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Madrid Study (Spain) on the Prevalence and Characteristics of Outpatients With Dual Disorders
Although dual disorders (DD), addiction, and other mental disorders (MDs) are common in patients using mental health and addiction treatment services, they are not routinely screened for and diagnosed by most health experts. The aim of this article was to present the most relevant findings from the Madrid study on DD in a clinical sample from the Community of Madrid mental health and substance misuse service care networks. The sample consisted of 837 outpatients from Madrid: 208 patients from mental health services and 629 from substance misuse services. We used the Mini International Neuropsychiatric Interview (MINI) to e...
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

Dual Depression: A Sex Perspective
Mood and substance use disorders (SUDs) are mental conditions that are highly prevalent in the general population. Cooccurrence of major depression and SUD, also known as dual depression, is very common in the field of substance addiction. Sex differences are found in both major depression and SUD. This review, after presenting the state of the art of dual depression as regards prevalence, ethiopathologic mechanisms, and clinical aspects, is focused on dual depression in women. An overview of some potential factors associated with the sex gap in dual depression such as injecting, sexual risk behavior, intimate partner viol...
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

Dual Disorders: A Clinical Perspective
Dual disorders (DD) is a common clinical reality, associated with higher degree of complexity. Unfortunately there are few studies on this field. The diagnostic process is difficult and DD has been associated to more severe condition and worse outcomes. Clinically is associated to more relapses, higher suicide risk and less adherence. Dual diagnosis requires complex therapeutic approaches to be able to adapt the treatment to the dual nature of the problem. The treatment should including medical, psychopathologic and social approach. Polymedications and polydrug use is very common, so it is important to understand the effec...
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

What Have We Learned From the Agonist Opioid Treatment of Dual Disorder Heroin Addicts?
Conclusions: Data were hard to compare, and were incomplete as regards the type of substance and the diagnostic criteria for psychiatric diagnosis. The state-dependent (intoxication) dual disorder is probably overrated, whereas some diagnoses may be initially disguised by on-going effective treatment, and then reemerge clearly after treatment discontinuation. The chronology of illness does not offer a reasonable criterion for the classification of dual disorder. The anticraving intervention is often the priority, and is likely to produce, as one favorable effect, the retention of dual disorder patients. The dosage of opi...
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

The Role of Education on Dual Disorders: A Discussion Paper
Conclusions: Most of the scientific literature reports the need to improve the curriculum in undergraduate physician programs. Despite the scientific findings, the training programs do not emphasize on the new conceptualization of the DDs. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

Dual Disorders: A Worldwide Perspective
Conclusions: In this article, it was clearly established and demonstrated that there is an extensive relationship between substance abuse and a large number of mental illnesses and conditions. This dual relationship was also demonstrated to be on a worldwide basis. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - November 21, 2017 Category: Addiction Tags: Original Articles Source Type: research

Housing Status, Psychiatric Symptoms, and Substance Abuse Outcomes Among Sober Living House Residents Over 18 Months
Studies show individuals entering sober living recovery houses (SLHs) make significant, sustained improvement on measures of substance abuse problems, employment, and arrests. The current study assessed changes in housing status among SLH residents over 18 months and the relative influences of housing status and psychiatric distress on substance abuse outcomes. Two hundred forty-one men and 58 women, all age 18 and older, were interviewed within their first week of entering 20 SLHs and again at 6-, 12-, and 18-month follow-up. Between entry into the SLHs and 18-month follow-up homelessness declined from 16% to 4%, marginal...
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

A Unique Model for Adolescent Addiction Treatment: A Description of the Alberta Adolescent Recovery Centre
Conclusions: The AARC program is a unique model for comprehensive, long-term adolescent substance use treatment with a high rate of treatment completion. Further research is needed to evaluate the long-term effectiveness of AARC and if successful, how this treatment model can be transferred and adapted to other settings. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Comorbidity of Alcohol Use Disorder and Depression: A Case Report and Review of the Literature
Conclusions: Pharmacological clinical trials published in literature typically measures several things: if the treatment was able to decrease depressive symptoms, if the treatment was able to decrease alcohol consumption, and if the treatment was able to prevent relapse. Current studies published have looked at the effects of using different selective serotonin reuptake inhibitors, by itself or in combination with anticraving medication to decrease depressive symptoms, and alcohol consumption. However, it is unlikely that a specific antidepressant can reduce depression and also decrease alcohol consumption in dual diagnose...
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Case Report Source Type: research

