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COMORBIDITY 2009 <100>
Database EMBASE
Accession Number 0020180663
Authors Greenfield L. Wolf-Branigin M.
Institution
(Greenfield, Wolf-Branigin) Greenfield and Associates, Kensington, Maryland 20895, USA.
Country of Publication
United Kingdom
Title
Mental health indicator interaction in predicting substance abuse treatment outcomes
in nevada..
Source
The American journal of drug and alcohol abuse. 35(5)(pp 350-357), 2009. Date of
Publication: 2009.
Abstract
BACKGROUND: Indicators of co-occurring mental health and substance abuse problems
routinely collected at treatment admission in 19 State substance abuse treatment systems
include a dual diagnosis and a State mental health (cognitive impairment) agency referral.
These indicators have yet to be compared as predictors of treatment outcomes.
OBJECTIVES: 1. Compare both indices as outcomes predictors individually and interactively.
2. Assess relationship of both indices to other client risk factors, e.g., physical/sexual abuse.
METHODS: Client admission and discharge records from the Nevada substance abuse
treatment program, spanning 1995-2001 were reviewed (n = 17,591). Logistic regression
analyses predicted treatment completion with significant improvement (33%) and treatment
readmission following discharge (21%). Using Cox regression, the number of days from
discharge to treatment readmission was predicted. Examined as predictors were two mental
health indicators and their interaction with other admission and treatment variables controlled.
RESULTS: Neither mental health indicator alone significantly predicted any of the three
outcomes; however, the interaction between the two indicators significantly predicted each
outcome (p < .05). Having both indices was highly associated with physical/sexual abuse,
domestic violence, homelessness, out of labor force and prior treatment. CONCLUSIONS
AND SCIENTIFIC SIGNIFICANCE: Indicator interactions may help improve substance abuse
treatment outcomes prediction.
Publication Type Journal: Article
Journal Name The American journal of drug and alcohol abuse
Volume 35
Issue Part 5
Page 350-357
Year of Publication 2009
Date of Publication 2009
COMORBIDITY 2009 <102>
Database EMBASE
Accession Number 0020180659
Authors Black R.A. Serowik K.L. Rosen M.I.
Institution
(Black, Serowik, Rosen) Inflexxion, Inc. Newton, Massachusetts 02464, USA.
Country of Publication
United Kingdom
Title
Associations between impulsivity and high risk sexual behaviors in dually diagnosed
outpatients.
Source
The American journal of drug and alcohol abuse. 35(5)(pp 325-328), 2009. Date of
Publication: 2009.
Abstract
BACKGROUND/OBJECTIVES: It is unknown whether impulsivity is associated with risky
sexual behavior in dually diagnosed clients. METHODS: Impulsivity in 51 sexually-active,
dually diagnosed clients was assessed by the Barrett Impulsivity Scale, Delayed Discounting
Questionnaire, and Wisconsin Card-Sorting Task, and a path analysis of relationship to selfreported risk behaviors was conducted. RESULTS: Recent cocaine use was correlated with
risky sexual behaviors and a preference for immediate over larger, delayed rewards trended
towards a correlation. CONCLUSION AND SCIENTIFIC SIGNIFICANCE: The association
between impulsivity and risky sexual behavior among substance users appears to extend to
the dually diagnosed. Implications for HIV prevention are discussed.
Publication Type Journal: Article
Journal Name The American journal of drug and alcohol abuse
Volume 35
Issue Part 5
Page 325-328
Year of Publication 2009
Date of Publication 2009
COMORBIDITY 2009 <116>
Database EMBASE
Accession Number 2010064492
Authors Oyefeso A. Clancy C.
Institution
(Oyefeso) Division of Mental Health, Medical School, St Georges, University of London, London, United Kingdom.
(Clancy) Department of Mental Health and Social Work, School of Health and Social Sciences, Middlesex
University, London, United Kingdom.
Country of Publication
United Kingdom
Title
Comorbidity of executive dysfunction, ADHD and opiate dependence: Implication for
treatment improvement.
Source
Mental Health and Substance Use: Dual Diagnosis. 2(3)(pp 239-246), 2009. Date of
Publication: October 2009.
Publisher
Routledge
Abstract
There is evidence of the occurrence of executive dysfunction (ED) and Attention Deficit
Hyperactivity Disorder (ADHD) among opiate dependents. However, the nature of this
relationship and its impact on treatment outcome in this population has not been sufficiently
examined. This article speculates on the individual and combined influence of ED and ADHD
on treatment response among opiate dependents, examines the implications of these
associations for developing novel interventions, and suggests associated workforce
development and research priorities.
ISSN 1752-3281
Publication Type Journal: Note
Journal Name Mental Health and Substance Use: Dual Diagnosis
Volume 2
Issue Part 3
Page 239-246
Year of Publication 2009
Date of Publication October 2009
DUAL DIAGNOSIS 2009 <117>
Database EMBASE
Accession Number 2010064490
Authors Whicher E.V. Abou-Saleh M.T.
Institution
(Whicher) South West London and St George's Mental Health NHS Trust, London, United Kingdom.
(Abou-Saleh) St george'S, University of London, London, United Kingdom.
Country of Publication
United Kingdom
Title
Developing a service for people with dual diagnosis.
Source
Mental Health and Substance Use: Dual Diagnosis. 2(3)(pp 226-234), 2009. Date of
Publication: October 2009.
Publisher
Routledge
Abstract
Background: Comorbid severe mental illness and substance misuse occur in 15% of patients
attending community mental health teams. Although these patients have poorer outcomes
than those without comorbidity, historically they have been inadequately provided for by
existing addiction and mental health services. Development: In Richmond, UK, a new service
was developed for people with dual diagnosis without extra staffing or financial resources.
The model comprised three components: a link worker from the community drug and alcohol
team who works with individual mental health teams to offer advice and attend
multidisciplinary meetings; a five-day training in dual diagnosis for staff; and a protocol for
joint working of patients by both mental health and substance misuse teams. Discussion: The
major issue in implementing the model was engaging staff, but overall referral pathways
between teams have improved. In addition, the majority of dual diagnosis patients attend joint
appointments, and 80 members of staff have completed dual diagnosis training. Conclusion:
The Dual Diagnosis Good Practice Guide provides a comprehensive template for developing
a dual diagnosis service even in the face of no extra resources. It has taken two years for the
model to become fully integrated into mental health services, but on balance has been
considered a success by staff and patients.
