The clear implication for practice from this research is that when it comes to retaining individuals in treatment, methadone has the edge over buprenorphine. However, time alone is not enough. It is just as important to consider client rather than clinician preference as to which they would like.
To examine the association between alcohol consumption and mental health during the COVID-19 pandemic. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Rates of cannabis use are elevated in early psychosis populations, rendering it difficult to determine if an episode of psychosis is related to cannabis use (e.g., cannabis-induced psychosis), or if substance use is co-occurring with a primary psychotic disorder (e.g., schizophrenia). Clinical presentations of these disorders are often indistinguishable, hindering assessment and treatment. Despite substantial research identifying cognitive deficits, eye movement abnormalities and speech impairment associated with primary psychotic disorders, these neuropsychological features have not been explored as targets for diagnostic differentiation in early psychosis. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Concurrent Treatment of Posttraumatic Stress Disorder (PTSD) and Substance Use Disorders Using Prolonged Exposure (i.e., COPE) is an efficacious, integrated, psychotherapy that attends to PTSD and substance use disorders simultaneously. No study has examined how therapeutic alliance functions during the provision of COPE and how this compares to non-integrated treatments, such as Relapse Prevention (RP) for substance use disorders. Understanding the role of alliance in COPE versus RP could inform treatment refinement and ways to enhance treatment outcomes. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study tested the effectiveness of schema therapy (ST) for borderline personality disorder (BPD) and comorbid alcohol dependence (AD). Twenty patients participated in a case series study with multiple baselines. The baseline phase consisted of treatment as usual. It was followed by a case conceptualization phase, an experiential techniques phase and a behavioural change phase. Patients showed a significant decrease in BPD and AD symptoms; change was mainly accomplished in the experiential techniques phase, with medium to large effect sizes.
In the United States, adult cannabis use has increased over time, but less information is available on time trends in cannabis use disorder. The authors used Veterans Health Administration (VHA) data to examine change over time in cannabis use disorder diagnoses among veterans, an important population subgroup, and whether such trends differ by age group (<35 years, 35–64 years, ≥65 years), sex, or race/ethnicity. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This issue of the Journal is primarily focused on new advances in the diagnosis and treatment of opioid use disorder. The issue begins with an overview by Drs. Cecilia Bergeria and Eric Strain from Johns Hopkins University (1) that discusses the prevalence of opiate use disorder and associated lethal overdoses as well as current pharmacologic and nonpharmacologic treatment approaches. Elsewhere in the issue, making the diagnosis of prescription-related opiate use disorder (POUD) can be challenging and in this regard a paper explores the impacts of modifying current criteria for POUD on prevalence rates. Another paper assesses the efficacy of buprenorphine/naloxone, primarily taken at home, for treating POUD. Also related to treatment, another paper characterizes the effects of COVID-19 telehealth policy changes related to buprenorphine treatment on VA patients with opiate use disorder. We also present papers in this issue that address the prevalence of cannabis use disorder in the VA population and the possibility of using a mindfulness-based intervention as a nonpharmacologic treatment for pain. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
There is some limited evidence of an association between technology addictions and emergence of pre-psychotic symptoms, high psychoticism, psychotic like experiences and high schizotypy among young non-clinical adults. These addictions and their subsequent distress are likely to contribute to transition to psychosis in individuals at risk. We aimed to compare smartphone, Internet and Facebook addictions between low and high schizotypal individuals; and to explore the association between these addictions and distress in the high schizotypy group. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
To assess the effectiveness of multicomponent tobacco dependence interventions for low socioeconomic status populations and create a checklist tool examining multicomponent interventions. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
José M Menchon and Susana Jimenez Murcia discuss gambling disorder in the UK, key research priorities and the urgent need for independent research funding.
The contribution of increasing numbers of deaths from suicide, alcohol-related and drug-related causes to changes in overall mortality rates has been highlighted in various countries. The aim here was to compare mortality rates for different birth cohorts between Scotland and England and Wales (E&W), including key cities. Open access article - no login required.
This investigation represents the first systematic review and meta-analysis of alcohol's effects on affiliative language. The authors test the hypothesis that alcohol increases affiliative verbal approach behaviors and discuss future research directions. Open access article - no login required.
This review provides an overview of glial modulators as a novel treatment approach for comorbid pain and OUD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Alcohol use disorders are common conditions that have enormous social and economic consequences. Genome-wide association analyses were performed to identify genetic variants associated with a proxy measure of alcohol consumption and alcohol misuse and to explore the shared genetic basis between these measures and other substance use, psychiatric, and behavioral traits.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
Psychological Trauma: Theory, Research, Practice, and Policy (Oct 22, 2018). DOI:10.1037/tra0000417
Objective: The present study evaluated the moderating role of alcohol protective behavioral strategy subtypes (alcohol PBS; serious harm reduction, manner of drinking, limiting/stopping drinking) and gender on the relationship between posttraumatic stress disorder (PTSD) symptoms and alcohol-related negative consequences.. To read the full article, log in using your NHS OpenAthens details.
This perspective summarizes weaknesses in our understanding of childhood use of alcohol and other drugs, providing recommendations for future research directions and clinical practice.. To read the full article, log in using your MPFT NHS OpenAthens details.
Nicotine Replacement Therapy (NRT) may be more effective in aiding smoking cessation if higher doses of nicotine from it can be tolerated. We examined the responses to, and 4‐week abstinence rates observed when, titrating the dose of transdermal nicotine patch up to 84mg/day over 4 weeks prior to a target quit date and titrating down again over 4 weeks afterwards.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To assess missed opportunities for reducing fatal opioid overdoses, characteristics of decedents by opioid overdose with and without problematic opioid use who received health care services within one year of death were examined.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
Psychological Medicine; Cambridge Vol. 49, Iss. 1, (Jan 2019): 103-112. DOI:10.1017/S0033291718000569
Evidence suggests that cannabis-induced psychotic-like experiences may be a marker of psychosis proneness. The effect of such experiences on cannabis use has not systematically been examined.. To read the full article, log in using your NHS OpenAthens details.
Open access. Patients with co‐occurring substance use and other mental disorders are vulnerable to crime victimization, yet no evidence‐based preventive interventions exist. Our aim was to test the efficacy of a new intervention, Self‐wise, Other‐wise, Streetwise training (SOS training), to prevent victimization in these dual‐diagnosis patients as an add‐on to care as usual.