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Problem Drinking, Perceived Burden, Depression, and Suicide Ideation: A Conceptual Model 问题饮酒、感知负担、抑郁和自杀意念:一个概念模型
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-11-22 DOI: 10.1080/07347324.2022.2149373
Zachary Nichols, Uibin Lee, Devin J. Mills, G. Comiskey
ABSTRACT Previous studies have attempted to identify factors that explain the effect of problem drinking onto both depression and suicidal ideation. Problem drinking, depression, and suicide ideation are associated, but the mechanism(s) explaining this association is underdefined in the current research landscape. For this reason, the present study is vital in expanding the understanding of these associations. The proposed study explored the interplay between problem drinking and depressive symptoms including suicide ideation. Drawing on the Interpersonal Theory of Suicide (ITOS), two interpersonal constructs (i.e., thwarted belongingness [TB] and perceived burdensomeness [PB]) were considered as mediators. It was hypothesized that problem drinking would contribute to greater depressive symptoms and suicide ideation as well through TB and PB. Participants with a history of drinking (N = 539; 43% female; M = 39.47 years, SD = 12.49) were recruited via Amazon’s Mechanical Turk and completed an online survey that included Problem Drinking, TB and PB, Depression and Suicide Ideation. Depression and suicide ideation were measured using the PHQ, which contains a single item assessing suicide ideation. Results from structural equation modeling partially supported the hypotheses in that problem drinking is significantly associated with depression and suicide ideation through PB. However, problem drinking was not associated with TB indicating that TB does not account for the effect of problem drinking onto either depression or suicide ideation. This preliminary study extends prior findings with specific interpersonal constructs and has implications that provide groundwork for future research and clinical application for social aspects of drinking.
摘要先前的研究试图找出解释问题饮酒对抑郁和自杀意念影响的因素。问题饮酒、抑郁和自杀意念是相关的,但在目前的研究中,解释这种联系的机制还不明确。因此,本研究对于扩大对这些关联的理解至关重要。这项拟议的研究探讨了问题饮酒与包括自杀意念在内的抑郁症状之间的相互作用。根据自杀的人际理论(ITOS),两种人际结构(即受挫归属感[TB]和感知负担[PB])被认为是中介。据推测,问题饮酒会导致更大的抑郁症状和自杀意念,也会通过结核病和PB。有饮酒史的参与者(N=539;43%为女性;M=39.47岁,SD=12.49)通过亚马逊的Mechanical Turk招募,并完成了一项在线调查,其中包括问题饮酒、结核病和PB、抑郁症和自杀意念。抑郁和自杀意念使用PHQ进行测量,PHQ包含评估自杀意念的单一项目。结构方程建模的结果部分支持了以下假设,即问题饮酒与抑郁症和通过PB产生的自杀意念显著相关。然而,问题饮酒与结核病无关,这表明结核病并不能解释问题饮酒对抑郁或自杀意念的影响。这项初步研究将先前的研究结果扩展到了特定的人际结构,并为饮酒的社会方面的未来研究和临床应用奠定了基础。
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引用次数: 0
Perspectives of Integrative Body-Mind-Spirit Interventions Among Women with Substance Use Disorder: A Qualitative Study 物质使用障碍妇女身心精神综合干预的定性研究
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-11-11 DOI: 10.1080/07347324.2022.2145924
Eva Nowakowski-Sims, Stephen Ferrante
ABSTRACT The growing interest and acceptance of Integrative Body-Mind-Spirit (IBMS) practice in recovery has created opportunities to explore new adjunct interventions for substance use disorder (SUD). Additionally, more and more people are seeking out the services of IBMS alongside conventional treatments, thereby engaging in dual interventions. This qualitative study aimed to gather perspectives about the experience of IBMS interventions (acupuncture, meditation, and Himalayan salt treatment) in combination with traditional SUD treatment. Twelve adult females in a residential recovery program completed weekly IBMS interventions and offered their experiences through survey responses. Themes identified that reduced stress led to greater body awareness and relaxation among participants. This contributed toward using IBMS as an alternative coping mechanism to substances and greater clarity with their life’s purpose. The results of this study underscore the importance for expanded research on the effects of IBMS interventions used in the treatment of SUD