The Acceptability and Feasibility of Screening for Alcohol and Drug Misuse in a Hospital Emergency Department
Conclusions: High patient-to-nurse ratios in the ED currently preclude nurses from providing consistent SBI to all eligible patients; however, there are several practical considerations highlighted here that might help nurses increase the participation rate. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

The Elderly and the Opioid Epidemic: A Case Study
Opioid addiction is a problem within the United States that is impacting all age groups. The elderly are a population that is seldom discussed as being affected by opioids. Physiologically, the older adult is more susceptible for complications associated with an alteration in pharmacokinetics and late diagnosis of diseases such as viral hepatitis C. Health promotion for this population is imperative in the prevention and treatment of opioid addiction problems. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Effects of Recent Alcohol Consumption Level on Neurocognitive Performance in HIV+ Individuals
Conclusions: Although cognitive weaknesses were detectable among these non–treatment-seeking HIV+ drinkers, the level of alcohol consumption was not a primary determinant of neurocognitive performance in this group. A comprehensive profile analysis may be most valuable for detecting cognitive strengths and weaknesses given the heterogeneity of this population. Longitudinal studies are needed to examine the potential additive or synergistic effects of heavy drinking and HIV seropositivity on cognitive performance. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Brief Interventions for Cannabis Use Disorders: A Review
Conclusions: Brief interventions might be useful for mild to moderate cannabis users for reducing cannabis use and/or associated consequences. Future studies, especially in developing countries are required to look for applicability of such interventions in different populations. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Original Articles Source Type: research

Patient Satisfaction With Videoconferencing-based Treatment for Alcohol Use Disorders
Conclusions: Overall, the patients were satisfied with the treatment. We saw a nonsignificant tendency that the TAU+I group were more satisfied with the treatment in general, compared with the TAU group. It is a possibility that patients in this group felt more satisfied with the treatment as they had the opportunity to choose videoconferencing. Offering videoconferencing-based treatment may be a positive feature in the treatment and lead to improved outcomes of the treatment courses. The technical equipment and routine using it should be improved in future studies or during implementation. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Original Articles Source Type: research

Factor Predictive of 1-Year Retention on Methadone Maintenance Therapy Program: A Survival Analysis Study
Introduction: Methadone maintenance therapy (MMT) is the treatment of choice in opiate dependency and retention in this therapy is considered as a target. However, various studies have shown that the retention rate in this program has not been satisfactory. Objective: To determine the predicting factors that influence patient’s retention on MMT program among opiate dependents. Methods: This retrospective record review study was conducted among 178 opiate-dependent patients who were newly admitted to MMT program in one of Malaysian government hospital. Cox Proportional Hazard Regression was used to predict the facto...
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Original Articles Source Type: research

A Case of Cocaine-induced Toxic Leukoencephalopathy With Severe Radiologic but Mild Clinical Disease
Conclusions: Cocaine use can manifest as diffuse symmetric white matter changes on magnetic resonance imaging of the brain as well as changes in the basal ganglia and globus pallidus. In the absence of other laboratory and historical abnormalities and in the setting of neurobehavioral disabilities and previous drugs use, it is important to consider cocaine-induced leukoencephalopathy as a differential. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Case Report Source Type: research

Mood Regulation, Alexithymia, and Personality Disorders in Adolescent Male Addicts
Objectives: Adolescents with affect dysregulation, alexithymia, and underlying personality disorders (PD) are more vulnerable to substance abuse due to their emotional processing problems and interpersonal conflicts; thus, they abuse illicit drugs through negative reinforcement. Therefore, this study assesses alexithymia, mood dysregulation, and PDs in relation to substance use disorder in adolescent male patients. Methods: In total, 30 adolescent male patients diagnosed with substance use disorder by the Mini International Neuropsychiatric Interview, and a sociodemographically matched control group, were compared using T...
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Original Articles Source Type: research

Rates of Hospital and Emergency Department Attendances in Opiate-dependent Patients Treated With Implant Naltrexone, Methadone, or Buprenorphine
Conclusions: Rates of morbidity in opiate-dependent patients treated with implant naltrexone were significantly elevated compared with methadone and buprenorphine in the first 28 days of treatment, however, are comparable after this initial period. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 20, 2017 Category: Addiction Tags: Original Articles Source Type: research

