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Acceptability of technology-based methods substance abuse counseling in office based buprenorphine maintenance for opioid dependence.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19283574 [PubMed - in process]
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Gandhi D, Welsh C, Bennett M, Carreño J, Himelhoch S Tags: Am J Addict Source Type: journals

Is there a better way to match patients to opioid maintenance treatment: a case report.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19283573 [PubMed - in process]
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Fareed A, Casarella J, Amar R, Drexler K Tags: Am J Addict Source Type: journals

Challenges in quantifying marijuana use.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19283572 [PubMed - in process]
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Gray KM, Watson NL, Christie DK Tags: Am J Addict Source Type: journals

The Violence Proneness Scale of the DUSI-R predicts adverse outcomes associated with substance abuse.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Accuracy of the Violence Proneness Scale (VPS) of the Drug Use Screening Inventory (DUSI-R) was evaluated in 328 boys for predicting use of illegal drugs, DUI, selling drugs, sexually transmitted disease, car accident while under acute effects of drugs/alcohol, trading drugs for sex, injuries from a fight, and traumatic head injury. Boys were prospectively tracked from age 16 to 19 at which time these outcomes were documented in the interim period. The results demonstrated that the VPS score is a significant predictor of all outcomes. Prediction accuracy ranged between 62%-83%. These findings suggest that the VPS may b...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Kirisci L, Tarter R, Reynolds M Tags: Am J Addict Source Type: journals

The influence of intake urinalysis, psychopathology measures, and menstrual cycle phase on treatment compliance.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Drug abuse among women is a societal health problem which has received greater attention in recent years. Studies examining sex differences in drug abuse have shown consistent differences between males and females. In the current study, we retrospectively examined 75 treatment-seeking females to determine the relationships between intake measurements of psychopathology, intake urinalysis, menstrual cycle phase at admission, and treatment compliance. Our results support a relationship among these variables and a potential relationship between menstrual cycle phase and anxiety level is discussed. These results support th...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Ambrose-Lanci LM, Sterling RC, Weinstein SP, Van Bockstaele EJ Tags: Am J Addict Source Type: journals

Misuse of alcohol among methadone patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Between 5 and 49% of patients undergoing methadone maintenance treatment (MMT) consume alcohol. They show less willingness to comply with treatment and are less committed, their treatment times are longer, and their observance is weaker. Alcohol misuse is the main cause of their increased mortality and morbidity rates. We conducted a multivariate, prospective, open-label study in two groups of methadone patients: the first suffered from alcohol use disorder according to the criteria of the alcohol use disorder test (AUDIT), while the second was alcohol-abstinent. In the process, we completed evaluations on the Toronto ...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Rengade CE, Kahn JP, Schwan R Tags: Am J Addict Source Type: journals

Empathy ability is impaired in alcohol-dependent patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Empathy is a complex form of psychological inference in which observation, memory, knowledge and reasoning are combined to yield insights into the thoughts and feelings of others. The aim of this study was to evaluate the level of empathy in a sample of alcohol-dependent patients in comparison to a control sample. One hundred and fifty alcohol-dependent subjects were consecutively recruited. All of the subjects successfully detoxified have been evaluated with the Empathy Quotient (EQ) and then compared with 107 control subjects. The level of empathy was significantly lower in the group of alcohol-dependent subjects tha...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Martinotti G, Di Nicola M, Tedeschi D, Cundari S, Janiri L Tags: Am J Addict Source Type: journals

Psychopharmacologic management of opioid-dependent women during pregnancy.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study describes psychiatric symptoms in 111 opioid-dependent pregnant women and their prescribed psychotropic medications. Hypomania, generalized anxiety disorder and depression were the most common disorders for which psychiatric symptoms were endorsed. Over half of women studied were prescribed some form of psychoactive medication during pregnancy. Pharmacologic vs. non-pharmacologic treatment approaches in this patient population are discussed. PMID: 19283567 [PubMed - in process]
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Martin PR, Arria AM, Fischer G, Kaltenbach K, Heil SH, Stine SM, Coyle MG, Selby P, Jones HE Tags: Am J Addict Source Type: journals

