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Locked down and drinking? Are more people self-identifying as having mental health difficulties alongside their drinking via an online platform? 被关起来喝酒?是否有更多的人通过网络平台在饮酒的同时,还自我认为有心理健康问题?
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-08-01 DOI: 10.1108/ADD-02-2021-0005
Angela Calcan, Mark Holmes
PurposeThe purpose of this paper is to offer a viewpoint on the impact that the COVID-19 pandemic has had on people’s engagement with an online alcohol service in the UK. This paper examines whether self-reported mental health concerns increased during the pandemic compared to pre-pandemic times.Design/methodology/approachA comparison was made between service data captured in one contract area – West Sussex, England – pre-pandemic (April 2019 to March 2020) and during pandemic (April 2020 to March 2021).FindingsSelf-reported mental health treatment needs increased during the pandemic period (71.2% of presentations compared to 50% pre-pandemic) via the online coaching service. Male referrals increased by 74% during the pandemic period compared to the previous year. Female referrals decreased by 4% in the same time period. Feelings of shame and guilt as well as loss of a confidential space to engage in online interventions were common concerns reported by service users.Research limitations/implicationsResearch limitations include the relatively small sample size, the sample comprised of self-referred treatment seeking clients, and there was no control group. All data collected is self-report therefore subjective and not necessarily meeting diagnostic criteria.Practical implicationsOf note was the impact of the pandemic on women and their reduced access to the online service during the pandemic. Commissioners and services must adapt their service design and delivery alongside the new “normal” way of living and working. Routine screening of mental health and alcohol use are recommended.Originality/valueThis paper offers insight from an established online/digital service and the impact of the pandemic on people’s engagement with the service.
本文的目的是就COVID-19大流行对英国人们使用在线酒精服务的影响提供一种观点。本文研究了与大流行前相比,自我报告的心理健康问题在大流行期间是否有所增加。设计/方法/方法比较了大流行前(2019年4月至2020年3月)和大流行期间(2020年4月至2021年3月)在一个合同地区(英格兰西萨塞克斯)捕获的服务数据。通过在线辅导服务,自我报告的心理健康治疗需求在大流行期间有所增加(占报告的71.2%,而大流行前为50%)。与前一年相比,大流行期间男性转诊人数增加了74%。在同一时期,女性转介人数减少了4%。羞耻感和内疚感以及失去参与在线干预的保密空间是服务用户报告的常见问题。研究的局限性/启示研究的局限性包括样本量相对较小,样本由自我参考治疗寻求的客户组成,并且没有对照组。所有收集的数据都是自我报告,因此是主观的,不一定符合诊断标准。请注意,实际影响是大流行病对妇女的影响,以及她们在大流行病期间获得在线服务的机会减少。专员和服务机构必须根据新的“正常”生活和工作方式调整其服务设计和交付。建议对精神健康和酒精使用情况进行常规筛查。原创性/价值本文从一个已建立的在线/数字服务以及疫情对人们使用该服务的影响的角度提供了见解。
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引用次数: 1
Barriers for homeless with dual diagnosis: lessons learned from intensive mobile psychosocial assertive community treatment program 双重诊断的无家可归者的障碍:从强化流动社会心理自信社区治疗方案中吸取的经验教训
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-28 DOI: 10.1108/add-09-2020-0019
T. Zolnikov, Michaele M Hammel, Frances Furio, Brandon Eggleston
PurposeDual diagnosis is a term that describes the co-occurrence of mental health disorders or illness and substance use or abuse disorders. Because this co-occurrence results in multiple diseases, layers of treatment are often needed to successfully create positive change in the individual. The purpose of this study is to explore factors of treatment that could facilitate improvements in functionality and quality of life for those with a dual diagnosis.Design/methodology/approachA secondary data analysis, using both quantitative and qualitative data, was completed. Secondary analysis is an empirical exercise that applies the same basic research principles as studies using primary data and has steps to be followed, including the evaluative and procedural steps commonly associated with secondary data analysis. Documentation data from the intensive mobile psychosocial assertive community treatment program was gathered for this analysis; this program was used because of the intensive and community-based services provided to patients with a dual diagnosis.FindingsThe major findings from this secondary analysis suggested that significant barriers included “denial” (e.g. evasion, suspension or avoidance of internal awareness) of diagnoses, complicated treatment and other barriers related to housing. Ultimately, these findings provided greater insight into potential effective treatment interventions for people living with a dual diagnosis.Originality/valueThis study adds to the growing body of literature showing that patient-centered care allows for more effective treatment and ultimately, improved health outcomes.