Alcohol Use Among Persons on Methadone Treatment
No abstract available (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Letter to the Editor Source Type: research

Eating Attitudes in Egyptian Male Patients With Opioid Dependence
Objectives: Patients with substance-use disorders in general and with opiate use in particular may suffer from different eating problems. A higher prevalence of eating disorders is evident in patients with opiate-use disorders than general population. Materials and Methods: Three groups aged 20 to 50 years with 30 male participants in each group were included in the study. Participants in group 1 were opioid-dependent patients with (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Etiology of Changing Pattern of Drug Abuse From Opium to Methamphetamine in Substance Abuser Women: A Qualitative Study
Conclusions: Depth review and analyses of interviews revealed that individual factors are the most important factor in crystal meth abuse. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Do Motivational Incentives Facilitate Drug Addiction Therapy?
Conclusions: Short-motivation incentives group therapy may improve the readiness to change in patients with polysubstance dependence. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Drug-related Mortality in Camden: Demographics and Substance Misuse Trends during the 2010 to 2013 Period
Conclusions and Scientific Significance: This study highlights the opiate epidemic as a major player in Camden County, but also notes significant mortality contributions from stimulant drugs and benzodiazepines in the setting of polysubstance use elicited at the time of death. It is imperative to focus on basic needs (particularly housing) and outpatient long-term programs, rather than inpatient rehabilitation, especially in a population with high poverty rate. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

A New Diagnostic Arabic Questionnaire for Detecting Various Nonchemical Addictive Behaviors
Conclusions: Besides the usual psychoactive substance dependence, there are wide ranges of behaviors that cause a lot of psychological burden and unfortunately are not under the spotlight of medical services. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - February 24, 2017 Category: Addiction Tags: Original Articles Source Type: research

Cannabis and Amphetamine-type Stimulant-induced Psychoses: A Systematic Overview
Conclusions: Our search elicited many studies of 1 substance and its association with psychosis but few comparative studies of this association across substances. Yet, in our opinion these comparisons could shed further insight into the development of psychotic features. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

The Role of Self-Efficacy, Adaptive Coping, and Smoking Urges in Long-term Cessation Outcomes
Conclusions: Interventions that target smoking cessation self-efficacy may facilitate long-term reductions in smoking among daily smokers undergoing a quit attempt. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Physical Pain, Opiate Prescription Medications, and Heroin Addiction: A Case Series
Conclusions: Although preventive measures (ie, educating physicians and changing prescribing patterns) as well as enhancing treatments are being increased, more focus is needed to address management of addiction itself and its comorbidities (ie, psychiatric and medical disorders that increase risk of substance use). (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Case Report Source Type: research