Gender differences in associations between lifetime alcohol, depression, panic disorder, and posttraumatic stress disorder and tobacco withdrawal.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined the interaction of gender and lifetime psychiatric status on the experience of nicotine withdrawal using retrospective data from the National Comorbidity Survey (NCS; N = 816). Multiple regression analyses were performed to examine the main and interactive effects of gender and major depression, alcohol abuse/dependence, panic disorder, and PTSD on indices of withdrawal. Major depression and alcohol abuse/dependence were associated with longer duration of withdrawal symptoms in women. Women also showed stronger associations between major depression and recurrent withdrawal symptoms and PTSD and smoking ...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Weinberger AH, Maciejewski PK, McKee SA, Reutenauer EL, Mazure CM Tags: Am J Addict Source Type: journals

Characteristics and outcomes of patients discharged from the Opioid Renewal Clinic at the Philadelphia VA Medical Center.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In this study, charts of all discharged patients over a 22-month span (n = 86) were reviewed for outcomes for two years after discharge. The most frequent reason for discharge from the program was recurrent positive urine drug screens for illicit substances (n = 40; 47%). Only 15 (17%) were seen for addiction treatment in the two-year follow-up period. Forty-one percent of patients (n = 35) were prescribed opioids within two years of discharge. There was a positive correlation between length of time in the ORC and receipt of opioids post discharge. These outcomes reveal areas of need in the management of this complex popul...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Becker WC, Meghani SH, Barth KS, Wiedemer N, Gallagher RM Tags: Am J Addict Source Type: journals

Evening experiences versus drinking indicators as predictors of hangover on a summer holiday.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Little is known about predictors of hangover symptoms. The subjective experience of the "night out" may influence the experience of hangover symptoms. We conducted a survey of 325 young men and women at a vacation resort during the daytime, administering subjects the Acute Hangover Scale (AHS) and asking questions about drinking and behaviors the night before. Half of the subjects reported feeling hangover symptoms on a single item relating to hangovers in general, but 73% scored above 1 on the full AHS. Several variables correlated with AHS, but in multivariate analyses, only variables associated with drunkenness the ...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Hesse M, Tutenges S Tags: Am J Addict Source Type: journals

Using vouchers to increase continuing care participation in veterans: does magnitude matter?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The present study examined the comparative effects of adding contingency management (CM) schedules to an existing substance abuse continuing care program, with the goal of increasing attendance. We retrospectively examined the attendance of 135 veterans enrolled in one of three CM programs and a quasi-control condition of 55 veterans. Results indicated that participants enrolled in the two higher magnitude CM voucher programs increased both continuing care attendance and length of participation. Findings support the use of CM to increase continuing care attendance among veterans with substance use disorders, and sugges...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Businelle MS, Rash CJ, Burke RS, Parker JD Tags: Am J Addict Source Type: journals

Pain and substance-related pain-reduction behaviors among opioid dependent individuals seeking methadone maintenance treatment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We surveyed 293 opioid dependent individuals seeking methadone maintenance treatment about their pain experiences and their substance-related pain reduction behaviors. Among the 213 respondents reporting recent pain of at least moderate typical pain intensity, two-thirds had a lifetime history of chronic pain. In comparison to those without a lifetime history of chronic pain, those with a lifetime history were older, reported higher pain frequency, were more likely to endorse accident or surgery and less likely to endorse "don't know" as the genesis of their recent pain, and endorsed comparable levels of substance-rela...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Barry DT, Beitel M, Joshi D, Schottenfeld RS Tags: Am J Addict Source Type: journals