ISSN 1752-3281
Publication Type Journal: Review
Journal Name Mental Health and Substance Use: Dual Diagnosis
Volume 2
Issue Part 3
Page 226-234
Year of Publication 2009
Date of Publication October 2009
COMORBIDITY 2009 <641>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 20155601
Status MEDLINE
Authors Wilson N. Cadet JL.
Authors Full Name Wilson, Natascha. Cadet, Jean Lud.
Institution
DHHS/NIH/NIDA Intramural Research Program, Molecular Neuropsychiatry Research Branch, 251 Bayview
Boulevard, Baltimore, MD 21224, USA. [email protected]
Title
Comorbid mood, psychosis, and marijuana abuse disorders: a theoretical review.
[Review] [155 refs]
Source
Journal of Addictive Diseases. 28(4):309-19, 2009 Oct.
Journal Name
Journal of Addictive Diseases
Country of Publication
England
Abstract
There is a need to bridge the gap between the fields of addiction psychiatry and general
psychiatry to effectively treat co-morbid substance abuse and psychiatric disorders. This
alarming epidemic transcends communities and severely impacts healthcare worldwide,
yielding poor treatment outcomes and prognoses for afflicted patients. Because substance
abuse can exacerbate or trigger psychosis and mood disorders, it is important to keep these
issues in the forefront when evaluating patients. To address some of the complications
stemming from not enough interactions between various groups of practitioners, this review
addresses the neurobehavioral effects of cannabis use and their impact on patients who
suffer from psychotic or affective disorders. The hope is that this article will serve as a spring
board for further discussions among practitioners who treat these patients. Greater
interactions between caretakers are bound to impact the care of our patients in a very positive
way. [References: 155]
Publication Type Journal Article. Research Support, N.I.H., Intramural. Review.
Date of Publication 2009 Oct
Year of Publication 2009
Issue/Part 4
Volume 28
Page 309-19
COMORBIDITY 2009 <697>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 19291161
Status MEDLINE
Authors Georgeson B.
Authors Full Name Georgeson, B.
Institution
Walsingham House, Whitson Street, Bristol, UK. [email protected]
Title
The Matrix Model of dual diagnosis service delivery.
Source
Journal of Psychiatric & Mental Health Nursing. 16(3):305-10, 2009 Apr.
Journal Name
Journal of Psychiatric & Mental Health Nursing
Country of Publication
England
Abstract
The Matrix Model is essentially a strategy for managing dual diagnosis across a range of
agencies. It is a way of implementing partnership working across services and commissioning
structures. The Matrix Model was born out of hard experience at the coalface of dual
diagnosis treatment at a tier four service in Bristol. A very common experience, which many
may recognize, was that clients with complex mental health and addiction needs were being
sent from 'pillar to post' in their treatment. Things needed to change. Here is a method of how
things can change. Briefly, professionals in the drug/alcohol and mental health fields colocate, working with clients in each other's workspaces. In doing this, they create nodes of
integration. These nodes of integration link through parallel-working to create a matrix.
Outcome and key recommendation is that professionals in the drug/alcohol and mental health
fields co-locate in each other's agencies, adopting an assertive outreach approach to working
with dual diagnosis/complex-needs clients.
Publication Type Journal Article.
Date of Publication 2009 Apr
Year of Publication 2009
Issue/Part 3
Volume 16
Page 305-10
COMORBIDITY 2009 <1000>
Database
PsycINFO
Accession Number
Peer Reviewed Journal: 2009-10888-007.
Title
Co-morbidity of drug addiction: An analysis of epidemiological data and possible
etiological models. [References].
Publication Date Aug 2009
Year of Publication 2009
Publication History Accepted: Nov 2008
First Submitted: Apr 2008
Author Demetrovics, Zsolt.
E-Mail Address
Demetrovics, Zsolt: [email protected]
Institution
Demetrovics, Zsolt: Addiction Research Unit, Eotvos Lorand University, Budapest, Hungary
Source
Addiction Research & Theory. Vol.17(4), Aug 2009, pp. 420-431.
ISSN Print
1606-6359
Other Serial Titles
Addiction Research
Publisher Information
Informa Healthcare; US
Other Publishers
Taylor & Francis; United Kingdom
Publication Type
Journal; Peer Reviewed Journal
Abstract
This review summarizes the literature on psychiatric co-morbidity of substance use. The
author overviews general population epidemiological surveys as well as clinical studies, and
discusses both DSM axis I and axis II disorders. After presenting epidemiological data the
author analyzes the nature of relationship between psychoactive substance use and other
mental disorders, and--through examples--four possible models of this relationship are
examined. Despite the lack of precisely determined prevalence rates, some definite
tendencies could be observed along the consistent results of the studies. Due to
methodological problems, however, many questions remain unanswered. Although there are
relatively comprehensive studies on psychiatric disorders associated with drug use and drug
addiction, the question of causality is relatively unresolved. Theoretically possible relations
regarding causality seem to overlap in practice, and in most cases linear type connection is
unlikely. It can be concluded that general questions, such as which disorders have a great
significance in connection to drug use, can be answered. Additional research is needed,
however, to examine the effects of different drug types, race, and gender. Understanding
causality also requires further research. (PsycINFO Database Record (c) 2010 APA, all rights
reserved) (journal abstract)
Copyright
HOLDER: Informa UK Ltd.
YEAR: 2009
COMORBIDITY 2009 <151>
Database EMBASE
Accession Number 2009092367
Authors Mannynsalo L. Putkonen H. Lindberg N. Kotilainen I.
Institution
(Mannynsalo, Lindberg) Department of Psychiatry, Helsinki University Central Hospital, PO Box 590, 00029 HUCH
Helsinki, Finland.
(Putkonen) Vanha Vaasa Hospital, Vaasa, Finland.
(Kotilainen) National Authority for Medicolegal Affairs, Helsinki, Finland.
Country of Publication
United Kingdom
Title
Forensic psychiatric perspective on criminality associated with intellectual disability:
A nationwide register-based study.
