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Evaluating Interpersonal Associations and Substance Use Treatment Using Clinical Data Mining 使用临床数据挖掘评估人际关联和药物使用治疗
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-06-16 DOI: 10.1080/07347324.2022.2087577
Bailee Stones, Cory B. Dennis
ABSTRACT This study evaluates the influence of positive interpersonal associations on treatment length of stay for clients with a substance use disorder. We used clinical data mining (CDM) methodology for this study. The clinical data we used is from client records at three substance use day treatment locations (N = 444). These sites operate under the same agency. We analyzed four measures of positive interpersonal associations including outside support systems, substance-using housing environments, 12-Step involvement, and sponsorship in a 12-Step program. Using 10 imputed datasets to run the model, we found these variables to not significantly influence treatment length of stay. However, there was a significant relationship between number of children each client had and length of stay. Results suggest that other factors may better account for varying time clients spend in treatment. Further research on the effect of other influences, such as interpersonal associations specifically within treatment, on a client’s length of stay is important.
摘要本研究评估了积极的人际关系对药物使用障碍患者治疗停留时间的影响。本研究采用了临床数据挖掘(CDM)方法。我们使用的临床数据来自三个药物使用日治疗地点的客户记录(N=444)。这些网站在同一机构下运作。我们分析了积极人际关系的四个指标,包括外部支持系统、物质使用的住房环境、12步参与和12步计划的赞助。使用10个估算数据集运行模型,我们发现这些变量对治疗停留时间没有显著影响。然而,每位客户的子女数量与住院时间之间存在显著关系。结果表明,其他因素可能会更好地解释客户在治疗中花费的不同时间。进一步研究其他影响因素,如治疗中的人际关系,对客户住院时间的影响很重要。
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引用次数: 0
Future Trends in Alcohol and Substance Use Disorder Research: Prevention, Treatment, and Recovery 酒精和药物使用障碍研究的未来趋势:预防、治疗和康复
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-05-26 DOI: 10.1080/07347324.2022.2080877
Zachery Sneed, Regina B. Baronia, S. Bergeson
Alcoholism Treatment Quarterly, 40–3 The third issue of Alcoholism Treatment Quarterly (ATQ),volume 40, features articles about the recent COVID pandemic and special populations in recovery. First, we are excited and honored to serve as Co-Editors-in-Chief and approach this work with a sense of responsibility rooted in passion, humility, and devotion. As alcohol and substance use researchers and clinicians, we believe editors have the opportunity to influence people, ideas, and outcomes across the entire spectrum of multiple industries. These impacts can span from directly influencing the lives of the many people who need help to informing legislative and regulatory efforts changes and outcomes. Our journal includes board members, authors, and readers from numerous professional specialty areas, and provides space for diverse theoretical and empirical approaches. Our primary responsibility is to ensure that our scholarship creates opportunities to enhance the science of our industries. This is especially true that we do it in a way that is relevant to the greatest number of people, organizations, and professions as possible. Our history at ATQ has been to highlight new and innovative approaches to treatment and recovery, describing clinical problems and solutions, and detailing practical, unique approaches to intervention, therapy, and recovery. Potential authors are encouraged to target and construct studies that include an experimental design when appropriate. We would like to feature articles that describe novel approaches to alcohol and substance-related research, practices, and topics that also include findings, thoughts, or recommendations across the continuum of care. There is still a shortage of recovery-focused research. In that vein, we also encourage authors to submit manuscripts that describe both shortand long-term outcomes. The role and impact