摘要:康复过程中对身心一体化(IBMS)实践的兴趣和接受度不断提高,为探索治疗物质使用障碍(SUD)的新辅助干预措施创造了机会。此外,越来越多的人在寻求传统治疗的同时,也在寻求IBMS的服务,从而参与双重干预。这项定性研究旨在收集IBMS干预(针灸、冥想和喜马拉雅盐治疗)与传统SUD治疗相结合的经验。一项住院康复计划中的12名成年女性完成了每周IBMS干预,并通过调查回复提供了她们的经验。确定的主题是,减轻压力可以提高参与者的身体意识和放松。这有助于将IBMS作为物质的替代应对机制,并使其生活目标更加明确。这项研究的结果强调了扩大研究IBMS干预措施在SUD治疗中的作用的重要性
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引用次数: 0
The Face of Addiction in Cinematic Art: A Review 电影艺术中上瘾的面貌:回顾
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-11-08 DOI: 10.1080/07347324.2022.2140619
A. L. Rodriguez, K. Caswell, G. Comiskey, T. McGovern
ABSTRACT Substance use disorders (SUDs) have long been misinterpreted as character flaws rather than ailments. With the evolving body of medical research, a dichotomy has been formed between drunkenness and the disease we now know. Art has served a special role in the reflection of the human condition. It serves as both a third-party storyteller and an influencer of our perception of the world around us. For a modern analysis of SUD streaming technology was used to study film and the depiction of addiction through the last 70 years. This paper will explore the topic of film’s ability to reliably report on this issue. Beautiful Boy is the most modern and the central film to the analysis. Research questions include: Can film accurately portray SUD? Specifically, the human suffering associated with addiction on the individual level and the family unit. Can it help people, who might not otherwise be exposed to its effects, understand the intricacies of addiction and reform? Now that we understand SUD to be a disease, art’s role in portraying it to the public is crucial to recovery for all.
物质使用障碍(SUD)长期以来一直被误解为性格缺陷而非疾病。随着医学研究的不断发展,醉酒和我们现在所知道的疾病之间形成了二分法。艺术在反映人类状况方面发挥着特殊的作用。它既是第三方故事讲述者,也是我们对周围世界感知的影响者。对于SUD的现代分析,流媒体技术被用于研究过去70年的电影和对成瘾的描述。本文将探讨电影能否可靠地报道这一问题。《漂亮男孩》是最具现代性和中心性的电影分析。研究问题包括:电影能准确地描绘SUD吗?具体而言,人类在个人层面和家庭单元上与成瘾相关的痛苦。它能帮助那些可能不会接触到它影响的人理解成瘾和改造的复杂性吗?既然我们知道SUD是一种疾病,艺术在向公众描绘它方面的作用对所有人的康复至关重要。
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引用次数: 0
Gender and Female Recovery in Alcoholics Anonymous in the City of São Paulo-Brazil 巴西圣保罗市匿名酗酒者的性别与女性康复
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-11-08 DOI: 10.1080/07347324.2022.2145251
Edemilson Antunes de Campos, Nádia Zanon Narchi, Francine Even Sousa Cavalieri
ABSTRACT Alcohol use disorder (AUD) is considered a public health problem and Alcoholics Anonymous (AA) is considered effective, but it is predominantly frequented by men in Brazil. The purpose of this article is to understand how women conceive and experience their recovery in AA women’s meetings. For this, an ethnographic research was carried out with women from AA groups located in the city of São Paulo, Brazil, from March 2020 to February 2021. Data collection was carried out through participant observation in female AA meetings and semi-structured interviews with thirty women who participated in the meetings. The results showed that for women, AUD is a disease linked to gender asymmetries in Brazilian society, so that they do not feel comfortable discussing details of their intimacy in the presence of men, since in mixed meetings they were often target of sexist harassment and discrimination. Despite AA’s patriarchal culture, women help each other in a gender-only space where they find the mutual support necessary for their recovery. This research is considered to contribute to the understanding of how gender inequalities affect the treatment of women in AA and the importance of having only women’s meetings to strengthen them.
