Pub Date : 2022-11-13DOI: 10.1080/16066359.2022.2144262
B. Alexander
Abstract This ‘think piece’ summarizes the final conclusions of an alarmed addiction researcher and theorist who, at the end of his professional life, sees an urgent need for change in both the research paradigm and the social role of addiction professionals. Not only can our profession help addicted individuals more effectively, we can also help to extricate society from its current polarized, embittered, and precarious state. The five key points of the article are: (1) addiction theory is currently bogged down and stuck, (2) We are stuck partly because of the ineradicable remnants of the Myth of the Demon Drug that has haunted our field of study from its beginnings, (3) A radical paradigm shift to an ‘adaptive’ paradigm can re-vitalize our work, (4) We are currently ignoring the addictions that constitute the greatest danger to society, and (5) The proposed paradigm shift, along with a recognition of the traditional meaning of addiction in the English language, will open up our field to fresh research questions and an expanded role in addressing the terrifying dangers of our times.
{"title":"A final conversation with addiction professionals*","authors":"B. Alexander","doi":"10.1080/16066359.2022.2144262","DOIUrl":"https://doi.org/10.1080/16066359.2022.2144262","url":null,"abstract":"Abstract This ‘think piece’ summarizes the final conclusions of an alarmed addiction researcher and theorist who, at the end of his professional life, sees an urgent need for change in both the research paradigm and the social role of addiction professionals. Not only can our profession help addicted individuals more effectively, we can also help to extricate society from its current polarized, embittered, and precarious state. The five key points of the article are: (1) addiction theory is currently bogged down and stuck, (2) We are stuck partly because of the ineradicable remnants of the Myth of the Demon Drug that has haunted our field of study from its beginnings, (3) A radical paradigm shift to an ‘adaptive’ paradigm can re-vitalize our work, (4) We are currently ignoring the addictions that constitute the greatest danger to society, and (5) The proposed paradigm shift, along with a recognition of the traditional meaning of addiction in the English language, will open up our field to fresh research questions and an expanded role in addressing the terrifying dangers of our times.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"9 1","pages":"221 - 230"},"PeriodicalIF":2.9,"publicationDate":"2022-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83465863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-11DOI: 10.1080/16066359.2022.2143495
E. Kuntsche, Benjamin Riordan, Kelly van Egmond, F. Labhart, S. Callinan, G. Gmel
Abstract This paper aims to provide an overview of the contemporary quantitative methods to assess alcohol consumption. We identified and rated six data collection methods according to four typical aims (i.e. to assess: per capita consumption, drinking patterns, event-specific consumption, and consumption over time) and five desirable features (low cognitive bias, contextual information, low participant and researcher burden, low costs). The results are presented in an overview table, which reveals that questionnaire-based methods are easy and cost-efficient but often distorted by cognitive biases. These biases can be avoided by analyzing sales/production statistics and wastewater samples, but these methods are unable to provide information on individual drinking patterns. Breathalyzers or transdermal monitors enable relatively precise measurement of individual consumption without any cognitive bias. However, the required devices are expensive and difficult to apply correctly, which makes data collection time, labor, and cost-intensive, particularly as sample sizes increase. Ecological momentary assessment (e.g. series of questionnaires within short timeframes completed in the participants’ natural environments) reduces, but does not eliminate, cognitive biases and maximizes ecological validity. Unfortunately, this method also increases the response burden, potentially resulting in assessment reactivity and drop-out. Highlighting the combination of strengths and weaknesses of each method, this overview may serve as useful guidance for study planning and implementation.
