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1.
  • Abrahamsson, Tove, et al. (författare)
  • Correlates of Ecstasy use in the Swedish General Population.
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1532-2491 .- 1082-6084. ; 48:4, s. 353-357
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present study was to report independent correlates of ecstasy use in the Swedish general population. Data were drawn from a Swedish national household survey conducted in 2008-2009 on a random, stratified sample of 58,000 inhabitants of Sweden, aged 15 to 64. The response rate was 38.3%. Logistic regression analysis was used to identify correlates of recent (past-year) and former ecstasy use. Results are discussed and limitations of the study are noted.
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2.
  • Ahmadi, Nader (författare)
  • Foreword
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1283-1284
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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3.
  • Allamani, Allaman, et al. (författare)
  • Contextual Determinants of Alcohol Consumption Changes and Preventive Alcohol Policies : A 12-Country European Study in Progress 2011
  • 2011
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 46:10, s. 1288-1303
  • Tidskriftsartikel (refereegranskat)abstract
    • Beginning with France in the 1950s, alcohol consumption has decreased in Southern European countries with few or no preventive alcohol policy measures being implemented, while alcohol consumption has been increasing in Northern European countries where historically more restrictive alcohol control policies were in place, even though more recently they were loosened. At the same time, Central and Eastern Europe have shown an intermediate behavior. We propose that country-specific changes in alcohol consumption between 1960 and 2008 are explained by a combination of a number of factors: (1) preventive alcohol policies and (2) social, cultural, economic, and demographic determinants. This article describes the methodology of a research study designed to understand the complex interactions that have occurred throughout Europe over the past five decades. These include changes in alcohol consumption, drinking patterns and alcohol-related harm, and the actual determinants of such changes
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5.
  • Börjeson, B. (författare)
  • Chapter 6. The new story : On the possibility of liberating oneself from the drug self
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1350-1359
  • Tidskriftsartikel (refereegranskat)abstract
    • This chapter explores the meaning(s) of "treatment effect" within the psychodynamic tradition. The conventional wisdom is that a successful treatment presupposes a transformation of unconscious "material" to a conscious level. The "treatment effect" is reinterpreted as being better understood as changing an old (and detrimental) story into a new tale-an alternative narrative about the self. New possibilities following this conceptual change are introduced with the aid of some concrete examples.
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6.
  • Comasco, Erika, et al. (författare)
  • Why Do Adolescents Drink? : Motivational Patterns Related to Alcohol Consumption and Alcohol-Related Problems
  • 2010
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 45:10, s. 1589-1604
  • Tidskriftsartikel (refereegranskat)abstract
    • The present study was designed to investigate motivational patterns for drinking alcohol and their relation about alcohol consumption and problems related to alcohol consumption. Data were collected by semistructured interviews and questionnaires, containing questions about reasons for drinking, alcohol consumption, and problems related to alcohol consumption during the years 2001, 2004, and 2005. Three independent population samples from two different counties of central Sweden were included. A total of 11,167 adolescents participated. Data on reasons for drinking were analyzed by factor analysis to extract components explaining drinking motives. Relationships between motivational patterns and alcohol use were examined with correlation analysis. Three drinking motives emerged (social-enhancement, coping, and dominance motives) and related to alcohol consumption and problems related to alcohol consumption. Limitations of the study are noted and discussed.
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8.
  • Demant, Jakob, et al. (författare)
  • Changing drinking styles in Denmark and Finland : Fragmentation of male and female drinking among young adults
  • 2011
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 46:10, s. 1244-1255
  • Tidskriftsartikel (refereegranskat)abstract
    • A traditional heavy intoxication-oriented drinking style, "heroic drinking", is a central drinking practice in Denmark and Finland, especially among men. However, it seems that another drinking style leading to intoxication, "playful drinking", has become more prevalent in Denmark as well as in Finland. Playful drinking is characterized by self-presentations in diverse forms of game situations where you need to play with different aspects of social and bodily styles. We approach the positions of heroic drinking and playful drinking among young adults (between 17 and 23) in Denmark and Finland by analyzing how they discuss these two drinking styles in focus groups (N=16).
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9.
