Physical health problems among patients seeking treatment for substance use disorders: A comparison of drug dependent and alcohol dependent patients

Keaney, Francis; Gossop, Michael; Dimech, Anthony Pio; Guerrini, Irene; Butterworth, Michelle; Al-Hassani, Hayder; Morinan, Alun

doi:10.3109/14659890903580474

Cited by 31 publications

(21 citation statements)

References 46 publications

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“…These high levels of illicit drug and alcohol use are causes for concern because substance use during adolescence can lead to heavier substance use and the potential for abuse later in life (Anthony and Petronis, 1995; Chen et al, 2009; McGue and Iacono, 2008; Schmid et al, 2007; Wittchen et al, 2008). Empirical evidence indicates substance abuse may also lead to longer periods of unemployment (Hoffman et al, 2007), physical health problems (Kandel et al, 1986; Keaney et al, 2011), the dissolution of social relationships, and many other negative outcomes (Anderson et al, 2010). Given the higher prevalence of alcohol and other drug use among Latino and White youth compared to Asian and African American youth in the U.S., the rapid growth of the Latino population, and the potential for this use to contribute to behavioral problems, it is especially important to focus on these two racial/ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

The importance of family factors to protect against substance use related problems among Mexican heritage and White youth

Kopak

Chen

Haas

et al. 2012

Drug and Alcohol Dependence

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INTRODUCTION This study examined the ability of family cohesion, parental control, and parent-child attachment to prevent adolescents with a history of drug or alcohol use from experiencing subsequent problems related to their use. METHODS Data came from Wave I and Wave II of the National Longitudinal Study of Adolescent Health and included Mexican heritage and White adolescents who reported alcohol use (n = 4,894, 25% prevalence) or any other drug use (n = 2,875, 14% prevalence) in their lifetime. RESULTS Logistic regression results indicate greater parent-child attachment predicted lower risk of experiencing drug use problems (OR = 0.87, 95% CI = 0.77 – 0.98) while stronger family cohesion predicted lower odds of experiencing drug- (OR = 0.82, 95% CI = 0.70 – 0.97) or alcohol-related (OR = 0.74, 95% CI = 0.65 – 0.84) problems. Parental control was also negatively associated with odds of problems related to drug use (OR = 0.93, 95% CI = 0.86 – 0.99) or alcohol use (OR = 0.94, 95% CI = 0.90 – 0.99). Results also indicated family cohesion was the only protective factor for Mexican heritage youth while family cohesion and parent-child attachment were protective among White youth. Parental control protected White female adolescents from drug use problems more than males. Mexican heritage male adolescents experienced more protection from drug problems compared to females. CONCLUSION Findings highlight the need for prevention interventions to emphasize parent-child attachment for White youth and family cohesion for both Mexican-heritage and White youth to decrease adolescent substance users’ drug- and alcohol-related problems.

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Section: Introductionmentioning

confidence: 99%

The importance of family factors to protect against substance use related problems among Mexican heritage and White youth

Kopak

Chen

Haas

et al. 2012

Drug and Alcohol Dependence

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“…blood‐borne viruses), public health and society (Volkow & Li , Keaney et al . ), the oral health of this disadvantaged population has received limited attention (Robinson et al . , D'Amore et al .…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility

Cheah

Pandey

Daglish

et al. 2017

Health Soc Care Community

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Social factors, health behaviours and the direct effects of substances contribute to the poor oral health and restricted access to dental services experienced by people who are dependent on drugs and/or alcohol. Admission for inpatient withdrawal management provides an opportunity for intervention to promote oral health but to be effective it must be acceptable to patients. To support intervention design, we examined patients' views about oral health, practices and treatment access, and appropriateness of health-promoting intervention in this context. Given paucity of knowledge in the area we employed a qualitative approach, data were collected in semi-structured interviews with inpatients of a public specialist alcohol and drug unit in Australia in September 2014. Analysis employed the framework approach. All 14 participants wanted 'good teeth' but few diligently attended to oral healthcare; most sought assistance only in emergencies. Participants' knowledge of services was limited and practical and affective barriers hindered access. With none recalling attention to oral health during admission, support was strong for incorporation of oral health in inpatient assessments. Participants wanted information about the impact of substances on oral health and oral hygiene practices provided in various formats, and facilitated referral to non-judgemental, affordable treatment. Patients regarded promotion of oral health in the inpatient context as important, relevant and acceptable. Support should respect the different knowledge, practices and motivations for oral health and recovery, of patients. Addressing practical and affective barriers to dental services will require collaboration between drug and alcohol and dental services, and this should be the focus of further research.

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“…Depression is associated with asthma, back problems, gastrointestinal disorders, genitourinary conditions, musculoskeletal conditions, fibromyalgia, immunodeficiency syndrome, cancer, cardiac diseases, and endocrine disorders (Gagnon and Patten, 2002; Wittchen, Lieb, Wunderlich, and Schuster, 1999). Substance dependence is associated with cardiovascular, neurological, gastrointestinal, respiratory, dermatological, and dental problems (Keaney et al, 2011). Clinical trials however, often exclude participants with severe medical illnesses (Zimmerman, Mattia, and Posternak, 2002) or do not assess physical health problems (e.g., Bockting et al, 2005; Liu et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Chronic Physical Health Problems Moderate Changes in Depression and Substance Use Among Dual Diagnosed Individuals During and After Treatment

Cui

Tate

Cummins

et al. 2014

Substance Use & Misuse

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Background Physical illnesses frequently co-occur with depression and substance use disorders and may impact their improvement. Physical illness symptoms may overlap with or exacerbate somatic symptoms of depression. Individuals may use substances to cope with symptoms of physical illness. Objectives We examined whether chronic physical health problems moderated changes in depression and substance use among dual diagnosed individuals during and in the year following treatment. Methods Participants were recruited from a Veterans Affairs dual diagnosis outpatient program between March 2000 and November 2007 and were randomized to either Integrated Cognitive-Behavioral Therapy or Twelve-Step Facilitation Therapy. A total of 214 veterans with assessment data for the variables of interest were included in analyses. Participants completed quarterly depression, substance use, and health assessments over an 18 month period. We used linear mixed effects models to analyze patterns of change for depression and substance use. Results Individuals with severe chronic health problems and higher intake depression showed slower improvements in both non-somatic and somatic depression symptoms. Individuals with severe chronic health problems and higher midtreatment substance use showed less improvement in substance use. Conclusions Assessing and addressing physical health issues during depression and substance use disorder treatment may improve outcomes.

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Physical health problems among patients seeking treatment for substance use disorders: A comparison of drug dependent and alcohol dependent patients

Cited by 31 publications

References 46 publications

The importance of family factors to protect against substance use related problems among Mexican heritage and White youth

The importance of family factors to protect against substance use related problems among Mexican heritage and White youth

A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility

Chronic Physical Health Problems Moderate Changes in Depression and Substance Use Among Dual Diagnosed Individuals During and After Treatment

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