of community, employment, family, and prevention are all topics of significant importance. An emerging trend in treatment and recovery perspectives regards interprofessional approaches, including both settings and practitioners. Authors are encouraged to explore this topic as it relates to expectancies, policy and management perspectives, treatment and research designs, and their related effect on patient, family, and community outcomes. Similarly, we also encourage authors to consider the role of new and emerging technologies such as mhealth, telemedicine, and telehealth, and to explore and employ a variety of methodological approaches, including quantitative, qualitative, or mixed-methods designs and approaches. Innovative and contemporary research will ensure that the scientific basis for our work is relevant and continues to evolve. When writing manuscripts for submission to ATQ, authors are encouraged to access and include past ATQ publications for supporting details and citations. We also recommend that researchers use the most current version of diagnostic tools, criteria, diagnoses when
《酒精治疗季刊》,40-3第三期《酒精治疗季刊》(ATQ),第40卷,刊登了关于最近新冠肺炎疫情和康复中的特殊人群的文章。首先,我们很高兴也很荣幸能担任联合主编,并以植根于激情、谦逊和奉献的责任感来处理这项工作。作为酒精和物质使用的研究人员和临床医生,我们相信编辑有机会影响多个行业的所有人、想法和结果。这些影响可以从直接影响许多需要帮助的人的生活,到为立法和监管工作的变化和结果提供信息。我们的期刊包括来自众多专业领域的董事会成员、作者和读者,并为各种理论和实证方法提供了空间。我们的首要责任是确保我们的奖学金创造机会来提高我们行业的科学水平。尤其是,我们以与尽可能多的人、组织和职业相关的方式来做这件事。我们在ATQ的历史一直是强调新的和创新的治疗和康复方法,描述临床问题和解决方案,并详细说明干预、治疗和康复的实用、独特的方法。鼓励潜在作者在适当的时候瞄准并构建包括实验设计在内的研究。我们想发表一些文章,描述酒精和物质相关研究的新方法、实践和主题,其中还包括整个护理过程中的发现、想法或建议。以恢复为重点的研究仍然不足。本着这种精神,我们还鼓励作者提交描述短期和长期结果的手稿。社区、就业、家庭和预防的作用和影响都是非常重要的主题。治疗和康复方面的一个新趋势是跨专业方法,包括环境和从业者。鼓励作者探索这个主题,因为它涉及预期、政策和管理视角、治疗和研究设计,以及它们对患者、家庭和社区结果的相关影响。同样,我们也鼓励作者考虑新兴技术的作用,如mhealth、远程医疗和远程医疗,并探索和采用各种方法论方法,包括定量、定性或混合方法设计和方法。创新和当代研究将确保我们工作的科学基础是相关的,并继续发展。在撰写提交给ATQ的手稿时,鼓励作者访问并包括过去的ATQ出版物,以获取支持细节和引文。我们还建议研究人员尽可能使用最新版本的诊断工具、标准和诊断。《2022年酒精中毒治疗季刊》,第40卷,第3期,277–279https://doi.org/10.1080/07347324.2022.2080877
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引用次数: 0
Examining Interhemispheric PFC Connectivity during AUD Abstinence with Multilevel Modeling 用多层模型研究AUD戒断期间大脑半球PFC连通性
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-05-20 DOI: 10.1080/07347324.2022.2073853
Spencer D. Bradshaw, Adam Jones, Rebecca Lucero Jones, Sterling T. Shumway, T. Kimball
ABSTRACT Objective The prefrontal cortex (PFC) is a communicative network involved in information processing and behavioral regulation and is crucial to understanding the impact of alcohol use disorders (AUD). Functional interhemispheric connectivity across PFC regions may be important aspect of networking while seeking abstinence from AUD. This study examines functional PFC activation of persons seeking continued abstinence from AUD to explore potential interhemispheric connectivity in response to alcohol cues and how such connectivity is associated with abstinence duration. Method This study analyzed cerebral blood flow from PFC regional associations or couplings of 46 persons seeking continued abstinence from AUD were presented with alcohol and other affective cues. Intraclass correlations calculated using multilevel modeling (MLM) served as a measure of functional interhemispheric connectivity. Results Connectivity was found in response to alcohol and other affective cues. Results also suggest that interhemispheric connectivity in response to alcohol cues is negatively associated with abstinence duration. Conclusions Findings of this study suggest that functional interhemispheric connectivity may be important during the processing of alcohol-related cues for persons seeking continued abstinence from AUD. Abstaining from consumption in the early stages of abstinence may be a particularly high demand task requiring both PFC hemispheres, with this need decreasing as abstinence length increases.
