Life Events and Treatment Outcomes Among Individuals with Substance use Disorders: A Narrative Review

Substance use disorders are characterized by a variable course, in which multiple treatment attempts and relapses are typical. Consistent with conceptualizations of substance use and relapse, life events have been implicated in contributing to poor substance use disorders treatment outcomes. However, inconsistencies in empirical findings regarding the life events-substance use disorders outcome literature have been previously observed. This review provides an updated critique of the literature since the previous review published in 1987 (O\u27Doherty & Davies, 1987), examining the relationship between life events and substance use disorders treatment outcome among clinical samples of individuals. Review of 18 peer-reviewed articles suggested that data on the life events-outcome relationship continue to be inconclusive. Inconsistencies across studies in the operationalization of life events and substance use treatment outcomes and lack of theoretically driven designs may be contributing to differences in findings. Recommendations for future research that will increase the clinical utility of the life events construct are provided

Criterion Intervals for Pretreatment Drinking Measures in Treatment Evaluation

Drinking during a 30-day pretreatment period was found not to be representative of longer pretreatment intervals, especially in a population of seriously impaired inpatient alcoholic

Driving Records of Persons Convicted of Driving under the Influence of Alcohol

The average interval between convictions of driving under the influence decreases from 2 years between first and second convictions to 17, 11 and 8 months, respectively, between the second and third, the third and fourth and the fourth and fifth convictions

HIV Care Providers’ Role Legitimacy as Supporters of Their Patients’ Alcohol Reduction

Although HIV care providers are strategically situated to support their patients’ alcohol reduction efforts, many do not do so, sometimes failing to view this support as consistent with their roles. Using data collected from 112 HIV providers in 7 hospital-based HIV Care Centers in the NYC metropolitan area, this paper examines the correlates of providers’ role legitimacy as patients’ alcohol reduction supporters. Results indicate that providers (1) responsible for a very large number of patients and (2) with limited confidence in their own ability to give this assistance, but high confidence intheir program’s ability to do so, were less likely to have a high level of role legitimacy as patients’ alcohol reduction supporters. Findings suggest the types of providers to target for alcohol reduction support training

The impact of injuries study. Multicentre study assessing physical, psychological, social and occupational functioning post injury - a protocol

Background: Large numbers of people are killed or severely injured following injuries each year and these injuries place a large burden on health care resources. The majority of the severely injured are not fully recovered 12-18 months later. Psychological disorders are common post injury and are associated with poorer functional and occupational outcomes. Much of this evidence comes from countries other than the UK, with differing health care and compensation systems. Early interventions can be effective in treating psychological morbidity, hence the scale and nature of the problem and its impact of functioning in the UK must be known before services can be designed to identify and manage psychological morbidity post injury. Methods/Design : A longitudinal multi-centre study of 680 injured patients admitted to hospital in four areas across the UK: Nottingham, Leicester/Loughborough, Bristol and Surrey. A stratified sample of injuries will ensure a range of common and less common injuries will be included. Participants will complete a baseline questionnaire about their injury and pre-injury quality of life, and follow-up questionnaires 1, 2, 4, and 12 months post injury. Measures will include health and social care utilisation, perceptions of recovery, physical, psychological, social and occupational functioning and health-related quality of life. A nested qualitative study will explore the experiences of a sample of participants, their carers and service providers to inform service design. Discussion: This study will quantify physical, psychological, social and occupational functioning and health and social care utilisation following a range of different types of injury and will assess the impact of psychological disorders on function and health service use. The findings will be used to guide the development of interventions to maximise recovery post injury

Proceedings of the 13th annual conference of INEBRIA

CITATION: Watson, R., et al. 2016. Proceedings of the 13th annual conference of INEBRIA. Addiction Science & Clinical Practice, 11:13, doi:10.1186/s13722-016-0062-9.The original publication is available at https://ascpjournal.biomedcentral.comENGLISH SUMMARY : Meeting abstracts.https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-016-0062-9Publisher's versio

Stress and alcohol use: An experimental investigation of cognitive mechanisms

Objective: Stressors are associated with greater alcohol consumption, alcohol-related problems, and Alcohol Use Disorder. Implicit cognitive processes are key in determining a coping strategy but alcohol and stressors may interfere with these processes. One such process, alcohol attention bias (AtB), has been associated with hazardous and coping-motivated alcohol use patterns. This study 1) tested associations between alcohol AtB, hazardous alcohol use patterns, and coping motivation and 2) tested alcohol AtB as a mediator in the stressor-alcohol relationship. Method: Thirty-nine participants with hazardous alcohol use were randomly assigned to a stress-exposure or control condition. Participants completed assessments of alcohol use patterns, coping motivation, stress response, alcohol craving, and alcohol AtB. Outcome measures were alcohol craving and consumption. Bivariate associations, ANCOVAs, and serial mediation models were used to test hypotheses. Results: Significant associations were found between alcohol AtB, hazardous alcohol use pattern, and coping motivation. Analyses revealed no significant differences in alcohol outcomes and no significant serial mediation effect. Conclusions: Bivariate associations were consistent with previous research. Lack of power to detect significant effects due to small sample size may explain null serial mediation results. Alternative explanations include measurement of alcohol AtB and stress response, which highlight important considerations for future research

Drug use and abuse

xix, 500 p. : ill. ; 26 cm