Systematic review of prospective studies investigating “remission” from amphetamine, cannabis, cocaine or opioid dependence

Calabria, Bianca; Degenhardt, Louisa; Briegleb, Christina; Vos, Theo; Hall, Wayne; Lynskey, Michael T.; Callaghan, Brid; Rana, Omer; McLaren, Jennifer

doi:10.1016/j.addbeh.2010.03.019

Cited by 108 publications

(91 citation statements)

References 32 publications

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“…To test this hypothesis, it is important to prospectively assess whether dependent users correctly selfselect into treatment. Especially because Grella and Stein (2013) suggest that substance dependent users enrol themselves in treatment when impairment reaches a critical threshold, and less severe cannabis dependent users, with lower levels of impairment and less comorbidity, show high natural remission (Calabria et al, 2010;White, 2012). At the same time, it would be important to know whether short, low-threshold and non-stigmatising interventions are appropriate for some of these people to prevent escalation, or to slowly engage them in more demanding treatments.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers in treatment seeking for cannabis dependence

Pol

Liebregts

Graaf

et al. 2013

Drug and Alcohol Dependence

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Facilitators and barriers in treatment seeking for cannabis dependence van der Pol, P.; Liebregts, N.; de Graaf, R.; Korf, D.J.; van den Brink, W.; van Laar, M. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 13 May 2018Drug and Alcohol Dependence 133 (2013) t r a c tBackground: Relatively few cannabis dependent people seek treatment and little is known about determinants of treatment seeking. Methods: Treatment determinants were compared among 70 DSM-IV cannabis dependent patients and 241 non-treatment seeking DSM-IV cannabis dependent community subjects. In addition, perceived facilitators for treatment seeking were assessed in patients, whereas perceived barriers were assessed in 160/241 cannabis dependent community subjects not prepared to seek treatment (precluders), of whom 63/160 showed an objective treatment need, and 30/241 showed a subjective treatment need. Results: Compared to non-treatment seekers, patients reported more cannabis use (176.9 versus 82.8 joints monthly), more symptoms of dependence (5.6 versus 4.5), higher perceived lack of social support (70.0% versus 41.1%), more pressure to seek treatment (58.6% versus 21.6%), a more positive attitude to treatment, and more previous treatments. In addition, patients reported more mental health problems (internalising disorders 57.1% versus 24.5%; externalising disorders 52.9% versus 35.3%) and more functional impairments (8.4 versus 4.8 monthly days out of role). Cannabis dependent 'precluders' reported desire for self-reliance (50.0%), preference for informal help (22.5%), and absent treatment need (16.9%) as their main reasons not to seek treatment, whereas cannabis dependent community subjects with a subjective treatment need mainly expressed desire for self-reliance (36.7%), treatment ineffectiveness (16.7%), and avoiding stigma (13.3%). Conclusions: Functional impairment, mental health problems and social pressure are important reasons to seek treatment in people with cannabis dependence. Treatment participation might improve if desire for self-reliance and the preference for informal help are considered, and perceived ineffectiveness of treatment and stigmatisation are publicly addressed.

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Section: Discussionmentioning

confidence: 99%

Facilitators and barriers in treatment seeking for cannabis dependence

Pol

Liebregts

Graaf

et al. 2013

Drug and Alcohol Dependence

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“…De repetidas formas, a família reaparece como coautora das condições predisponentes ao uso 11,39,46,47 , em virtude da exposição ao uso de álcool e outras drogas pelos adultos nos domicílios 46,48,49 , ou a ambientes violentos 46,[48][49][50] , à negligência parental 49 , ou a abusos [46][47][48] . Poucos estudos detiveram-se, porém, no mapeamento das condições associadas à cessação de consumo 51 , exceto os que testaram intervenções clínicas [52][53][54][55] . O seguimento dos usuários e uma avaliação mais ampla dos cenários e condições de suporte para uma mudança de comportamento em relação ao crack apontam a possibilidade de remissão do quadro 56 , ainda que não seja tarefa muito simples.…”