摘要目的前额叶皮层(PFC)是一个参与信息处理和行为调节的交流网络,对理解酒精使用障碍(AUD)的影响至关重要。PFC区域之间的功能性半球间连接可能是寻求戒断AUD时建立网络的重要方面。本研究考察了寻求持续戒断AUD的人的功能性PFC激活,以探索对酒精提示的潜在半球间连接,以及这种连接如何与戒断时间相关。方法本研究分析了46名寻求持续禁欲的AUD患者的PFC区域关联或耦合的脑血流量,这些患者具有酒精和其他情感线索。使用多级建模(MLM)计算的类内相关性用作功能半球间连接性的测量。结果在对酒精和其他情感线索的反应中发现了连通性。研究结果还表明,大脑半球间对酒精线索的连接与禁欲时间呈负相关。结论这项研究的结果表明,对于寻求持续戒酒的人来说,在处理酒精相关线索的过程中,功能性半球间连接可能很重要。在戒酒的早期阶段戒酒可能是一项特别高的任务,需要两个PFC半球,随着戒酒时间的增加,这种需求会减少。
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引用次数: 0
Exercise Intensity and Coronary Plaque Composition: Is Harder, Better, Faster, Stronger? 运动强度与冠状动脉斑块构成:更难、更好、更快、更强?
Q4 SUBSTANCE ABUSE Pub Date : 2022-05-17 Epub Date: 2022-05-16 DOI: 10.1161/JAHA.122.025991
J Sawalla Guseh, Ik-Kyung Jang
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引用次数: 0
Alcohol, Substance Use Disorders and Mental Health: Resources for U.S. Veterans 酒精、物质使用障碍与心理健康:美国退伍军人资源
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-05-11 DOI: 10.1080/07347324.2022.2074813
Amy Faltinek
ABSTRACT A unique need for a special population led to including alcohol and substance use and mental health resources on Texas Tech University Health Sciences Center’s Veterans LibGuide. Veterans in the United States have above average rates of anxiety, depression, post-traumatic stress disorder, and other mental illnesses. Alcohol and substance use can be a way of coping with mental illnesses and other issues in life. Making information easy to find may result in addressing more health concerns, not only for the veteran themselves, but also for their family. The TTUHSC LibGuide provides easy access to credible public health resources.
摘要对特殊人群的独特需求导致德克萨斯理工大学健康科学中心的退伍军人自由指南中包含了酒精和物质使用以及心理健康资源。美国退伍军人的焦虑、抑郁、创伤后应激障碍和其他精神疾病的发病率高于平均水平。酒精和药物使用可能是应对精神疾病和生活中其他问题的一种方式。让信息更容易找到可能会解决更多的健康问题,不仅对退伍军人自己,也对他们的家人。TTUHSC LibGuide提供了获得可靠公共卫生资源的便利途径。
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引用次数: 0
Policy and Scientific Implications of Compromised Replications 折衷复制的政策和科学意义
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-05-09 DOI: 10.1080/07347324.2022.2074812
L. Jason, J. Cotler, Mohammed F. Islam, Ronald Harvey, Bradley Olson
ABSTRACT Replications and the sharing of data with other researchers have become an essential part of the scientific process, and it is an aspect of the social sciences that has grown exponentially over the last few decades and is now required for most federally funded studies. Unfortunately, there are few guidelines or narratives for unexpected complications between replicators and those providing the data sets. The current article is a case study regarding a replication of a study of 270 criminally-justice involved individuals with substance use disorders, who were randomized either to self-help recovery homes, professionally led therapeutic communities or a control condition. The replicators and the original investigators arrived at different conclusions regarding critical post-incarceration outcomes. These types of discrepancies can have critical policy implications particularly as there are so few randomized studies examining post-incarceration outcomes for those released from jails and prisons. The contrasting conclusions were, in part, due to differences in a variety of conceptual and methodological issues. To avoid these types of difficulties, we propose several types of recommendations designed to enhance the scientific process for replication studies and secondary use data sets.