双重诊断是一个描述精神健康障碍或疾病与物质使用或滥用障碍共同发生的术语。由于这种共同发生导致多种疾病,因此通常需要多层治疗才能成功地在个体中产生积极的变化。本研究的目的是探讨治疗的因素,可以促进改善功能和生活质量的双重诊断。设计/方法/方法使用定量和定性数据完成了二次数据分析。二次分析是一种经验性的练习,应用与使用原始数据的研究相同的基本研究原则,并有要遵循的步骤,包括通常与二次数据分析相关的评估和程序步骤。本分析收集了来自强化流动社会心理自信社区治疗项目的文件数据;之所以采用这一方案,是因为它为双重诊断患者提供了密集的社区服务。这项二次分析的主要发现表明,重大障碍包括“否认”(例如逃避、暂停或避免内在意识)诊断、复杂的治疗和其他与住房有关的障碍。最终,这些发现为双重诊断患者的潜在有效治疗干预提供了更深入的见解。原创性/价值这项研究增加了越来越多的文献,表明以患者为中心的护理可以更有效地治疗,并最终改善健康结果。
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引用次数: 0
News, guidance and resources related to dual diagnosis in older adults 与老年人双重诊断相关的新闻、指导和资源
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-13 DOI: 10.1108/ADD-05-2021-046
R. Rao
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引用次数: 0
Integrated treatment of dual disorders in The Netherlands: a qualitative study of client experiences 荷兰双重精神障碍的综合治疗:一项客户体验的定性研究
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-09 DOI: 10.1108/ADD-12-2020-0029
A. V. Wamel, A.L.F. Lempens, A. Neven
PurposeMany clients who suffer from severe mental health problems also struggle with alcohol and drug use. And although there seems to be a consensus in most European countries that integrated treatment models (especially the integrated treatment of dual disorder clients model) are best fitted to help these clients, none of these have strong evidence, mostly owing to methodological limitations in the studies. This study aims to contribute to the knowledge of why integrated treatment is helpful by conducting in-depth interviews with dual disorder clients who are currently receiving integrated treatment.Design/methodology/approachThis study is a qualitative thematic analysis using a timeline tool to elicit participants’ responses. In the interviews, dual diagnosis clients with severe problems reflected on their situation at admission, the care they received in integrated treatment and their opinions on positive and negative elements. The interviews were coded and analysed with MAXQDA.FindingsIn the analyses of the interviews, this study found three clusters of elements that clients indicated were the most helpful during their treatment and recovery process: trusting and meaningful relationship with the team, components of integrated treatment and organisation of care.Originality/valueThe findings emphasized the importance of working relationship in the treatment of complex and long-term problems. This has implications for the evaluation of these integrated treatment models which so far mainly focuses on specific interventions.
