Alcoholism Treatment Quarterly最新文献

英文中文

Binge Drinkers Shouldn’t Set Their Own Alcohol Reduction Goals! Evaluating the Effectiveness of Different Goal-Based Alcohol Reduction Interventions among Young People 酗酒者不应该设定自己的减酒目标!评估不同基于目标的青少年酒精减少干预措施的有效性

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-02-04 DOI: 10.1080/07347324.2022.2037486

Mark Rubin, A. Hutton

ABSTRACT The present research aimed to investigate the relative effectiveness of three types of alcohol reduction intervention. Participants were 354 university students from an Australian university. After completing an initial survey, they were randomly assigned to either (a) follow national guidelines for alcohol consumption, (b) set their own personal alcohol consumption reduction goal, or (c) work with their peers to set a goal. Participants then recorded their alcohol consumption in a drinking diary over a period of four weeks. The results showed that participants in the personal goal condition reported significantly higher alcohol consumption than those in the national guidelines conditions, with participants in the group goal condition reporting mid-level alcohol consumption. This effect was moderated by binge drinking propensity. Personal goal setting was most likely to lead to higher alcohol consumption when participants scored relatively high on measures of binge drinking propensity. These findings highlight the point that different types of alcohol reduction interventions may be effective for different types of people. In particular, people who have a relatively high propensity for binge drinking should be encouraged to follow goals that have been set by authorities (e.g., national guidelines) rather than by themselves.

摘要本研究旨在探讨三种类型的酒精减少干预的相对有效性。参与者是来自澳大利亚一所大学的354名大学生。在完成初步调查后，他们被随机分配(a)遵循国家酒精消费指南，(b)设定自己的个人酒精消费减少目标，或(c)与同龄人一起设定目标。然后，参与者在为期四周的饮酒日记中记录他们的饮酒量。结果表明，个人目标条件下的参与者报告的酒精消费量明显高于国家指导条件下的参与者，而团体目标条件下的参与者报告的酒精消费量为中等水平。这种影响被酗酒倾向所缓和。当参与者在酗酒倾向的测量中得分相对较高时，个人目标设定最有可能导致更高的饮酒量。这些发现强调了一点，即不同类型的酒精减少干预措施可能对不同类型的人有效。特别是，应该鼓励酗酒倾向相对较高的人遵循当局(例如国家指南)而不是他们自己设定的目标。

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引用次数: 1

A Multifamily Group Curriculum for Family Members of Individuals with Substance Use Disorders: Updates, Perceptions, and Outcomes 物质使用障碍个体家庭成员的多家庭小组课程:更新，感知和结果

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-01-26 DOI: 10.1080/07347324.2021.2019649

Sterling T. Shumway, Spencer D. Bradshaw, Mazie Zielinski, C. D’Aniello, T. Kimball, Kristy L. Soloski

ABSTRACT Substance use disorders (SUDS) are highly prevalent chronic health conditions that have dire impacts on the health and wellbeing of not only the individual with an SUD, but on their family members as well. This is important as the family is often one of the most important support groups for an individual seeking recovery from an SUD. The present study provides an update regarding a previously published and implemented multifamily group curriculum (MFGC) for family members of those with an SUD. More specifically, changes to the curriculum are highlighted, and results from data analyses on important factors associated with individual and family member recovery are shared and discussed. There is evidence of this updated MFGC continuing to be an effective intervention for family members with a loved-one seeking recovery from an SUD; however, greater and more long-term support for family members is still needed. Additionally, results of this study showed that change in important factors associated with family member wellbeing and family recovery is associated with relapse status of the loved-one seeking recovery from a SUD at a follow-up time point.