摘要酒精使用障碍(AUD)被认为是一个公共卫生问题,匿名酗酒者(AA)被认为有效,但在巴西,它主要由男性经常出现。本文的目的是了解女性是如何在AA女性会议上怀孕和经历康复的。为此,2020年3月至2021年2月,对巴西圣保罗市AA团体的女性进行了人种学研究。数据收集是通过对女性AA会议的参与者观察和对30名参加会议的女性的半结构化访谈进行的。研究结果表明,对女性来说,AUD是一种与巴西社会性别不对称有关的疾病,因此她们在与男性见面时讨论亲密关系的细节时感到不自在,因为在混合会议中,她们经常成为性别歧视骚扰和歧视的目标。尽管AA有重男轻女的文化,但女性在一个只有性别的空间里相互帮助,在那里她们找到了康复所需的相互支持。这项研究被认为有助于理解性别不平等如何影响AA中女性的待遇,以及只有女性会议才能加强这些会议的重要性。
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引用次数: 0
Exploring the Role of Social Networking Sites in Alcohol Consumption among College Students: Which Platforms Have the Greatest Influence? 探讨社交网站在大学生饮酒中的作用:哪些平台的影响最大?
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-10-28 DOI: 10.1080/07347324.2022.2137447
Jay D. O'Shields, Adrienne Baldwin-White
ABSTRACT Excessive alcohol use among college students is associated with a host of deleterious physical, mental, and academic outcomes. Social Networking Sites (SNS) are thought to influence norms around alcohol consumption, leading to increased college student drinking. We utilized a sample of 330 college students to investigate the effects of Facebook, Instagram, Twitter, and Snapchat on college student drinking behavior. Only Snapchat use was associated with college student drinking even while controlling for confounders such as the amount of time spent on SNS. Interventions attempting to lower college student drinking should focus on Snapchat to have the most effective platform.
大学生过度饮酒与一系列有害的身体、精神和学业成绩有关。社交网站(SNS)被认为影响了饮酒规范,导致大学生饮酒量增加。我们以330名大学生为样本,调查了Facebook、Instagram、Twitter和Snapchat对大学生饮酒行为的影响。只有Snapchat的使用与大学生饮酒有关,即使在控制了社交网络使用时间等混杂因素的情况下也是如此。试图减少大学生饮酒的干预措施应该集中在Snapchat上,以获得最有效的平台。
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引用次数: 0
Increased Risk of Hypertension in Alcohol Use Disorder of alcohol-related Liver disease-A Hospital Based Case Control Study 酒精相关肝病酒精使用障碍中高血压风险增加——一项基于医院的病例对照研究
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-10-17 DOI: 10.1080/07347324.2022.2135472
Prabhudas Nelaturi, S. P. Kademani, Vithiavathi Siva Subramanian, S. Ravikumar
ABSTRACT Hypertension is one of the leading causes of morbidity and mortality worldwide. Prevalence is reported to be 26% and may increase by 29.2% in 2025. Consumption of alcohol, increased BMI and metabolic syndrome are the main causal factors of risk of hypertension. The interrelationship between alcohol use disorder and the risk of hypertension-related mortality in alcohol-related liver disease (ALD) is increasingly acknowledged. The study intended to address the health issue regarding alcohol use disorder and the risk of development of hypertension in ALD. This is a hospital-based prospective case-control study. A total of 139 study subjects were enrolled, of which 62 were ALD, and 77 were nonalcoholic fatty liver disease (NAFLD). Diagnosed progression of liver disease based on scoring method. The Chi-square test and independent-sample t-test were used for categorical variables and baseline characteristics, respectively. We observed 67 (48.20%) and 46 (33.09%) incident cases of hypertension in subjects with ALD and NAFLD, respectively. The prevalence of hypertension between the groups of ALD and NAFLD was statistically significant [P = .0017; OR 4.855 (95% CI: 1.810–13.020)]. Gradual increase in the incidence of hypertension in patients with ALD was observed due to alcohol use disorder, obesity, and metabolic syndrome.
