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Results for “Behavior, Addictive”

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PubMed1992

Psychotherapy and addiction: a survey of journals.

A content analysis was done on 1,239 articles published from 1984 to 1987 in seven leading alcohol and addiction journals to ascertain the frequency of articles on psychotherapeutic treatment published relative to other treatments for alcohol and drug dependence. Therapeutic intervention articles account for less than 10% and psychotherapy treatment articles for less than 3% of the articles analyzed. Postulations such as the effects of a prevailing acceptance of the disease model to level of practitioner sophistication are made about this relatively small number. Nontherapeutic treatment articles are classified according to research methodology. Suggestions for research are made.

Adult↗

PubMed1992

Serotonergic medications for sexual obsessions, sexual addictions, and paraphilias.

BACKGROUND: Paraphilias and related disorders have recently been thought of as sexual addictions. However, it has also been argued that these disorders are sexual compulsions. The question arises as to whether these disorders and obsessive compulsive disorder respond in the same way to pharmacotherapy. METHOD: We retrospectively reviewed outcome in 13 patients who presented with sexual symptoms and were treated with serotonin reuptake blockers. Symptoms were divided into paraphilias, nonparaphilic sexual addictions, and sexual obsessions. RESULTS: Paraphilias had the least improvement, while sexual obsessions had the best response to medication. CONCLUSION: Paraphilias and related disorders may be less responsive than sexual obsessions or compulsions to serotonin reuptake blockers. Perhaps paraphilias and related disorders are on the impulsive rather than the compulsive end of the spectrum of obsessive compulsive disorders. Controlled trials are, however, necessary to replicate these preliminary findings.

Adolescent↗

PubMed2002

[Sex "addiction": compulsion and controversy].

Modern occidental society often distorts and, in some cases, ignores healthy concepts regarding sexuality. Besides, It not always considers this, to be mental health or to represent an expression of whole health. Such ambivalence towards sex and the sexual is located between the limits of the sacred and erotic, both associated to taboos and their transgression. Since the last century, the current "neosexual" revolution intents to dismantle old patterns in favor of the dissociation of human sexual sphere, the dispersion of sexual fragments towards individualism and intimate relationships diversification. Within such context, "addiction" to sex and the sexual, as a compulsive conduct, represents on one side a clinical reality each time better observed and diagnosed, where the importance of family history is recognized, as well as individual psychopathology, and marital life, in its etiology and also for its treatment and prevention. On the other hand, it has not been classified in the mental health catalogues as it is not considered, meanwhile, as the problem is been maintained, the co-morbidity and its consequences multiply, and the controversy continues.

Behavior, Addictive↗

PubMedDate not supplied

Effect of counselor and client education in nicotine addiction on smoking in substance abusers.

Smoking cessation has received little attention in substance abuse programs. The present study analyzed the effect that counselor and client education in nicotine addiction had on clients' treatment readiness for a smoking cessation program. Thirty-eight smoking clients and two counselors from a short-term residential alcohol treatment facility participated in this study. Counselors served in both the treatment and control conditions in this 2x2 mixed factorial design by first participating in the control condition (general substance abuse education) and then in the treatment condition (smoking education). Counselors proceeded to work (for 6 weeks) with clients who had participated in the control education in general substance abuse issues and with clients who participated in the treatment education series in smoking issues. Clients completed the Fagerstrom Test for Nicotine Dependence and Stages of Change Ladders pre- and posttest. Results indicated that counselor and client education was effective in significantly changing the clients' thoughts toward smoking cessation and their smoking behaviors. Implications for instituting a smoking education program involving counselors, as well as clients, are discussed.

Adult↗

PubMed2001

Internet heavy use and addiction among Taiwanese college students: an online interview study.

This paper presents empirical qualitative results of Internet heavy-use and addiction among some college students in Taiwan. It offers in-depth, online interviews of student-subjects in order to facilitate an interdisciplinary understanding of Internet heavy use, addiction and its potential impacts. A total of 83 subjects were interviewed, both as individuals and in chat-room groups. The analysis of qualitative data presented in six major themes: (1) Internet use and reasons; (2) Internet features; (3) the Internet as replacement for other media; (4) impact of Internet overuse; (5) controlling Internet use; and (6) coping with Internet withdrawal. Discussions, explanations, along with examples and quotes from subjects, are provided in each section. Implications for student affairs administrators and further research directions are also addressed.

