scholarly journals Accuracy of self-report, biological tests, collateral reports and clinician ratings in identifying substance use disorders among adults with schizophrenia.

2013 ◽  
Vol 27 (3) ◽  
pp. 774-787 ◽  
Author(s):  
Sarah L. Desmarais ◽  
Richard A. Van Dorn ◽  
Brian G. Sellers ◽  
M. Scott Young ◽  
Marvin S. Swartz
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Self Report ◽  
Biological Tests

Alcohol and Substance Use Disorders as Predictors of Child to Adult Sexual Revictimization in a Sample of Community Women

2002 ◽  
Vol 17 (3) ◽  
pp. 319-340 ◽  
Author(s):  
Terri L. Messman-Moore ◽  
Patricia J. Long
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Sexual Victimization ◽  
Use Of Force ◽  
Self Report ◽  
Sexual Revictimization ◽  
Verbal Coercion ◽  
Different Types

Alcohol- and substance-related diagnoses were examined as factors in child to adult sexual revictimization. Three hundred community women completed interviews and self-report instruments to obtain information regarding victimization and to diagnose substance use disorders (alcohol and substance abuse/dependence). Childhood sexual abuse (CSA) survivors were more likely than nonvictims to meet criteria for both substance use disorders and to report rape (e.g., unwanted intercourse due to threat or use of force, or due to the inability to consent due to the respondent’s alcohol or drug use) and coerced intercourse (e.g., unwanted intercourse due to verbal coercion or misuse of authority by the perpetrator) by acquaintances, strangers, and husbands. In general, both CSA and substance use disorders were predictive of adult sexual victimization, but there were no significant interactions between these factors. Overall, substance use disorders were related to rape for all women; this relationship was not unique to CSA survivors. Alcohol- and substance-related diagnoses predicted rape by all three types of perpetrators, but CSA was predictive of rape only by acquaintances and strangers and not husbands. In contrast, CSA predicted coerced intercourse by all three perpetrators, while alcohol- and substance-related diagnoses predicted coerced intercourse by acquaintances and strangers, but not husbands. Results highlight the need to continue the study of revictimization of CSA survivors, including examination of both rape and sexually coercive experiences by different types of perpetrators. Findings support continued research of substance use disorders as risk factors for sexual victimization among all women.

Childhood Maltreatment and Development of Substance Use Disorders

2016 ◽  
Vol 17 (5) ◽  
pp. 454-467 ◽  
Author(s):  
Hanie Edalati ◽  
Marvin D. Krank
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Childhood Maltreatment ◽  
Cognitive Abilities ◽  
Cognitive Impairments ◽  
Mediating Effect ◽  
Self Report ◽  
Negative Effects ◽  
Increased Risk ◽  
The Relationship

Exposure to childhood maltreatment (CM) is associated with increased risk for developing substance use disorders (SUDs). CM exerts negative effects on cognitive abilities including intellectual performance, memory, attention, and executive function. Parallel cognitive impairments have been observed in SUDs. Hence, limited studies have examined the mediating effect of cognitive impairments in the relationship between CM and SUDs. In addition, most studies used concurrent self-report assessments in adult populations. Longitudinal studies that investigated the long-term consequences of CM on psychopathology, including SUDs, throughout childhood, adolescence, and adulthood are rare. Thus, the underlying developmental pathways between CM and SUDs are not clearly understood. In this article, we review the evidence that cognitive impairments mediate, at least in part, the relationship between CM and development of SUDs and propose a model that explains how CM increases the risk for SUDs through the development of a cognitive framework of vulnerability.

scholarly journals Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Maren Mikkelsen Ellingsen ◽  
Sunniva Launes Johannesen ◽  
Egil Wilhelm Martinsen ◽  
Sandra Rinne Dahl ◽  
Mats Hallgren
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Self Esteem ◽  
Psychological Effects ◽  
Rating Of Perceived Exertion ◽  
Self Report ◽  
Control Group ◽  
Short Term ◽  
Polysubstance Use ◽  
Multicenter Randomized Controlled Trial