Addiction Stigma Among Mental Health Professionals and Medical Students in Egypt
Objectives: The stigma toward substance use disorders is different from other health conditions, it complicates efforts for social acceptance of patients. Health care providers may hold negative beliefs about addiction patients, that is, that they overuse system resources, fail to adhere to recommended care, abuse the system through drug-seeking and diversion. Therefore, this study was set to compare addiction stigma among psychiatrists, psychiatric nurses, and medical students, and to test whether stigma varies according to the abused substance (alcohol, cannabinoids, heroin, and tramadol). Materials and Methods: A cross...
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Pharmacotherapy in Methadone Maintenance: Clinical Utility of Peak-Trough Blood Levels
Conclusions: Clinician access to peak and trough levels facilitates safe methadone dosing (including total dose and dose splitting) and precise knowledge regarding rate of methadone metabolism (so that very slow and very rapid metabolizers can receive individualized care). (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Age and Gender Considerations for Technology-assisted Delivery of Therapy for Substance Use Disorder Treatment: A Patient Survey of Access to Electronic Devices
Conclusions: These findings suggest that patients in outpatient SUD treatment have access to resources for TAT implementation, although access was not always readily available. Future research will be needed to determine whether the technology that this population possesses will be able to support the evolving TAT modalities and whether interest in TAT across age and gender groups equalizes over time. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Personality Profile and Affect Regulation in Relation to Food Addiction Among a Sample of Egyptian Females
Objectives: Negative emotions are one of the most important triggers of self-regulation failure, that is, when people get upset they comfort themselves with food, alcohol, or drugs. This research was set out to study the associations of food addiction with personality traits as well as with affect regulation. Materials and Methods: A case-control study, 200 females recruited from the outpatient clinics of Ain Shams University hospitals divided into 2 groups; food addict 108 females and nonfood addict 92 females according to Yale food addiction scale score, with age range of 18 to 40 years. Those having neuropsychiatric di...
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Anxiety Sensitivity and Smoking Variability Among Treatment Seeking Smokers
Conclusions: This finding encourages investigation of how AS might interact with clinical strategies using a fixed smoking taper as part of quit attempts. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Brief Interventions for Harmful Alcohol Use in Opioid-dependent Patients on Maintenance Treatment With Buprenorphine: A Prospective Study From India
Conclusion: BI is a feasible and effective intervention to address harmful/hazardous drinking among buprenorphine-maintained opioid-dependent patients. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Behavioral Impulsivity Does Not Predict Naturalistic Alcohol Consumption or Treatment Outcomes
Conclusions: CM interventions may prove to be an effective intervention for impulsive individuals; however, normal variations in measured impulsivity do not seem to relate to normal variations in drinking pattern or response to moderation-based CM. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Patterns and Correlates of Injecting Among Heroin Users: A 11-Year Follow-up of the Australian Treatment Outcome Study Cohort
Conclusions: There had been significant clinical improvement in injecting behaviors and the correlates of injecting. Realistic expectations of recovery, however, need to be placed in the context of long-term injecting patterns. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Differential Impact of Depressive and Manic Mood States on Alcohol Craving in Comorbid Bipolar Alcoholism: Preliminary Findings
Conclusions: Whereas enhanced desire to drink alcohol may be a conditioned reaction to both manic and depressed mood states, desire not to drink alcohol may be more of an indicator of treatment motivation, which is negatively affected by depressed mood. Depressive symptoms may warrant prioritization and aggressive targeting early in treatment given that desire to refrain from alcohol use was only influenced by depressive symptoms and declined over the course of treatment. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - August 23, 2016 Category: Addiction Tags: Original Articles Source Type: research

Symptom Profile of Substance-induced Psychosis Versus Primary Psychosis in a Sample of Egyptian Patients: A Preliminary Study
Conclusions: This study adds to a growing body of literature highlighting the differences between SIP and primary psychosis. It provides set of variables that distinguish the substance-induced and primary psychosis groups from one another, which should be an area for further studies. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Original Articles Source Type: research

Treatment Approaches for Patients With Opioid Use Disorder and Chronic Noncancer Pain: a Literature Review
Conclusions: Buprenorphine and methadone seem to be good options for treatment of patients with comorbid opioid addiction and CNCP. The current evidence is promising but is based on limited observational and pilot studies. There are currently very limited studies that showed promising results for using mindfulness and cognitive behavioral therapy for patients with opioid misuse and CNCP. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Original Articles Source Type: research

Assessing Treatment Integrity in Alcohol Behavioral Couple Therapy
Conclusions: The C-TIRS was designed to provide information about quantity and quality of the delivery of ABCT components; however, further refinement of the C-TIRS is warranted before it should be used in frontline practice. Clinical implications and recommendations for future research are discussed. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Original Articles Source Type: research

Pubertal Maturation Compression and Behavioral Impulsivity Among Boys at Increased Risk for Substance Use
Conclusions: Outcomes are consistent within the Maturation Compression Hypothesis and social neuroscience models of adolescent developmental risk. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Original Articles Source Type: research

Parenting Styles and Psychological Correlates in a Sample of Egyptian Adolescents With Substance-use Disorders
Objectives: To study parenting styles and psychological correlates among a group of Egyptian adolescents with substance-use disorder. Materials and Methods: A case-control study conducted at the Adolescents’ substance abuse outpatient clinic, Helwan Psychiatric Hospital. The case group of 81 male adolescents, age range 12 to 18 years, with substance-use disorders matched with the control group of 80 volunteer male adolescents who had never used drugs. The Mini International Neuropsychiatric Interview for Children and Adolescents, the Eysenck Personality Questionnaire, the Junior Eysenck Personality Questionnaire, an...
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Original Articles Source Type: research

