş Akhan
ABSTRACT Alcohol use disorder affects various body systems and gives rise to sexual problems. Our aim in this qualitative study was to increase the visibility of the sexual problems and related life experiences of men receiving treatment at an Alcohol and Substance Dependency Treatment and Education Center (Turkish acronym, AMATEM) for alcohol use disorder. Methods: The study was conducted over the period February-April 2022 on the basis of a descriptive and phenomenological design; data were collected in semi-structured individual interviews held with the participants. Results: In-depth interviews were conducted with fifteen male patients of a mean age of 36.58 ± 6.25 who were being treated for a diagnosis of alcohol use disorder. We determined four ongoing themes in the study: perceptions of sexuality, difficulties in sexual relations, barriers to receiving medical support for sexual problems, and help-seeking behaviors. Conclusion: Our findings showed that the participants believed that sexuality was a need and that when they indulged in alcohol, they experienced a loss of libido, had problems in becoming aroused, had long-lasting problems with ejaculation, impotence, and difficulty with orgasm.
摘要酒精使用障碍会影响各种身体系统,并引发性问题。我们在这项定性研究中的目的是提高在酒精和物质依赖治疗和教育中心(土耳其语缩写,AMATEM)接受酒精使用障碍治疗的男性的性问题和相关生活经历的可见性。方法:该研究在2022年2月至4月期间进行,基于描述性和现象学设计;数据是在对参与者进行的半结构化个人访谈中收集的。结果:对15名平均年龄为36.58±6.25的男性患者进行了深入访谈,这些患者因诊断为酒精使用障碍而接受治疗。我们在研究中确定了四个正在进行的主题:对性的认知、性关系中的困难、性问题获得医疗支持的障碍以及寻求帮助的行为。结论:我们的研究结果表明,参与者认为性是一种需要,当他们沉迷于酒精时,他们会失去性欲,难以被唤醒,长期存在射精、阳痿和性高潮困难的问题。
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引用次数: 0
Participant Experiences in Student Recovery Programs in Canada: An Interpretative Phenomenological Analysis 加拿大学生康复项目参与者经历的解释现象学分析
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-25 DOI: 10.1080/07347324.2023.2204819
Mack Park, Sara L. Fudjack, Kendall Soucie, Onawa P. LaBelle
ABSTRACT Student recovery programs are an emerging trend across university campuses in Canada, yet little is known about the experiences of students who utilize these programs. Canada’s first student recovery program launched in 2019, with six additional launching shortly thereafter. The current study offers a first look at the student experience in recovery programs at the first Canadian institutions to offer recovery support on campus. We used qualitative methods to examine individual recovery trajectories, program participation, stigma, barriers to recovery on campus, and the impact of a campus-based recovery program on various areas of their lives. Our findings highlight three main themes: (i) inclusivity and diversity of the programs, (ii) increasing recovery capital and dimensions of well-being, and (iii) reducing barriers to recovery on campus. The results inform how Canadian student recovery programs meet the needs of their students and identify areas for improvement using a recovery-informed lens to center the lived experiences of students in recovery. Findings from this initial study may drive the development of future student recovery programs at Canadian institutions and inform new initiatives by existing programs outside of Canada.