Early outcomes following low dose naltrexone enhancement of opioid detoxification.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the results of a seven-day follow-up evaluation of 96 subjects who completed inpatient detoxification consisting of the addition of VLNTX (0.125 or 0.250 mg per day) or placebo to methadone taper in a double blind, randomized investigation. Individuals receiving VLNTX during detoxification reported reduced withdrawal and drug use during the first 24 hours after discharge. VLNTX addition was also associated with higher rates of negative drug tests for opioids and cannabis and increased engagement in outpatient treatment after one week. Further studies are needed to test the utility of this approach in easing the...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Mannelli P, Patkar AA, Peindl K, Gottheil E, Wu LT, Gorelick DA Tags: Am J Addict Source Type: journals

Tobacco use by physicians in a physician health program, implications for treatment and monitoring.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The use of tobacco by physicians with substance abuse histories is drastically understudied. A chart review of 1319 physicians enrolled in a physician health program found tobacco use highest for those referred for substance abuse problems (58.1%). Among a subset of currently monitored substance abusers, all those who relapsed during monitoring were using tobacco and had more difficulty maintaining sobriety following initial treatment (p = 0.0137) than non tobacco users. Because tobacco was a risk factor for relapse, reasons why physician health programs should address its use and treatment facilities should establish ...
Source: American Journal on Addictions - March 1, 2009 Category: Addiction Authors: Stuyt EB, Gundersen DC, Shore JH, Brooks E, Gendel MH Tags: Am J Addict Source Type: journals

Regular exercise as a protective factor in relapse following smoking cessation treatment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19219672 [PubMed - in process]
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Abrantes AM, Strong DR, Lloyd-Richardson EE, Niaura R, Kahler CW, Brown RA Tags: Am J Addict Source Type: journals

Anxiety sensitivity as a moderator of the association between smoking rate and panic-relevant symptoms among a community sample of middle-aged adult daily smokers.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The aim of the present investigation was to evaluate the moderating role of anxiety sensitivity (AS) in the relation between smoking rate and panic vulnerability variables among a community-based sample of adults. Results indicated that the interaction between AS and smoking rate significantly predicted anxious arousal, agoraphobic avoidance, and anticipatory anxiety. Specifically, participants who reported higher levels of AS and heavier smoking rates reported the highest levels of panic vulnerability. These data suggest that this combination of high AS and heavier smoking is particularly problematic in regard to pani...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: McLeish AC, Zvolensky MJ, Del Ben KS, Burke RS Tags: Am J Addict Source Type: journals

A comparison of substance use disorder severity and course in American Indian male and female veterans.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purpose of this analysis was to compare substance use disorder (SUD) diagnoses, severity, comorbidity, and course in 362 American Indian veterans. The sample was drawn from communities in the north central and southwestern areas of the United States, structured to over-sample women and to include half-rural/half-urban residents. Instruments used in the study included current demography, military history, the Diagnostic Interview Schedule/Quick Version, Michigan Alcoholism Screening Test modified to include alcohol and drugs (MAST/AD), Brief Symptom Inventory, Posttraumatic Checklist, and a treatment algorithm. Univ...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Westermeyer J, Canive J, Thuras P, Thompson J, Crosby RD, Garrard J Tags: Am J Addict Source Type: journals

Predictors of treatment outcome in outpatient cocaine and alcohol dependence treatment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined the ability of several baseline variables to predict treatment outcome in a pharmacotherapy trial that included 164 participants who were both cocaine- and alcohol-dependent and were selected for a randomized, double-blind, placebo-controlled study. Predictor variables included results from the baseline Addiction Severity Index (ASI), initial Urine Drug Screen results, cocaine and alcohol craving and cocaine and alcohol withdrawal symptoms at the start of treatment. Successful treatment was defined as four continuous weeks of self-reported cocaine abstinence verified by urine drug screens. In respect to demogra...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Ahmadi J, Kampman KM, Oslin DM, Pettinati HM, Dackis C, Sparkman T Tags: Am J Addict Source Type: journals