摘要复制和与其他研究人员共享数据已成为科学过程的重要组成部分,这是社会科学的一个方面,在过去几十年中呈指数级增长,现在大多数联邦资助的研究都需要它。不幸的是,对于复制者和提供数据集的人之间的意外复杂性,几乎没有指导方针或叙述。本文是一项案例研究,复制了一项对270名涉及刑事司法的药物使用障碍患者的研究,这些患者被随机分配到自助康复院、专业领导的治疗社区或对照条件下。复制者和最初的调查者对监禁后的关键结果得出了不同的结论。这些类型的差异可能会产生关键的政策影响,特别是因为很少有随机研究来检查从监狱和监狱释放的人的监禁后结果。形成对比的结论在一定程度上是由于在各种概念和方法问题上的差异。为了避免这些类型的困难,我们提出了几类建议,旨在加强复制研究和二次使用数据集的科学过程。
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引用次数: 0
An Adaptation of the Women’s Recovery Group for women veterans with substance use disorders: a quality improvement project 妇女康复小组对患有药物使用障碍的女性退伍军人的适应:一个质量改进项目
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-04-22 DOI: 10.1080/07347324.2022.2068396
R. Barton, Laura C. Meader, T. Simpson, S. Greenfield
ABSTRACT Women veterans with Substance Use Disorders (SUD) are at increased risk for poor health and psychosocial outcomes. The VA is uniquely poised to treat women veterans in ways that address their distinct experiences. In an effort to incorporate both veteran-centric and gender-specific treatment for women veterans with SUD, this Quality Improvement (QI) project adapted the Women’s Recovery Group (WRG) curriculum to address women veterans’ needs. Using a mixed-methods pre-post pilot evaluation, the acceptability and helpfulness of this adapted intervention was assessed by tracking attendance, session-specific feedback, Brief Addiction Monitor-Revised (BAM-R) scores, and qualitative exit interviews among twenty-nine women veterans engaged in a VA SUD treatment clinic, of which 90% endorsed alcohol use disorder. Women veterans found the content relevant and helpful in addition to the gender-specific treatment setting. The mean number of sessions attended was comparable to the original WRG study and changes on individual BAM-R items indicated that most women maintained good functioning or improved. In summary, this QI project shows promising results for this adapted intervention geared toward meeting the needs of women veterans with SUD and our results call for further research to more fully evaluate the efficacy of the intervention for this growing group of veterans.