许多患有严重精神健康问题的客户也在与酗酒和吸毒作斗争。尽管在大多数欧洲国家似乎有一个共识,即综合治疗模式(特别是双重障碍客户的综合治疗模式)最适合帮助这些客户,但这些都没有强有力的证据,主要是由于研究方法的局限性。本研究旨在通过对目前正在接受综合治疗的双重障碍患者进行深入访谈,了解为什么综合治疗是有帮助的。设计/方法/方法本研究是一个定性的主题分析,使用时间轴工具来引出参与者的反应。在访谈中,严重问题的双重诊断患者反映了他们入院时的情况,他们在综合治疗中得到的护理以及他们对积极因素和消极因素的看法。使用MAXQDA对访谈进行编码和分析。在对访谈的分析中,本研究发现了客户表示在治疗和康复过程中最有帮助的三组元素:与团队的信任和有意义的关系,综合治疗的组成部分和护理的组织。独创性/价值研究结果强调了工作关系在治疗复杂和长期问题中的重要性。这对迄今为止主要侧重于具体干预措施的综合治疗模式的评估有影响。
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引用次数: 1
The workplace culture in addiction psychiatry in Finland as described by healthcare personnel 保健人员描述的芬兰成瘾精神病学的工作场所文化
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-07-06 DOI: 10.1108/ADD-11-2020-0024
Eeva Lyyra, M. Roos, T. Suominen
PurposeThe purpose of this study is to describe the workplace culture and factors associated with it from the viewpoint of the personnel providing care to patients with dual diagnosis.Design/methodology/approachData were collected from six organizations using an electronic survey in 2019. The respondents (n = 75) worked in addiction psychiatry in specialized health care and provided care to patients. The data were statistically analyzed.FindingsWorkplace culture was evaluated as positive. Stress was experienced occasionally (Md = 2.58, Q1 = 1.96, Q3 = 3.03), job satisfaction levels were moderate (Md = 4.83, Q1 = 4.28, Q3 = 5.44) and the practice environment was evaluated as neutral (Md = 4.46, Q1 = 4.00, Q3 = 5.04). Gender, age in years, employment relationship, work time, staffing, number of patients and the participants’ experience in health care and experience in their current workplace had statistically significant associations with workplace culture.Originality/valueIn Finland, there have been attempts to reform service structures that also influence mental health and substance addiction services. Workplace culture is one approach to promote service development. Yet, there has been no research on workplace culture in the context of the care of patients with dual diagnosis. The results of this study bring knowledge about how health-care personnel perceives stress, job satisfaction and their practice environment in addiction psychiatry, which can be used to further develop services and workplace culture.
目的本研究的目的是从双重诊断患者的护理人员的角度来描述工作场所文化及其相关因素。设计/方法/方法2019年通过电子调查从六个组织收集数据。受访者(n = 75)在专门的卫生保健机构从事成瘾精神病学工作,并为患者提供护理。对数据进行统计学分析。工作场所文化被评价为积极的。偶尔感到压力(Md = 2.58, Q1 = 1.96, Q3 = 3.03),工作满意度水平中等(Md = 4.83, Q1 = 4.28, Q3 = 5.44),工作环境评价为中性(Md = 4.46, Q1 = 4.00, Q3 = 5.04)。性别、年龄(以年为单位)、雇佣关系、工作时间、人员配备、患者人数以及参与者的医疗保健经验和当前工作场所的经验与工作场所文化有统计学上显著的关联。在芬兰,已经尝试改革服务结构,这些结构也影响精神健康和药物成瘾服务。职场文化是促进服务发展的途径之一。然而,目前还没有关于双重诊断患者护理背景下工作场所文化的研究。本研究结果提供了成瘾精神病学医护人员对压力、工作满意度和执业环境的认知,可用于进一步发展服务和工作场所文化。
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引用次数: 0
Psychiatric severity and stress among recovery home residents utilizing medication assisted treatment: a moderated mediation analysis of homophily 使用药物辅助治疗的康复之家居民的精神严重程度与压力:同质性的有调节中介分析
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-14 DOI: 10.1108/ADD-07-2020-0011
John M. Majer, Ted J. Bobak, L. Jason
PurposeThe purpose of this study is to examine the relationship between psychiatric severity and stress among persons utilizing medication assisted treatment (MAT), and there is a need to identify resources that promote resilience against these risk factors. Although recovery homes might complement pharmacological interventions for persons using MAT, a lack of homophily (e.g. similar experiences) among residents could produce stress and increase psychiatric severity. The purpose of this paper is to examine stress and psychiatric severity in relation to recovery outcomes, and whether homophily moderated these relationships.Design/methodology/approachA cross-sectional analysis was conducted among recovery home residents who were recruited from the USA, including those using (n = 40) and not using (n = 132) MAT. Participants’ levels of psychiatric severity, stress, abstinence self-efficacy and quality of life were assessed in addition to whether residents using MAT were living with at least one other resident who used MAT. Moderated mediation analyses were conducted to examine whether homophily among residents using MAT would moderate the mediating effects of stress on the relationships between psychiatric severity and recovery outcomes (abstinence-self efficacy, quality of life).FindingsMediating effects were observed but they were significant only through homophily. Although stress increased the negative effects of psychiatric severity among residents using MAT, significantly lesser effects were observed among those living with residents using MAT.Practical implicationsAlthough psychiatric (problem) severity and stress threaten recovery for persons with substance use disorders, little is known how they impact recovery among those living in community-based settings such as recovery homes. In addition, there is a need to identify community resources that would complement MAT protocols, as patients who use MAT face unique stressors related to their sense of shared interests and experiences (i.e. homophily) when developing social bonds with others in recovery.Social implicationsThis study suggests the social networks within recovery homes reduce the effects of psychiatric severity and stress, and that these effects are lessened for residents who use MAT when they live with others who also use MAT.Originality/valueLittle is known about recovery home residents who use MAT and have high psychiatric severity. Findings suggest homophily among persons using MAT living in recovery homes who have high psychiatric severity can promote resilience.
