| 1. |
- Gidhagen, Ylva, et al.
(författare)
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Outcome of psychological treatment of patients with substance use disorders in routine care
- 2017
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Ingår i: Journal of Substance Use. - Cardiff, Wales, UK : Taylor & Francis. - 1465-9891 .- 1475-9942. ; 22:3, s. 343-352
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Tidskriftsartikel (refereegranskat)abstract
- Background: More knowledge is needed about outcome of treatments in routine care for patients with substance use disorders (SUDs). These patients often suffer from psychological distress in addition to SUDs. Objectives: To evaluate the effects of community-based psychological treatment on SUD patients’ psychosocial problems, as well as on their substance use. Design: All patients who were referred or self-referred for psychological treatment to a social worker or a psychotherapist at three outpatient treatment centers for SUD patients were asked to participate in the study. Methods: Ratings at treatment start and end were obtained on Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM, n = 100), Alcohol Use Disorders Identification Test - Consumption (AUDIT-C, n = 49), and Drug Use Disorders Identification Test - Consumption (DUDIT-C, n = 27). Results: CORE-OM mean scores were significantly improved. In total 14% of the patients were recovered, 10% improved, and 5% deteriorated. Both AUDIT-C and DUDIT-C mean scores were significantly improved for patients with alcohol use and patients using illicit drugs, respectively. Conclusions: Routine psychological treatment had positive effects on psychological distress as well as on reduction of substance use. A substantial number of patients remained however unchanged, particularly regarding psychological distress. More studies with larger patient groups are needed to develop treatment for SUD patients in routine care.
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| 2. |
- Lilja, My, 1974-
(författare)
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Formerly imprisoned polydrug users’ narratives about unemployment
- 2019
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Ingår i: Journal of Substance Use. - : Informa UK Limited. - 1465-9891 .- 1475-9942. ; 24:3, s. 336-340
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Tidskriftsartikel (refereegranskat)abstract
- Background: Understanding how formerly imprisoned drug users perceive the possibilities and problems associated with entering the job market is important as it could help the reintegration of these individuals into society. The aim of this study was to explore formerly imprisoned polydrug users’narratives about unemployment.Methods: Semi-structured interviews were conducted with 22 former prison inmates with extensive prior drug use. The interviews were coded and analysed using a categorical-content, narrative analysis approach.Results: The interviews revealed that although the respondents did not regard themselves as having been unemployed, some mentioned stress during periods in which they lacked a legal occupation. The participants also talked about the importance of being committed to one’s work and described that it was not only employment in itself that was important, but also being able to value or appreciate their employment. Most respondents argued that they had never been dismissed from work because of their drug use, but descriptions of workplace deviance were common in the interviews, e.g. stealing, selling drugs, burglary, using drugs at work.Conclusions: The respondents seemed to lack an identity as either unemployed or employed, which may constitute a problem when they enter the job market in the future.
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| 3. |
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| 4. |
- Punzi, Elisabeth, 1968, et al.
(författare)
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Behavioral misuse among clients in substance abuse treatment. An interview study.
- 2016
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Ingår i: Journal of Substance Use. - : Informa UK Limited. - 1465-9891 .- 1475-9942. ; 21:3
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Tidskriftsartikel (refereegranskat)abstract
- The co-occurrence of substance misuse and behavioral misuse such as excessive food intake, sexual activities, gambling and exercise has been increasingly acknowledged in both research and treatment practice during the last decades. It has also been showed that behavioral misuse complicates substance abuse treatment, and that clients with such co-occurring difficulties have considerable treatment needs.
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| 5. |
- Sundin, Mats, et al.
(författare)
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Substance use and strategies to avoid relapses following treatment : A narrative approach with clients undertaking a twelve-step program in Sweden
- 2019
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Ingår i: Journal of Substance Use. - : Taylor and Francis Ltd. - 1465-9891 .- 1475-9942. ; 24:2, s. 125-129
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: There is a need for a better understanding of clients who undergo treatment for substance use, especially to avoid relapse. Aims: To identify our clients’ discourses which led to their substance problems and to determine those discursive strategies which have kept them sober.Method: A total of 14 participants at a Swedish municipally-operated treatment program were interviewed about their childhood, teenage years, early experiences with substance, how they recognized they had substance problems, found out about treatment, adopted strategies to maintain sober and whether they noticed identity changes during treatment.Results: Participants saw themselves as the main actors in their life stories even although professional support was one of the important factors in the change to a sober life style. The group mentioned different causes of substance problems such as adverse childhood experiences and loss of stable life patterns; a variety of reasons for seeking treatment, here “turning points” as keeping job and support from others; and different strategies to avoid relapses such as avoiding places where there was alcohol, being frank about their alcohol problems, focusing on one day at a time, attending AA meetings, avoiding romanticizing about alcohol, and participating in new activities and in a government-controlled personal savings program.
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| 6. |
- Wurdak, Mara, et al.
(författare)
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Effectiveness of a brief intervention with and without booster session for adolescents hospitalized due to alcohol intoxication
- 2016
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Ingår i: Journal of Substance Use. - : Informa UK Limited. - 1465-9891 .- 1475-9942. ; 21:1, s. 72-77
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Hart-am-LimiT (HaLT) project is a brief intervention program for adolescents hospitalized due to alcohol intoxication in Germany.Objective: To test whether a booster session has an impact on participants’ drinking behavior compared with the standard HaLT program.Methods: On the morning after their admission due to alcohol intoxication, 411 adolescents in the Federal State of Bavaria were interviewed between October 2008 and January 2010 and socio-demographic data and information on previous drinking behavior were recorded (t1). Eleven to 25 months (M = 16.4) after their hospital treatment, 106 adolescents completed an online questionnaire (t2).Results: Subgroup analysis (ANOVA with repeated measurements) indicated that adolescents who took part in the booster session did not increase episodic heavy drinking (EHD; t1: M = 1.68 EHD d; t2: 1.59 EHD d) in contrast to the non-participating group (t1: M = 1.08 d EHD; t2: 2.66 d EHD; F = 4.383, p = 0.039).Conclusion: Considering the study’s limitations (e.g. no randomization, low response rate, etc.), the results indicate a positive effect of a booster session following a brief intervention for adolescents who have been treated in hospital due to alcohol intoxication. Adolescents should therefore be motivated and encouraged to participate in booster sessions.
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