摘要患有物质使用障碍(SUD)的女性退伍军人健康状况不佳和心理社会后果的风险增加。退伍军人事务部特别准备以解决女性退伍军人独特经历的方式对待她们。为了将以退伍军人为中心和针对性别的治疗纳入SUD女性退伍军人的工作中,该质量改进项目调整了女性康复小组的课程,以满足女性退伍军人的需求。采用混合方法进行试点前-试点后评估,通过跟踪参与率、特定环节反馈、简短成瘾监测修订版(BAM-R)评分和对29名退伍军人退伍军人进行定性离职面谈来评估这种适应性干预的可接受性和有用性,其中90%的退伍军人支持酒精使用障碍。女性退伍军人发现,除了特定性别的治疗环境外,这些内容还具有相关性和帮助性。参加的平均会议次数与WRG最初的研究相当,个别BAM-R项目的变化表明,大多数女性保持了良好的功能或有所改善。总之,这个QI项目显示了这种适应的干预措施的有希望的结果,这些干预措施旨在满足患有SUD的女性退伍军人的需求,我们的结果呼吁进行进一步的研究,以更全面地评估干预措施对这一不断增长的退伍军人群体的疗效。
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引用次数: 0
The Twelve Stages of Recovery 恢复的十二个阶段
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-03-02 DOI: 10.1080/07347324.2022.2043210
J. Mudie
ABSTRACT A poem about recovery in AA adapted from Shakespeare’s Twelve Stages of Man
摘要:改编自莎士比亚《人的十二个阶段》的一首关于AA康复的诗
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引用次数: 0
Spiritual Predictors of Improved Resilience in People Recovering from Alcohol Use Disorder: An Exploratory Study 酒精使用障碍康复者恢复力提高的精神预测因素:一项探索性研究
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-03-02 DOI: 10.1080/07347324.2022.2047130
C. Hiernaux, I. Varescon
ABSTRACT Alcoholics Anonymous (AA) provides its members with a spiritual recovery program for Alcohol Use Disorder (AUD) that could be seen as a resilience program. This article aimed to study the possible relationships between participation in AA, spirituality and resilience and identify the best spiritual predictors of resilience. Spirituality, participation in AA, and resilience were assessed in a population of AA members recruited throughout France (N = 263, age: M = 58.08, SD = 9.92), using the Religious Background and Behavior Scale the Spiritual Well-Being Scale, the Recovery Interview and g the Connor-Davidson Resilience Scale. Correlations, means comparisons, principal components analyses, and multiple regressions were performed. The 263 participants had resilience characteristics, a quality relationship with a God/Higher Power (God/HP), and an existential well-being greater than the general population. Increased participation in AA predicted increased spirituality. The best spiritual predictors of increased resilience were believing in a life purpose, sense of well-being about one’s future and being able to appreciate life. Results encourage clinicians to implement positive psychological interventions in the care of patients with AUD and to assign empowering tasks to them.
匿名戒酒会(AA)为其成员提供酒精使用障碍(AUD)的精神康复计划,这可以被视为一种恢复力计划。本研究旨在探讨参加嗜酒者互戒、精神状态和心理弹性之间的可能关系,并确定心理弹性的最佳预测因子。采用宗教背景与行为量表、精神幸福量表、康复访谈和Connor-Davidson弹性量表,对在法国各地招募的AA成员(N = 263,年龄:M = 58.08, SD = 9.92)进行灵性、参与AA和弹性评估。进行了相关性、均值比较、主成分分析和多元回归分析。263名参与者具有弹性特征,与上帝/更高权力(上帝/HP)的高质量关系,以及比一般人群更高的存在幸福感。更多地参加嗜酒者互诫会预示着更多的灵性。增强复原力的最佳精神预测指标是相信生活目标、对未来的幸福感以及能够欣赏生活。结果鼓励临床医生在AUD患者的护理中实施积极的心理干预,并向他们分配授权任务。
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引用次数: 0
Editorial 社论
IF 0.9 Q4 SUBSTANCE ABUSE Pub Date : 2022-02-28 DOI: 10.1080/07347324.2022.2044118
Regina B. Baronia, S. Bergeson
In this second issue of Alcoholism Treatment Quarterly, volume 40, we present special groups and considerations in treatment and recovery for alcohol use (AUD) and substance use disorders (SUD). The first section focuses on young adults and college students. Whitney utilizes phenomenological methodology to analyze narratives of students in collegiate recovery programs (CRP) in three large public research universities. In this article, topics of recovery, identity, aligning with recovery groups, social implications of being “cool” and pursuing academic