物质使用障碍(SUDS)是一种非常普遍的慢性健康状况，不仅对SUD患者的健康和福祉有严重影响，而且对其家庭成员也有严重影响。这一点很重要，因为家庭通常是寻求从SUD中恢复的个人最重要的支持团体之一。本研究提供了关于先前出版和实施的多家庭小组课程(MFGC)的更新，该课程适用于患有SUD的家庭成员。更具体地说，强调了课程的变化，并分享和讨论了与个人和家庭成员康复相关的重要因素的数据分析结果。有证据显示，这套更新后的家庭康复计划，对于有亲人寻求康复的家庭成员来说，仍然是一种有效的干预措施;然而，仍然需要为家庭成员提供更多和更长期的支持。此外，本研究结果表明，与家庭成员幸福感和家庭康复相关的重要因素的变化与在随访时间点寻求从SUD中恢复的亲人的复发状态有关。

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引用次数: 0

Predictors for Abstinence in Socially Stable Women Receiving Treatment for Alcohol Use Disorder 接受酒精使用障碍治疗的社会稳定女性戒酒的预测因素

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-01-08 DOI: 10.1080/07347324.2021.2018957

Fides Schückher, Kristina J. Berglund, I. Engström, T. Sellin

ABSTRACT There is a knowledge gap about predictors of treatment outcomes in alcohol use disorder (AUD) in socially stable women. This study examined factors that may predict abstinence 12 months after the end of treatment for AUD in socially stable women. Fifty-seven women with AUD participated in 12-month follow-up. Information about sociodemographic, alcohol-related, psychiatric symptoms, psychological functioning, and participants’ treatment goals and ability to change alcohol habits were gathered from structured interviews and self-report instruments. Predictors for abstinence at the 12-month follow up were calculated by univariable and multivariable logistic regression models. Significant predictors for abstinence were having no history of childhood abuse (OR: 8.13; 95%CI: 2.22–29.75; p < .01) and a goal of abstinence at the end of treatment (OR: 15.17; 95%CI: 3.45–66.69; p < .001). Most participants (>60%) achieved their goals of abstinence or low-risk drinking. The results highlight the significance of identifying patients with experiences of childhood abuse, since such experiences may adversely affect the outcome of AUD treatment. Our findings also emphasize the importance of patients’ own goals of abstinence, since it resulted in the most stable outcome. Treatment could, therefore, also focus on motivating individuals to aim for abstinence.

社会稳定女性酒精使用障碍(AUD)治疗结果的预测因素存在知识缺口。本研究考察了社会稳定的女性在AUD治疗结束12个月后可能预测禁欲的因素。57名AUD患者参加了为期12个月的随访。通过结构化访谈和自我报告工具收集有关社会人口学、酒精相关、精神症状、心理功能以及参与者的治疗目标和改变饮酒习惯的能力的信息。通过单变量和多变量logistic回归模型计算12个月随访时戒断的预测因子。无儿童期虐待史(OR: 8.13;95%置信区间:2.22—-29.75;p < 0.01)和治疗结束时戒断的目标(OR: 15.17;95%置信区间:3.45—-66.69;P < 0.001)。大多数参与者(约60%)达到了戒酒或低风险饮酒的目标。研究结果强调了识别有童年虐待经历的患者的重要性，因为这种经历可能会对AUD治疗的结果产生不利影响。我们的研究结果还强调了患者自己的禁欲目标的重要性，因为它导致了最稳定的结果。因此，治疗也可以侧重于激励个人以禁欲为目标。

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引用次数: 0

A Perspective on Neurobiological and Intersubjective Connectedness in Coexisting Schizophrenia and Substance Use Disorders 精神分裂症和物质使用障碍并存患者的神经生物学和主体间联系

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-01-07 DOI: 10.1080/07347324.2021.1996302

Nikki Hune, T. McGovern

ABSTRACT Persons experiencing schizophrenia and substance use disorders as coexisting conditions report significant expressions of disconnectedness. The lack of ability to relate to oneself and others as described by individuals living with these conditions, both neurobiologically and intersubjectively, is generally accepted in the literature. To support persons in establishing and maintaining co-occurring recovery, specific pharmacological and therapeutic interventions are discussed. Intersubjective connectedness is explored in aim to help individuals, families, and healthcare professionals to better understand the experience of disconnectedness that stems from both disorders. When neurobiological and intersubjective features are viewed as interrelated constructs, integrated treatment and recovery approaches become optimally aligned with the phenomenon of connectedness.

