Coping strategies related to treatment in substance use disorder patients with and without comorbid depression

Adán, Ana; Antúnez, Juan Manuel; Navarro, José Francisco

doi:10.1016/j.psychres.2017.02.035

Cited by 35 publications

(32 citation statements)

References 38 publications

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“…These data should be further explored in future research taking into account the possible mediation of the main substance consumed, since this family factor has not yet been found in cannabis consumers ( Pope et al, 2003 ). Finally, it is interesting to note that the CS profile of the patients was independent of the type of treatment regimen in agreement with a previous study ( Adan, Antúnez & Navarro, 2017 ).…”

Section: Discussionsupporting

confidence: 91%

The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder

Capella

Adán

2017

PeerJ

Self Cite

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BackgroundThe age of onset of substance use (OSU) as well as the coping strategies (CS) influence both the development and the course of Substance Use Disorders (SUD). We aim to examine the differences in the CS applied to deal with treatment in men with SUD, considering whether the age of OSU had begun at age 16 or earlier (OSU ≤ 16) or at 17 years or later (OSU ≥ 17), as well as the associations of the CS with clinical variables were studied.MethodsA total of 122 patients with at least three months of abstinence, 60 with OSU≤16 and 62 with OSU≥17, were evaluated through the Coping Strategies Inventory and clinical assessment tools.ResultsThe OSU≤16 patients were younger and presented a worse clinical state. Compared to the norms, the SUD patients were less likely to use adaptive CS, although this was more remarkable for the OSU≤16 group. Furthermore, the OSU≤16 patients presented a CS pattern of higher Disengagement, with lesser use of Social Support and higher Problem Avoidance and Social Withdrawal. In the whole SUD sample, the severity of addiction, number of relapses and age of OSU (as a continuous variable) were related to maladaptive coping. Nevertheless, the cut-off age of OSU modulated these results.ConclusionsThe OSU≤16 was a risk factor for presenting greater clinical severity and a more dysfunctional CS profile to deal with treatment. Thus, the cut-off age considered has allowed us to differentiate SUD patients with more vulnerability to present worse clinical prognosis who may require specific prevention and rehabilitation strategies discussed throughout this work.

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Section: Discussionsupporting

confidence: 91%

The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder

Capella

Adán

2017

PeerJ

Self Cite

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“…In the literature, studies investigating mental disorders and coping skills had different results. While some studies found that individuals with mental disorders use effective coping skills (Cohen, Hassamal, & Begum, ; Gloria & Steinhardt, ), the others found the use of ineffective coping skills (Adan, Antúnez, & Navarro, ; Aksoy & Kelleci, ; Mingrone et al., ; Moret‐Tatay, Beneyto‐Arrojo, Laborde‐Bois, Martínez‐Rubio, & Senent‐Capuz, ). In another study, it was determined that both methods were used together (Shrestha, ).…”

Section: Discussionmentioning

confidence: 99%

The association of nursing care perception with coping skills and posttraumatic growth in mental disorders

Arslan

Buldukoğlu

2018

Psychiatric Ment Health Nurs

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Introduction Although it is recognized that suffering a mental illness is a traumatic experience, the fact that this can lead to posttraumatic growth and the variables that may affect the situation are rarely discussed in the literature. Aim This study was conducted to determine the effects of coping styles and nursing care perceptions on posttraumatic growth in mental disorders. Method The descriptive study was conducted at a psychiatric clinic with a personal information form and three-scale test. Results In the study, completed with 122 psychiatric inpatients, it was found that patients were using effective methods to cope with stress, were satisfied with nursing care and had high posttraumatic growth. Moreover, it was found that effective coping styles and satisfaction with nursing care positively affected the posttraumatic growth level of patients. Discussion The results support the proposition that using effective coping styles and seeking professional support after traumatic life events influence posttraumatic growth levels. Implications for practice Psychiatric nurses should be aware of the fact that developing a mental disorder is a traumatic life event after which posttraumatic growth can occur. They should encourage posttraumatic growth by teaching effective coping methods, providing psychiatric care and using psychosocial interventions such as trauma-focused cognitive behavioural therapy and eye movement desensitization.

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“…Individual cognitive therapies have been shown to be an effective strategy for the treatment of PTSD and SUDs in adults and adolescents (Brewer, Godley, & Hulvershorn, ; Najavits et al ., ; Roberts et al ., ). Research by Adan, Antúnez, and Navarro () found that individuals with a dual diagnosis of substance use and mood disorders are less able to use problem solving, CR, and social support as coping skills and these are important mechanisms to consider in the development of interventions. Given the scientific research for PTSD, SUD, and dual diagnosis treatment, MBCT‐DUAL was designed to include the potential benefits of both mindfulness‐ and CBT‐based strategies such as CR.…”

Section: Discussionmentioning

confidence: 99%

A treatment development study of a cognitive and mindfulness‐based therapy for adolescents with co‐occurring post‐traumatic stress and substance use disorder

2017

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Objective. Substance use is common among adolescents with post-traumatic stress disorder (PTSD). We aimed to develop and study an integrated treatment for adolescents with co-occurring disorders.Design. This is a therapy development and open pilot trial study of a manualized therapy for adolescents with post-traumatic stress, depression, and substance use that uses a combination of cognitive therapy (CT) and mindfulness.Methods. Descriptive statistics and paired sample t-tests were calculated to assess for changes in PTSD symptoms, depression, and substance use frequency from baseline to end of treatment using standardized measures and validated by urine drug screens. We also examined for safety, predictors of clinical outcomes, and treatment retention.Results. Thirty-seven adolescents participated in the study; 62% were study completers as defined by retention for at least 6 weeks of treatment. There were significant improvements in PTSD and depression symptoms from baseline to end of treatment, reflecting medium effect sizes, and which was associated with changes in traumaassociated cognitions. There was a reduction in cannabis use, which was the most commonly used substance.Conclusions. Preliminary results suggest feasibility, safety, and potential clinical effectiveness of an integrated therapy for adolescents with PTSD, depression, and substance use. Retention was comparable to other therapy clinical trial studies of adolescents despite the high risk for poor treatment retention and poor clinical outcomes among adolescents with PTSD and co-occurring disorders. We discuss the rationale for continued research of this mindfulness-based CT for adolescents with co-occurring disorders. Practitioner pointsAdolescents with co-occurring PTSD and substance use achieved meaningful improvement in PTSD and depression symptom severity after receiving a CT and mindfulness dual diagnosis approach.

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Coping strategies related to treatment in substance use disorder patients with and without comorbid depression

Cited by 35 publications

References 38 publications

The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder

The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder

The association of nursing care perception with coping skills and posttraumatic growth in mental disorders

A treatment development study of a cognitive and mindfulness‐based therapy for adolescents with co‐occurring post‐traumatic stress and substance use disorder

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