Qualifizierter Entzug 60plus-Patientinnen und Patienten – Entwicklungen, Erfahrungen und Perspektiven eines altersspezifischen Motivationsangebots

Poppele, G.; Anders, H. E.

doi:10.1055/s-0028-1128153

Cited by 2 publications

(2 citation statements)

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“…Addiction-treatment outcomes are better when the treatment specifically addresses the needs of particular populations, such as women (Gjestad, Franck, Lindberg, & Haver, 2011; Niv & Hser, 2007), the elderly (Poppele & Anders, 2009), adolescents (Weinberg, Rahdert, Colliver, & Glantz, 1998), or individuals with comorbidities (Drake, Wallach, & McGovern, 2005; Minkoff, 2000). Given our findings, it might be beneficial to consider HCV+ individuals a special population and to tailor treatment accordingly.…”

Section: Discussionmentioning

confidence: 99%

Substance use and hepatitis C: An ecological momentary assessment study.

Phillips¹,

Epstein²,

Vahabzadeh³

et al. 2014

Health Psychology

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Objective The objective of this study was to assess craving and mood related to opioid and cocaine use among asymptomatic hepatitis C virus (HCV)+ and HCV− methadone patients who have not started antiviral treatment. Methods In this 28-week prospective ecological momentary assessment (EMA) study, 114 methadone-maintained, heroin- and cocaine-abusing individuals reported from the field in real time on their mood, craving, exposure to drug-use triggers, and drug use via handheld computers. Results Sixty-one percent were HCV+; none were overtly symptomatic or receiving HCV treatment. HCV status was not associated with age, sex, race, or past-30-day or lifetime heroin or cocaine use. In event-contingent EMA entries, HCV+ individuals more often attributed use to having been bored, worried, or sad; feeling uncomfortable; or others being critical of them compared with HCV− participants. In randomly prompted EMA entries, HCV+ participants reported significantly more exposure to drug-use triggers, including handling ≥$10, seeing cocaine or heroin, seeing someone being offered/use cocaine or heroin, being tempted to use cocaine, and wanting to see what would happen if they used just a little cocaine or heroin. Conclusions HCV+ individuals experienced more negative moods and more often cited these negative moods as causes for drug use. HCV+ individuals reported greater exposure to environmental drug-use triggers, but they did not more frequently cite these as causes for drug use. The EMA data reported here suggest that HCV+ intravenous drug users may experience more labile mood and more reactivity to mood than HCV− intravenous drug users. The reason for the difference is not clear, but HCV status may be relevant to tailoring of treatment.

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Section: Discussionmentioning

confidence: 99%

Substance use and hepatitis C: An ecological momentary assessment study.

Phillips¹,

Epstein²,

Vahabzadeh³

et al. 2014

Health Psychology

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“…In den letzten Jahren ist die Alkoholabhängigkeit des höheren Lebensalters ins Interesse der Forschung gerückt. Poppele & Andres [ 36 ] aus Hamburg fanden in ihrer Untersuchung, dass altersspezifi sche Motivationsangebote erforderlich sind, um diese Gruppe zu erreichen, dass nach einer adäquaten Therapie jedoch gute Erfolgschancen auch für Alkoholabhängige im höheren Leben salter bestehen. Schäufele [ 37 ] , Mannheim, beschreibt ein gutes Ansprechen äl-terer Alkoholabhängiger auf einfache Interventionen und plä-diert dafür, schon bei riskantem Gebrauch unter der Diagnoseschwelle anzusetzen.…”

Section: Behandlung Von Untergruppen ▼unclassified

DGRW-Update: Alkoholabhängigkeit

Vogelgesang¹

2011

Rehabilitation

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First, epidemiological data and socioeconomic consequences of alcohol addiction are summarized. Research findings, in particular in intervention and evaluation, from 2009-2011 in the field of alcohol addiction treatment are then discussed concerning their relevance for rehabilitation practice. The search was based on PubMed and PSYNDEX. The interventions most frequently evaluated and found most effective in alcohol addiction treatment are cognitive-behavioural interventions. Further topics dealt with are: pharmacological relapse prevention; technologically based therapies (e. g. e-therapy); systemic interventions; 12-steps; effectiveness of addiction treatment as confirmed in large-scale catamnestic studies; treatment of addiction and comorbidity; various subgroups (like elderly people and women); as well as other new and interesting developments such as rehab case management, dovetailing of medical and vocational interventions, stepped-care interventions, rehab management category groups as well as a new focus on individual treatment experiences and the pre-eminence of the therapeutic relationship. Finally, priority areas of future research are described.

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Qualifizierter Entzug 60plus-Patientinnen und Patienten – Entwicklungen, Erfahrungen und Perspektiven eines altersspezifischen Motivationsangebots

Cited by 2 publications

References 1 publication

Substance use and hepatitis C: An ecological momentary assessment study.

Substance use and hepatitis C: An ecological momentary assessment study.

DGRW-Update: Alkoholabhängigkeit

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