目的:本研究旨在探讨药物辅助治疗(MAT)患者的精神严重程度与压力之间的关系,并指出有必要确定促进对这些风险因素恢复力的资源。虽然康复之家可能会对使用MAT的人进行药物干预,但居民之间缺乏同质性(例如相似的经历)可能会产生压力并增加精神疾病的严重程度。本文的目的是检验压力和精神严重程度与康复结果的关系,以及同质性是否调节了这些关系。设计/方法/方法对从美国招募的康复之家居民进行了横断面分析,包括使用(n = 40)和不使用(n = 132) MAT的人。参与者的精神严重程度、压力、除了评估戒断自我效能和生活质量外,还评估了使用戒断自我效能的居民是否与至少一个使用戒断自我效能的居民生活在一起。进行了有调节的中介分析,以检验使用戒断自我效能的居民之间的同质性是否会调节压力对精神严重程度与康复结果(戒断自我效能,生活质量)之间关系的中介作用。研究结果:在同源性中观察到中介效应,但中介效应是显著的。尽管压力增加了使用MAT的居民的精神严重程度的负面影响,但在与使用MAT的居民一起生活的人中观察到的影响明显较小。实际意义尽管精神(问题)严重程度和压力威胁着物质使用障碍患者的康复,但人们对它们如何影响生活在社区环境(如康复之家)中的人的康复知之甚少。此外,需要确定补充MAT协议的社区资源,因为使用MAT的患者在康复过程中与他人建立社会联系时,面临着与他们的共同兴趣和经历感(即同质性)相关的独特压力源。社会意义本研究表明,康复院里的社会网络减少了精神严重程度和压力的影响,并且当使用MAT的居民与其他也使用MAT的居民住在一起时,这些影响会减轻。独创性/价值对于使用MAT和精神严重程度高的康复院里的居民知之甚少。研究结果表明,在精神病严重程度高的康复院里使用MAT的人之间的同质性可以促进恢复力。
{"title":"Psychiatric severity and stress among recovery home residents utilizing medication assisted treatment: a moderated mediation analysis of homophily","authors":"John M. Majer, Ted J. Bobak, L. Jason","doi":"10.1108/ADD-07-2020-0011","DOIUrl":"https://doi.org/10.1108/ADD-07-2020-0011","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to examine the relationship between psychiatric severity and stress among persons utilizing medication assisted treatment (MAT), and there is a need to identify resources that promote resilience against these risk factors. Although recovery homes might complement pharmacological interventions for persons using MAT, a lack of homophily (e.g. similar experiences) among residents could produce stress and increase psychiatric severity. The purpose of this paper is to examine stress and psychiatric severity in relation to recovery outcomes, and whether homophily moderated these relationships.\u0000\u0000\u0000Design/methodology/approach\u0000A cross-sectional analysis was conducted among recovery home residents who were recruited from the USA, including those using (n = 40) and not using (n = 132) MAT. Participants’ levels of psychiatric severity, stress, abstinence self-efficacy and quality of life were assessed in addition to whether residents using MAT were living with at least one other resident who used MAT. Moderated mediation analyses were conducted to examine whether homophily among residents using MAT would moderate the mediating effects of stress on the relationships between psychiatric severity and recovery outcomes (abstinence-self efficacy, quality of life).\u0000\u0000\u0000Findings\u0000Mediating effects were observed but they were significant only through homophily. Although stress increased the negative effects of psychiatric severity among residents using MAT, significantly lesser effects were observed among those living with residents using MAT.\u0000\u0000\u0000Practical implications\u0000Although psychiatric (problem) severity and stress threaten recovery for persons with substance use disorders, little is known how they impact recovery among those living in community-based settings such as recovery homes. In addition, there is a need to identify community resources that would complement MAT protocols, as patients who use MAT face unique stressors related to their sense of shared interests and experiences (i.e. homophily) when developing social bonds with others in recovery.\u0000\u0000\u0000Social implications\u0000This study suggests the social networks within recovery homes reduce the effects of psychiatric severity and stress, and that these effects are lessened for residents who use MAT when they live with others who also use MAT.\u0000\u0000\u0000Originality/value\u0000Little is known about recovery home residents who use MAT and have high psychiatric severity. Findings suggest homophily among persons using MAT living in recovery homes who have high psychiatric severity can promote resilience.\u0000","PeriodicalId":51922,"journal":{"name":"Advances in Dual Diagnosis","volume":"124 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85977587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of rash-impulsivity, emotional dysregulation and reward drive in comorbid disordered eating and substance use disorders 鲁莽冲动、情绪失调和奖励驱动在共病性饮食失调和物质使用障碍中的作用
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-06-08 DOI: 10.1108/ADD-01-2021-0002