Source
Journal of Intellectual Disability Research. 53(3)(pp 279-288), 2009. Date of Publication:
2009.
Publisher
Blackwell Publishing Ltd
Abstract
Background: Contrasting views exist over the association of intellectual disability (ID) and
criminal offending. This nationwide study attempts to shed further light to expand
understanding to substantiate the relation between socio-demographic characteristics,
psychiatric co-morbidity and criminal behaviour among the Finnish forensic population with
ID. Method: We reviewed all forensic psychiatric examination reports of individuals with ID
who underwent a pre-trial forensic psychiatric evaluation in Finland during an 11-year period
(1996-2006). Results: One-third of the offenders had been regularly and sufficiently treated as
outpatients. Half of the offenders had previous criminality, and the single most common crime
was arson. Almost half of the offenders were diagnosed with alcohol abuse/dependence and
two-thirds with any substance abuse/dependence. Furthermore, almost half were intoxicated
during the index crime. Antisocial personality disorder was diagnosed in 25% of the offenders.
Almost half of the offenders were placed in involuntary special care for the ID, which lasted ca
2 years. Among the last-mentioned, two-thirds of the nursing care plans lacked recommended
structure. Conclusions: The offenders with so-called triple diagnosis - substance abuse,
mental illness and ID -form a small subgroup of criminal offenders with complex needs. The
results of the present study underline the importance of close, long-term cooperation among
specialists in the field of ID, addiction service, mental health services and forensic psychiatry.
copyright 2008 The Author. Journal compilation copyright 2008 Blackwell Publishing Ltd.
ISSN 0964-2633
Publication Type Journal: Article
Journal Name Journal of Intellectual Disability Research
Volume 53
Issue Part 3
Page 279-288
Year of Publication 2009
Date of Publication 2009
COMORBIDITY 2009 <154>
Database EMBASE
Accession Number 2009086571
Authors Back S.E. Waldrop A.E. Brady K.T.
Institution
(Back, Waldrop, Brady) Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina,
Charleston, SC, United States.
(Back) Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Division of Clinical
Neuroscience, 67 President Street, Charleston, SC 29425, United States.
Country of Publication
United Kingdom
Title
Treatment challenges associated with comorbid substance use and posttraumatic
stress disorder: Clinicians' perspectives.
Source
American Journal on Addictions. 18(1)(pp 15-20), 2009. Date of Publication: January 2009.
Publisher
Informa Healthcare
Abstract
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 with treating SUD/PTSD
patients included knowing how to best prioritize and integrate treatment components, patient
self-destructiveness and severe symptomatology, and helping patients abstain from
substance use. The findings increase understanding of SUD/PTSD treatment challenges, and
may be useful for enhancing therapist training programs, supervision effectiveness, and
designing optimal SUD/PTSD interventions. Copyright copyright American Academy of
Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 18
Issue Part 1
Page 15-20
Year of Publication 2009
Date of Publication January 2009
COMORBIDITY 2009 <162>
Database EMBASE
Accession Number 2009086562
Authors McLeish A.C. Zvolensky M.J. Del Ben K.S. Burke R.S.
Institution
(McLeish) Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS,
United States.
(McLeish, Del Ben, Burke) Mental Health Service, G. V. (Sonny) Montgomery VAMC, Jackson, MS, United States.
(Zvolensky) Department of Psychology, University of Vermont, Burlington, VT, United States.
(McLeish) University of Cincinnati,
(McLeish) Department of Psychology, University of Cincinnati, PO Box 2120376, Cincinnati, OH 45221-0376,
United States.
Country of Publication
United Kingdom
Title
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.
Source
American Journal on Addictions. 18(1)(pp 93-99), 2009. Date of Publication: January 2009.
Publisher
Informa Healthcare
Abstract
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 panic symptoms.
Copyright copyright American Academy of Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 18
Issue Part 1
Page 93-99
Year of Publication 2009
Date of Publication January 2009
COMORBIDITY 2009 <175>
Database EMBASE
Accession Number 2009055060
Authors Korkeila J.
Institution
(Korkeila) University of Turku, Harjavalta Hospital, Turku, Turkey.
Country of Publication
United Kingdom
Title
Current trends in psychiatry care in Finland with special focus on private practice
psychiatry and psychotherapy.
Source
Nordic Journal of Psychiatry. 63(1)(pp 87-90), 2009. Date of Publication: 2009.
Publisher
Informa Healthcare
Abstract
Several previous reforms decentralized Finnish psychiatric services to a great extent. The
Ministry of Social Affairs and Health is outlining a proposal for Health Care Law, which makes
an effort to centralize and reorganize healthcare. It is not yet possible to see what this will
mean for the psychiatric services. In general, the health status of the Finnish population has
improved. Although rates of suicides have declined considerably, rates of alcohol-related
deaths have risen. Moreover, disability related to major depression has increased drastically,
which has lead to a nationwide project called MASTO, which has the aim to improve early
detection and treatment of depression. The Ministry of Social Affairs and Health set up a work
group, MIND 2009, to draft local working models for mental health and addiction services. To
study the significance of psychotherapy in a private practice psychiatric context, the Finnish
Psychiatric Association conducted a survey amongst its members. Most psychiatrists in
private practice conduct psychotherapy.
ISSN 0803-9488
Publication Type Journal: Article
Journal Name Nordic Journal of Psychiatry
Volume 63
Issue Part 1
Page 87-90
Year of Publication 2009
Date of Publication 2009
COMORBIDITY 2009 <176>
Database EMBASE
Accession Number 2009055058
Authors Helseth V. Lykke-Enger T. Johnsen J. Waal H.
Institution
(Helseth, Lykke-Enger, Johnsen) Department of Psychiatry, Asker and Baerum Hospital, Blakstad, Norway.
(Helseth, Waal) Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway.
Country of Publication
United Kingdom
Title
Substance use disorders among psychotic patients admitted to inpatient psychiatric
care.
Source
Nordic Journal of Psychiatry. 63(1)(pp 72-77), 2009. Date of Publication: 2009.