学生康复计划是加拿大大学校园的一种新兴趋势,但人们对利用这些计划的学生的经历知之甚少。加拿大的第一个学生康复计划于2019年启动,此后不久又启动了六个。目前的研究提供了第一次看到学生在加拿大的第一个机构提供校园康复支持的康复项目的经验。我们使用定性的方法来检查个人的康复轨迹、项目参与、耻辱、校园康复的障碍,以及校园康复项目对他们生活各个领域的影响。我们的研究结果突出了三个主要主题:(i)项目的包容性和多样性,(ii)增加恢复资本和福祉的维度,以及(iii)减少校园恢复的障碍。结果告知加拿大学生康复计划如何满足学生的需求,并使用康复知情镜头确定需要改进的领域,以康复学生的生活经历为中心。这项初步研究的发现可能会推动加拿大机构未来学生康复计划的发展,并为加拿大以外现有计划的新举措提供信息。
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引用次数: 1
Childhood Trauma and Substance Use Treatment Length of Stay and Completion 儿童创伤和药物使用治疗的住院时间和完成情况
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-24 DOI: 10.1080/07347324.2023.2205830
Bailee Stones, Cory B. Dennis
ABSTRACT Using clinical data mining (CDM) methodology, this study evaluates the relationship between childhood trauma and treatment outcomes among adults with substance use disorders. Data come from three substance use treatment facilities operating under the same agency using the same treatment program (N = 444). We examined the influence of childhood trauma, neglect, and school violence on substance use treatment completion and length of stay. We also looked at the connection between client’s family history of substance use and their experience of neglect and childhood trauma. We found that family history of substance use was significantly related to both neglect and childhood trauma. We also found that the number of weeks a client spent in treatment was associated treatment location. Furthermore, client age at admission and program completion were significantly related. Marital status, sex, and number of diagnoses significantly related to childhood trauma. These findings suggest that comprehensive assessments that focus on understanding client demographics and history of family substance use can guide effective intervention. Further research on how childhood trauma influences substance use treatment outcomes can also help improve treatment.
使用临床数据挖掘(CDM)方法,本研究评估了成人物质使用障碍患者的童年创伤与治疗结果之间的关系。数据来自同一机构下使用相同治疗方案的三个物质使用治疗设施(N = 444)。我们研究了童年创伤、忽视和校园暴力对药物使用治疗完成度和住院时间的影响。我们还研究了病人的药物使用家族史与他们被忽视的经历和童年创伤之间的联系。我们发现,药物使用的家族史与忽视和童年创伤都有显著关系。我们还发现,患者在治疗中花费的周数与治疗地点有关。此外,来访者入院时的年龄与项目完成程度显著相关。婚姻状况、性别和诊断数量与儿童创伤显著相关。这些发现表明,以了解客户人口统计数据和家庭药物使用史为重点的综合评估可以指导有效的干预。对儿童创伤如何影响药物使用治疗结果的进一步研究也有助于改善治疗。
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引用次数: 0
The Importance of Rest in Trauma Services: Perhaps We Should Consider Naps! 休息在创伤服务中的重要性:也许我们应该考虑小睡!
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-21 DOI: 10.1080/07347324.2023.2204818
Dana C. Branson, Elizabeth D. Arlington, Christopher S. Bradley
ABSTRACT With the increase in social service agencies providing trauma-informed care (TIC) as part of their holistic approach to client care, evidence of effective practices has emerged. This research study explores clients’ requests for real-time rest in residential treatment facilities as a part of their trauma treatment. The article will discuss the intricacies of co-occurring issues and trauma, prevalence, and further complicating issues of Adverse Childhood Experiences (ACE), the neurology of trauma that is indicative of the need for increased physical and emotional rest, and the tenets of TIC principles that emphasize the need for client safety, individuality in interventions, and client choice for positive treatment outcomes. The results from a mixed methods design involving participants from substance use disorder (SUD) treatment facilities (n = 47) and themes concerning desired real-time rest will be reviewed, as well as implications for residential treatment facilities providing TIC.