Natalie Merinuk, Stephan Varcoe, P. Kelly, Laura D. Robinson
PurposeSubstance use disorder (SUD) frequently co-occurs with other psychological conditions, such as eating disorders (EDs). Psychological factors such as emotional dysregulation, rash impulsivity (RI) and reward sensitivity (RS) play a role in the etiology of each disorder, yet little is known about the combined effects of these on comorbid SUDs and EDs or disordered eating behaviours (DEBs). This study aims to examine the role of these psychological factors in comorbid DEBs and SUDs among individuals in treatment for SUDs. The role of gender is tested as a moderator.Design/methodology/approachA cross-sectional self-report survey was completed by 131 participants attending Australian residential substance use treatment centres. A binomial logistic regression analysis was performed to examine the effects of emotional dysregulation, RI and RS on comorbid DEB and SUD. Further, moderation analyses were used to examine the moderating effect for gender on the relationship between these three personality variables and comorbidity.FindingsThe most commonly reported primary substance of use was alcohol (43.5%), followed by amphetamines (38.6%). Findings showed that emotional dysregulation and RI were significantly related to an increase in comorbidity likelihood; however, RS was not. Gender moderated the relationship between comorbidity and RI only.Originality/valueThe significant positive relationship found between RI and comorbidity for females only was a novel finding for the current study. Further research is needed to develop an understanding of the etiology of comorbidity.
物质使用障碍(SUD)经常与其他心理疾病(如饮食失调(EDs))共同发生。心理因素,如情绪失调、鲁莽冲动(RI)和奖励敏感性(RS)在每种疾病的病因中发挥作用,但对这些因素对合并sud和ed或饮食行为紊乱(DEBs)的综合影响知之甚少。本研究旨在探讨这些心理因素在个体合并DEBs和sud治疗中的作用。性别的角色被测试为一个调节者。设计/方法/方法对在澳大利亚住宅药物使用治疗中心的131名参与者进行了横断面自我报告调查。采用二项logistic回归分析,探讨情绪失调、RI和RS对DEB和SUD合并症的影响。进一步,采用调节分析来检验性别对这三个人格变量与合并症之间关系的调节作用。研究结果:最常见的主要使用物质是酒精(43.5%),其次是安非他明(38.6%)。研究结果显示,情绪失调和RI与共病可能性的增加显著相关;然而,RS不是。性别仅调节合并症与RI之间的关系。独创性/价值仅在女性中发现RI与合并症之间的显著正相关是当前研究的新发现。需要进一步的研究来了解合并症的病因。
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引用次数: 0
Cognitive impairment and treatment outcomes amongst people attending an alcohol intervention service for those aged 50+ 参加酒精干预服务的50岁以上人群的认知障碍和治疗结果
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-28 DOI: 10.1108/ADD-02-2021-0003
J. Seddon, S. Wadd, L. Elliott, I. Madoc-Jones
PurposeNo studies have evaluated the relationship between cognitive impairment and alcohol treatment outcomes amongst older drinkers. This study aims to explore the extent of cognitive impairment amongst older adults seeking alcohol treatment and examine the relationship between cognitive impairment, treatment retention and alcohol use following treatment.Design/methodology/approachThe study used data from the Drink Wise Age Well programme; an alcohol intervention service for older adults (aged 50+). The Montreal Cognitive Assessment was used to screen for cognitive impairment; alcohol use was assessed using the alcohol use disorders identification test.FindingsIn total, 531 participants completed the assessment at treatment entry. Over half the sample were male (57%), with a mean age of 60 years (Standard deviation: 7.09). Almost half (48.4%) had cognitive impairment at the entry to treatment: 51.6% had a normal cognitive function, 41.4% had mild cognitive impairment, 5.8% had moderate cognitive impairment and 1.1% had severe cognitive impairment. Cognitive impairment was not associated with increased treatment drop-out and was not predictive of alcohol use following treatment. Alcohol treatment was associated with a significant improvement in cognitive functioning.Originality/valueThis study suggests there may be a significant amount of unidentified cognitive impairment amongst older adults attending alcohol treatment. Assessment and routine screening for cognitive impairment in drug and alcohol services may help in care planning and setting treatment goals; in the absence of routine screening opportunities for treatment planning and intervention may be missed.