Adaptation, Psychological↗

PubMed2000

The processing of automatic thoughts of drug use and craving in opiate-dependent individuals.

This study investigated the processing of sentences describing craving and withdrawal in opiate-dependent individuals. Eighteen patients who attended a methadone maintenance clinic for obtaining methadone, 18 patients who were not treated with methadone, and 18 control family members performed on a computerized contextual priming task. The task was priming sentences (craving, withdrawal, or neutral) to words (addiction, neutral, or nonwords). The methadone group was slower to process all sentences compared with family members. They were also faster to process drug-related words following withdrawal-related sentences compared with neutral words following neutral sentences. Finally, they were slower to recognize neutral words following neutral sentences compared with the nonmethadone group. Results suggest that the processing of information describing withdrawal and craving for drugs plays an important role in opiate dependence.

Adult↗

PubMed2004

Smoking prevalence, behaviour and nicotine addiction among coal workers in Zonguldak, Turkey.

To assess the smoking status of coal workers, as coal dust exposure and concomitant cigarette smoking contribute to the increased prevalence of pulmonary interstitial fibrosis, chronic obstructive pulmonary disease and other pulmonary diseases. A survey was conducted to determine the smoking prevalence, behaviour and nicotine addiction in coal workers. The target population consisted of 475 underground coal workers who lived in Zonguldak city of Turkey, and we reached 389 of them. Each subject completed a detailed smoking history questionnaire (included 56 question). Chest X-rays and pulmonary function tests were performed to evaluate patients' related diseases and complications. Smoking status of the workers was as follows; Sixty-nine never smokers (17.7%), 62 ex-smokers (15.9%) and 258 current smokers (66.3%). The mean age of starting smoking was similar among ex and current smokers (15.9 +/- 4.2 versus 15.0 +/- 4.0). The most common reason for starting smoking was smoking interest (50%) and friends' influence (15.5%). The most frequent reason stated for successful smoking cessation was experience of smoking-related symptoms or development of a medical condition (51%). The most important reason given by current smokers for smoking cessation attempts was increased chance of developing lung cancer, pneumoconiosis and other diseases (22.9%). Nicotine addiction was assessed by the Fagerstroem test. Mild (0-3 points), moderate (4-6) and severe (7 or more) addiction ratios were found to be 39.1%, 44.2% and 16.7% respectively. Ex-smokers had the highest prevalence of large and small airway obstruction on spirometry. Smoking prevalence is high in coal workers living in Zonguldak city of Turkey. Most of the smokers know that smoking is dangerous and want to quit smoking. A detailed smoking history during medical surveillance may help the occupational physician to develop a system in which such individuals can be referred to comprehensive smoking cessation programs.

Adult↗

PubMed2006

Price responsiveness of demand for cigarettes: does rationality matter?

Meta-analysis is applied to aggregate-level studies that model the demand for cigarettes using static, myopic, or rational addiction frameworks in an attempt to synthesize key findings in the literature and to identify determinants of the variation in reported price elasticity estimates across studies. The results suggest that the rational addiction framework produces statistically similar estimates to the static framework but that studies that use the myopic framework tend to report more elastic price effects. Studies that applied panel data techniques or controlled for cross-border smuggling reported more elastic price elasticity estimates, whereas the use of instrumental variable techniques and time trends or time dummy variables produced less elastic estimates. The finding that myopic models produce different estimates than either of the other two model frameworks underscores that careful attention must be given to time series properties of the data.

Advertising↗

PubMed2006

Rational alcohol addiction: evidence from the Russian longitudinal monitoring survey.

Alcohol consumption in Russia is legendary and has been reported to be the third leading cause of death in the former Soviet Union after heart disease and cancer. Are Russian alcohol consumers rational addicts? This paper uses eight rounds of a nationally representative Russian survey spanning the period 1994-2003 to estimate a rational addiction (RA) model for alcohol consumption. This is done in a panel data setting as well as on a wave-by-wave basis. The profile of the Russian drinker finds a huge difference between males and females and the model is estimated by gender. We do not find support for the RA model in Russia for women. For men, although we find that some implications of the RA model are satisfied, we fail to endorse the model empirically on grounds of implausible negative estimates of the discount rate.