Publisher
Informa Healthcare
Abstract
Previous epidemiological and clinical studies have shown high rates of substance use
disorders in patients with psychotic disorders. There are few studies from the Scandinavian
countries. The aim of this study was to investigate the rate of substance use disorders in a
group of Norwegian psychotic inpatients from a specific catchment area. Sixty patients, aged
18-40 years, were interviewed through standardized methods: the Addiction Severity Index
(EuropASI) and the Structured Clinical Interview for DSM-IV axis I disorders (SCID-I). Urine
toxicology screens confirmed patients' self-report of recent substance use. The lifetime rate of
substance use disorders was 70% when all psychotic disorders were included and 62.5%
when substance-induced psychotic disorders were excluded. Fifty percent of all the patients
studied had current substance use disorders. The majority of substance use disorders were
dependence disorders. Alcohol, amphetamine and cannabis were the dominant substances.
The level of comorbidity found in this study is comparable with that found in American studies,
despite lower prevalence of substance use in the Norwegian population. The high rate of
substance use disorders in psychotic inpatients has implications for the treatment and the
organization of psychiatric care for these patients.
ISSN 0803-9488
Publication Type Journal: Article
Journal Name Nordic Journal of Psychiatry
Volume 63
Issue Part 1
Page 72-77
Year of Publication 2009
Date of Publication 2009
COMORBIDITY 2009 <234>
Database EMBASE
Accession Number 2009022820
Authors Petty C.R. Monuteaux M.C. Mick E. Hughes S. Small J. Faraone S.V. Biederman J.
Institution
(Petty, Monuteaux, Mick, Hughes, Small, Biederman) Clinical and Research Program in Pediatric
Psychopharmacology, Massachusetts General Hospital, Warren 705, 55 Fruit Street, Boston, MA 02114, United
States.
(Monuteaux, Mick, Biederman) Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, MA
02115, United States.
(Faraone) Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, 750 East Adams
Street, Syracuse, NY 13210, United States.
Country of Publication
United Kingdom
Title
Parsing the familiality of oppositional defiant disorder from that of conduct disorder:
A familial risk analysis.
Source
Journal of Psychiatric Research. 43(4)(pp 345-352), 2009. Date of Publication: January
2009.
Publisher
Elsevier Ltd
Abstract
Background: Family risk analysis can provide an improved understanding of the association
between attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder
(ODD), attending to the comorbidity with conduct disorder (CD). Methods: We compared rates
of psychiatric disorders in relatives of 78 control probands without ODD and CD (Control, N =
265), relatives of 10 control probands with ODD and without CD (ODD, N = 37), relatives of
19 ADHD probands without ODD and CD (ADHD, N = 71), relatives of 38 ADHD probands
with ODD and without CD (ADHD + ODD, N = 130), and relatives of 50 ADHD probands with
ODD and CD (ADHD + ODD + CD, N = 170). Results: Rates of ADHD were significantly
higher in all three ADHD groups compared to the Control group, while rates of ODD were
significantly higher in all three ODD groups compared to the Control group. Evidence for cosegregation was found in the ADHD + ODD group. Rates of mood disorders, anxiety
disorders, and addictions in the relatives were significantly elevated only in the ADHD + ODD
+ CD group. Conclusions: ADHD and ODD are familial disorders, and ADHD plus ODD
outside the context of CD may mark a familial subtype of ADHD. ODD and CD confer different
familial risks, providing further support for the hypothesis that ODD and CD are separate
disorders. copyright 2008 Elsevier Ltd. All rights reserved.
ISSN 0022-3956
Publication Type Journal: Article
Journal Name Journal of Psychiatric Research
Volume 43
Issue Part 4
Page 345-352
Year of Publication 2009
Date of Publication January 2009
COMORBIDITY 2009 <305>
Database EMBASE
Accession Number 2009280111
Authors Paljarvi T. Koskenvuo M. Poikolainen K. Kauhanen J. Sillanmaki L. Makela P.
Institution
(Paljarvi) Department of Public Health, University of Helsinki, P.O. Box 41, 00014 Helsinki, Finland.
(Paljarvi, Koskenvuo, Sillanmaki) Department of Public Health, University of Helsinki, Helsinki, Finland.
(Paljarvi, Poikolainen) Finnish Foundation for Alcohol Studies, Helsinki, Finland.
(Kauhanen) School of Public Health and Clinical Nutrition, University of Kuopio, Kuopio, Finland.
(Makela) Alcohol and Drug Research Group, National Research and Development Centre for Welfare and Health,
Helsinki, Finland.
Country of Publication
United Kingdom
Title
Binge drinking and depressive symptoms: A 5-year population-based cohort study.
Source
Addiction. 104(7)(pp 1168-1178), 2009. Date of Publication: July 2009.
Publisher
Blackwell Publishing Ltd
Abstract
Background Only few prospective population studies have been able so far to investigate
depression and drinking patterns in detail. Therefore, little is known about what aspect of
alcohol consumption best predicts symptoms of depression in the general population.
Participants and design In this prospective population-based two-wave cohort study, a cohort
of alcohol-drinking men and women (n = 15 926) were followed-up after 5 years. A postal
questionnaire was sent in 1998 (response proportion 40%) and again in 2003 (response
proportion 80% of the baseline participants) to Finnish adults aged 20-54 years at baseline.
Measurements Alcohol consumption was measured by average intake (g/week) and by
measures of binge drinking (intoxications, hangovers and alcohol-induced pass-outs).
Depressive symptoms were assessed with the 21-item Beck Depression Inventory. In
addition, information from hospital discharge register for depression and alcohol abuse were
linked to the data. Findings This study found a positive association between baseline binge
drinking and depressive symptoms 5 years later. Adjustment for several possible confounders
attenuated the observed relationships only slightly, suggesting that binge drinking contributes
independently to the occurrence of depressive symptoms. Binge drinking was related to
symptoms of depression independently of average intake. Conclusions This study supports
the hypothesis that heavy drinking, and in particular a binge pattern involving intoxications,
hangovers or pass-outs, produces depressive symptoms in the general population. The
frequency of hangovers was the best predictor for depressive symptoms. copyright 2009
Society for the Study of Addiction.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 104
Issue Part 7
Page 1168-1178
Year of Publication 2009
Date of Publication July 2009
COMORBIDITY 2009 <339>
Database EMBASE
Accession Number 2009317150
Authors Selfhout M.H.W. Branje S.J.T. Delsing M. ter Bogt T.F.M. Meeus W.H.J.