目的:在老年饮酒者中,没有研究评估认知障碍与酒精治疗结果之间的关系。本研究旨在探讨寻求酒精治疗的老年人认知障碍的程度,并研究认知障碍、治疗保留和治疗后酒精使用之间的关系。设计/方法/方法该研究使用的数据来自饮酒明智年龄计划;针对老年人(50岁以上)的酒精干预服务。蒙特利尔认知评估用于筛查认知障碍;使用酒精使用障碍鉴定测试评估酒精使用情况。总共有531名参与者在治疗开始时完成了评估。超过一半的样本为男性(57%),平均年龄为60岁(标准差:7.09)。几乎一半(48.4%)的患者在接受治疗时存在认知障碍:51.6%的患者认知功能正常,41.4%的患者有轻度认知障碍,5.8%的患者有中度认知障碍,1.1%的患者有重度认知障碍。认知障碍与治疗退出增加无关,也不能预测治疗后的酒精使用。酒精治疗与认知功能的显著改善有关。原创性/价值这项研究表明,在接受酒精治疗的老年人中,可能存在大量未识别的认知障碍。对药物和酒精服务中的认知障碍进行评估和常规筛查可能有助于制定护理计划和制定治疗目标;在缺乏常规筛查的情况下,可能会错过制定治疗计划和干预措施的机会。
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引用次数: 1
Dual diagnosis in older drinkers during the COVID-19 pandemic COVID-19大流行期间老年饮酒者的双重诊断
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-17 DOI: 10.1108/ADD-12-2020-0028
R. Rao, C. Mueller, M. Broadbent
Purpose: There is a dearth of literature examining the impact of the COVID-19 pandemic on older people with dual diagnosis referred to mental health services. The purpose of this study was to compare dual diagnosis before and after lockdown in people aged between 55 and 74 with alcohol use. Design/methodology/approach: Data were collected for people referred to mental health services using an anonymised database of de-identified records to identify people with both substance use disorder alone, or accompanied by co-existing mental disorders. Findings: In total, 366 older people were assessed with the Alcohol Use Disorders Identification Test (AUDIT), 185 before and 181 after lockdown. People with dual diagnosis were more likely to be referred than those without, after compared to before lockdown (13 and 6%, respectively, p < 0.05). People with any substance use disorder with and without dual diagnosis showed an even greater likelihood of referral after, compared with before, lockdown (61 and 34%, respectively, p < 0.0001). Opioid use more than once a month was more likely to be reported after, compared with before, lockdown (66 and 36%, respectively, p < 0.005). Research limitations/implications: The finding of a higher likelihood of opioid use after compared with before lockdown during the COVID-19 pandemic warrants further exploration. There is also further scope for further studies that involve older non-drinkers. Originality/value: A greater likelihood of both dual diagnosis and substance use disorder alone after, compared with before lockdown has implications for both mental health and addiction service provision during a pandemic. © 2021, Emerald Publishing Limited.