Adolescent↗

PubMed2002

Flavor improvement does not increase abuse liability of nicotine chewing gum.

Because the taste of nicotine gum has impeded compliance with dosing recommendations, nicotine gum with improved taste (mint, orange) was developed and marketed. Prior to marketing, the Food and Drug Administration (FDA) required a rigorous abuse liability assessment to examine whether enhanced palatability of nicotine gum would increase its abuse liability. Subjective, physiological, and psychomotor effects of mint flavor and original nicotine gum were tested in adult smokers (22-55 years old); a group of younger subjects (18-21 years old) was also included to allow for assessment of abuse liability in young adults specifically. Amphetamine and confectionery gum served as positive controls for abuse liability and palatability. Subjects rated palatability of mint gum higher than original nicotine gum, but substantially lower than confectionery gum. Palatability decreased with increasing dose of nicotine. Neither original nor mint gum increased ratings of traditional abuse liability predictors [Good Effect, Like Effect, Morphine-Benzedrine Group (MBG) scales of Addiction Research Center Inventory (ARCI)], while amphetamine increased ratings of all these measures. Both flavors of nicotine gum decreased craving during 2 h of abstinence. These effects were more pronounced in the adult group and mint gum was more effective than original gum. Younger subjects reported fewer withdrawal symptoms and lower ratings for drug effects and flavor. Improved flavor of nicotine gum does not increase abuse liability, but may be associated with enhanced craving reduction.

Adolescent↗

PubMed1992

Treatment dependence: preliminary description of yet another syndrome.

The last decade has witnessed an expansion of treatment services and research into alcoholism and addiction. As so often happens when attempting to find solutions to pressing individual and social problems, the solutions have come to acquire an importance of their own, obscuring the problems they were intended to solve. Many programmes are characterized by stereotyped approaches to treatment, which seem more in line with the needs of the staff than with the problems of the clients. The hopes that treatment for addictions will solve some of the problems of contemporary society have given treatment a salience which cannot be justified in terms of results. Frustrated at the results of treatment, clinic staff intensify their efforts and attribute the shortcomings of treatment to a lack of client motivation. There are disconcerting parallels between these behaviours in clinicians and the behavioural changes of the Alcohol Dependence Syndrome. The label 'Treatment dependence syndrome' is proposed to characterize a pattern of individual and institutional behaviour which is both self-perpetuating and self-defeating.

Alcoholism↗

PubMed2000

Exploring the factors influencing relapse and recovery among drug and alcohol addicted women.

1. Both women who were in treatment for relapse to and in sustained recovery from drugs and alcohol had multiple co-occurring addictions such as relationship, spending, food, and shopping that complicated the recovery process. 2. Depression is a major trigger for relapse in women with alcohol and drug problems. Recognition and treatment of depression is critical to achieve successful outcomes of treatment for these women, and teaching them to monitor their mood changes and seek help will improve the chances of preventing relapse. 3. Subjects in neither the relapse nor recovery sample recognized the significant influence of current violent partnerships or the ending of a violent relationship on their relapse or recovery.

Adult↗

PubMed2005

[Physical exercise and yoga in prevention and treatment of addictive diseases].

Prevention of addictive diseases should be complex and systematic and it should include training of social skills, decision-making skills, family intervention, etc. Similarly, effective treatment is usually long-term, systematic and complex. Physical exercise and yoga can be useful components of comprehensive prevention and treatment programmes. On the other hand, competitive professional sport rather increases the number of risk factors for substance-related problems. Practical experience with the use of yoga in substance dependent patients and pathological gambles are mentioned. One of the advantages of yoga is the integration of physical exercise and relaxation.

Behavior, Addictive↗

PubMed2005

Incarceration, addiction and harm reduction: inmates experience injecting drugs in prison.

