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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
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
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 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 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 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 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。
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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 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 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 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 Pub Date : 2021-12-19 DOI: 10.1080/07347324.2021.2008674
Regina B. Baronia, S. Bergeson
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引用次数: 0
期刊
Alcoholism Treatment Quarterly
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