目的:目前缺乏关于COVID-19大流行对转介精神卫生服务的双重诊断老年人影响的文献。本研究的目的是比较55至74岁饮酒人群在封城前后的双重诊断。设计/方法/方法:使用去识别记录的匿名数据库收集转介到精神卫生服务机构的人的数据,以确定既患有物质使用障碍,又伴有共存的精神障碍的人。研究结果:共有366名老年人接受了酒精使用障碍识别测试(AUDIT)的评估,其中185人在封锁前,181人在封锁后。与封锁前相比,双重诊断的人比没有双重诊断的人更有可能被转诊(分别为13%和6%,p < 0.05)。与封锁前相比,有双重诊断和没有双重诊断的任何物质使用障碍患者在封锁后转诊的可能性更高(分别为61%和34%,p < 0.0001)。与封锁前相比,封锁后报告每月使用阿片类药物超过一次的可能性更大(分别为66%和36%,p < 0.005)。研究局限性/影响:在2019冠状病毒病大流行期间,与封锁前相比,封锁后使用阿片类药物的可能性更高,这一发现值得进一步探索。对不喝酒的老年人进行进一步的研究也有进一步的空间。独创性/价值:与封锁前相比,封锁后双重诊断和物质使用障碍的可能性更大,这对大流行期间的心理健康和成瘾服务提供都有影响。©2021,翡翠出版有限公司
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引用次数: 1
The role of occupational meaningfulness and citizenship as mediators between occupational status and recovery: a cross-sectional study among residents with co-occurring problems 职业意义和公民身份在职业状态与康复之间的中介作用:一项对有共同问题的居民的横断面研究
IF 0.9 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2021-05-07 DOI: 10.1108/ADD-08-2020-0018
Linda Nesse, G. Aamodt, M. T. Gonzalez, M. Rowe, R. K. Raanaas
PurposeEngagement in meaningful occupations and being included as full citizens of the community, is essential in everyday life, and may be of considerable relevance for recovery and quality of life. However, persons with co-occurring substance use and mental health problems experience extensive obstacles to engagement in occupations and citizenship. The relationship between objective measures of occupational status and subjective experiences of occupational meaningfulness, citizenship and recovery, is scarcely researched in the context of co-occurring problems. As such, the purpose of this study is to examine associations between occupational status, occupational meaningfulness, citizenship and recovery and quality of life and to examine the roles of occupational meaningfulness and citizenship as possible mediators between occupational status and recovery and quality of life.Design/methodology/approachThe study used a cross-sectional design with a sample of 104 residents at supported housing sites across six Norwegian cities.FindingsLinear regression analyzes indicated that occupational status was significantly associated with the citizenship domains caring for others and community participation and with the quality of life measure positive affect. Occupational meaningfulness and citizenship were significantly associated with different domains of recovery and quality of life. Furthermore, mediation analyzes showed that the relationship between occupational status and recovery and quality of life was mediated by caring for others and community participation.Originality/valueThe results suggest that emphasizing opportunities for occupational meaningfulness and citizenship in practice may have positive implications for recovery among persons with co-occurring problems.
目的从事有意义的职业并成为社区的正式公民,在日常生活中是必不可少的,并且可能对康复和生活质量有相当大的相关性。然而,同时存在药物使用和精神健康问题的人在从事职业和成为公民方面遇到广泛障碍。职业地位的客观测量与职业意义、公民身份和恢复的主观体验之间的关系,在共同发生的问题的背景下很少被研究。因此,本研究的目的是检验职业地位、职业意义、公民身份、康复和生活质量之间的关系,并检验职业意义和公民身份在职业地位、康复和生活质量之间可能起到的中介作用。设计/方法/方法该研究采用横断面设计,对挪威六个城市的104名居民进行了抽样调查。结果:线性回归分析显示,职业地位与关怀他人、社区参与的公民领域以及生活质量测量的积极影响显著相关。职业意义和公民意识与康复和生活质量的不同领域显著相关。此外,中介分析显示,职业地位与康复和生活质量之间的关系受关爱他人和社区参与的中介作用。独创性/价值研究结果表明,在实践中强调职业意义和公民身份的机会可能对同时出现问题的人的康复有积极的影响。
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引用次数: 6
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Advances in Dual Diagnosis
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