Institution
(Selfhout, Branje, Delsing, ter Bogt, Meeus) Research Centre Adolescent Development, Utrecht University, P.O.
Box 80140, 3508 TC, heidelberglaan 2, Utrecht, Netherlands.
Country of Publication
United Kingdom
Title
Different types of Internet use, depression, and social anxiety: The role of perceived
friendship quality.
Source
Journal of Adolescence. 32(4)(pp 819-833), 2009. Date of Publication: August 2009.
Publisher
Academic Press
Abstract
The current study examined the longitudinal associations of time spent on Internet activities
for communication purposes (i.e., IM-ing) versus time spent on Internet activities for noncommunication purposes (i.e., surfing) with depression and social anxiety, as well as the
moderating role of perceived friendship quality in these associations. Questionnaire data were
gathered from 307 Dutch middle adolescents (average age 15 years) on two waves with a
one-year interval. For adolescents who perceive low friendship quality, Internet use for
communication purposes predicted less depression, whereas Internet use for noncommunication purposes predicted more depression and more social anxiety. These results
support social compensation effects of IM-ing on depression and poor-get-poorer effects of
surfing on depression and social anxiety, respectively. copyright 2008 The Association for
Professionals in Services for Adolescents.
ISSN 0140-1971
Publication Type Journal: Article
Journal Name Journal of Adolescence
Volume 32
Issue Part 4
Page 819-833
Year of Publication 2009
Date of Publication August 2009
COMORBIDITY 2009 <345>
Database EMBASE
Accession Number 2009312798
Authors Fagerstrom K. Aubin H.-J.
Institution
(Fagerstrom) Smokers Information Centre, Fagerstrom Consulting AB, Berga Alle 1, 25452 Helsingborg, Sweden.
(Aubin) Hopital Emile Roux, Assistance Publique-Hopitaux de Paris, Limeil-Brevannes, France.
(Aubin) Centre d'Enseignement, de Recherche et de Traitement des Addictions, Hopital Paul Brousse, Paris,
France.
(Aubin) Assistance Publique-Hopitaux de Paris, Villejuif, France.
(Aubin) INSERM U669, Paris, France.
Country of Publication
United Kingdom
Title
Management of smoking cessation in patients with psychiatric disorders.
Source
Current Medical Research and Opinion. 25(2)(pp 511-518), 2009. Date of Publication:
February 2009.
Publisher
Librapharm
Abstract
Background: There is a close relationship between tobacco smoking and psychiatric
disorders, and a higher proportion of individuals with mental health conditions smoke
compared with the general population. Due to the increased smoking prevalence in this
population, patients with psychiatric conditions are at greater risk of smoking-related morbidity
and mortality and experience detrimental effects on their quality of life. However, while the
majority of individuals with a history of mental health conditions appreciate that smoking is
detrimental to their health, they are less likely to quit smoking and have a lower success rate
during quit attempts compared with the general population. Scope: Peer-reviewed articles
were identified from PubMed using the inclusive date-range of 1990 - October 2008 and the
search terms; depression, mental health, psychiatric disorders, schizophrenia, and smoking
cessation. Articles were selected from the search results to provide a general overview of
some of the main issues for smokers with psychiatric disorders in general and specifically,
those with schizophrenia and depression. The evidence from smoking cessation trials within
these populations was also reviewed. Findings: Nicotine has some positive effects on
symptoms of psychiatric disorders and it has been proposed that patients with mental health
conditions may smoke as a form of self-medication. Further, several studies have shown that
some symptoms of psychiatric disorders may be exacerbated by nicotine withdrawal.
Therefore, attempts to quit smoking pose additional problems to patients with mental health
problems. Conclusion: Traditional programmes for smoking cessation may not always be
suitable for psychiatric patients due to their neuropsychological profile. Preliminary evidence
suggests that more flexible, openended, combination approaches of pharmacotherapy and
counselling may be more successful. In addition, identification and treatment of nicotine
addiction remains very low in patients with mental health conditions and far more needs to be
done to raise the awareness and ability of psychiatrists to diagnose and treat patients with
nicotine problems. copyright 2009 Informa UK Ltd. All rights reserved.
ISSN 0300-7995
Publication Type Journal: Review
Journal Name Current Medical Research and Opinion
Volume 25
Issue Part 2
Page 511-518
Year of Publication 2009
Date of Publication February 2009
COMORBIDITY 2009 <353>
Database EMBASE
Accession Number 2009337823
Authors Kallert T.W.
Institution
(Kallert) Park Hospital Leipzig-Sudost GmbH, Department of Psychiatry, Psychosomatic Medicine, and
Psychotherapy, Morawitzstrasse 2, D-04289 Leipzig, Germany.
(Kallert) Faculty of Medicine, Dresden University of Technology, Dresden, Germany.
Country of Publication
United Kingdom
Title
Coercion in psychiatry.
Source
Current Opinion in Psychiatry. 21(5)(pp 485-489), 2008. Date of Publication: September
2008.
Publisher
Lippincott Williams and Wilkins
Abstract
PURPOSE OF REVIEW: This paper highlights issues in the field of coercion in psychiatry
which have gained importance in 2007. RECENT FINDINGS: Reviews on ?involuntary
hospital admission? demonstrated negative and positive consequences on various outcome
domains. Papers on ?coercion and the law? identified cross-national differences of legal
regulations, or addressed justice and equality issues. Studies on the ?patient's perspective?,
and ?family burden of coercion? showed that involuntariness is associated with feeling
excluded from participation in the treatment. A review on ?outpatient commitment?
recommended the evaluation of a range of outcomes if this specific legislation is introduced.
?Coercion in special (healthcare) settings and patient subgroups? needs to be assessed in
detail. This refers to somatic hospitals, establishments for mentally retarded patients, prisons,
forensic settings, and coercion mechanisms for addiction treatment, eating disorders, and
minors. Empirical findings in other areas focused on attitudes towards involuntary treatment;
decision variables for involuntary commitment; guidelines on the use of coercive measures;
and intervention programs for staff victims of patient assaults. SUMMARY: Coercion in
psychiatry is an important area for future clinical and research initiatives. Because of the
linkages with legal, human rights and ethical issues, a huge number of individual questions
needs to be addressed. copyright 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins.