摘要高血压是全球发病率和死亡率的主要原因之一。据报道,患病率为26%,到2025年可能增加29.2%。饮酒、BMI增加和代谢综合征是高血压风险的主要原因。酒精使用障碍与酒精相关肝病(ALD)中高血压相关死亡风险之间的相互关系越来越得到认可。该研究旨在解决酒精使用障碍和ALD患者患高血压风险的健康问题。这是一项基于医院的前瞻性病例对照研究。共有139名研究受试者入选,其中62名为ALD,77名为非酒精性脂肪性肝病(NAFLD)。基于评分法诊断肝病进展。分类变量和基线特征分别采用卡方检验和独立样本t检验。我们在ALD和NAFLD受试者中分别观察到67例(48.20%)和46例(33.09%)高血压事件。ALD组和NAFLD组的高血压患病率具有统计学意义[P=.0017;OR 4.855(95%CI:1.810–13.020)]。由于酒精使用障碍、肥胖和代谢综合征,ALD患者的高血压发病率逐渐增加。
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引用次数: 0
The Perception of Brazilian University Workers Regarding the Brief Intervention for Alcohol Use 巴西大学工作人员对酒精使用短期干预的看法
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-10-13 DOI: 10.1080/07347324.2022.2132895
M. Ferreira, Camilla Gonçalves Brito, Giane Batista da Silva Camarano, L. Sartes
ABSTRACT Brief Intervention (BI) is considered an effective tool to reduce alcohol use. The present study evaluates the active ingredients present in the BI’s applied in university servers, analyzes the servers’ perception regarding these principles. It is a qualitative, descriptive and exploratory study. Twenty-four civil servants were interviewed, who made alcohol consumption considered risky through AUDIT, and who received the BI. The data analysis was structural, thematic and double-blind with a synthesis judge. The BI principles that most influenced the participants concerning the change in consumption were feedback, empathy, and counseling. Most respondents felt encouraged to reduce alcohol consumption after BI.
摘要:短期干预(BI)被认为是减少酒精使用的有效工具。本研究评估了应用于大学服务器的商业智能中存在的有效成分,分析了服务器对这些原则的看法。这是一个定性、描述性和探索性的研究。对24名经审计认为饮酒有风险的公务员进行了访谈,并接受了BI。数据分析采用结构性、主题性和双盲分析,并由一名综合裁判进行分析。对消费变化影响最大的商业智能原则是反馈、共情和咨询。大多数受访者在BI后都受到鼓励减少饮酒。
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引用次数: 0
Particle Size Distribution of Plasma Lipoproteins in Donkeys from Death Valley Compared to a Sampling of Horses. 死亡谷驴血浆脂蛋白的粒度分布与马采样的比较。
IF 2.7 Q4 SUBSTANCE ABUSE Pub Date : 2022-10-13 DOI: 10.3390/ani12202746
Erin L Goodrich, Erica Behling-Kelly

The clinical evaluation of lipid metabolism in equids is often limited to the measurement of total cholesterol and triglyceride concentrations. This provides a limited picture of metabolic state and general health, given the continuous exchange of lipid species between various lipoproteins. Major lipoprotein classes in equids include high-density lipoprotein (HDL), intermediate-density lipoprotein (IDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), and chylomicrons (CM). Unlike large breed horses, donkeys are highly susceptible to hepatic lipidosis. Currently, serum triglyceride concentrations serve as a surrogate marker of hepatic lipid exportation. Both VLDL, indicative of hepatic exportation, and its metabolic end-product, LDL, are rich in triglycerides, and contribute to this value. Diagnostic assays that distinguish VLDL from LDL could be useful in better recognizing the hepatic pathology in donkeys. The compositional differences of lipoproteins across species limit the use of commercially available assays developed for the measurement of human lipoproteins in domestic animals. In this study, we evaluated a high-resolution polyacrylamide gel electrophoresis method (Lipoprint®) for separating major lipoprotein classes and sub-fractionating LDL and HDL based on particle size in a large group of donkeys, and compared the pattern to a representative set of horses. Donkeys proved an HDL-rich species, with HDL accounting for the bulk of all lipoproteins (average 78.45%, SD 6.6%, range 92.2-55%). VLDL accounted for a large portion of the total (average 21.6%, SD 6.6%, range 37.1-7.8%), with minimal amounts of LDL detected. The horses tested had higher proportions of VLDL as compared to donkeys (31.7% and 21.6%, respectively p = 0.00008). The later finding draws into question the purported relationship between VLDL, high triglycerides, and hepatic lipidosis, given the incidence of the disease in donkeys is far higher than in horses.