{"title":"Comparing strengths and weaknesses of contemporary quantitative methods to collect data on alcohol consumption: an ‘at-a-glance’ overview","authors":"E. Kuntsche, Benjamin Riordan, Kelly van Egmond, F. Labhart, S. Callinan, G. Gmel","doi":"10.1080/16066359.2022.2143495","DOIUrl":"https://doi.org/10.1080/16066359.2022.2143495","url":null,"abstract":"Abstract This paper aims to provide an overview of the contemporary quantitative methods to assess alcohol consumption. We identified and rated six data collection methods according to four typical aims (i.e. to assess: per capita consumption, drinking patterns, event-specific consumption, and consumption over time) and five desirable features (low cognitive bias, contextual information, low participant and researcher burden, low costs). The results are presented in an overview table, which reveals that questionnaire-based methods are easy and cost-efficient but often distorted by cognitive biases. These biases can be avoided by analyzing sales/production statistics and wastewater samples, but these methods are unable to provide information on individual drinking patterns. Breathalyzers or transdermal monitors enable relatively precise measurement of individual consumption without any cognitive bias. However, the required devices are expensive and difficult to apply correctly, which makes data collection time, labor, and cost-intensive, particularly as sample sizes increase. Ecological momentary assessment (e.g. series of questionnaires within short timeframes completed in the participants’ natural environments) reduces, but does not eliminate, cognitive biases and maximizes ecological validity. Unfortunately, this method also increases the response burden, potentially resulting in assessment reactivity and drop-out. Highlighting the combination of strengths and weaknesses of each method, this overview may serve as useful guidance for study planning and implementation.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"17 1","pages":"270 - 277"},"PeriodicalIF":2.9,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81941184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-28DOI: 10.1080/16066359.2022.2135702
Melanie Barker, M. Zúñiga, J. Stockman, Susan Woodruff, Brittany A Wood
Abstract Background Suicide and driving under the influence of alcohol and other drugs are US public health epidemics. Research exploring the associations between driving under the influence and suicide presents a research gap. This study describes the prevalence and associations between demographic, alcohol and drug-related characteristics, depression, and self-harm (suicidal thoughts, behavior, and non-suicidal self-injury) among participants in a Southern California DUI Program. Methods Participants receiving driving under the influence treatment services (n = 1310) reported substance use, mental health and demographic data upon program intake between July 2019 and March 2020. A descriptive analysis was used to determine the prevalence of lifetime self-harm thoughts or behaviors. Bivariate analyses of associations between lifetime self-harm thoughts or behaviors and sociodemographic, alcohol, drug, and depression severity measures were explored. Manual backward elimination was used to obtain the final logistic regression model with variables statistically significant at p < 0.05 or had at least one category that was significant at p < 0.05 for non-dichotomous variables. For those reporting self-harm, a chart review extracted clinical themes to identify whether the driving under the influence event was reported as a deliberate suicide attempt. Results Ten percent (n = 135) of participants endorsed a lifetime self-harm history. Younger age, female gender, prior alcohol treatment, depressed mood, and family suicide history were significantly associated with self-harm. One individual reported the driving under the influence event as non-suicidal self-injury), and three reported it as a suicide attempt. Conclusion First- and multiple-time driving under the influence offenders represent a clinical population at increased risk for suicidal thoughts and behavior in need of specialized treatment referrals.
{"title":"Prevalence and correlates of self-harm in a Southern California driving under the influence treatment setting","authors":"Melanie Barker, M. Zúñiga, J. Stockman, Susan Woodruff, Brittany A Wood","doi":"10.1080/16066359.2022.2135702","DOIUrl":"https://doi.org/10.1080/16066359.2022.2135702","url":null,"abstract":"Abstract Background Suicide and driving under the influence of alcohol and other drugs are US public health epidemics. Research exploring the associations between driving under the influence and suicide presents a research gap. This study describes the prevalence and associations between demographic, alcohol and drug-related characteristics, depression, and self-harm (suicidal thoughts, behavior, and non-suicidal self-injury) among participants in a Southern California DUI Program. Methods Participants receiving driving under the influence treatment services (n = 1310) reported substance use, mental health and demographic data upon program intake between July 2019 and March 2020. A descriptive analysis was used to determine the prevalence of lifetime self-harm thoughts or behaviors. Bivariate analyses of associations between lifetime self-harm thoughts or behaviors and sociodemographic, alcohol, drug, and depression severity measures were explored. Manual backward elimination was used to obtain the final logistic regression model with variables statistically significant at p < 0.05 or had at least one category that was significant at p < 0.05 for non-dichotomous variables. For those reporting self-harm, a chart review extracted clinical themes to identify whether the driving under the influence event was reported as a deliberate suicide attempt. Results Ten percent (n = 135) of participants endorsed a lifetime self-harm history. Younger age, female gender, prior alcohol treatment, depressed mood, and family suicide history were significantly associated with self-harm. One individual reported the driving under the influence event as non-suicidal self-injury), and three reported it as a suicide attempt. Conclusion First- and multiple-time driving under the influence offenders represent a clinical population at increased risk for suicidal thoughts and behavior in need of specialized treatment referrals.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"19 1","pages":"201 - 208"},"PeriodicalIF":2.9,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86867039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-22DOI: 10.1080/16066359.2022.2135703
Debi A. LaPlante, Taylor G. Lee, John M. Slabczynski, H. Shaffer, H. Gray
Abstract ‘Responsible drinking’ remains a poorly defined construct despite decades of use among diverse stakeholders including industry, academics, governmental agencies, and addiction advocacy groups. To move the field closer to a consensus definition of responsible drinking that is useful for educational and research purposes, we describe five primary barriers that discourage the construction of a shared definition of responsible drinking. These barriers include the lack of foundational empirical evidence, the social construction of the term, the possibility that different targets require different definitions, the political implications of responsible drinking, and the possibility that there is no safe level of alcohol consumption. We conclude this article by offering suggestions to overcome these barriers through further research.