ISSN 0951-7367
Publication Type Journal: Review
Journal Name Current Opinion in Psychiatry
Volume 21
Issue Part 5
Page 485-489
Year of Publication 2008
Date of Publication September 2008
COMORBIDITY 2009 <359>
Database EMBASE
Accession Number 2009070455
Authors Kay-Lambkin F.J. Baker A.L. Lewin T.J. Carr V.J.
Institution
(Kay-Lambkin) Centre for Brain and Mental Health Research, University of Newcastle, PO Box 833, Newcastle,
NSW 2300, Australia.
(Kay-Lambkin, Baker, Carr) Centre for Brain and Mental Health Research, University of Newcastle, Newcastle,
NSW 2300, Australia.
(Kay-Lambkin) National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052,
Australia.
(Lewin) Centre for Brain and Mental Health Research and Hunter New England Mental Health, Newcastle, NSW
2300, Australia.
(Carr) Schizophrenia Research Institute, Sydney, NSW, Australia.
Country of Publication
United Kingdom
Title
Computer-based psychological treatment for comorbid depression and problematic
alcohol and/or cannabis use: A randomized controlled trial of clinical efficacy.
Source
Addiction. 104(3)(pp 378-388), 2009. Date of Publication: March 2009.
Publisher
Blackwell Publishing Ltd
Abstract
Aims: To evaluate computer- versus therapist-delivered psychological treatment for people
with comorbid depression and alcohol/cannabis use problems. Design: Randomized
controlled trial. Setting: Community-based participants in the Hunter Region of New South
Wales, Australia. Participants: Ninety-seven people with comorbid major depression and
alcohol/cannabis misuse. Intervention: All participants received a brief intervention (BI) for
depressive symptoms and substance misuse, followed by random assignment to: no further
treatment (BI alone); or nine sessions of motivational interviewing and cognitive behaviour
therapy (intensive MI/CBT). Participants allocated to the intensive MI/CBT condition were
selected at random to receive their treatment 'live' (i.e. delivered by a psychologist) or via a
computer-based program (with brief weekly input from a psychologist). Measurements:
Depression, alcohol/cannabis use and hazardous substance use index scores measured at
baseline, and 3, 6 and 12 months post-baseline assessment. Findings: (i) Depression
responded better to intensive MI/CBT compared to BI alone, with 'live' treatment
demonstrating a strong short-term beneficial effect which was matched by computer-based
treatment at 12-month follow-up; (ii) problematic alcohol use responded well to BI alone and
even better to the intensive MI/CBT intervention; (iii) intensive MI/CBT was significantly better
than BI alone in reducing cannabis use and hazardous substance use, with computer-based
therapy showing the largest treatment effect. Conclusions: Computer-based treatment,
targeting both depression and substance use simultaneously, results in at least equivalent 12month outcomes relative to a 'live' intervention. For clinicians treating people with comorbid
depression and alcohol problems, BIs addressing both issues appear to be an appropriate
and efficacious treatment option. Primary care of those with comorbid depression and
cannabis use problems could involve computer-based integrated interventions for depression
and cannabis use, with brief regular contact with the clinician to check on progress. copyright
2009 The Authors.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 104
Issue Part 3
Page 378-388
Year of Publication 2009
Date of Publication March 2009
COMORBIDITY 2009 <363>
Database EMBASE
Accession Number 2009312902
Authors Wobrock T. Soyka M.
Institution
(Wobrock) Georg-August-University, Department of Psychiatry and Psychotherapy, Von-Siebold Strasse 5, D-37075
Gottingen, Germany.
(Soyka) Ludwig-Maximilians-University Munich, Department of Psychiatry and Psychotherapy, Germany.
(Soyka) Private Clinic Meiringen, Department of Psychiatry and Psychotherapy, CH-3860 Meiringen, Switzerland.
Country of Publication
United Kingdom
Title
Pharmacotherapy of patients with schizophrenia and substance abuse.
Source
Expert Opinion on Pharmacotherapy. 10(3)(pp 353-367), 2009. Date of Publication:
February 2009.
Publisher
Informa Healthcare
Abstract
Background: Comorbid substance-use disorder in schizophrenia patients is associated with
poor clinical and functional outcome. Objective: To provide evidence-based pharmacological
treatment recommendations to improve the disease course of this patient group. Methods: A
comprehensive systematic review of the pharmacological studies in this subgroup of patients
was performed and the available studies were discussed from the standpoint of evidencebased medicine. Results/conclusion: Slight advantages were found for second-generation
antipsychotic agents over conventional antipsychotics with regard to improvement of distinct
psychopathological symptoms, reduced craving, and greater reduction of substance use;
these findings are mainly derived from open studies or case series. Additional treatment with
antidepressants, depending on the patient's psychopathology, as well as with anti-craving
agents should be considered. copyright 2009 Informa UK Ltd. All rights reserved.
ISSN 1465-6566
Publication Type Journal: Review
Journal Name Expert Opinion on Pharmacotherapy
Volume 10
Issue Part 3
Page 353-367
Year of Publication 2009
Date of Publication February 2009
COMORBIDITY 2009 <365>
Database EMBASE
Accession Number 2009337186
Authors Thavichachart N. Tangwongchai S. Worakul P. Kanchanatawan B. Suppapitiporn S. Pattalung A.S.
Roomruangwong C. Chareonsook O.
Institution
(Thavichachart, Tangwongchai, Worakul, Kanchanatawan, Suppapitiporn, Pattalung, Roomruangwong) Department
of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
(Chareonsook) Thailand Center of Excellence for Life Sciences, Bangkok, Thailand.
Country of Publication
United Kingdom
Title
Posttraumatic mental health establishment of the Tsunami survivors in Thailand.
Source
Clinical Practice and Epidemiology in Mental Health. 5, 2009. Article Number: 11. Date of Publication: 03 Jun
2009.
Publisher
BioMed Central Ltd.
Abstract
The natural disaster known as "the Tsunami" occurred in Andaman coast of Thailand in
December 2004, and there had been questions whether it could cause PTSD amongst the
population who lives in the affected area and how to avoid PTSD condition to occur. The
purpose of this study is to establish statistical results of psychosocial factors, and their
correlation to PTSD and other mental disorders in order to generate the PTSD database.