对马匹脂质代谢的临床评估通常仅限于测量总胆固醇和甘油三酯的浓度。这只能有限地反映代谢状态和总体健康状况,因为脂质在各种脂蛋白之间不断交换。马的主要脂蛋白类别包括高密度脂蛋白(HDL)、中密度脂蛋白(IDL)、低密度脂蛋白(LDL)、极低密度脂蛋白(VLDL)和乳糜微粒(CM)。与大型品种的马不同,驴极易患肝脂质病。目前,血清甘油三酯浓度可作为肝脏脂质输出的替代标记物。表明肝脏输出脂质的 VLDL 及其代谢终产物 LDL 都富含甘油三酯,并对这一数值做出贡献。能够区分 VLDL 和 LDL 的诊断方法有助于更好地识别驴的肝脏病变。不同物种的脂蛋白组成存在差异,这限制了在家畜中使用为测量人类脂蛋白而开发的市售检测方法。在本研究中,我们评估了一种高分辨率聚丙烯酰胺凝胶电泳方法(Lipoprint®),该方法可在一大群驴中根据颗粒大小分离主要脂蛋白类别并对低密度脂蛋白和高密度脂蛋白进行亚分馏,并将其模式与一组具有代表性的马进行比较。驴是高密度脂蛋白含量丰富的物种,高密度脂蛋白占所有脂蛋白的大部分(平均 78.45%,标准差 6.6%,范围 92.2-55%)。VLDL 占总量的很大一部分(平均 21.6%,标差 6.6%,范围 37.1-7.8%),检测到的低密度脂蛋白数量极少。与驴相比,马的 VLDL 含量更高(分别为 31.7% 和 21.6%,p = 0.00008)。鉴于驴的发病率远高于马,后一项发现使人们对所谓的 VLDL、高甘油三酯和肝脂质沉着病之间的关系产生了疑问。
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引用次数: 0
Honoring A Life with Profound Gratitude: A Tribute to Dr. Thomas F. McGovern 以深切的感激纪念生命:致敬托马斯·f·麦戈文博士
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-09-04 DOI: 10.1080/07347324.2022.2114235
Regina B. Baronia, Zachery Sneed, S. Bergeson
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引用次数: 0
Mentoring the Next Generation of Recovery Researchers: A Summer Course in Addiction-Recovery Studies 指导下一代康复研究人员:成瘾康复研究暑期课程
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-09-04 DOI: 10.1080/07347324.2022.2114395
G. Comiskey
ABSTRACT This perspective paper overviews the intergenerational coming together of a focused subset of the foundational addiction-recovery researchers and a highly motivated group of student researchers. It explores the process of science and practice of adult learning throughout the process. Multiple research areas were explored as the students engaged in active discussion with the presenters who spoke about their careers, their current work, what they envisioned for the future. This experience showed the importance of mentorship of new researchers by the pioneers in the field of addiction-recovery research.
摘要:这篇前瞻性论文概述了基础成瘾康复研究人员和积极性高的学生研究人员的代际融合。它探讨了成人学习的科学过程和实践全过程。当学生们与主持人积极讨论他们的职业生涯、目前的工作以及他们对未来的设想时,对多个研究领域进行了探索。这段经历表明了成瘾康复研究领域先驱对新研究人员的指导的重要性。
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引用次数: 0
期刊
Alcoholism Treatment Quarterly
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