  • Ericsson, Emmy, et al. (författare)
  • Mortality, Causes of Death and Risk Factors for Death Among Primary Amphetamine Users in the Swedish Criminal Justice System
  • 2014
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1532-2491 .- 1082-6084. ; 49:3, s. 262-269
  • Tidskriftsartikel (refereegranskat)abstract
    • This study examined mortality and predictors of death in 1,396 primary amphetamine users (85% males) who were interviewed with the Addiction Severity Index in the Swedish criminal justice system during 2000-2006 and followed through 2008. Forty-nine clients deceased (standardized mortality ratio 4.1 [3.0-5.4]), at least 84% of deaths were violent or drug-related (12% suicides), and Cox regression analysis indicated that death was associated with frequent use of sedatives and less frequent use of amphetamine. No female deaths were observed; death and male gender were associated in binary analysis. Implications for diagnostics and treatment are discussed.
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12.
  • Grahn, Robert, 1972-, et al. (författare)
  • Repeated addiction treatment use in Sweden : a national register database study
  • 2014
  • Ingår i: Substance Use & Misuse. - London : Informa Healthcare. - 1082-6084 .- 1532-2491. ; 49:13, s. 1764-1773
  • Tidskriftsartikel (refereegranskat)abstract
    • Sweden has a free, universal addiction treatment system yet few studies examining utilization of treatment in this country. This study identified predisposing, enabling and need factors associated with history of number of voluntary addiction treatment episodes for a national sample of 12,009 individuals assessed for an alcohol and/or drug use disorder in Sweden. On average, people reported 4.3 prior treatment episodes. Linear regression methods identified that of predisposing factors older age and being male were associated with more voluntary addiction treatment episodes compared to younger and female clients; a higher Addiction Severity Index (ASI) employment score (an enabling factor) was associated with more voluntary addiction treatment episodes; and need factors including a history of inpatient mental health treatment, a higher ASI psychiatric score, a higher ASI alcohol score, higher levels of illict drug use, more compulsory addiction treatment episodes, a lower ASI legal score and history of criminal justice involvement were all associated with more voluntary addiction treatment episodes compared to their counterparts. There were no differences in number of treatment episodes by education or immigrant status. Implications: (1) Need is a key factor associated with more treatment use. (2) Further studies are needed to identify gender differences in access/use of treatment. (3) Given multiple treatment histories Swedish addiction treatment policy should reflect a chronic care model rather than an acute care model.
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13.
  • Kaiser, Niclas, et al. (författare)
  • Hazardous drinking and drinking patterns among the reindeer-herding Sami population in Sweden
  • 2011
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 46:10, s. 1318-1327
  • Tidskriftsartikel (refereegranskat)abstract
    • The objective of this study was to investigate hazardous drinking among reindeer-herding Sami in Sweden. A cross-sectional questionnaire study was conducted in 2007, which included the Alcohol Use Disorder Identification Test. A total of 319 reindeer-herding Sami were compared with urban and rural reference populations of 1,393 persons. Data were analyzed with regard to population, gender, age group, education, anxiety, depression, and work-related stress. The Sami population did not report a higher prevalence of hazardous drinking compared with the reference groups; however, subgroups of Sami men with symptoms of depression were revealed as at risk, in contrast to Sami women who were not found to be at risk at all. Limitations of the study are discussed.
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14.
  • Larsson, Sam, et al. (författare)
  • A Multidimensional Model for Narrative Analysis of Substance Use-Related Dependency
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1306-1316
  • Tidskriftsartikel (refereegranskat)abstract
    • This chapter examines the possibilities and limitations of using a narrative method as a framework within a multidimensional model for exploring and analyzing the use and misuse of alcohol and drugs. It is posited that a multidimensional model, based on narrative reasoning, can give a more detailed and specific understanding of substance users, who represent a heterogeneous population of people, and of substance use-related dependency problems. Such a model describes and analyses the drug-use related problems in a manner that provides holistic and important information and knowledge about the person by contextual and situation interaction processes which are involved in the use/misuse of alcohol and drugs. Tentative conclusions and unresolved critical issues are considered.
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15.
  • Larsson, Sam, et al. (författare)
  • A Self-theoretical Perspective on the Use-Misuse of Alcohol and Drugs Based on Qualitative and Narrative Data
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1317-1335
  • Tidskriftsartikel (refereegranskat)abstract
    • This article discusses different self-theoretical perspectives of the self that are of importance in the analysis of the use and misuse of alcohol and psychoactive drugs. The self-theories considered here include cognitive, psychodynamic, transpersonal, and social constructivist perspectives. A multidimensional perspective focusing on the connection between identity structures and analyzing the use/misuse of alcohol and psychoactive drugs is presented. The article argues for a self-theoretical analysis based on narrative data in order to reach an in-depth understanding of the use and misuse of alcohol and psychoactive drugs.