{"title":"Five barriers to defining responsible drinking","authors":"Debi A. LaPlante, Taylor G. Lee, John M. Slabczynski, H. Shaffer, H. Gray","doi":"10.1080/16066359.2022.2135703","DOIUrl":"https://doi.org/10.1080/16066359.2022.2135703","url":null,"abstract":"Abstract ‘Responsible drinking’ remains a poorly defined construct despite decades of use among diverse stakeholders including industry, academics, governmental agencies, and addiction advocacy groups. To move the field closer to a consensus definition of responsible drinking that is useful for educational and research purposes, we describe five primary barriers that discourage the construction of a shared definition of responsible drinking. These barriers include the lack of foundational empirical evidence, the social construction of the term, the possibility that different targets require different definitions, the political implications of responsible drinking, and the possibility that there is no safe level of alcohol consumption. We conclude this article by offering suggestions to overcome these barriers through further research.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"1 1","pages":"231 - 238"},"PeriodicalIF":2.9,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79773227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-21DOI: 10.1080/16066359.2022.2134991
Amber Copeland, Andrew Jones, Samuel F. Acuff, J. Murphy, M. Field
Abstract Background Individuals with greater meaning in life tend to consume less alcohol. However, research elucidating pathways through which meaning in life influences consumption is lacking. Behavioral economic theories posit that distortions in valuation processes, whilst negative reinforcement models posit that avoidance or regulation of negative internal states, are central in decisions to consume alcohol. Method Pre-registered, cross-sectional design. Five hundred forty-six regular alcohol consumers (≥18 years old) completed an online questionnaire which asked about alcohol use, meaning in life, alcohol-free reinforcement, alcohol value, depressive symptoms, and drinking to cope motives. Results Presence of meaning had a significant negative association with AUDIT scores (β = −.26, p < .001), but neither search for meaning nor alcohol-free reinforcement were significant predictors (ps > .53). Subsequent path analyses revealed a significant indirect effect of presence of meaning on AUDIT scores through lower alcohol value (95% CI = −.17 to −.08) and drinking to cope (95% CI = −.07 to −.00), and a serial mediation effect through both lower depressive symptoms and drinking to cope (95% CI = −.09 to −.04). Although search for meaning was not a direct predictor of AUDIT scores, there was a significant indirect effect through greater drinking to cope (95% CI = .01 to .06) and a serial mediation effect through both greater depressive symptoms and drinking to cope (95% CI = .01 to .04). Conclusions Meaning in life subscales predict alcohol consumption indirectly via individual differences in alcohol value, depressive symptoms, and drinking to cope.