随着提供创伤知情护理(TIC)的社会服务机构的增加,作为他们对客户护理的整体方法的一部分,有效实践的证据已经出现。本研究探讨了作为创伤治疗的一部分,来访者在住院治疗设施中对实时休息的要求。本文将讨论共同发生的问题和创伤的复杂性,患病率,以及儿童期不良经历(ACE)的进一步复杂化问题,创伤的神经学表明需要增加身体和情绪的休息,以及TIC原则的原则,强调需要客户安全,干预中的个性,以及客户选择积极的治疗结果。混合方法设计的结果涉及来自物质使用障碍(SUD)治疗设施的参与者(n = 47)和有关期望实时休息的主题,以及对提供TIC的住宅治疗设施的影响。
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引用次数: 0
Addressing Therapeutic Nihilism in Alcohol-Related Liver Disease: A Hepatology Perspective to Terminal Illness and Palliative Care 解决酒精相关肝病中的治疗性血友病:从肝病学角度看待晚期疾病和姑息治疗
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-04-13 DOI: 10.1080/07347324.2023.2202153
P. Berry
ABSTRACT Alcohol-related liver disease, in the context of incurable alcohol dependency, is a terminal disease. Liver specialists are accustomed to watching patients die, both young and old, and this may erode their perceived primary responsibility to extend life. It is common for nihilism to set in, with the risk that this colors the assessment of future patients. This opinion article explores this phenomenon through representative, anonymized cases and the author’s own psychological response. He proposes that therapeutic positivity must be maintained, and that a refreshed attitude to patient care can be found through the acceptance that patients in this cohort are terminally ill, thus invoking the need to consider and access palliative care. Hepatologists must continue to find a balance between advocating for an aggressive approach to therapy (e.g. escalation to critical care, transplantation) in selected cases, while being poised to recommend supportive and palliative pathways when there are indicators of futility. To provide this, hepatologists may require upskilling later in their careers. Embracing palliative care is clearly of benefit to patients, and this article identifies it as way of maintaining engagement among doctors.
酒精相关性肝病,在无法治愈的酒精依赖的背景下,是一种终末期疾病。肝脏专家已经习惯了看着病人死去,无论是年轻的还是年老的,这可能会削弱他们认为延长生命的首要责任。虚无主义的出现是很常见的,这可能会影响对未来患者的评估。这篇评论文章通过具有代表性的匿名案例和作者自身的心理反应来探讨这一现象。他建议必须保持治疗的积极性,通过接受这个队列中的患者是绝症患者,从而唤起考虑和获得姑息治疗的需要,可以找到一种更新的病人护理态度。肝病学家必须继续在某些病例中倡导积极的治疗方法(例如,升级到重症监护,移植),同时在有无效指标时准备推荐支持性和姑息性途径之间找到平衡。为了提供这一点,肝病学家可能需要在他们的职业生涯后期提高技能。接受姑息治疗显然对患者有益,本文将其确定为保持医生参与的一种方式。
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引用次数: 0
Using Recovery Capital to Predict Retention and Change in Recovery Residences in Virginia, USA 用恢复资本预测美国维吉尼亚州恢复住宅的保留和变化
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-02-27 DOI: 10.1080/07347324.2023.2182246
D. Best, A. Sondhi, Jessica Best, John Lehman, Anthony Grimes, M. Conner, Robert DeTriquet
ABSTRACT Interest in recovery capital has been growing and there have been increased attempts to quantify this concept. The current paper uses the REC-CAP, a standardized assessment of recovery capital, to predict retention across multiple recovery residence settings and quantify changes in recovery capital and barriers to recovery over the initial period of residence. The REC-CAP was administered by peer navigators at admission and at 90-day intervals thereafter in recovery residences in Virginia, US. Strong effects predicting retention, changes in barriers and recovery capital growth were reported based on risk-taking and addressing acute housing concerns. The strongest effects predicting retention in recovery residences were for people not using substances and not being Black or African American. Reducing barriers to recovery and to improving recovery capital focused on avoiding ongoing substance use, lack of support needs around accommodation, higher psychological wellbeing and measures associated with social support and quality of life. There is a need to develop a holistic, tailored package of support for people in recovery residents to address these core concerns.
