Effect of the social environment on alcohol involvement and subjective well-being prior to alcoholism treatment.

Beattie, Martha; Longabaugh, Richard; Elliott, Gregory C.; Stout, Robert L.; Fava, Joseph L.; Noel, Nora E.

doi:10.15288/jsa.1993.54.283

Cited by 97 publications

(62 citation statements)

References 58 publications

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“…As manifestações da abstinência pelo álcool podem aparecer de 6 a 48 horas até 10 dias da interrupção do consumo e incluem, basicamente, sintomas da exacerbação do sistema nervoso autônomo simpático, como taquicardia, hipertensão, arritmias, falência cardíaca, além de delirium, alucinações e tremores (Beattie et al, 1993).…”

Section: áLcoolunclassified

Drogas de abuso e gravidez

Yamaguchi¹,

Cardoso²,

Torres³

et al. 2008

Rev. psiquiatr. clín.

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ResumoContexto: Embora seja um problema crescente na população mundial, existem poucos trabalhos publicados sobre o uso de drogas durante a gravidez. Objetivos: Abordar de maneira objetiva as drogas de abuso (álcool, cocaína, maconha e tabaco) mais comumente utilizadas pelas mulheres em idade reprodutiva. Métodos: Foi realizada revisão bibliográfica (MEDLINE, LILACS) dos textos mais recentes abordando o uso de drogas de abuso em mulheres em idade reprodutiva. Resultados: Foram descritas as principais conseqüências da utilização de drogas de abuso, tanto para a mãe quanto para o bebê. Conclusões: Trata-se de um problema de saúde pública pouco discutido, devendo envolver uma equipe multidisciplinar em sua abordagem. A publicação de mais trabalhos se faz necessária, a fim de se estabelecer a melhor estratégia de intervenção nesta população.Yamaguchi, E.T. et al. / Rev. Psiq. Clín 35, supl 1; 44-47, 2008 Palavras-chave: Gravidez, drogas, álcool, cocaína, maconha, tabaco. AbstractBackground: Despite the fact that it has being a growing problem worldwide, very few works and papers have been published on drug use during pregnancy. Objectives: To objectively address the most commonly abused drugs (alcohol, cocaine, marijuana, and tobacco) by women of a reproductive age. Methods: A literature review (MEDLINE, LILACS) of the most recent papers on drug abuse by women of reproductive age was carried out. Results: The primary consequences of drug abuse both for the mother and the infant are described. Conclusions: This is a little discussed major public health issue which requires the involvement of a multidisciplinary team. The publication of a greater number of papers on the problem is necessary in order to establish the best strategy for addressing intervention in this population.

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Section: áLcoolunclassified

Drogas de abuso e gravidez

Yamaguchi¹,

Cardoso²,

Torres³

et al. 2008

Rev. psiquiatr. clín.

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“…To help understand its relationship to drinking outcomes, Longabaugh andBeattie (1985, 1986) differentiated social support into two distinct constructs: (a) alcohol-specific support and (b) general or global social support. Whereas general support promotes overall well-being, alcohol-specifi c support is directly tied to alcohol use Longabaugh, 1997, 1999;Beattie et al, 1993;Longabaugh and Beattie, 1986). The Important People and Activities (IPA) instrument was developed to measure structural and functional dimensions of alcohol-specifi c support in a patient's social network (Longabaugh et al, 1993a(Longabaugh et al, , 1995.…”

mentioning

confidence: 99%

Network Support as a Prognostic Indicator of Drinking Outcomes: The COMBINE Study

Longabaugh

Wirtz²,

Zywiak³

et al. 2010

J. Stud. Alcohol Drugs

156

160

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ABSTRACT. Objective: To increase understanding of the interrelationship between a patient's social network and patient drinking, the Important People and Activities (IPA) instrument was developed. To meet the aims of the COMBINE (Combining Medications and Behavioral Interventions) Study, the IPA was modifi ed to create the Important People Inventory (IPI), which was used to measure the contextual infl uence of the patient's social network on patient outcomes and treatment effects. The aims of the present article were to describe the IPI and its differences from the IPA and to test the relationship of network support as measured by the IPI in predicting drinking during and following treatment. Method: Alcohol-dependent patients (N = 1,373) seeking outpatient treatment in the COMBINE randomized clinical trial were administered the IPI before treatment. Six network constructs were tested for predicting patient drinking. Results: As unique effects, alcohol-specifi c support, as measured by network drinking and opposition to patient drinking, is predictive of patient abstinent days during and following treatment and heavy drinking days following treatment. Other measures of network support have variable relationships to patient drinking at different phases: Some are predictive of patient drinking during treatment but diminish, whereas others are unrelated to drinking during treatment but become increasingly predictive of drinking as time from treatment increases. Conclusions: The IPI is a useful instrument for describing network support of alcohol-use disorder patients entering treatment. Measures of alcohol-specifi c support are prognostic of drinking outcomes. The patient's network support should be systematically assessed prior to tailored treatment planning. (J. Stud. Alcohol Drugs, 71, 837-846, 2010)

