Addiction Rehab: New Onset Non-Suicidal Self-Injury in a 57-Year-Old Woman With Co-Morbid Depression and Alcohol Dependence: Case Report.

New Onset Non-Suicidal Self-Injury in a 57-Year-Old Woman with Co-morbid Depression and Alcohol Dependence: Case Report.

Filed under: Addiction Rehab

Am J Addict. 2013 Mar; 22(2): 178-9
Lev-Ran S, Balchand K

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A Comparison of Trauma Profiles among Individuals with Prescription Opioid, Nicotine, or Cocaine Dependence.

Filed under: Addiction Rehab

Am J Addict. 2013 Mar; 22(2): 127-31
Lawson KM, Back SE, Hartwell KJ, Maria MM, Brady KT

Exposure to traumatic events is common among individuals with substance use disorders. Little is known, however, about the trauma histories among individuals with various types of addiction.The present study compared the trauma histories (general, sexual, physical and emotional) of non-treatment seeking outpatients dependent on prescription opioids (n?=?41), nicotine (n?=?87) or cocaine (n?=?73). The Life Stressor Checklist-Revised (LSC-R) was completed by participants to assess childhood and adult trauma.The findings revealed that all three groups endorsed high levels of trauma exposure, with 96.5% of the entire sample experiencing at least one traumatic event in their lifetime. The prescription opiate group experienced a greater number of general and total traumas than the nicotine group. However, no group differences in the number of emotional, physical, or sexual traumas were revealed. The prescription opiate group reported a younger age of first traumatic event than the cocaine group, and was significantly more likely to report childhood traumatic events than both the cocaine and nicotine groups.The findings provide clinically relevant information that may help improve screening, interventions, and preventative efforts. (Am J Addict 2013;22:127-131).
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Exploring the Association between Lifetime Prevalence of Mental Illness and Transition from Substance Use to Substance Use Disorders: Results from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC).

Filed under: Addiction Rehab

Am J Addict. 2013 Mar; 22(2): 93-8
Lev-Ran S, Imtiaz S, Rehm J, Le Foll B

The association between substance use disorders (SUDs) and mental illness (MI) has been well established. Previous studies reporting this association in various clinical populations have not taken into account former substance use. This may be important as increased prevalence of substance use among individuals with MI may partially explain the strong association between SUDs and MI.In this study we included only individuals with previous substance use and explored the association between lifetime diagnosis of MI and transition from substance use to SUDs. Analyses were conducted across six different categories of substances (alcohol, nicotine, cannabis, cocaine, hallucinogens, inhalants) based on a large representative US sample, the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC, n?=?43,093).Lifetime diagnoses of any MI, and particularly personality disorders and psychotic disorders, were found to be associated with higher prevalence of transition from substance use to SUDs across most categories of substances. This association was particularly strong for nicotine (adjusted OR?=?2.95 (2.72-3.20)).This cross-sectional study expands on previous research by highlighting the association between lifetime diagnosis of any MI and increased rates of transition from substance use to SUDs across a range of substances. Longitudinal studies exploring temporal effects of this association are further needed. (Am J Addict 2013;22:93-98).
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