Low plasma levels of docosahexaenoic acid are associated with an increased relapse vulnerability in substance abusers.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Low levels of some polyunsaturated fatty acids (PUFAs) could influence behaviors leading to the abuse of substances through their actions on serotonergic and dopaminergic mechanisms. Because substance abusers tend to have poor dietary habits, the possibility that a deficient intake of n-3 PUFAs, available from dietary sources only, and subsequent low n-3 plasma levels would predict their relapse rates was explored. Thirty-five patients admitted to substance abuse clinics were enrolled and followed for one year. Dietary questionnaires and blood samples were collected at baseline and on a quarterly basis, and relapse rat...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Buydens-Branchey L, Branchey M, Hibbeln JR Tags: Am J Addict Source Type: journals

Sexual risk behavior associated with co-administration of methamphetamine and other drugs in a sample of HIV-positive men who have sex with men.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined the association between sexual risk behavior and co-administration of methamphetamine with other drugs in a sample of 341 HIV-positive MSM. Those who reported methamphetamine co-administration in the past two months (65%) reported significantly more unprotected anal and oral sex and a greater number of casual, anonymous, and paid sex partners in this timeframe compared to men who used methamphetamine alone. Two primary patterns of co-administration were identified: 1) drug combinations motivated by sexual performance and enhancement (eg, methamphetamine, poppers, sildenafil); and 2) "party drug" combina...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Semple SJ, Strathdee SA, Zians J, Patterson TL Tags: Am J Addict Source Type: journals

A preliminary trial: double-blind comparison of nefazodone, bupropion-SR, and placebo in the treatment of cannabis dependence.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The present study investigated the efficacy of nefazodone and bupropion-sustained release for treating cannabis dependence. A double-blind, placebo-controlled, piggy back design was employed to assess if nefazodone and bupropion-sustained release increased the probability of abstinence from cannabis and reduced the severity of cannabis dependence and cannabis withdrawal symptoms during a 13-week outpatient treatment program. One-hundred and six participants (Mean = 32 years; females n = 25) were randomized to one of three medication conditions (nefazodone, bupropion-sustained release, or placebo) and participated in a ...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Carpenter KM, McDowell D, Brooks DJ, Cheng WY, Levin FR Tags: Am J Addict Source Type: journals

Olanzapine in cocaine dependence: a double-blind, placebo-controlled trial.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Preclinical and uncontrolled human studies have suggested the possible efficacy of second-generation antipsychotics, particularly olanzapine, in treating cocaine dependence. We conducted a randomized, double-blind, placebo-controlled trial in which 48 cocaine-dependent subjects received olanzapine or identical-appearing placebo for 16 weeks. The primary outcome measure was the proportion of cocaine-negative weekly urine screens during treatment. Secondary measures included scores on a Craving Questionnaire, Addiction Severity Index subscales, and extrapyramidal symptom scales. Olanzapine and placebo did not differ on a...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Hamilton JD, Nguyen QX, Gerber RM, Rubio NB Tags: Am J Addict Source Type: journals

Prediction of cannabis use disorder between boyhood and young adulthood: clarifying the phenotype and environtype.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Employing a prospective paradigm, this investigation derived the childhood phenotype and the environtype associated with risk for cannabis use disorder. Two hundred and sixteen boys were evaluated between age 10-12 on a comprehensive protocol using self, mother, and teacher reports and followed-up at ages 19 and 22 to determine the presence of cannabis use disorder. The Transmissible Liability Index (TLI) and Non-Transmissible Liability Index (NTLI) were derived using item response theory. Logistic regression was conducted to evaluate the accuracy of the indexes, singly and in combination, to predict cannabis use disor...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Kirisci L, Tarter R, Mezzich A, Ridenour T, Reynolds M, Vanyukov M Tags: Am J Addict Source Type: journals