Acute Kidney Injury Associated With Alcohol and Cocaine Abuse: A Case Report
We describe a case history of a 41-year-old man with a history of bipolar disorder and alcohol and cocaine use disorder admitted for alcohol detoxification. Soon after admission the patient developed acute kidney injury, presumably secondary to substance-induced (alcohol and cocaine coabuse) rhabdomyolysis. The patient developed acute renal failure that required admission to acute medical care. His renal failure remitted without dialyses and the patient was discharged to outpatient care. Discussion: Cocaine and alcohol can cause muscle injury. Rhabdomyolysis and acute kidney injury has also been described with a number of...
Source: Addictive Disorders and Their Treatment - May 28, 2016 Category: Addiction Tags: Case Report Source Type: research

Frequency and Factors Associated With Occurrence of Seizures in Patients With Tramadol Abuse: An Upper Egyptian Experience
Conclusions: The study shows that frequency of seizure occurrence among the studied Egyptian tramadol abusers is high (52.4%) and tramadol-induced seizures is dose-dependent. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Past-month Pain and Cognitive-affective Smoking Processes Among Daily Smokers
Conclusions: The present study serves as an initial investigation into the nature of current levels of pain in relation to a variety of cognitive-affective aspects of smoking. Clinical strategies that modify the pain experience may enhance motivation to quit and facilitate success in quitting. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

One Week of Naltrexone Treatment Does Not Reduce Impulsivity During Inpatient Treatment of Alcohol-dependent Patients: An Open-label Study
Conclusion: These results indicate that alcohol-dependent subjects were more impulsive, however, NTX does not seem to reduce alcohol intake by modulating impulsivity. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Family Functioning as a Mediator of Relations Between Family History of Substance Use Disorder and Impulsivity
Conclusions: These results indicate that higher levels of impulsivity in FH+ children are due in part to worse FF. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Psychic Structure of Opioid Addiction: Impact of Lifetime Psychiatric Problems on SCL-90-based Psychopathologic Dimensions in Heroin-dependent Patients
Conclusions: On the basis of our results, the SCL-90-defined structure of opioid addiction may be considered to be only partly dependent on the presence of a “psychiatric” condition. This observation adds to the previous ones that go to show the stability of the above aggregations of symptoms, irrespectively of other demographic and clinical characteristics, as well as active involvement with heroin abuse or the kind of treatment chosen. When the available evidence is considered as a whole, it seems to support the trait-dependent, rather than state-dependent, nature of the proposed factorial dimensions of the p...
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Everyday Problems With Executive Dysfunction and Impulsivity in Adults Recovering From Methamphetamine Addiction
Objectives: Compared with nonaddicted controls (CTLs), adults in remission from methamphetamine addiction (MA-REM) evidence impairments on objective measures of executive functioning and impulsivity. Methods: To evaluate the impact of these impairments in MA-REM adults, demographically matched groups (MA-REM, n=30; CTLs, n=24) completed objective and self-report measures of executive functioning and impulsivity. Results: MA-REM adults demonstrated significantly (P (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - March 1, 2016 Category: Addiction Tags: Original Articles Source Type: research

Aggression as a Predictor of Early Substance Use Initiation Among Youth With Family Histories of Substance Use Disorders
Discussion: Even in the context of family history of substance use disorder, individual differences in childhood aggression and thought problems confer increased risk for early substance use initiation. (Source: Addictive Disorders and Their Treatment)
Source: Addictive Disorders and Their Treatment - December 1, 2015 Category: Addiction Tags: Original Articles Source Type: research

Pharmacotherapy of Gambling
Pathologic gambling (PG) is an impulse control disorder according to Diagnostic and Statistical Manual of Mental Disorders that bridges impulsive, compulsive, and addictive behaviors. This review article discusses the pharmacotherapy of gambling between the age groups of 16 and 65. PG is a relatively common disorder, but there is only limited information available regarding the effectiveness of pharmacotherapy for this illness. The role and effectiveness of various medications including antipsychotics, mood stabilizers, opioid antagonists, and other pharmacological agents are reviewed in this article. Neurobiological resea...
Source: Addictive Disorders and Their Treatment - December 1, 2015 Category: Addiction Tags: Original Articles Source Type: research