摘要对回收资本的兴趣一直在增长,人们越来越多地试图量化这一概念。目前的论文使用REC-CAP,一种回收资本的标准化评估,来预测多个回收住宅环境中的保留率,并量化回收资本的变化和居住初期的回收障碍。REC-CAP由同行导航员在入院时以及此后90天在美国弗吉尼亚州的康复住所进行管理。据报道,基于风险承担和解决严重的住房问题,预测保留率、障碍变化和康复资本增长具有强大影响。预测滞留在康复住所的最强烈影响是未使用药物且非黑人或非裔美国人。减少康复障碍,提高康复资本,重点是避免持续的药物使用、缺乏住宿方面的支持需求、更高的心理健康以及与社会支持和生活质量相关的措施。有必要为康复居民制定一套全面、量身定制的支持方案,以解决这些核心问题。
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引用次数: 2
Recovery: Measurement, Support and Retention 恢复:测量、支持和保留
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-02-25 DOI: 10.1080/07347324.2023.2182462
Regina B. Baronia, Zachery Sneed, S. Bergeson
differences between Oxford House recovery home residents with and without psychiatric comorbidities. The researchers reported that unique interdepen-dencies exist among individuals with psychiatric comorbidity for advice seeking, loaning, and recovery factor scores. Recovery homes are filled with social dynamics. In this study, the authors describe the emergence of components from a dynamic systems theory and provide a deeper explanation of how Oxford House recovery homes promote long-term recovery.
牛津之家康复之家有和没有精神合并症的居民的差异。研究人员报告说,在寻求建议、贷款和恢复因素评分方面,精神共病患者之间存在独特的相互依赖性。康复之家充满了社会动态。在这项研究中,作者从动态系统理论中描述了成分的出现,并对牛津之家康复之家如何促进长期康复提供了更深入的解释。
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引用次数: 0
Color in the Court: Using the Racial and Ethnic Disparities (RED) Program Assessment Tool to Promote Equitable and Inclusive Treatment Court Practice 法庭上的色彩:利用种族和民族差异(RED)计划评估工具促进公平和包容的待遇法庭实践
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2023-02-13 DOI: 10.1080/07347324.2023.2173037
J. Gallagher, Preeti Menon, Zephi Francis, M. Collinson, Peace Odili
ABSTRACT Treatment courts have been part of the criminal justice system for nearly three-and-a-half decades. The first treatment court, an adult drug court, began in 1989 in Florida, and due to the success of drug courts in reducing criminal recidivism rates, the intervention has evolved to address other problems and populations, such as veterans treatment courts (VTCs) and family treatment courts (FTCs). Treatment courts have been credited with promoting criminal justice reform, as they offer a rehabilitative approach to justice, as compared to historical punitive models. Research, however, has consistently shown that racial and ethnic minorities have lower completion rates in some treatment courts than their white counterparts. This study is the first statewide evaluation to use the Racial and Ethnic Disparities (RED) Program Assessment Tool to assess for racial and ethnic disparities in programming across several types of treatment courts (n = 30). Results showed that 64.9% of white participants completed treatment court, whereas all other races had completion rates less than 30.0%. Implications for treatment court practice are discussed in reference to staff training, the quality of treatment participants receive for substance use and mental health disorders, future research, and other key components of the treatment court model.
近35年来,治疗法庭一直是刑事司法系统的一部分。第一个治疗法庭,一个成人毒品法庭,于1989年在佛罗里达州开始,由于毒品法庭在降低犯罪累犯率方面取得了成功,干预措施已经发展到解决其他问题和人群,如退伍军人治疗法庭(VTCs)和家庭治疗法庭(FTCs)。治疗法庭被认为促进了刑事司法改革,因为与历史上的惩罚性模式相比,它们提供了一种恢复正义的方法。然而,研究一直表明,少数种族和族裔在某些治疗法庭的完成率低于白人。本研究是第一个使用种族和民族差异(RED)项目评估工具来评估跨几种类型的治疗法院(n = 30)的项目中的种族和民族差异的全州评估。结果显示,64.9%的白人参与者完成了治疗法庭,而所有其他种族的完成率低于30.0%。从工作人员培训、参与者接受药物使用和精神健康障碍治疗的质量、未来研究和治疗法庭模式的其他关键组成部分等方面讨论了对治疗法庭实践的影响。
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引用次数: 0
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Alcoholism Treatment Quarterly
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