Alcohol and injury in the United States general population: a risk function analysis from the 2005 National Alcohol Survey.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A risk function analysis of data is reported from the 2005 National Alcohol Survey on average daily volume of alcohol and frequency of consuming five or more drinks per day with reporting any injury during the preceding year, an injury that was treated, or an injury that was treated in the emergency room (ER). Data suggest the association of alcohol and injury based on ER studies is not representative of all injuries, and should be taken into account in deriving estimates of risk of injury related to alcohol and alcohol-attributable fractions based on ER studies. PMID: 19219663 [PubMed - in process]
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Cherpitel CJ, Ye Y Tags: Am J Addict Source Type: journals

The inclusion of women and minorities in smoking cessation clinical trials: a systematic review.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study assesses the impact of the 1993 NIH Revitalization Act on the inclusion and subgroup analysis of women and minorities in trials of FDA-approved smoking cessation pharmacotherapy. Female representation, while commensurate with population levels, declined significantly for trials that began recruitment after 1993(M = 47.2% vs. M = 53.9%), and fewer than half reported analyses by gender. Minorities continued to be under-represented in later trials; however, significant improvement in representation (M = 16.1% vs. M = 10%) and analysis by race occurred. Industry-sponsored studies had lower minority representation th...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Dickerson DL, Leeman RF, Mazure CM, O'Malley SS Tags: Am J Addict Source Type: journals

Treatment challenges associated with comorbid substance use and posttraumatic stress disorder: clinicians' perspectives.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A significant proportion of individuals with substance use disorders (SUDs) meet criteria for comorbid posttraumatic stress disorder (PTSD). This comorbidity confers a more complicated clinical presentation that carries with it formidable treatment challenges for practitioners. The current study examined sources of difficulty and gratification among clinicians (N = 423) from four national organizations who completed an anonymous questionnaire. As expected, the findings revealed that comorbid SUD/PTSD was rated as significantly more difficult to treat than either disorder alone. The most common challenges associated wit...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Back SE, Waldrop AE, Brady KT Tags: Am J Addict Source Type: journals

Opioid deaths in rural Virginia: a description of the high prevalence of accidental fatalities involving prescribed medications.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In rural Virginia, drug overdose deaths increased 300% from 1997 to 2003. Polydrug deaths predominate (57.9%) in this review of 893 medical examiner cases. Prescription opioids (74.0%), antidepressants (49.0%), and benzodiazepines (39.3%) were more prevalent than illicit drugs. Two-thirds of decedents were 35-54 years old; 37% were female. When compared to western Virginia metropolitan cases, polydrug abuse was more common, specific medication combinations were found, the death rate per population was higher, and fewer illicit drugs were detected. These rural prescription overdose deaths differ from urban illicit drug ...
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Wunsch MJ, Nakamoto K, Behonick G, Massello W Tags: Am J Addict Source Type: journals

Cautionary guidelines for the use of opioids in chronic pain.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Guidelines for the use of opioids in the treatment of chronic pain have recently been proposed by the American Academy of Addiction Psychiatry. Older guidelines proposed by American pain organizations had the effect of liberalizing opioid prescription. In recent years, dramatic increases in prescribed opioids have been followed by equally dramatic rises in morbidity and mortality from prescription opioids. In addition, new research has increased knowledge of the long-term effects of opioids. These new guidelines propose increased caution in regard to opioid prescription for chronic pain. PMID: 19219659 [PubMed - in process]
Source: American Journal on Addictions - January 1, 2009 Category: Addiction Authors: Streltzer J, Ziegler P, Johnson B, Tags: Am J Addict Source Type: journals

Response to ADHD symptom severity and tobacco use paper.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19034743 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Edwards HB, Upadhyaya HP, Carpenter MJ Tags: Am J Addict Source Type: journals