Cross sectional community surveys had been conducted in two phases from the same
sampling group, the first phase is concerned with prevalence of PTSD, depression and
related factors. Results were collected from 3,133 samples and shows that 33.6% suffered
from PTSD, 14.27% with depression and 11.27% suffered from both. The second phase is
focused on chronic PTSD and other mental disorders 2,573 samples were collected and only
21.6% were diagnosed with chronic PTSD. The statistical analysis has identified risks factors
that could cause PTSD, and protective actions which could help to prevent PTSD. copyright
2009 Thavichachart et al; licensee BioMed Central Ltd.
ISSN 1745-0179
Publication Type Journal: Article
Journal Name Clinical Practice and Epidemiology in Mental Health
Volume 5
Year of Publication 2009
Date of Publication 03 Jun 2009
COMORBIDITY 2009 <370>
Database EMBASE
Accession Number 2009091271
Authors Kluttig T. Odenwald M. Hartmann W.
Institution
(Kluttig, Hartmann) Department for Forensic Psychotherapy and Pyschiatry, Reichenau Centre for Psychiatry,
Germany.
(Odenwald) University of Konstanz, Germany.
(Odenwald) Reichenau Centre for Psychiatry, Germany.
(Kluttig) Zentrum fur Psychiatrie Reichenau, Department of Forensic Psychiatry and Psychotherapy,
Feursteinstrasse 55, D-78479 Reichenau, Germany.
Country of Publication
United Kingdom
Title
Fatal violence - From trauma to offence: A case study in forensic psychotherapy and
trauma therapy with a migrant patient.
Source
International Forum of Psychoanalysis. 18(1)(pp 42-49), 2009. Date of Publication: March
2009.
Publisher
Routledge
Abstract
That persons who are objects of violence and traumatisation become offenders themselves
is a typical feature of ill-fated cycles of violence in countries torn by fierce political, ethnic, and
religious conflicts. Some refugees and migrants with this background present a challenge to
forensic psychotherapy when they continue such patterns of physical force and criminal
behaviour in a host country like Germany, and are found to be either not responsible or of
diminished responsibility for their criminal acts by reason of mental disorders or addictions.
Their offences create a critical legal situation for them, since they are threatened with
deportation. At the same time, their clinical condition is critical, for they were possibly
subjected to traumatic experiences by authorities in their past; their cooperation in the
treatment can seriously affect their legal status. Finding a way out of these complications has
to take these special factors into account. Our paper focuses on the case study of a refugee
from North Africa, illustrating a model of cooperation in forensic inpatient treatment, special
trauma therapy (narrative exposure therapy), and expert testimony. copyright 2009 Taylor &
Francis.
ISSN 0803-706X
Publication Type Journal: Conference Paper
Journal Name International Forum of Psychoanalysis
Volume 18
Issue Part 1
Page 42-49
Year of Publication 2009
Date of Publication March 2009
COMORBIDITY 2009 <397>
Database EMBASE
Accession Number 2009372394
Authors Sewell R.A. Ranganathan M. D'Souza D.C.
Institution
(Sewell, Ranganathan, D'Souza) Psychiatry Service, 116A, VA Connecticut Healthcare System, 950 Campbell
Avenue, West Haven, CT 06516, United States.
(Ranganathan, D'Souza) Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, CT,
United States.
(Sewell, Ranganathan, D'Souza) Department of Psychiatry, Yale University School of Medicine, New Haven, CT,
United States.
Country of Publication
United Kingdom
Title
Cannabinoids and psychosis.
Source
International Review of Psychiatry. 21(2 SPEC. ISS.)(pp 152-162), 2009. Date of
Publication: April 2009.
Publisher
Informa Healthcare
Abstract
Recent advances in knowledge about cannabinoid receptor function have renewed interest
in the association between cannabis and psychosis. Case series, autobiographical accounts,
and surveys of cannabis users in the general population suggest an association between
cannabis and psychosis. Cross-sectional studies document an association between cannabis
use and psychotic symptoms, and longitudinal studies suggest that early exposure to
cannabis confers a close to two-fold increase in the risk of developing schizophrenia.
Pharmacological studies show that cannabinoids can induce a full range of transient positive,
negative, and cognitive symptoms in healthy individuals that are similar to those seen in
schizophrenia. There is considerable evidence that in individuals with an established
psychotic disorder such as schizophrenia, exposure to cannabis can exacerbate symptoms,
trigger relapse, and worsen the course of the illness. Only a very small proportion of the
general population exposed to cannabis develop a psychotic illness. It is likely that cannabis
exposure is a 'component cause' that interacts with other factors to 'cause' schizophrenia or
other psychotic disorder, but is neither necessary nor sufficient to do so alone. Further work is
necessary to identify the factors that underlie individual vulnerability to cannabinoid-related
psychosis and to elucidate the biological mechanisms underlying this risk. copyright 2009
Informa Healthcare USA, Inc.
ISSN 0954-0261
Publication Type Journal: Review
Journal Name International Review of Psychiatry
Volume 21
Issue Part 2 SPEC. ISS.
Page 152-162
Year of Publication 2009
Date of Publication April 2009
COMORBIDITY / CHILDREN AND YOUNG PEOPLE 2009 <404>
Database EMBASE
Accession Number 2009354516
Authors Ajdacic-Gross V. Landolt K. Angst J. Gamma A. Merikangas K.R. Gutzwiller F. Rossler W.
Institution
(Ajdacic-Gross, Landolt, Angst, Gamma, Rossler) Psychiatric University Hospital, University of Zurich, Zurich,
Switzerland.
(Merikangas) National Institute of Mental Health, Bethesda, MD, United States.
(Gutzwiller) Institute of Social and Preventive Medicine, University of Zurich, Zurich, Switzerland.
(Ajdacic-Gross) Research Unit for Clinical and Social Psychiatry, Psychiatric University Hospital Zurich,
Militarstrasse 8, 8021 CH-Zurich, Switzerland.
Country of Publication
United Kingdom
Title
Adult versus adolescent onset of smoking: How are mood disorders and other risk
factors involved?