Within Canadian prisons HIV/AIDS is becoming more common among inmates. While injection drug use in correctional facilities is documented to be a problem, qualitative research into the HIV risks faced by inmates is lacking. The goal of this research was to qualitatively examine HIV risk associated with injecting inside British Columbia prisons. A sample of 26 former male inmates who had recently used drugs within correctional facilities were recruited from a ongoing cohort study of injection drug users in Vancouver, Canada. Data for this study were collected through in-depth interviews conducted in 2001/2002. Analysis of these data involved identifying emergent themes and then exploring these central concepts in further interviews to confirm the accuracy of interpretation. The harms normally associated with drug addiction, and injection drug use are exacerbated in prison. Interpersonal relationships and the possession of exchangeable resources determine access to scarce syringes. The scarcity of syringes has resulted in patterns of sharing amongst large numbers of persons. Continual reuse of scarce syringes poses serious health hazards and bleach distribution is an inadequate solution. The findings of this study emphasize the need for effective harm reduction programs that provide an appropriate response to the problem of injection drug use among inmates.

Anecdotes as Topic↗

PubMed2004

Internet addiction disorder and chatting in the Czech Republic.

This study analyzes connections between online chatting and the Internet Addiction Disorder (IAD). In the research are compared two groups of respondents--Czech online chat users and Czech university students. The set of answers designed by Kimberly Young, of the University of Pittsburgh, was the common base for research. The research showed that IAD is known among university students, that some of them spend an enormous time on the Internet, and that many of them feel it is a problem. The research also clearly showed that the most serious chat users more often have problems with IAD than other university students.

Adolescent↗

PubMed2002

Assessing the diversity of personal beliefs about addiction: development of the addiction belief inventory.

Previous work in the field of substance use/misuse has suggested that client beliefs about addiction are quite diverse, and may influence the effectiveness of various treatment approaches. This paper presents an Addiction Belief Inventory (ABI) that was developed and evaluated to assess personal beliefs about addiction and substance use problems. The ABI is a 40-item instrument developed using two clinical samples: an alcohol user treatment group (N = 134) and a dual diagnosis treatment group (N = 536). Confirmatory factor analysis revealed seven stable subscales: inability to control, chronic disease, reliance on experts, responsibility for actions, responsibility for recovery, genetic basis, and coping. Multivariate analyses provided preliminary reliability and validational support. The utility of the ABI for clinical and research purposes is discussed, along with suggestions for future research and improvements to the instrument.

Adult↗

PubMed2006

Accounting for risk and responsibility associated with smoking among mothers of children with respiratory illness.

Contemporary public health discourses construct individuals as rational, responsible and knowledgeable, and thus promote a self-controlled prudent response to risk. In the context of evidence emphasising risks to children's health associated with passive smoking, mothers of children with respiratory illness may knowingly place their children at increased risk should they continue to smoke in their presence. Drawing on an analysis of depth qualitative interview accounts with mothers who smoke and whose young child was recently admitted to hospital with respiratory illness, this study describes mothers' constructions of risk and responsibility associated with their smoking. Three forms of accounting style were identified: 'stories of acceptability'; 'denial of agency'; and 'reflections of guilt'. 'Stories of acceptability' either positioned the risk of passive smoking as contained and controlled to an acceptable level, or disputed the level of risk that passive smoke posed. 'Denial of agency' drew on discourses of addiction and shared responsibility to exonerate the mother of responsibility or blame. 'Reflections of guilt' were presented when contradictions arose within accounts, particularly in relation to discussions of agency and rationality in decision-making. The study illustrates how constructions of moral responsibility, especially in relation to being a 'good mother', framed mothers' accounts of smoking in the face of risk. The study concludes that far greater consideration be given to the way in which mothers rationalise their smoking to others if paediatric doctors are to foster risk reduction practices associated with passive smoking more effectively.

Adult↗

PubMed2006

Topiramate for smoking cessation.

Due to its AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)/kainate antagonism, topiramate would be particularly interesting in addiction treatment. Flexible-dose topiramate was prescribed to 13 smokers (10 smokers who wanted to stop smoking, and three who received topiramate for other reasons). Six out of 13 smokers were abstinent at 2 months and two more subjects had reduced their cigarette consumption by >50%. With one exception, temporary reduction of the number of smoked cigarettes preceded definitive abstinence at month 2. Three more subjects who achieved a momentary reduction had, however, to interrupt the treatment due to intolerable side-effects. Controlled trials are needed to confirm these preliminary observations.

Adult↗