背景:生活中有更大意义的人往往会少喝酒。然而，阐明生活意义影响消费的途径的研究是缺乏的。行为经济学理论认为，估价过程中的扭曲，而负强化模型认为，避免或调节消极的内部状态是饮酒决定的核心。方法预先登记，横断面设计。546名定期饮酒者(≥18岁)完成了一份在线问卷，问卷内容包括酒精使用、生活意义、无酒精强化、酒精价值、抑郁症状和饮酒应对动机。结果意义的存在与审计得分呈显著负相关(β =−)。26, p < .001)，但寻找意义和无酒精强化都不是显著的预测因子(ps > .53)。随后的通径分析显示，通过较低的酒精值，意义的存在对审计分数有显著的间接影响(95% CI = -)。17至- 0.08)和饮酒应对(95% CI = - 0.08)。07至- 0.00)，通过降低抑郁症状和饮酒来应对的一系列中介效应(95% CI = - 0.00)。09 ~−.04)。虽然寻找意义不是审计得分的直接预测因子，但通过更多的饮酒来应对存在显著的间接影响(95% CI = 0.01至0.06)，并且通过更大的抑郁症状和饮酒来应对存在一系列中介效应(95% CI = 0.01至0.04)。结论:生活意义分量表通过酒精值、抑郁症状和饮酒应对的个体差异间接预测酒精消费。
{"title":"Meaning in life: investigating protective and risk factors for harmful alcohol consumption","authors":"Amber Copeland, Andrew Jones, Samuel F. Acuff, J. Murphy, M. Field","doi":"10.1080/16066359.2022.2134991","DOIUrl":"https://doi.org/10.1080/16066359.2022.2134991","url":null,"abstract":"Abstract Background Individuals with greater meaning in life tend to consume less alcohol. However, research elucidating pathways through which meaning in life influences consumption is lacking. Behavioral economic theories posit that distortions in valuation processes, whilst negative reinforcement models posit that avoidance or regulation of negative internal states, are central in decisions to consume alcohol. Method Pre-registered, cross-sectional design. Five hundred forty-six regular alcohol consumers (≥18 years old) completed an online questionnaire which asked about alcohol use, meaning in life, alcohol-free reinforcement, alcohol value, depressive symptoms, and drinking to cope motives. Results Presence of meaning had a significant negative association with AUDIT scores (β = −.26, p < .001), but neither search for meaning nor alcohol-free reinforcement were significant predictors (ps > .53). Subsequent path analyses revealed a significant indirect effect of presence of meaning on AUDIT scores through lower alcohol value (95% CI = −.17 to −.08) and drinking to cope (95% CI = −.07 to −.00), and a serial mediation effect through both lower depressive symptoms and drinking to cope (95% CI = −.09 to −.04). Although search for meaning was not a direct predictor of AUDIT scores, there was a significant indirect effect through greater drinking to cope (95% CI = .01 to .06) and a serial mediation effect through both greater depressive symptoms and drinking to cope (95% CI = .01 to .04). Conclusions Meaning in life subscales predict alcohol consumption indirectly via individual differences in alcohol value, depressive symptoms, and drinking to cope.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"1 1","pages":"191 - 200"},"PeriodicalIF":2.9,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89876294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.1080/16066359.2022.2134990
Jonathan K. Noel, Fabiana Serna
Abstract Background Use of social media may activate similar regions of the brain as psychoactive substances, and research suggests a close relationship between social media and alcohol use. But research on alcohol use cravings in relation to social media is scant. The current study sought to determine if alcohol cravings were associated with engagement (i.e. Liking, Sharing, Commenting) with social media alcohol content. Method In all, n = 723 participants (18–65 years old) completed the Desires for Alcohol Questionnaire (DAQ) before and after viewing 6 social media alcohol posts. The likelihood of Liking, Sharing, and Commenting on each depiction was assessed after each exposure. Path analysis assessed direct and indirect effects after adjusting for age, sex, race, ethnicity, social media involvement, and AUDIT score, and clustering of responses within persons. Results Pre-exposure DAQ scores were positively associated with the likelihood of ad Liking (p < .001), Sharing (p < .001), and commenting (p < .001). Likelihood of ad Liking (p = .035) and commenting (p = .028) were positively associated with post-exposure DAQ scores, with the indirect effects also statistically significant (p’s < .05). Conclusions Persons with high alcohol cravings may be more likely to engage with alcohol content on social media, and the act of engagement may subsequently increase alcohol cravings, which suggests a possible positive feedback loop. The role of social media should be accounted for in the prevention and treatment of alcohol use disorders.