Pathways from earlier marijuana use in the familial and non-familial environments to self-marijuana use in the fourth decade of life.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined the longitudinal pathways from marijuana use in the familial environment (parents and siblings) and non-familial environment (peers and significant other), throughout adolescence and young adulthood, to the participants' own marijuana use in their fourth decade of life (n = 586). Longitudinal pathways to marijuana use were assessed using structural equation modeling. Familial factors were mediated by non-familial factors; sibling marijuana use also had a direct effect on the participants' marijuana use. In the non-familial environment, significant other marijuana use had only a direct effect, while peer marijua...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Brook JS, Zhang C, Koppel J, Brook DW Tags: Am J Addict Source Type: journals

Concordance between cigarette smoking and the modified Fagerström Tolerance Questionnaire in controlled studies of ADHD.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Concordance between cigarette smoking and the modified Fagerström Tolerance Questionnaire in controlled studies of ADHD. Am J Addict. 2008 Nov-Dec;17(6):491-6 Authors: Wilens TE, Vitulano M, Upadhyaya H, Adamson J, Parcell T, Westerberg D, Biederman J Our objective was to compare scores on a smoking questionnaire to a diagnosis of cigarette smoking. As part of follow-ups in studies of ADHD, we assessed for cigarette smoking using structured interviews and the modified Fagerstrom Tolerance Questionnaire (mFTQ). Data were obtained from 162 subjects (mean = 19.2 yrs). ROC analysis and kappa coefficients revea...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Wilens TE, Vitulano M, Upadhyaya H, Adamson J, Parcell T, Westerberg D, Biederman J Tags: Am J Addict Source Type: journals

The influence of monetary compensation on relapse among addicted participants: empirical vs. anecdotal evidence.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Although common, the use of cash incentives to compensate drug-addicted participants is controversial. This is particularly true given concerns that cash incentives might precipitate relapse, as is commonly believed. The following investigation examined whether cash versus money order compensation differentially influenced drug use among 34 non-treatment-seeking, cocaine-dependent individuals. Consistent with past evidence, results did not suggest that form of compensation was associated with likelihood of continued cocaine use or dollar amount of cocaine consumed after participation. Findings do not support commonly h...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Dempsey JP, Back SE, Waldrop AE, Jenkins L, Brady KT Tags: Am J Addict Source Type: journals

The relationship between posttraumatic growth and substance use in homeless women with histories of traumatic experience.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Posttraumatic growth (PTG)--namely, the experience of positive change in oneself or one's life following trauma--is particularly relevant for homeless women because they have greater trauma exposure than the general population, as well as higher rates of substance use. The present study examined PTG and substance use in this population. Fifty homeless women with trauma histories participated. In line with predictions, more current substance use was related to less PTG, more reliance on avoidant coping once approach coping was accounted for, and greater PTSD symptomatology. Levels of growth were comparable to those foun...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Stump MJ, Smith JE Tags: Am J Addict Source Type: journals

Stress-induced drinking in parents of adolescents with externalizing symptomatology: the moderating role of parent social support.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Parenting adolescents with externalizing symptomatology has been repeatedly shown to be stress-inducing for parents. One possible coping strategy for parents dealing with this chronic stress may be drinking. The current study extended previous research by examining the prospective relations between adolescents' externalizing behaviors and parents' negative affect and alcohol consumption. Additionally, the present study tested whether this mediated effect is a function of parental social support. Adolescents' externalizing symptoms prospectively predicted mothers' negative affect. Interestingly, however, mothers' negati...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Handley ED, Chassin L Tags: Am J Addict Source Type: journals

Gender differences in predictors of treatment attrition with high dose naltrexone in cocaine and alcohol dependence.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recently, we reported that naltrexone at 150 mg/day significantly decreased cocaine and alcohol use for men but not women with co-occurring cocaine and alcohol dependence. The present study is an exploratory investigation of predictors that explain the different gender responses to naltrexone, with a particular focus on differential predictors of treatment attrition. No significant predictors were associated with treatment discontinuation in men. Women, however, were more likely to discontinue treatment when reporting severe pre-treatment psychiatric problems or nausea while in treatment. Further research on the impact...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Suh JJ, Pettinati HM, Kampman KM, O'Brien CP Tags: Am J Addict Source Type: journals

