Antecedents of relapse and recent substance use

Schonfeld, Lawrence; Rohrer, Glenn E.; Dupree, Larry W.; Thomas, Melville

doi:10.1007/bf00754441

Cited by 15 publications

(6 citation statements)

References 1 publication

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“…People who are lonely may use substances for several reasons. First, loneliness might precede substance use to diminish negative emotions (Schonfeld, Rohrer, Dupree, & Thomas, 1989). Young gay men, for instance, report "self-treating" their loneliness with drug use (Hubach, DiStefano, & Wood, 2012).…”

Section: Loneliness and Substance Usementioning

confidence: 99%

Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients

Polenick

Cotton

Bryson

et al. 2019

Substance Use & Misuse

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Background: Loneliness has been linked to greater substance use, especially among women. Yet little is known about how loneliness is associated with treatment outcomes for patients with opioid use disorder (OUD). Objectives: We evaluated how patient reports of using illicit opioids (i.e., heroin or nonprescription pain medications) are linked to perceptions of loneliness in a sample of adults receiving methadone maintenance treatment (MMT), and whether this link varies by gender. Methods: Participants for this cross-sectional observational study included 371 MMT patients aged 18 and older drawn from four opioid treatment programs in Southern New England and the Pacific Northwest. Patients completed a self-administered survey assessing sociodemographic and health information, loneliness, illicit opioid use, and MMT characteristics. Logistic regressions were estimated to examine the link between patient odds of illicit opioid use in the past month and perceived loneliness. Results: Patient gender moderated the association between illicit opioid use and loneliness such that severe loneliness was associated with higher odds of using illicit opioids among women (OR = 3.00, 95% CI [1.19, 7.57], p = .020) but lower odds of using illicit opioids among men (OR = 0.35, 95% CI [0.14, 0.87], p = .024), accounting for age, marital status, work status, depressive symptoms, and MMT characteristics (treatment episode, treatment duration, and methadone dose).

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Section: Loneliness and Substance Usementioning

confidence: 99%

Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients

Polenick

Cotton

Bryson

et al. 2019

Substance Use & Misuse

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“…Belongingness may also protect against prescription drug misuse. Prior research shows that loneliness can elevate risk of alcohol misuse (Akerlind & Hornquist, 1992;Schonfeld, Rohrer, Dupree, & Thomas, 1989) and smoking among adolescents (Seo & Huang, 2012). However, research on whether belongingness is inversely associated with prescription drug misuse needs exploration.…”

mentioning

confidence: 99%

Shared correlates of prescription drug misuse and severe suicide ideation among clinical patients at risk for suicide

Logan

Ertl

Rostad

et al. 2020

Suicide & Life Threat Behav

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Objective Unintentional drug overdose and suicide have emerged as public health problems. Prescription drug misuse can elevate risk of overdose. Severe suicidal ideation increases risk of suicide. We identified shared correlates of both risk factors to inform cross‐cutting prevention efforts. Methods We conducted a cross‐sectional study using the Military Suicide Research Consortium's Common Data Elements survey; 2012–2017 baseline data collected from 10 research sites were analyzed. The sample included 3962 clinical patients at risk of suicide. Factors examined in relation to the outcomes, prescription drug misuse and severe suicidal ideation, included demographic characteristics and symptoms of: hopelessness; anxiety; post‐traumatic stress disorder; alcohol use; other substance use; prior head/neck injury; insomnia; and belongingness. Poisson regression models with robust estimates provided adjusted prevalence ratios (aPRs) and 97.5% confidence intervals (CIs). Results Medium and high (vs. low) levels of insomnia were positively associated with prescription drug misuse (aPRs p < 0.025). Medium (vs. low) level of insomnia was positively associated with severe suicidal ideation (aPR: 1.09; CI: 1.01–1.18). Medium and high (vs. low) levels of perceived belongingness were inversely associated with both outcomes (aPRs p < 0.025). Conclusions Research should evaluate whether addressing sleep problems and improving belongingness can reduce prescription drug misuse and suicidal ideation simultaneously.

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“…Investing in the mental health needs of deported PWID may be a viable HIV prevention strategy to reduce associated risks with HIV and other health damaging behaviors. Among PWID, mental health treatment and improved mental health status can help reduce PWIDs’ engagement in high-risk injection behaviors (e.g., sharing needles) (Khantzian, 2003; Latkin & Mandell, 1993; Lundgren et al, 2005; Schonfeld et al, 1989). Improved adherence to HIV medication among HIV positive PWID has also been linked to mental health treatment (Qian et al, 2011; Safren et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Addressing the mental health needs of PWID can be a viable HIV prevention effort to reduce HIV transmission. Among PWID, receiving mental health treatment and having an overall improved mental health status has been associated with a reduction in behaviors that increase susceptibility to HIV infection (e.g., sharing syringes, unprotected sex) and adherence to HIV medications, which can mitigate future transmission of the virus (Khantzian, 2003; Latkin & Mandell, 1993; Lundgren et al, 2005; Qian et al, 2011; Safren et al, 2012; Schonfeld, Rohrer, Dupree, & Thomas, 1989). Understanding the mental health status and needs of PWID is imperative to the design of mental health and HIV prevention efforts, including harm reduction programs and interventions.…”

Section: Introductionmentioning

confidence: 99%

Deportation and mental health among migrants who inject drugs along the US–Mexico border

Pinedo

Burgos

Zúñiga

et al. 2016

Global Public Health

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Objective This study describes the prevalence and factors of depressive symptoms among a sample of persons who inject drugs (PWID) with a history of deportation from the US in Tijuana, Mexico. In 2014, 132 deported PWID completed a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Short Depression Scale (CESD-10) screening instrument. Eligible participants were ≥18 years old, injected drugs in the past month, spoke English or Spanish, and resided in Tijuana. Multivariate analyses identified factors associated with depressive symptoms. Among deported PWID, 45% reported current symptoms of depression. Deported PWID who were initially detained in the US for a crime-related reason before being deported (Adjusted Odds Ratio (AOR): 5.27; 95% CI: 1.79–15.52) and who perceived needing help with their drug use (AOR: 2.15; 95% 1.01–4.61) had higher odds of reporting depressive symptoms. Our findings highlight the need for effective strategies targeting deported migrants who inject drugs to treat mental health and drug abuse in Tijuana. Investing in the mental health of deported PWID may also be a viable HIV prevention strategy.

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Antecedents of relapse and recent substance use

Cited by 15 publications

References 1 publication

Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients

Loneliness and Illicit Opioid Use Among Methadone Maintenance Treatment Patients

Shared correlates of prescription drug misuse and severe suicide ideation among clinical patients at risk for suicide

Deportation and mental health among migrants who inject drugs along the US–Mexico border

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