{"title":"Alcohol cravings and engagement with alcohol content on social media","authors":"Jonathan K. Noel, Fabiana Serna","doi":"10.1080/16066359.2022.2134990","DOIUrl":"https://doi.org/10.1080/16066359.2022.2134990","url":null,"abstract":"Abstract Background Use of social media may activate similar regions of the brain as psychoactive substances, and research suggests a close relationship between social media and alcohol use. But research on alcohol use cravings in relation to social media is scant. The current study sought to determine if alcohol cravings were associated with engagement (i.e. Liking, Sharing, Commenting) with social media alcohol content. Method In all, n = 723 participants (18–65 years old) completed the Desires for Alcohol Questionnaire (DAQ) before and after viewing 6 social media alcohol posts. The likelihood of Liking, Sharing, and Commenting on each depiction was assessed after each exposure. Path analysis assessed direct and indirect effects after adjusting for age, sex, race, ethnicity, social media involvement, and AUDIT score, and clustering of responses within persons. Results Pre-exposure DAQ scores were positively associated with the likelihood of ad Liking (p < .001), Sharing (p < .001), and commenting (p < .001). Likelihood of ad Liking (p = .035) and commenting (p = .028) were positively associated with post-exposure DAQ scores, with the indirect effects also statistically significant (p’s < .05). Conclusions Persons with high alcohol cravings may be more likely to engage with alcohol content on social media, and the act of engagement may subsequently increase alcohol cravings, which suggests a possible positive feedback loop. The role of social media should be accounted for in the prevention and treatment of alcohol use disorders.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"16 1","pages":"184 - 190"},"PeriodicalIF":2.9,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81597743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-13DOI: 10.1080/16066359.2022.2132238
H. Reddon, J. Ivers
Abstract Background The present study was conducted to estimate the association between measures of hope for the future and time to substance use relapse among people living with opioid dependence following their discharge from opioid detoxification programs. Method The data for this investigation were collected from a prospective cohort study of patients who completed detoxification in Ireland (N = 142). After baseline, participants completed follow-up visits at three, six and nine months. Cox regression models were used to analyze the association between measures of hope and time to relapse. Results Of the 142 participants included in this study, 43 (30.3%) were female and the mean duration of substance use was 14.3 years (standard deviation: 5.8). In the multivariable analysis, a five-unit increase in mean Trait Hope Scale scores was associated with a mean decrease of 23% in the Hazard Ratio (HR) of relapse following detoxification (HR = 0.77, 95% Confidence Interval [CI]: 0.63–0.94; p = 0.011). In the sub-analysis, the hope-agency subdomain was significantly associated with lower rates of relapse (HR = 0.59, 95% CI: 0.41–0.83; p = 0.009), while the hope-pathway subdomain was not significantly associated with relapse rates (HR = 0.74, 95% CI: 0.50–1.11; p = 0.146). Conclusions In the present study, increased mean levels of hope were associated with slower rates of relapse among people living with opioid dependence following discharge from detoxification programs. These findings suggest that empowering people in recovery and providing additional support following services such as detoxification may be valuable strategies to reduce relapse rates among people living with opioid dependence.
{"title":"Increased levels of hope are associated with slower rates of relapse following detoxification among people living with opioid dependence","authors":"H. Reddon, J. Ivers","doi":"10.1080/16066359.2022.2132238","DOIUrl":"https://doi.org/10.1080/16066359.2022.2132238","url":null,"abstract":"Abstract Background The present study was conducted to estimate the association between measures of hope for the future and time to substance use relapse among people living with opioid dependence following their discharge from opioid detoxification programs. Method The data for this investigation were collected from a prospective cohort study of patients who completed detoxification in Ireland (N = 142). After baseline, participants completed follow-up visits at three, six and nine months. Cox regression models were used to analyze the association between measures of hope and time to relapse. Results Of the 142 participants included in this study, 43 (30.3%) were female and the mean duration of substance use was 14.3 years (standard deviation: 5.8). In the multivariable analysis, a five-unit increase in mean Trait Hope Scale scores was associated with a mean decrease of 23% in the Hazard Ratio (HR) of relapse following detoxification (HR = 0.77, 95% Confidence Interval [CI]: 0.63–0.94; p = 0.011). In the sub-analysis, the hope-agency subdomain was significantly associated with lower rates of relapse (HR = 0.59, 95% CI: 0.41–0.83; p = 0.009), while the hope-pathway subdomain was not significantly associated with relapse rates (HR = 0.74, 95% CI: 0.50–1.11; p = 0.146). Conclusions In the present study, increased mean levels of hope were associated with slower rates of relapse among people living with opioid dependence following discharge from detoxification programs. These findings suggest that empowering people in recovery and providing additional support following services such as detoxification may be valuable strategies to reduce relapse rates among people living with opioid dependence.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"19 1","pages":"148 - 154"},"PeriodicalIF":2.9,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88534567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-04DOI: 10.1080/16066359.2022.2127692
Laura D. Robinson, Emma E. Walter, F. Deane, B. Larance
Abstract Objective Comorbid eating disorders (EDs) and substance use disorders (SUDs) are common. Most research has explored substance use among individuals with an ED. Few studies describe the prevalence of EDs in samples of women with SUD who are attending treatment. This study is a systematic review and meta-analysis of the point and lifetime prevalence of comorbid ED among treatment-seeking female patients with SUD. Method Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline, six databases were systematically searched to identify studies. Prevalence rates of EDs and/or ED behaviors and methodological factors were extracted from each eligible study. Risk of bias was assessed using the AXIS tool. Random-effects meta-analysis was used to pool prevalence estimates. The protocol is registered in PROSPERO. Results Full text reviews were conducted on 131 studies and 24 (N = 4767) met inclusion criteria. Point prevalence of disordered eating behaviors (DEBs) was 38.71% and lifetime prevalence 20.95%. The point prevalence of a diagnosed ED was 15.69% and lifetime prevalence was 15.67%. For any ED or disordered eating, the point prevalence was 29.99% and lifetime prevalence was 19.40%. Age was a significant negative moderator for point prevalence of AN which was 5.41%. Conclusions This review indicates that there is a high rate of women attending treatment for SUDs with comorbid EDs and/or DEBs. Implications for treatment approaches and suggestions for future research are provided.