BACKGROUND Novel treatments for substance use disorders are needed. Acute bouts of exercise can improve mood states and craving in nonclinical populations. Exercise effects in those with polysubstance dependence are understudied; controlled trials are needed. OBJECTIVE This protocol describes a clinical study examining the short-term psychological effects of 2 types of physical activity, soccer and circuit training, in patients with substance use disorders. Effects will be compared with a nonexercise control group. Specific aims are to investigate whether there are differences between the activities and the duration of changes. METHODS This study is a short-term multicenter randomized control trial with a crossover design. Patients consecutively admitted to 4 inpatient treatment centers were invited to participate in 3 conditions, each lasting 45 minutes, within one week. The order of the conditions was randomized. There were a total of 5 assessments, taken at baseline, immediately before each condition, immediately after each condition, and 1, 2, and 4 hours postintervention, enabling patterns of change over time to be observed. Psychological effects were assessed with self-report questionnaires, which included scales for craving, state anxiety, positive and negative affect, self-esteem, and mood. Exercise intensity was assessed with the Borg Rating of Perceived Exertion scale and a heart rate monitor (Polar M200; Polar Electro Ltd). Cortisol was assessed in saliva before and 4 hours after the intervention. RESULTS A total of 39 patients were included in the study. Data collection was completed in 2019. CONCLUSIONS We anticipate larger improvements in the intervention groups than among controls, indicating positive psychological effects during and after exercise. The study will add clinically relevant information about the short-term psychological effects of exercise in the treatment of substance use disorders, using activities that are easily accessible in different clinical settings. CLINICALTRIAL German Clinical Trials Register DRKS00018869; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018869 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18553

scholarly journals Effects of Acute Exercise on Drug Craving, Self-Esteem, Mood, and Affect in Adults with Polysubstance Use Disorder: Protocol for a Multicenter Randomized Controlled Trial

10.2196/18553 ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. e18553
Author(s):  
Maren Mikkelsen Ellingsen ◽  
Sunniva Launes Johannesen ◽  
Egil Wilhelm Martinsen ◽  
Sandra Rinne Dahl ◽  
Mats Hallgren
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Self Esteem ◽  
Psychological Effects ◽  
Rating Of Perceived Exertion ◽  
Self Report ◽  
Control Group ◽  
Short Term ◽  
Polysubstance Use ◽  
Multicenter Randomized Controlled Trial

Background Novel treatments for substance use disorders are needed. Acute bouts of exercise can improve mood states and craving in nonclinical populations. Exercise effects in those with polysubstance dependence are understudied; controlled trials are needed. Objective This protocol describes a clinical study examining the short-term psychological effects of 2 types of physical activity, soccer and circuit training, in patients with substance use disorders. Effects will be compared with a nonexercise control group. Specific aims are to investigate whether there are differences between the activities and the duration of changes. Methods This study is a short-term multicenter randomized control trial with a crossover design. Patients consecutively admitted to 4 inpatient treatment centers were invited to participate in 3 conditions, each lasting 45 minutes, within one week. The order of the conditions was randomized. There were a total of 5 assessments, taken at baseline, immediately before each condition, immediately after each condition, and 1, 2, and 4 hours postintervention, enabling patterns of change over time to be observed. Psychological effects were assessed with self-report questionnaires, which included scales for craving, state anxiety, positive and negative affect, self-esteem, and mood. Exercise intensity was assessed with the Borg Rating of Perceived Exertion scale and a heart rate monitor (Polar M200; Polar Electro Ltd). Cortisol was assessed in saliva before and 4 hours after the intervention. Results A total of 39 patients were included in the study. Data collection was completed in 2019. Conclusions We anticipate larger improvements in the intervention groups than among controls, indicating positive psychological effects during and after exercise. The study will add clinically relevant information about the short-term psychological effects of exercise in the treatment of substance use disorders, using activities that are easily accessible in different clinical settings. Trial Registration German Clinical Trials Register DRKS00018869; https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018869 International Registered Report Identifier (IRRID) DERR1-10.2196/18553

scholarly journals Impulsivities and addictions: a multidimensional integrative framework informing assessment and interventions for substance use disorders

2018 ◽  
Vol 374 (1766) ◽  
pp. 20180137 ◽  
Author(s):  
Jasmin Vassileva ◽  
Patricia J. Conrod
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
First Century ◽  
Self Report ◽  
Integrative Framework ◽  
State Dependent ◽  
Theoretical Perspectives ◽  
Survival Skill ◽  
Neurocognitive Measures

