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Biomedical subjects

S B Blume

Publications and source records attributed to S B Blume.

At least 19 recordsLinked to original sources

Pathological gambling, eating disorders, and the psychoactive substance use disorders.

Both pathological gambling and the eating disorders have been conceptualized as addictive diseases, comparable to alcoholism and other drug dependencies. This paper briefly reviews both pathological gambling and the eating disorders, stressing their epidemiology and their overlap with psychoactive substance use and other psychiatric disorders. Common factors in the natural history and treatment of these disorders are also discussed.

Behavior, Addictive

Evaluation of patients treated for pathological gambling in a combined alcohol, substance abuse and pathological gambling treatment unit using the Addiction Severity Index.

Seventy-two pathological gambling patients were followed-up after treatment in a combined alcohol, substance abuse and compulsive gambling treatment program. The Addiction Severity Index (modified for use with pathological gamblers) was used to evaluate the effectiveness of treatment. Patients reduced their intake of alcohol, other drugs and their gambling as well as improved in legal, family/social, and psychological functioning. There was a trend for improvement in medical condition and no net change in employment functioning. The study supports the idea that combined treatment is an effective way of dealing with patients whose gambling problems are discovered when they enter treatment for another addiction, as well as for patients whose initial complaints include pathological gambling, with or without additional problems.

Adult

Characteristics of pathological gamblers identified among patients on a psychiatric admissions service.

A total of 105 patients admitted to a psychiatric admissions service for adults were screened for pathological gambling using the South Oaks Gambling Screen, a valid, reliable instrument for identification of this disorder. Seven of the 105 patients were identified as pathological gamblers, and ten were children of problem gamblers, rates that are higher than those for the general population. Pathological gamblers identified in this study had a broad range of primary diagnoses, including schizoaffective disorder, paranoid schizophrenia, major depression, and organic personality disorder. A high rate of pathological gambling (11 percent) was found among patients with a secondary diagnosis of psychoactive substance use disorders.

Adolescent

Chemical dependency in women: important issues.

This paper touches upon several important issues in our current understanding of alcohol and other drug use and abuse by women. Societal attitudes as both protective and destructive forces are discussed. Recent findings relating to physiology and psychopathology are also discussed in relation to casefinding and treatment. Finally, a number of current prevention and policy considerations are mentioned.

Alcohol Drinking

Treatment for the addictions in a psychiatric setting.

The Alcoholism, Chemical Dependency and Compulsive Gambling Services at South Oaks Hospital (a 334-bed private psychiatric facility in Amityville, New York) are discussed. Psychodrama and other group methods are integral parts of the program the interdisciplinary treatment team, headed by a psychiatrist, includes addiction counsellors. Outpatient continuing care and self-help groups are stressed.

Adult

The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers.

The South Oaks Gambling Screen is a 20-item questionnaire based on DSM-III criteria for pathological gambling. It may be self-administered or administered by nonprofessional or professional interviewers. A total of 1,616 subjects were involved in its development: 867 patients with diagnoses of substance abuse and pathological gambling, 213 members of Gamblers Anonymous, 384 university students, and 152 hospital employees. Independent validation by family members and counselors was obtained for the calibration sample, and internal consistency and test-retest reliability were established. The instrument correlates well with the criteria of the revised version of DSM-III (DSM-III-R). It offers a convenient means to screen clinical populations of alcoholics and drug abusers, as well as general populations, for pathological gambling.

Adult

Public policy issues relevant to children of alcoholics.

A brief overview of current interest in public policy related to alcohol problems is presented. Issues having special relevance to children of alcoholics are discussed, including: prevention (identification of subjects at risk, public recommendations about drinking and pregnancy, child abuse and neglect); treatment (reaching treatment professionals, parental consent, confidentiality, third-party coverage, early intervention), and research.

Adult

Drunken driving.

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Alcoholic Intoxication

Children of alcoholics.

One of every eight American children is the child of a parent who has a past or present drinking problem. Children of alcoholic parents are at great risk. They are significantly more likely to develop addiction problems and a variety of mental health disorders. They live in homes with high levels of stress. Poor communication, permissiveness, undersocialization, neglect, and violence are common and can be truly devastating. Because of the stigma and denial associated with chemical dependency, these children often suffer in silence, unidentified and unassisted.

Adolescent