{"title":"Comorbid eating disorders among women receiving treatment for substance use disorders: a systematic review and meta-analysis","authors":"Laura D. Robinson, Emma E. Walter, F. Deane, B. Larance","doi":"10.1080/16066359.2022.2127692","DOIUrl":"https://doi.org/10.1080/16066359.2022.2127692","url":null,"abstract":"Abstract Objective Comorbid eating disorders (EDs) and substance use disorders (SUDs) are common. Most research has explored substance use among individuals with an ED. Few studies describe the prevalence of EDs in samples of women with SUD who are attending treatment. This study is a systematic review and meta-analysis of the point and lifetime prevalence of comorbid ED among treatment-seeking female patients with SUD. Method Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline, six databases were systematically searched to identify studies. Prevalence rates of EDs and/or ED behaviors and methodological factors were extracted from each eligible study. Risk of bias was assessed using the AXIS tool. Random-effects meta-analysis was used to pool prevalence estimates. The protocol is registered in PROSPERO. Results Full text reviews were conducted on 131 studies and 24 (N = 4767) met inclusion criteria. Point prevalence of disordered eating behaviors (DEBs) was 38.71% and lifetime prevalence 20.95%. The point prevalence of a diagnosed ED was 15.69% and lifetime prevalence was 15.67%. For any ED or disordered eating, the point prevalence was 29.99% and lifetime prevalence was 19.40%. Age was a significant negative moderator for point prevalence of AN which was 5.41%. Conclusions This review indicates that there is a high rate of women attending treatment for SUDs with comorbid EDs and/or DEBs. Implications for treatment approaches and suggestions for future research are provided.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"18 1","pages":"114 - 126"},"PeriodicalIF":2.9,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90502227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-26DOI: 10.1080/16066359.2022.2124976
A. Lyons, I. Goodwin, Nicholas Carah, Jessica Young, Angela Moewaka Barnes, T. McCreanor
Abstract The purposive design, production and marketing of legal but health-demoting products that stimulate habitual consumption and pleasure for maximum profit has been called ‘limbic capitalism’. In this article, drawing on alcohol and tobacco as key examples, we extend this framework into the digital realm. We argue that ‘limbic platform capitalism’ is a serious threat to the health and wellbeing of individuals, communities and populations. Accessed routinely through everyday digital devices, social media platforms aggressively intensify limbic capitalism because they also work through embodied limbic processes. These platforms are designed to generate, analyse and apply vast amounts of personalised data in an effort to tune flows of online content to capture users’ time and attention, and influence their affects, moods, emotions and desires in order to increase profits. Social media are central to young people’s socialising, identities, leisure practices and engagement in civic life. Young people actively appropriate social media for their own ends but are simultaneously recruited as consumers who are specifically targeted by producers of limbic products and services. Social media platforms have seen large increases in users and traffic through the COVID-19 pandemic and limbic capitalism has worked to intensify marketing that is context, time and place specific, driving online purchases and deliveries of limbic products. This has public health implications that require immediate attention as existing regulatory frameworks are woefully inadequate in this era of data-driven, algorithmic marketing.