Source
Addiction. 104(8)(pp 1411-1419), 2009. Date of Publication: August 2009.
Publisher
Blackwell Publishing Ltd
Abstract
Aims To examine the strength of association between smoking and mood disorders and the
association between smoking and its traditional risk factors, comparing those who started
smoking in adolescence with those who started smoking in early adulthood. Design and
participants The analyses relied on prospective data from the Zurich Study. This longitudinal
community study started in 1979 with a stratified sample of 591 participants aged 20/21
years, weighted towards those with mental disorders. Follow-up interviews were conducted at
ages 23, 28, 30, 35 and 41. Measurements In this analysis the adult versus adolescent onset
of smoking was regressed on the cumulative prevalence of mood disorders, personality
characteristics measured by the Freiburg Personality Inventory, common risk factors such as
parental smoking, conduct and school problems, troubles with the family and basic sociodemographic variables (sex, education). Findings In the Zurich Study cohort we found that
61.6% were former or current smokers, of whom 87% started smoking before the age of 20
and 13% after the age of 20. Adolescent onset of smoking was associated strongly with later
major depression, dysthymia or bipolar disorders and, furthermore, with parental smoking,
extroverted personality and discipline problems and rebelliousness in youth. However, only
depression and dysthymia were associated with adult onset smoking and other risk factors
associated with smoking were not so associated in this group. Conclusions Correlates of
smoking onset in adolescence are mainly not applicable to the onset of smoking in young
adulthood. Smoking onset beyond adolescence is an open research issue. copyright 2009
Society for the Study of Addiction.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 104
Issue Part 8
Page 1411-1419
Year of Publication 2009
Date of Publication August 2009
COMORBIDITY 2009 <408>
Database EMBASE
Accession Number 2009354507
Authors Swendsen J. Conway K.P. Degenhardt L. Dierker L. Glantz M. Jin R. Merikangas K.R. Sampson N. Kessler
R.C.
Institution
(Swendsen) CNRS 5231, University of Bordeaux 2, 146 rue Leo Saignat, 33076 Bordeaux, France.
(Conway, Glantz) Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse,
National Institutes of Health, Bethesda, MD, United States.
(Degenhardt) National Drug and Alcohol Research Centre, University of NSW, Sydney, Australia.
(Dierker) Wesleyan University, Department of Psychology, Middletown, CT, United States.
(Jin, Sampson, Kessler) Department of Health Policy, Harvard University, Boston, MA, United States.
(Merikangas) Intramural Research Program, National Institutes of Health, National Institute of Mental Health,
Bethesda, MD, United States.
Country of Publication
United Kingdom
Title
Socio-demographic risk factors for alcohol and drug dependence: The 10-year followup of the national comorbidity survey.
Source
Addiction. 104(8)(pp 1346-1355), 2009. Date of Publication: August 2009.
Publisher
Blackwell Publishing Ltd
Abstract
Aims Continued progress in etiological research and prevention science requires more
precise information concerning the specific stages at which socio-demographic variables are
implicated most strongly in transition from initial substance use to dependence. The present
study examines prospective associations between socio-demographic variables and the
subsequent onset of alcohol and drug dependence using data from the National Comorbidity
Survey (NCS) and the NCS Follow-up survey (NCS-2). Design The NCS was a nationally
representative survey of the prevalence and correlates of DSM-III-R mental and substance
disorders in the United States carried out in 1990-2002. The NCS-2 re-interviewed a
probability subsample of NCS respondents a decade after the baseline survey. Baseline NCS
socio-demographic characteristics and substance use history were examined as predictors of
the first onset of DSM-IV alcohol and drug dependence in the NCS-2. Participants A total of
5001 NCS respondents were re-interviewed in the NCS-2 (87.6% of baseline sample).
Findings Aggregate analyses demonstrated significant associations between some baseline
socio-demographic variables (young age, low education, non-white ethnicity, occupational
status) but not others (sex, number of children, residential area) and the subsequent onset of
DSM-IV alcohol or drug dependence. However, conditional models showed that these risk
factors were limited to specific stages of baseline use. Moreover, many socio-demographic
variables that were not significant in the aggregate analyses were significant predictors of
dependence when examined by stage of use. Conclusions The findings underscore the
potential for socio-demographic risk factors to have highly specific associations with different
stages of the substance use trajectory. copyright 2009 Society for the Study of Addiction.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 104
Issue Part 8
Page 1346-1355
Year of Publication 2009
Date of Publication August 2009
COMORBIDITY 2009 <421>
Database EMBASE
Accession Number 2009374348
Authors McGovern M.P. Lambert-Harris C. Acquilano S. Xie H. Alterman A.I. Weiss R.D.
Institution
(McGovern, Lambert-Harris, Acquilano, Xie) Dartmouth Medical School, United States.
(Alterman) University of Pennsylvania, United States.
(Weiss) McLean Hospital, Harvard Medical School, United States.
Country of Publication
United Kingdom
Title
A cognitive behavioral therapy for co-occurring substance use and posttraumatic
stress disorders.
Source
Addictive Behaviors. 34(10)(pp 892-897), 2009. Date of Publication: October 2009.
Publisher
Elsevier Ltd
Abstract
Co-occurring posttraumatic stress disorder (PTSD) is prevalent in addiction treatment
programs and a risk factor for negative outcomes. Although interventions have been
developed to address substance use and PTSD, treatment options are needed that are
effective, well tolerated by patients, and potentially integrated with existing program services.
This paper describes a cognitive behavioral therapy (CBT) for PTSD that was adapted from a
treatment for persons with severe mental illnesses and PTSD in community mental health
settings. The new adaptation is for patients in community addiction treatment with cooccurring PTSD and substance use disorders. In this study, 5 community therapists delivered
the CBT for PTSD. Outcome data are available on 11 patients who were assessed at
baseline, post-CBT treatment, and at a 3-month follow-up post-treatment. Primary outcomes
were substance use, PTSD severity, and retention, of which all were favorable for patients
receiving the CBT for PTSD. copyright 2009 Elsevier Ltd. All rights reserved.
ISSN 0306-4603
Publication Type Journal: Article
Journal Name Addictive Behaviors
Volume 34
Issue Part 10
Page 892-897
Year of Publication 2009
Date of Publication October 2009