Outcomes of DATA 2000 certification trainings for the provision of buprenorphine treatment in the Veterans Health Administration.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Despite the high numbers of veterans with opioid dependence, few receive pharmacologic treatment for this disorder. The adoption of buprenorphine treatment within the Veterans Health Administration (VHA) has been slow. To expand capacity for buprenorphine treatment, the VHA sponsored two eight-hour credentialing courses for the Drug Addiction Treatment Act of 2000. We sought to describe the outcomes of such training. Following the training sessions, 29 participants (18 physicians) were highly satisfied with course content and affirmed their intention to prescribe buprenorphine; after nine-month follow-up, two physician...
Source: American Journal on Addictions - November 1, 2008 Category: Addiction Authors: Gordon AJ, Liberto J, Granda S, Salmon-Cox S, Andree T, McNicholas L Tags: Am J Addict Source Type: journals

Withdrawal, recovery, and long-term sequelae of gamma-butyrolactone dependence: a case report.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 18770093 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Henderson DL, Ginsberg JP Tags: Am J Addict Source Type: journals

Low-dose quetiapine is not a benign sedative-hypnotic agent.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 18770092 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Gugger JJ, Cassagnol M Tags: Am J Addict Source Type: journals

Ulcerative cystitis associated with ketamine.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 18770091 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Tsai JH, Tsai KB, Jang MY Tags: Am J Addict Source Type: journals

Prevalence of delirium tremens.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 18770090 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Soyka M Tags: Am J Addict Source Type: journals

Factors affecting hospital length of stay: is substance use disorder one of them? A study in a Greek public psychiatric hospital.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Comorbidity of psychiatric disorder and substance use disorder (SUD) is very common. Clinical experience says that comorbidity increases inpatient length of stay. We aimed to discover which factors affect length of stay for inpatients at a psychiatric department in a specialized mental hospital in a Greek urban area, and specifically whether SUD is one of them. All patients admitted over a 12-month period were given the CAGE questionnaire and that part of the EUROPASI questionnaire dealing with substance use. This was followed by a diagnostic interview to establish the final diagnosis in accordance with the DSM-IV crit...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Xafenias A, Diakogiannis I, Iacovides A, Fokas K, Kaprinis G Tags: Am J Addict Source Type: journals

Association between psychiatric symptoms and craving in methamphetamine users.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined the differences in psychiatric symptoms between adult methamphetamine users (n = 46) and control subjects (n = 31), the relationship between psychiatric symptoms and the intensity of methamphetamine craving, and whether psychiatric symptoms were correlated to methamphetamine drug-usage variables (ie, length of abstinence, frequency, duration, and lifetime grams). We found that depressive symptoms on the Center for Epidemiology Studies-Depression (CES-D) and many other psychiatric symptoms on the Symptom Checklist-90 (SCL-90) significantly correlated with craving methamphetamine on the visual analog scal...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Nakama H, Chang L, Cloak C, Jiang C, Alicata D, Haning W Tags: Am J Addict Source Type: journals

Assessing craving in young adult smokers using virtual reality.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Cigarette smokers, when confronted with cues associated with smoking, evidence strong reactions, including increased craving. These reactions have not been extensively studied in young adult smokers, a group that research suggests may respond differently than adults or adolescent smokers. We used virtual reality, which presents a complex array of smoking cues that may be particularly salient to young adult smokers, and measured self-report of craving. Young adult smokers responded strongly to these cues and, unlike adults, did not return to a baseline of craving following cue exposure, suggesting young adult smokers di...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Traylor AC, Bordnick PS, Carter BL Tags: Am J Addict Source Type: journals