{"title":"Limbic platform capitalism: understanding the contemporary marketing of health-demoting products on social media","authors":"A. Lyons, I. Goodwin, Nicholas Carah, Jessica Young, Angela Moewaka Barnes, T. McCreanor","doi":"10.1080/16066359.2022.2124976","DOIUrl":"https://doi.org/10.1080/16066359.2022.2124976","url":null,"abstract":"Abstract The purposive design, production and marketing of legal but health-demoting products that stimulate habitual consumption and pleasure for maximum profit has been called ‘limbic capitalism’. In this article, drawing on alcohol and tobacco as key examples, we extend this framework into the digital realm. We argue that ‘limbic platform capitalism’ is a serious threat to the health and wellbeing of individuals, communities and populations. Accessed routinely through everyday digital devices, social media platforms aggressively intensify limbic capitalism because they also work through embodied limbic processes. These platforms are designed to generate, analyse and apply vast amounts of personalised data in an effort to tune flows of online content to capture users’ time and attention, and influence their affects, moods, emotions and desires in order to increase profits. Social media are central to young people’s socialising, identities, leisure practices and engagement in civic life. Young people actively appropriate social media for their own ends but are simultaneously recruited as consumers who are specifically targeted by producers of limbic products and services. Social media platforms have seen large increases in users and traffic through the COVID-19 pandemic and limbic capitalism has worked to intensify marketing that is context, time and place specific, driving online purchases and deliveries of limbic products. This has public health implications that require immediate attention as existing regulatory frameworks are woefully inadequate in this era of data-driven, algorithmic marketing.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"98 1","pages":"178 - 183"},"PeriodicalIF":2.9,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81064111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-21DOI: 10.1080/16066359.2022.2124245
Leanne Francia, Amelia Berg, T. Lam, Kirsty Morgan, S. Nielsen
Abstract Introduction and aims Despite a long history of the adoption of a peer workforce in alcohol and other drug treatment service provision, there is limited peer reviewed literature on the benefits of peer worker role integration in the hospital setting. Our qualitative study explored the perceptions of people with lived experience of problematic alcohol and other drugs use and their experiences of peer worker roles in the hospital setting. Design and methods Twenty semi-structured interviews with people who experienced problematic alcohol and other drug use. Transcripts were thematically analyzed and guided by a broad interest in a therapeutic alliance. Results We identified four themes related to how lived experience expertise within a peer worker role strengthened therapeutic alliances: (i) by building trust and credibility; (i) by building hope; (iii) the ability to approach informally; and (iv) in continuing to be accessible long term. Discussion and conclusion The results partly echo earlier literature, however highlight two innovative aspects that relate to lived experience expertise that maintain therapeutic alliances in the hospital setting being, firstly, the ability to approach informally, and secondly, an opportunity for longer-term engagement. In Australia at present there is a window of opportunity to better integrate peer workers into clinical care models, and as such our results have implications for how policy makers might better approach peer worker integration and configuration to improve treatment-seeking intentions both within and beyond the hospital setting.
{"title":"“The peer workers, they get it” – how lived experience expertise strengthens therapeutic alliances and alcohol and other drug treatment-seeking in the hospital setting","authors":"Leanne Francia, Amelia Berg, T. Lam, Kirsty Morgan, S. Nielsen","doi":"10.1080/16066359.2022.2124245","DOIUrl":"https://doi.org/10.1080/16066359.2022.2124245","url":null,"abstract":"Abstract Introduction and aims Despite a long history of the adoption of a peer workforce in alcohol and other drug treatment service provision, there is limited peer reviewed literature on the benefits of peer worker role integration in the hospital setting. Our qualitative study explored the perceptions of people with lived experience of problematic alcohol and other drugs use and their experiences of peer worker roles in the hospital setting. Design and methods Twenty semi-structured interviews with people who experienced problematic alcohol and other drug use. Transcripts were thematically analyzed and guided by a broad interest in a therapeutic alliance. Results We identified four themes related to how lived experience expertise within a peer worker role strengthened therapeutic alliances: (i) by building trust and credibility; (i) by building hope; (iii) the ability to approach informally; and (iv) in continuing to be accessible long term. Discussion and conclusion The results partly echo earlier literature, however highlight two innovative aspects that relate to lived experience expertise that maintain therapeutic alliances in the hospital setting being, firstly, the ability to approach informally, and secondly, an opportunity for longer-term engagement. In Australia at present there is a window of opportunity to better integrate peer workers into clinical care models, and as such our results have implications for how policy makers might better approach peer worker integration and configuration to improve treatment-seeking intentions both within and beyond the hospital setting.","PeriodicalId":47851,"journal":{"name":"Addiction Research & Theory","volume":"15 1","pages":"106 - 113"},"PeriodicalIF":2.9,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79075241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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