Impulse control is becoming a critical survival skill for the twenty-first century. Impulsivity is implicated in virtually all externalizing behaviours and disorders, and figures prominently in the aetiology and long-term sequelae of substance use disorders (SUDs). Despite its robust clinical and predictive validity, the study of impulsivity is complicated by its multidimensional nature, characterized by a variety of trait-like personality dimensions, as well as by more state-dependent neurocognitive dimensions, with variable convergence across measures. This review provides a hierarchical framework for linking self-report and neurocognitive measures to latent constructs of impulsivity and, in turn, to different psychopathology vulnerabilities, including substance-specific addictions and comorbidities. Impulsivity dimensions are presented as novel behavioural targets for prevention and intervention. Novel treatment approaches addressing domains of impulsivity are reviewed and recommendations for future directions in research and clinical interventions for SUDs are offered. This article is part of the theme issue ‘Risk taking and impulsive behaviour: fundamental discoveries, theoretical perspectives and clinical implications’.

scholarly journals Disentangling substance use and related problems: urgency predicts substance-related problems beyond the degree of use

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Malin K. Hildebrandt ◽  
Raoul Dieterich ◽  
Tanja Endrass
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Delay Discounting ◽  
Sensation Seeking ◽  
Self Report ◽  
Future Research ◽  
Targeted Prevention ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
And Control

Abstract Background Substance use disorders are reliably associated with high impulsivity and sensation seeking. Importantly, both precede problematic substance use, implicating them as risk factors. Individuals with substance use disorders show variable degrees of substance use (combined quantity and frequency) and substance-related problems and differ in both aspects from healthy controls. Dimensional research has indicated differential associations of impulsivity-related traits as well as sensation seeking with the degree of substance use and substance-related problems. The current study aimed to clarify whether impulsivity-related traits and sensation seeking predict substance-related problems above and beyond the degree of substance use and are thus specifically linked to problems, the dimension that characterizes substance use disorders. Method We assessed impulsivity-related traits and sensation seeking using self-report, as well as delay discounting, a behavioral indicator of impulsivity, in a sample of 258 substance-using adults. Results Sensation seeking and impulsivity-related traits significantly predicted the degree of substance use, with sensation seeking explaining the largest portion of variance. In contrast, self-reported impulsivity, in particular when experiencing negative emotions (urgency), but not sensation seeking or delay discounting, predicted substance-related problems when controlling for the degree of substance use. Conclusions This suggests that urgency, but not sensation seeking, may be specifically linked to substance-related problems and thus especially relevant for substance use disorders. Taken together, this study underlines the necessity to assess and control for the degree of substance use in risk factor research concerning substance-related problems. Thus, it may inform future research improving targeted prevention and therapy.

scholarly journals Comparing self-report and parental report of psychopathologies in adolescents with substance use disorders

2021 ◽  
Author(s):  
Sören Kuitunen-Paul ◽  
Anna Eichler ◽  
Melina Wiedmann ◽  
Lukas A. Basedow ◽  
Veit Roessner ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Repeated Measures ◽  
Pearson Correlation ◽  
Correlation Coefficients ◽  
Attention Problems ◽  
Self Report ◽  
Parental Characteristics ◽  
Self Reports ◽  
Parental Reports

AbstractBoth internalizing and externalizing psychopathologies interfere with the treatment of substance use disorders (SUD) in adolescents. Self-reports of psychopathologies are likely biased and may be validated with parental reports. We compared N = 70 standardized self-reports of adolescents entering outpatient SUD treatment (13.2–18.6 years old, 43% female) to parental reports on the same psychopathologies, and explored biases due to gender, age, SUD diagnoses and SUD severity. Bivariate bootstrapped Pearson correlation coefficients revealed several small to moderate correlations between both reporting sources (r = 0.29–0.49, all pcorrected ≤ 0.039). A repeated measures MANOVA revealed moderately stronger parental reports of adolescent psychopathologies compared to adolescent self-reports for most externalizing problems (dissocial and aggressive behaviors, p ≤ 0.016, η2part = 0.09–0.12) and social/attention problems (p ≤ 0.012, η2part = 0.10), but no differences for most internalizing problems (p ≥ 0.073, η2part = 0.02–0.05). Differences were not associated with other patient or parental characteristics including age, gender, number of co-occurring diagnoses or presence/absence of a certain SUD (all puncorrected ≥ 0.088). We concluded that treatment-seeking German adolescents with SUD present with a multitude of extensive psychopathologies. The relevant deviation between self- and parental reports indicate that the combination of both reports might help to counteract dissimulation and other reporting biases. The generalizability of results to inpatients, psychiatry patients in general, or adolescents without SUD, as well as the validity of self- and parental reports in comparison to clinical judgements remain unknown.

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