Development and psychometric evaluation of the pleasant activities list.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study confirms previous findings that addiction is associated with a decreased level of engagement in pleasant activities. The PAL seems to be a standardized, feasible, and valid instrument to sample non-substance-related rewarding activities in patients' everyday lives. PMID: 18770086 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Roozen HG, Wiersema H, Strietman M, Feij JA, Lewinsohn PM, Meyers RJ, Koks M, Vingerhoets JJ Tags: Am J Addict Source Type: journals

The impact of opiate agonist maintenance therapy on drug use within social networks of injecting drug users.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study examined whether participation in opiate drug treatment is associated with changes in drug use and injecting drug use within the social networks of injecting drug users. Participants were 245 injecting drug users who attended the Baltimore Needle Exchange Program during 2002-2004 and requested treatment and received a referral for opiate agonist treatment as part of an intervention to improve treatment outcomes. Data included interviews at baseline, 3, 6, 12, and 18 months and drug treatment program agency records. The mean age of participants was 42.2 years; 77% were African American, 69% were male, and 48% ent...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Lloyd JJ, Strathdee SA, Pu M, Havens JR, Cornelius LJ, Huettner S, Latkin CA Tags: Am J Addict Source Type: journals

Participation in religious activities during contingency management interventions is associated with substance use treatment outcomes.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Many drug abuse treatment programs encourage participation in religious activities, yet there is scant research regarding their effectiveness. Contingency management (CM) interventions sometimes reinforce the completion of non-drug related activities, and church attendance is a popular activity. Cocaine abusers (n = 184) randomized to CM interventions were categorized based on whether or not they engaged in three or more religious activities. Engagers in religious activities (n = 34) remained in treatment longer, were abstinent for longer durations, and submitted more substance-negative samples than non-engagers (n = 1...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Petry NM, Lewis MW, Ostvik-White EM Tags: Am J Addict Source Type: journals

Interpersonal group psychotherapy for comorbid alcohol dependence and non-psychotic psychiatric disorders.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study yields preliminary evidence in support of MIGT as a useful treatment approach for an alcohol-dependent population with psychiatric comorbidity. PMID: 18770083 [PubMed - indexed for MEDLINE]
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Malat J, Leszcz M, Negrete JC, Turner N, Collins J, Liu E, Toneatto T Tags: Am J Addict Source Type: journals

Attitudes toward buprenorphine and methadone among opioid-dependent individuals.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Attitudes and beliefs about drug abuse treatment have long been known to shape response to that treatment. Two major pharmacological alternatives are available for opioid dependence: methadone, which has been available for the past 40 years, and buprenorphine, a recently introduced medication. This mixed-methods study examined the attitudes of opioid-dependent individuals toward methadone and buprenorphine. A total of 195 participants (n = 140 who were enrolling in one of six Baltimore area methadone programs and n = 55 who were out-of-treatment) were administered the Attitudes toward Methadone and toward Buprenorphine...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Schwartz RP, Kelly SM, O'Grady KE, Mitchell SG, Peterson JA, Reisinger HS, Agar MH, Brown BS Tags: Am J Addict Source Type: journals

Psychometric evaluation of the National Opinion Research Center DSM-IV Screen for Gambling Problems (NODS).email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The present study examined the reliability, validity, and clinical utility of a brief self-report measure of gambling behavior, the National Opinion Research Center DSM-IV Screen for Gambling Problems (NODS). Participants were 157 consecutively enrolled male military veterans taking part in substance use disorder treatment. The NODS displayed good internal consistency. Concurrent and discriminant validity were demonstrated by comparing scores on the NODS to scores on the South Oaks Gambling Screen and to a measure of medical problems, respectively. Overall, the NODS appears to be a reliable, valid, and clinically usefu...
Source: American Journal on Addictions - September 1, 2008 Category: Addiction Authors: Wickwire EM, Burke RS, Brown SA, Parker JD, May RK Tags: Am J Addict Source Type: journals