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“…The conceptual underpinning of the approach is the positive influence of social as well as more addiction-specific (or abstinence-related) support on the improvement and eventual resolution of addictive behaviour. General social support, alcohol-specific social support and the drinking behaviour of the social network of alcohol users, for example, have all been shown to be unique predictors of positive alcohol treatment outcomes (for examples see Beattie et al, 45 Havassy et al, 46 Longabaugh et al, 47 McCrady, 48 Wasserman et al 49 and Mohr et al…”

Section: Social Behaviour and Network Therapymentioning

confidence: 99%

Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

Watson

Toner

Day

et al. 2017

Health Technol Assess

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BackgroundFamily interventions appear to be effective at treating young people’s substance misuse. However, implementation of family approaches in UK services is low. This study aimed to demonstrate the feasibility of recruiting young people to an intervention based on an adaptation of adult social behaviour and network therapy. It also sought to involve young people with experience of using substance misuse services in the research process.ObjectivesTo demonstrate the feasibility of recruiting young people to family and social network therapy and to explore ways in which young people with experience of using substance misuse services could be involved in a study of this nature.DesignA pragmatic, two-armed, randomised controlled open feasibility trial.SettingTwo UK-based treatment services for young people with substance use problems, with recruitment taking place from May to November 2014.ParticipantsYoung people aged 12–18 years, newly referred and accepted for structured interventions for drug and/or alcohol problems.InterventionsA remote, web-based computer randomisation system allocated young people to adapted youth social behaviour and network therapy (Y-SBNT) or treatment as usual (TAU). Y-SBNT participants were intended to receive up to six 50-minute sessions over a maximum of 12 weeks. TAU participants continued to receive usual care delivered by their service.Main outcome measuresFeasibility was measured by recruitment rates, retention in treatment and follow-up completion rates. The main clinical outcome was the proportion of days on which the main problem substance was used in the preceding 90-day period as captured by the Timeline Follow-Back interview at 3 and 12 months.ResultsIn total, 53 young people were randomised (Y-SBNT,n = 26; TAU,n = 27) against a target of 60 (88.3%). Forty-two young people attended at least one treatment session [Y-SBNT 22/26 (84.6%); TAU 20/27 (74.1%)]; follow-up rates were 77.4% at month 3 and 73.6% at month 12. Data for nine young people were missing at both months 3 and 12, so the main clinical outcome analysis was based on 24 young people (92.3%) in the Y-SBNT group and 20 young people (74.1%) in the TAU group. At month 12, the average proportion of days that the main problem substance was used in the preceding 90 days was higher in the Y-SBNT group than in the TAU group (0.54 vs. 0.41; adjusted mean difference 0.13, 95% confidence interval –0.12 to 0.39;p = 0.30). No adverse events were reported. Seventeen young people with experience of substance misuse services were actively involved throughout the study. They informed key elements of the intervention and research process, ensuring that the intervention was acceptable and relevant to our target groups; contributing to the design of key trial documents, ideas for a new model of public involvement and this report. Two parents were also involved.ConclusionsThe adapted intervention could be delivered in young people’s services, and qualitative interviews found that Y-SBNT was acceptable to young people, family members and staff. Engagement of family and network members proved difficult within the intervention and research aspects. The study proved the feasibility of this work in routine services but outcome measurement based on narrow substance use variables may be limited and may fail to capture other important changes in wider areas of functioning for young people. Validation of the EuroQol-5 Dimensions for young people aged 12–18 years should be considered and flexible models for involvement of young people in research are required to achieve inclusive representation throughout all aspects of the research process. Although recommendation of a full trial of the Y-SBNT intervention compared with TAU is not supported, this study can inform future intervention development and UK research within routine addiction services.Trial registrationCurrent Controlled Trials ISRCTN93446265.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 21, No. 15. See the NIHR Journals Library website for further project information.

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Effect of the social environment on alcohol involvement and subjective well-being prior to alcoholism treatment.

Cited by 97 publications

References 58 publications

Drogas de abuso e gravidez

Drogas de abuso e gravidez

Network Support as a Prognostic Indicator of Drinking Outcomes: The COMBINE Study

Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

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