Alcohol use disorder relapse factors: A systematic review

Sliedrecht, Wilco; Waart, Ranne de; Witkiewitz, Katie; Roozen, Hendrik G.

doi:10.1016/j.psychres.2019.05.038

Cited by 242 publications

(201 citation statements)

References 375 publications

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“…Sliedrecht and colleagues conducted a review of 321 articles, published between 2000 and 2019, to examine the evidence for precipitants of relapse in AUD. 91 The review focused on 37 potential determinants of relapse in AUD, including gender, and identified the number of studies that found evidence for (or against) each relapse determinant. The review showed mixed results in terms of rates of relapse among men and women.…”

Section: Sex and Gender Differences In Long-term Recoverymentioning

confidence: 99%

See 1 more Smart Citation

Sex and Gender Effects in Recovery from Alcohol Use Disorder

Holzhauer

Cucciare

Epstein

2020

ARCR

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Section: Sex and Gender Differences In Long-term Recoverymentioning

confidence: 99%

“…Specifically, most studies (59%) included in the review found no gender differences in participants’ likelihood of relapse after treatment, but 41% of the studies did find gender differences and collectively suggested that women were less likely to relapse. 91 …”

Section: Sex and Gender Differences In Long-term Recoverymentioning

confidence: 99%

Sex and Gender Effects in Recovery from Alcohol Use Disorder

Holzhauer

Cucciare

Epstein

2020

ARCR

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“…Co-occurring disorders, compared to one mental disorder only, are tied to factors such as social exclusion, homelessness, unemployment, and isolation (43), and are frequently interconnected with chronic health concerns and poverty (44). A vast body of literature has documented poor outcomes associated with cooccurring disorders (45,46), including: poor employment, family, and social outcomes (47); aggressive or antisocial behavior, criminal history involvement, recidivism, and selfharm (48,49); relapse of substance use (48) or dependence (50,51); and unintentional overdose (52) or suicide (48,49) in various populations.…”

Section: Co-occurring Disordersmentioning

confidence: 99%

“…Problematic use of substances can stem from coping responses to stressors, and stressors can hinder remission from drug addiction (33). In a systematic review of risk factors for relapse among individuals with alcohol use disorder, life events involving trauma and stress were identified as factors associated with elevated rates of relapse (50). At the same time, dealing with a mental disorder may also contribute to the formation of particular stressors (or complication of those already existing), by interfering with functional impairment, often observed across various mental disorders.…”

Section: Age At Time Of Immigrationmentioning

confidence: 99%

Recent/Childhood Adversities and Mental Disorders Among US Immigrants

Cano

Takeuchi

2020

Front. Psychiatry

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Past research documents the heterogeneity in US immigrants, particularly in terms of racial and ethnic categories and specific ethnic subgroups. The present study builds on this research foundation by investigating heterogeneity in immigrants' experiences of adversity, both recent and during childhood, and associations with mental disorders. Data are drawn from 6,131 adult immigrants in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions-III. Prevalence estimates for mental disorders and adversities were calculated overall and by gender. Latent class analysis was utilized to characterize patterns of self-reported experiences of childhood and recent adversities, and multinomial logistic regression established the statistical association between latent class membership and past-year mental disorder outcomes (substance use disorder only, mood/anxiety/trauma disorder only, co-occurring disorder, or no mental disorder). Neglect was the most commonly-reported childhood adversity among immigrant men and women. Prevalence of meeting criteria for a substance use disorder only, or a mood/anxiety/trauma disorder only, varied between men and women, yet no gender differences were observed in prevalence of co-occurring disorders. For latent class analyses, a five-class solution was selected based on fit indices and parsimony. Approximately 10.0% of the sample was categorized in the latent class characterized by severe childhood adversities, while 57.5% was classified in the latent class with low probabilities of reported adversities. The relative risk of meeting criteria for a past-year substance use disorder only (compared to no substance use or mood/anxiety/trauma disorder) was more than three times as high for members of the class with severe childhood adversities (RRR, 3.26; 95% CI, 2.08–5.10), as well as the class with recent employment/financial adversities (RRR, 3.82; 95% CI, 2.36–6.19), compared to the class with low adversities. The relative risk of past-year co-occurring disorders (compared to no disorder) was more than 12 times as high for those in the severe childhood adversities class (RRR, 12.21; 95% CI, 7.06–21.10), compared to the class with low adversities. Findings underscore the importance of considering both recent and childhood adversities when assessing and providing services for US immigrant groups.

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“…SUD-related problems vary among patients in terms of symptoms, intensity, and responsiveness to treatments. Also, relapse is a common aspect of SUD recovery (2). Relapses can have varying triggers depending on the individual's experience with substance use (3,4).…”

Section: Introductionmentioning

confidence: 99%

Qualitative Assessment of Patients’ Perspectives and Needs from Community Pharmacists in Substance Use Disorder Management

Fatani

Bakke

D’Eon

et al. 2020

Preprint

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Background: Substance use disorder (SUD) is a major health concern affecting Canadians and their health care system. SUD treatment plans addressing patients’ needs and choices have demonstrated improved treatment outcomes. It is essential for health care providers, including community pharmacists, to understand patients' needs and prioritize them. Therefore, this study explores the perspective of patients living with SUD regarding community pharmacist services and the delivery of care in a community pharmacy setting located in the small urban center of, Saskatoon, Saskatchewan, Canada.Methods: A qualitative methodology was used for this research inquiry. Four focus groups were conducted in Saskatoon, with a total of 20 individuals who had experienced substance use and accessed community pharmacy services. The discussion of the four focus groups was transcribed verbatim and analyzed independently by two researchers. Agreement on the emergent themes was reached through discussion between the two researchers. Results: Data analysis resulted in four themes that described participants' perspectives about community pharmacists. The four emergent themes are: 1) experience of people living with SUD in a community pharmacy, 2) services provided by community pharmacists, 3) the methadone maintenance program, and 4) needs from community pharmacists. Conclusion: There is significant potential for the patient-pharmacist relationship to address the varying needs of patients living with SUD and improve their overall health care experience. Patients who use substances are receptive to pharmacists' services beyond dispensary; however, respectful communication, provision of drug-related information, and counseling are among the primary demands. Future research should focus on studying the impact of meeting the needs of patients on their treatment outcomes.

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Alcohol use disorder relapse factors: A systematic review

Cited by 242 publications

References 375 publications

Sex and Gender Effects in Recovery from Alcohol Use Disorder

Sex and Gender Effects in Recovery from Alcohol Use Disorder

Recent/Childhood Adversities and Mental Disorders Among US Immigrants

Qualitative Assessment of Patients’ Perspectives and Needs from Community Pharmacists in Substance Use Disorder Management

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