Section: Discussionunclassified

Influência da família no consumo de crack

Horta

Vieira

Balbinot

et al. 2014

J. bras. psiquiatr.

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RESUMOObjetivo: Dimensionar a contribuição de características de grupos familiares de usuários de crack tanto em situações de consumo quanto na promoção da cessação do uso da substân-cia. Métodos: Estudo observacional, transversal, misto, com delineamento quantitativo (estatísticas descritiva e analítica, por regressão de Poisson robusta) e qualitativo (análise temáti-ca de conteúdos de entrevistas individuais semiestruturadas). Resultados: Foram analisados dados oriundos de entrevistas com 519 usuários de crack, dos quais 48,3% referiram já ter feito uso compartilhado com algum familiar. A relação mais referida para compartilhamento do crack foi a conjugal, indicada por 30,6% dos entrevistados. A estimativa das razões de prevalência do desfecho abstinência na data da entrevista, por regressão de Poisson robusta controlada para fatores de confusão, para usuários de crack que referiram uso compartilhado com irmãos, foi de 0,940 (IC95%: 0,885-0,999; p = 0,045), tendo os que não referiram como referência. Na dimensão qualitativa, 20 entrevistados expuseram livremente modalidades de envolvimento dos familiares com o uso da droga, alguns indicando oposição ao consumo, outros estímulo, ou oferta, além da influência recíproca entre consumo de crack e conflitos familiares ou um ambiente considerado negativo. Além disso, os entrevistados que informaram ter familiares em tratamento em saúde mental tiveram 9% mais probabilidade de estar em uso cessado por 12 semanas ou mais (RP = 1,09; IC95%: 1,03-1,15; p = 0,005). Conclusão: Os grupos familiares aparecem não somente como fator de proteção, mas também como importante fator de risco para o uso do crack, e sua inclusão como grupo primário de atendimento se justifica com essas evidências. ABSTRACTObjective: This paper aims to study the contributions of families of crack users on promoting both consumption and cessation of consumption of this substance. Methods: A cross-sectional, mixed study with a quantitative design (descriptive and analytical statistics, by robust Poisson regression) and a qualitative design (thematic content analysis). Results: Among 519 crack users interviewed 48.3% reported having shared crack cocaine with some family member. The more expressive occurrence of sharing was for marital relations indicated by 30.6% of respondents. The estimated prevalence rates of the outcome crack usage stopped for more than 12 weeks, by robust Poisson regression controlling for confounding

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“…Also, various studies in other communities have shown these disorders (7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 95%

Personality and Mental Disorders in Patients with Substance-Related Disorders Admitted to Addiction Clinics in Hamadan in 2014

Rahimi

Zarabian

Nazaribadie

et al. 2016

Avicenna J Neuro Psycho Physiology

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Objectives: This study aimed to assess and compare the mental and personality disorders among people with substance-related disorder. Methods: This cross sectional study was performed from September 2014 to March 2015 in Hamadan city, Iran. The population of this study was all people who referred to the addiction clinics and were consumers of opioids or methamphetamine. Each client was examined in biaxial axis and patients with mental health were studied in the first axis using the SCID test. Also, in the second axis, the personality disorders were evaluated in the patients using the Minnesota multiphasic personality inventory (MMPI) test. Results:All the 103 patients participated in this study were males. The mean age of the patients was 9.13 ± 9.41 years. The results of the MMPI test revealed that schizoid, paranoid, and passive aggressive personality disorders were significantly higher in people with an opioid use disorder compared with the people who taking methamphetamine. However, an antisocial personality disorder in patients taking methamphetamine was more common than in patients who taking opioid. In patients taking opioids, based on the results of the SCID, depression with or without psychotic features, major depressive disorder (MDD) and panic disorder were significantly higher compared with patients taking methamphetamine. Conclusions: The Bipolar mood disorder, panic disorder, paranoid personality disorder, MDD with psychotic features and passive aggressive personality disorder were more prevalent in patient who taking opiate and the antisocial personality disorder, schizoid personality disorder, substance-induced mood disorder and somatoform disorder were more prevalent in patients taking methamphetamine.

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Systematic review of prospective studies investigating “remission” from amphetamine, cannabis, cocaine or opioid dependence

Cited by 108 publications

References 32 publications

Facilitators and barriers in treatment seeking for cannabis dependence

Facilitators and barriers in treatment seeking for cannabis dependence

Influência da família no consumo de crack

Personality and Mental Disorders in Patients with Substance-Related Disorders Admitted to Addiction Clinics in Hamadan in 2014

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