Perceived Reasons for Substance Misuse Among Persons With a Psychiatric Disorder.

Laudet, Alexandre B.; Magura, Stephen; Vogel, Howard S.; Knight, Edward L.

doi:10.1037/0002-9432.74.3.365

Cited by 70 publications

(54 citation statements)

References 65 publications

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“…On the other hand, the stillactive substance users commented on their fear of developing dependency or becoming psychotic as arguments for having substance-free periods. Fear of dependency as a motivation for abstinence has not been mentioned in other studies, although some studies have noted the negative consequences of substance use as a motivation to quit [21,54]. Important to this finding is the difference in study samples: the latter studies included participants with overall more serious substance use compared with the participants in our study.…”

Section: Discussioncontrasting

confidence: 47%

“…This may indicate that individuals with comorbid SMI and substance use are more vulnerable while in the state of abstinence than are individuals without SMI. The literature supports such a hypothesis [21,48,56]. According to Drake et al [20], one prominent risk factor for these individuals is the fluctuating nature of long-term mental illness.…”

Section: Discussionmentioning

confidence: 51%

“…Their study included participants who were similar to those in our study except that their participants had an average time free of substance use of nearly three years. By contrast, other qualitative and self-report studies examining reasons to abstain did not emphasize the concept of avoidance [21,32,41].…”

Section: Discussionmentioning

confidence: 87%

“…Many people with SMI tend to attain full remission of their substance use, whereas others relapse frequently [20,21]. Research from different treatment settings indicate that 30 per cent of those with less severe mental illness and heavy substance use attain sustained remission [22], whereas up to 60 per cent of those with SMI and less severe substance use attain sustained remission [23,24].…”

Section: Introductionmentioning

confidence: 99%

“…Some mixed-methods studies have reported on specific issues such as decision-making [35], reasons and strategies for quitting [21] and consequences of abstaining from substances [36]. One ethnographic study [37] and one self-reported study [38] have examined participants' reasons for quitting and have shown that supportive networks are influential in encouraging sobriety.…”

Section: Introductionmentioning

confidence: 99%

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Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Pettersen

Ruud²,

Ravndal³

et al. 2014

J Addict Res Ther

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Individuals diagnosed with severe mental illness (SMI) are more vulnerable to substances than are other people. Many people with SMI tend to attain full remission of their substance use, but others relapse frequently. There is more research on the reasons for substance use than on the reasons for abstaining among these individuals. Information from the latter may contribute to a better understanding of how individuals with SMI experience abstaining from substance use. Objective: The aim of this explorative study was to examine experiences of abstaining from substances of persons diagnosed with SMI. We examined both the reasons given and the requirements and strategies used when abstaining. Methods:A qualitative study with semi-structured interviews was conducted, and a descriptive and explorative design was applied. This study included a purposeful sample of 11 patients with SMI and substance use being treated by assertive community treatment teams. Results:The main reasons for quitting substance use were social relationships and meaningful activities. The stated requirements and strategies used in the search for sobriety were detachment towards people and places, positive thinking, controlling feelings and emotions, and fear of dependency. Conclusion:Our results are consistent with those from other qualitative studies on the importance of social relationships and meaningful activities as expressed reasons for abstaining. The strategy of actively avoiding a former adverse milieu to reach sobriety is consistent with findings from one similar study. The strategies of fear of adverse consequences, positive thinking, and controlling feelings and emotions found in the present study have not been reported by other qualitative studies.

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Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Pettersen

Ruud²,

Ravndal³

et al. 2014

J Addict Res Ther

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The association between exposure to community violence and somatic symptoms through bullying victimization among African American adolescents in Chicago: A developmental trauma approach

et al. 2023

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Background The developmental trauma theory suggests that traumatic events impede the ability of individuals to form interpersonal relationships, impair cognition, affect, and increase the vulnerability of adolescents to develop psychopathology. However, few studies have examined the applicability of this theory among African American adolescents who were exposed to community violence and adverse outcomes, including bullying victimization and somatic symptoms. Aims Therefore, the purpose of the present study is to first test the association between exposure to community violence and somatic symptoms. Then, we explored whether bullying victimization mediated the relationship between exposure to community violence and somatic symptoms while controlling for gender differences and substance use (n = 622). Results Results suggest that exposure to community violence is positively associated with somatic symptoms. Moreover, the association between exposure to community violence and somatic symptoms was mediated by bullying victimization. Discussion and Conclusion These results were consistent with the developmental trauma theory, such that trauma could increase the vulnerability for future victimization, thus, leading to somatic symptoms. Implications for research and practice are discussed.

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How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

Lewin,

Leamy,

Palmer

2023

J Clin Psychol

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ObjectiveSelf‐harm can be understood as any behavior individuals use to harm themselves, irrespective of motive. Evidence has extensively examined the epidemiology and function of self‐harm to the individual, but less is known about the subjective processes underpinning recovery. Such insights could inform therapeutic interventions to better support individuals. The present aim was to synthesize qualitative themes from eligible literature to identify how adolescents, young adults, and those in middle adulthood conceptualize self‐harm recovery and the factors impacting this process.MethodsEleven studies were identified from a systematic search of five electronic research databases: PsycINFO, Embase, Medline, Global Health, and CINAHL. Studies were critically appraised using an adapted Critical Appraisal Skills Program tool for qualitative research. A meta‐synthesis was conducted using reflexive thematic analysis to generate themes across the included studies.ResultsThemes depicted recovery as a multidimensional, nonlinear, and subjective process, characterized by a “push and pull” between states of (re‐)engagement and cessation/reduction. Transition between these states was influenced by intrapersonal and interpersonal factors which were embedded in a wider milieu of the meaning of self‐harm to the individual.ConclusionContemporary ideas of symptom eradication as the only marker of complete recovery may hinder individuals in the long‐term, presenting an obstacle both to quality of life and therapeutic progress. Movement away from self‐harm recovery as a uniform or singular phenomenon could enhance person‐centered care.

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Perceived Reasons for Substance Misuse Among Persons With a Psychiatric Disorder.

Cited by 70 publications

References 65 publications

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

Searching for Sobriety: How Persons with Severe Mental Illness Experience Abstaining from Substance Use

The association between exposure to community violence and somatic symptoms through bullying victimization among African American adolescents in Chicago: A developmental trauma approach

How do people conceptualize self‐harm recovery and what helps in adolescence, young and middle adulthood? A qualitative meta‐synthesis

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