Substance use consequences, mental health problems, and readiness to change among Veterans seeking substance use treatment

Morris, David H.; Davis, Alan K.; Lauritsen, Kirstin J.; Rieth, C. Martin; Silvestri, Mark M.; Winters, Jamie J.; Chermack, Stephen T.

doi:10.1016/j.jsat.2018.08.005

Cited by 18 publications

(10 citation statements)

References 86 publications

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“…Evidence supports that there may be a two-way causal connection between alcohol use and depression (Awaworyi Churchill & Farrell, 2017). Only one study reported a significant association between depression and RC in military veterans (Morris et al, 2018). Social support is an important resource for adjusting to life stressors (Pilcher & Bryant, 2016).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing readiness to change in patients with alcoholic liver disease: A cross‐sectional study

Chang

Wang

Chen

et al. 2020

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? Readiness to change has been documented as a factor affecting alcohol treatment attendance, engagement and outcome. Knowledge regarding readiness to change and its influencing factors in patients with alcoholic liver diseases will inform the development of relevant interventions to help these patients to successfully stop drinking. What this paper adds to existing knowledge? The scores in all three dimensions of readiness, recognition, ambivalence and taking steps, were low. For the recognition stage, age, drinking severity and stigma are important factors to be considered. For the ambivalence stage, age and drinking severity are important influencing factors. For the taking steps stage, drinking refusal self‐efficacy and depression should be the focus. Instead of negative associations, we found that age and drinking severity, self‐stigma and depression were positively associated with readiness to change. Patients who are younger and have higher drinking severity, higher self‐stigma, higher self‐efficacy and severe depression are more likely to change alcohol use. What are the implications for practice? Age, drinking severity, self‐stigma, drinking refusal self‐efficacy and depression are important factors to be considered when mental health nurses try to increase psychological preparedness for changing alcohol use in patients with alcoholic liver diseases. Different factors must be considered for patients in different stages of readiness to change. Different alcohol treatments are needed for different patient populations. Abstract IntroductionReadiness to change (RC) refers to the willingness or psychological preparedness for changing alcohol use. Knowledge regarding factors influencing RC is crucial for developing alcohol treatment plans. AimsThe study's purpose was to investigate RC and its influencing factors in patients with alcoholic liver disease (ALD). The factors explored include demographics, disease characteristics, drinking severity, self‐stigma, depression, social support and self‐efficacy. MethodThis is a cross‐sectional study using self‐reported questionnaires. ResultsEighty‐seven patients with ALD were recruited. Their scores in all three dimensions of readiness, recognition, ambivalence and taking steps, were low. Self‐stigma, age and drinking severity explained 32.3% variation in recognition. Drinking severity and age explained 21.5% variation in ambivalence. Self‐efficacy, depression and age explained 19.3% variation in taking steps. DiscussionInstead of negative associations, we found that age, drinking severity, self‐stigma and depression were positively associated with RC. Younger patients with higher drinking severity, higher self‐stigma, higher self‐efficacy and severe depression are more likely to change alcohol use. Implications for practiceMental health nurses should consider factors such as age, drinking severity, self‐stigma, self‐efficacy and depression, while trying to increase patients’ RC. More specifically, strategies t...

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Section: Introductionmentioning

confidence: 99%

Factors influencing readiness to change in patients with alcoholic liver disease: A cross‐sectional study

Chang

Wang

Chen

et al. 2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

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“…Nuestra muestra está compuesta principalmente por hombres adultos jóvenes y puede no ser representativa de la totalidad de los consumidores de cannabis, ya que, por ejemplo, el daño orgánico (i.e., enfermedades respiratorias) puede incrementarse con la edad (Akgün, Crothers y Pisani, 2012;Rossi, Ganassini, Tantucci y Grassi, 1996). Además, el uso de otras sustancias psicoactivas también está relacionado con la carga de morbilidad (Karila, Petit, Lowenstein y Reynaud, 2012;Maritz y Mutemwa, 2012;Morris et al, 2018;Organización Mundial de la Salud, 2018). Por tanto, nuestros resultados deben interpretarse con precaución, ya que sesgos potenciales podrían interferir con los resultados dado el tamaño reducido de la muestra.…”

Section: Discussionunclassified

La importancia de los patrones de consumo: Diseño de una encuesta que permita evaluar daño relacionado al consumo de cannabis

et al. 2023

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“…9 Patients with opioid misuse in an inpatient psychiatry unit may be especially motivated to change their use given that among people seeking outpatient substance use disorder (SUD) treatment, psychiatric symptoms are related to more motivation to change substance use among patients who use opioids but related to less motivation to change the use of other substances (eg, cannabis). 10 The current study had several objectives. First, we examined whether inpatients with opioid misuse differed from those who used other substances in motivation to change substance misuse.…”

Section: Smentioning

confidence: 99%

Group Cognitive Behavioral Therapy for Substance Use Disorders Among Psychiatric Inpatients in a Medically Underserved Area: An Intervention for Opioid Misuse

et al. 2023

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Objectives: Opioid misuse is a serious public health concern, yet few people seek treatment for this condition. Hospitals may be one opportunity to identify those with opioid misuse and to teach them skills to help manage their opioid misuse upon discharge. We tested the relationship between opioid misuse status and motivation to change substance use among patients admitted with substance misuse to an inpatient psychiatric unit in a medically underserved area in Baton Rouge, Louisiana, who attended at least 1 group session of motivation enhancement therapy combined with cognitive behavioral therapy (MET-CBT) from January 29, 2020, through March 10, 2022. Methods: Of the 419 patients in our sample, 86 (20.5%) appeared to misuse opioids (62.5% male; mean age, 35.0 y; 57.7% non-Hispanic/Latin White). At the beginning of each session, patients completed 2 measures of motivation—importance and confidence to change substance use—from 0 (not at all) to 10 (most). At the end of each session, patients rated perceived session helpfulness from 1 (extremely hindering) to 9 (extremely helpful). Results: Opioid misuse was associated with greater importance (Cohen d = 0.12) and confidence (Cohen d = 0.13) to change substance use and with attending more MET-CBT sessions (Cohen d = 0.13). Patients with opioid misuse rated sessions as highly helpful (score of 8.3 of 9), and these ratings did not differ from patients who used other substances. Conclusions: Inpatient psychiatry hospitalizations may provide an opportunity to identify patients with opioid misuse and introduce these patients to MET-CBT to learn skills to manage opioid misuse upon discharge.

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Substance use consequences, mental health problems, and readiness to change among Veterans seeking substance use treatment

Cited by 18 publications

References 86 publications

Factors influencing readiness to change in patients with alcoholic liver disease: A cross‐sectional study

Factors influencing readiness to change in patients with alcoholic liver disease: A cross‐sectional study

La importancia de los patrones de consumo: Diseño de una encuesta que permita evaluar daño relacionado al consumo de cannabis

Group Cognitive Behavioral Therapy for Substance Use Disorders Among Psychiatric Inpatients in a Medically Underserved Area: An Intervention for Opioid Misuse

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