精神分裂症和物质使用障碍并存的患者报告了显著的脱节表现。正如生活在这些条件下的个体所描述的那样，缺乏与自己和他人建立联系的能力，无论是在神经生物学上还是在主体间，这在文献中都是普遍接受的。为了支持人们建立和维持同时发生的康复，讨论了具体的药物和治疗干预措施。探索主体间的联系，旨在帮助个人、家庭和医疗保健专业人员更好地理解由这两种疾病引起的脱节体验。当神经生物学和主体间特征被视为相互关联的结构时，综合治疗和恢复方法与联系现象最佳一致。

引用次数: 0

Alcohol use during COVID-19 in adults with severe untreated AUD. 患有严重未经治疗AUD的成人在COVID-19期间的酒精使用情况

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-01-01 DOI: 10.1080/07347324.2022.2060156

Morica Hutchison, Aileen Aldalur, Stephen A Maisto, Andrew Chiang, Beau Abar, Tracy Stecker, Kenneth R Conner

Evidence demonstrating increased alcohol use during COVID-19 comes from low- to moderate-alcohol use samples and has yet to use adults with severe but untreated AUD. Using a community sample of adults with severe AUD, this exploratory, cross-sectional study examined associations of COVID-19 alcohol use. Participants were recruited for a phase-II RCT. Only baseline measures, completed prior to randomization, were analyzed in the present study. Key variables were alcohol consumption, COVID-19-related worries and experiences, and qualitative responses of 1) alcohol use and 2) positive changes during COVID-19. 176 pariticpants recruited since COVID-19 were on average 41.4 years old, 49.1% female, and 79% White. Participants drank alcohol nearly 23 of the past 30 days, consumed 7 standard drinks per drinking day, and nearly 90% reported increased alcohol use. More heavy episodic drinking was reported in the first six-months of COVID-19 and more COVID-related concerns in the most recent six-months. Participants reported drinking increased due to "more time on their hands", but the pandemic also "strengthened relationships". Results affirm an increase in alcohol use during COVID-19 in adults with severe, untreated AUD. Findings underscore the need to understand how alcohol use and pandemic-related circumstances may influence one another for adults with severe AUD.

表明COVID-19期间酒精使用增加的证据来自低至中度酒精使用样本，尚未使用严重但未经治疗的AUD患者。这项探索性横断面研究使用严重AUD成人社区样本，研究了COVID-19酒精使用的相关性。参与者被招募参加ii期随机对照试验。本研究仅分析了随机化前完成的基线测量。关键变量是饮酒量、与COVID-19相关的担忧和经历，以及1)酒精使用和2)COVID-19期间积极变化的定性反应。自COVID-19以来招募的176名参与者的平均年龄为41.4岁，女性占49.1%，白人占79%。参与者在过去30天中饮酒近23天，每个饮酒日饮用7杯标准饮料，近90%的人报告酒精使用量增加。在COVID-19的前六个月报告了更多的严重间歇性饮酒，在最近六个月报告了更多与COVID-19相关的担忧。参与者报告说，由于“手头的时间更多了”，饮酒量增加了，但疫情也“加强了人际关系”。结果证实，在COVID-19期间，未经治疗的严重AUD患者的酒精使用有所增加。研究结果强调有必要了解酒精使用和与流行病相关的情况如何相互影响患有严重AUD的成年人。

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引用次数: 2

Individual and Contextual Protective and Risk Characteristics for Residents of Recovery Homes. 康复之家居民的个人和背景保护与风险特征。

IF 0.6 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2022-01-01 Epub Date: 2021-11-27 DOI: 10.1080/07347324.2021.1987179

Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Mike Stoolmiller

Some recovery homes have facilitating relationships and organizational characteristics, and there are also social capital differences among residents of these recovery homes. It is important to better understand the impact of protective and risk individual and house factors on recovery issues among residents of these community-based settings. Individuals from 42 recovery homes were followed for up to six data collection periods over two years. House level latent class analyses tapped relationship and organizational domains and individual level latent class analyses were from derived from elements of recovery capital. Houses that manifested protective factors provided most residents positive outcomes, except those with elevated self-esteem. Houses that were less facilitating had more negative exits, except for those residents who were the highest functioning. Both individual and house characteristics are of importance in helping to understand risk factors associated with eviction outcomes for residents in recovery homes.

一些康复之家具有促进关系和组织特征，这些康复之家的居民之间也存在社会资本差异。我们有必要更好地了解个人和康复之家的保护性因素和风险因素对这些社区康复机构居民康复问题的影响。我们对 42 家康复之家的居民进行了为期两年、多达六个数据收集期的跟踪调查。房屋层面的潜类分析挖掘了关系和组织领域，而个人层面的潜类分析则来自于康复资本的要素。除了自尊心较强的家庭外，具有保护性因素的家庭为大多数居民提供了积极的结果。除了那些功能最强的居民外，那些促进作用较弱的康复之家则有更多的消极退出。个人特征和房屋特征对于帮助了解与康复之家居民驱逐结果相关的风险因素都很重要。

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引用次数: 0

Treatment Resistant Alcohol Use Disorder 治疗难治性酒精使用障碍

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2021-12-26 DOI: 10.1080/07347324.2021.1989994

David A. Patterson Silver Wolf, C. Dulmus, G. Wilding, Jihnhee Yu, Amy L Barczykowski, Tian Shi, Josal R. Diebold, S. Harvey, N. Tomasello, B. Linn

ABSTRACT Despite existing interventions that have shown some promise for people with alcohol use disorder (AUD), there is a sizable number of patients that fail to respond to or complete treatment. In the current study, we analyzed data from the Treatment Episode Data Set (TEDS) to create profiles that indicate who may be more likely to resist treatment-as-usual. For the analysis, chi-square and logistic regression were used to associate personal characteristics with being at high and low risk of treatment resistance. Characteristics that put someone at higher risk of resisting treatment-as-usual include being unemployed, homelessness (or a dependent living arrangement), using daily, being male, and co-occurring mental and substance abuse disorders. The results suggest that general demographic information at patients’ admission can be used to identify population groups where conventional strategies for standard AUD treatment may be insufficient. As such, the findings can help to inform, shape, and personalize treatment, leading to successful outcomes for the subgroup of individuals who will not benefit from typical AUD interventions.

摘要尽管现有的干预措施对酒精使用障碍（AUD）患者显示出一定的前景，但仍有相当多的患者对治疗无效或无法完成治疗。在目前的研究中，我们分析了治疗发作数据集（TEDS）的数据，以创建表明谁更有可能像往常一样抗拒治疗的档案。在分析中，使用卡方和逻辑回归将个人特征与治疗耐药性的高风险和低风险联系起来。使某人像往常一样抵抗治疗的风险更高的特征包括失业、无家可归（或依赖性生活安排）、日常使用、男性以及同时发生的精神和药物滥用障碍。研究结果表明，患者入院时的一般人口统计信息可用于确定常规AUD治疗策略可能不足的人群。因此，这些发现可以帮助告知、塑造和个性化治疗，为那些不会从典型的AUD干预中受益的个体亚组带来成功的结果。

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引用次数: 0

Editorial 编辑

IF 0.9 Q4 SUBSTANCE ABUSE

Alcoholism Treatment Quarterly

Pub Date : 2021-12-19 DOI: 10.1080/07347324.2021.2008674

Regina B. Baronia, S. Bergeson

引用次数: 0

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

Alcoholism Treatment Quarterly

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

Alcoholism Treatment Quarterly

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

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