success and professional careers are explored. Gerber et al., support the expansion of collegiate recovery programs by providing a cost–benefit analysis of developing CRPs in institutions of higher learning. Brett et al., present findings showing that a values-based feedback added to the standard web-based personalized feedback intervention content utilized by college students in a large public university resulted in significant reductions in alcohol consumption and related consequences. Jason et al., report on facilitation of relationships and organizational characteristics in recovery homes being significant in understanding risk factors for eviction outcomes. Patterson Silver Wolf’s group analyzed data from the Treatment Episode Data Set (TEDS) and created profiles of individuals with alcohol use disorder who may be more likely to be treatment resistant in the interest of informing and shaping individualized AUD treatment. This next section presents articles on people with mental health disorders comorbid with alcohol and substance use disorders. Litchke explored the benefit of a combined recreation therapy with complementary physical and creative arts activities followed by a 12-step Christian meeting among adult residents with mental health and substance use disorders. This group of investigators finds a reduction in anxiety and perceived stress with improvements in resiliency and positive mood even as depression remained. Hune explores the experience of disconnectedness among persons with schizophrenia and substance use disorders. The findings of Schuckher and Sellin suggest the outcomes of AUD for socially stable women are enhanced with a treatment focus on the patient’s own goals of abstinence. This was found to be the most stable outcome leading the authors to posit that in this population it may be a strong motivating factor for success. We conclude this issue with a focus on the education component in treatment and recovery. Wylie and Zacharoff tackle the current opioid epidemic from the perspective of medical education. They offer four educational initiatives relating to comprehensive pain management, neuropsychiatric perspective of SUD, exposure and training opportunities, and enhancement of standard of care through evidencebased medicine. ALCOHOLISM TREATMENT QUARTERLY 2022, VOL. 40, NO. 2, 141–142 https://doi.org/10.1080/07347324.2022.2044118
在《酒精中毒治疗季刊》第二期第40卷中,我们介绍了酒精使用(AUD)和物质使用障碍(SUD)的治疗和恢复中的特殊群体和考虑因素。第一部分主要针对年轻人和大学生。惠特尼运用现象学方法分析了三所大型公立研究型大学大学生康复计划(CRP)的学生叙述。本文探讨了康复、身份认同、加入康复团体、“酷”的社会含义、追求学业成功和职业生涯等主题。Gerber等人通过提供高等院校发展crp的成本效益分析,支持扩大大学康复项目。Brett等人目前的研究结果表明,在一所大型公立大学的大学生使用的基于价值观的反馈添加到标准的基于网络的个性化反馈干预内容中,导致酒精消费和相关后果的显著减少。Jason等人的报告指出,在理解驱逐结果的风险因素方面,康复之家的关系促进和组织特征具有重要意义。Patterson Silver Wolf的研究小组分析了来自治疗事件数据集(TEDS)的数据,并创建了酒精使用障碍患者的档案,这些患者可能更有可能对治疗产生抵抗,从而为个性化AUD治疗提供信息和指导。下一节将介绍与酒精和物质使用障碍共病的精神健康障碍患者的文章。Litchke探索了将娱乐疗法与补充的体育和创造性艺术活动结合起来的好处,然后在有精神健康和物质使用障碍的成年居民中进行12步基督教会议。这组研究人员发现,即使抑郁仍然存在,焦虑和感知压力也会减少,恢复力和积极情绪也会得到改善。休恩探讨了精神分裂症和物质使用障碍患者的脱节经历。Schuckher和Sellin的研究结果表明,对社会稳定的女性进行AUD治疗的结果可以通过关注患者自己的禁欲目标来提高。这被发现是最稳定的结果,这使得作者假设,在这个人群中,这可能是成功的一个强大的激励因素。我们总结这个问题的重点是治疗和康复中的教育部分。Wylie和Zacharoff从医学教育的角度解决了当前阿片类药物的流行问题。他们提供了四项教育计划,涉及全面的疼痛管理,SUD的神经精神病学观点,暴露和培训机会,以及通过循证医学提高护理标准。《酒精中毒治疗季刊2022》,第40卷,第2期。2,141 - 142 https://doi.org/10.1080/07347324.2022.2044118
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引用次数: 0
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Alcoholism Treatment Quarterly
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