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16.
  • Larsson, Sam, et al. (författare)
  • General Theoretical Perspectives of Narrative Analysis of Substance Use-Related Dependency
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa Healthcare. - 1082-6084 .- 1532-2491. ; 48:13, s. 1294-1305
  • Tidskriftsartikel (refereegranskat)abstract
    • This chapter provides a short introduction to, and an overview for, using narrative analysis in the understanding of the use and misuse of alcohol and drugs. Important theoretical and methodological dimensions are discussed. Some tentative conclusions, limitations, and unresolved critical issues concerning the use of narrative research methods in the analysis of substance use-related dependency problems are also presented.
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18.
  • Lilja, John, et al. (författare)
  • Editorial Material: Discussion About Narrative Methods as a Strategy for Investigating and Understanding the Use and Misuse of Alcohol and Drugs
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa Healthcare. - 1082-6084 .- 1532-2491. ; 48:13, s. 1438-1446
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • Preliminary and tentative conclusions concerning theoretical and methodological issues about narrative methods and their use as a research strategy for investigating and understanding the use and misuse of alcohol and drugs are presented. The treatment methods that are influenced by narrative strategies as well as this tools limitations are noted. The article focuses particularly on approaches based on, and influenced by, psychology, sociology and social work when conducting narrative research.
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20.
  • Lilja, My, Docent, 1974- (författare)
  • Chapter 5 : Russian Media Narratives About Young Drug Users
  • 2013
  • Ingår i: Substance Use & Misuse. - : Taylor & Francis. - 1082-6084 .- 1532-2491. ; 48:13, s. 1336-1349
  • Tidskriftsartikel (refereegranskat)abstract
    • Since the 1960s, the media in Western Europe and the United States has been one important actor in the public understanding of the drug phenomenon. In Russia, however, it is only since the 1980s that illegal drugs have been discussed in the media and this discussion remains on-going today. By using narrative analysis, this article focuses on how illegal drug use among young people is constructed in the Russian press. As a result of the narrative analysis, three main discourses were identified: a foreign problem discourse, a disease discourse, and a medical discourse.
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21.
  • Lilja, My (författare)
  • Narrative Stories and Discourses in an Interview With a Former Amphetamine User
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1360-1368
  • Tidskriftsartikel (refereegranskat)abstract
    • This study analyzes how an individual constructs his life as a former amphetamine user. The study has a methodological purpose, providing an example of how narrative analysis and discourse analysis can be conducted and combined. First, an interview with a former amphetamine user in his 50s was analyzed by the narrative method with a focus on identity construction. Second, it was then examined from a discourse analytical perspective. The article demonstrates how discourse analysis and narrative analysis could be combined when analyzing identity constructions.
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22.
  • Lundgren, Lena, et al. (författare)
  • Association between immigrant status and history of compulsory treatment in a national sample of individuals assessed for drug use disorders through the swedish public welfare system
  • 2012
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 47:1, s. 67-77
  • Tidskriftsartikel (refereegranskat)abstract
    • In-person interview data from 13,903 individuals assessed for a drug use disorder in the Swedish welfare system from 2002-2008, were analyzed using logistic regression methods. Second generation immigrants with non-Scandinavian parents were 41% more likely to report a history of compulsory treatment compared to those born in Sweden to Swedish parents after controlling for age, gender, education, mental health treatment homeless status history, and criminal justice history. Implications include the need to study acculturation, stigma, and discrimination-related factors as well as to promote culturally competent outreach to immigrant populations.
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23.
  • Nordén, Lillebil, et al. (författare)
  • Hepatitis C Among Injecting Drug Users Is Two Times Higher in Stockholm, Sweden than in Rotterdam, the Netherlands
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:14, s. 1469-1474
  • Tidskriftsartikel (refereegranskat)abstract
    • This study assessed risk behavior and preventive measures for hepatitis C among injecting drug users in Rotterdam, the Netherlands (452 participants, 2002-2003) and Stockholm, Sweden (310 participants, 2004-2006), two cities with contrasting drug policies. Uni- and multivariate logistic regression models were used. We found that the prevalence of hepatitis C was almost two times higher in participants from Stockholm than in participants from Rotterdam, even after adjustment for sex sharing paraphernalia (adjusted relative risk: 1.92, 95% confidence interval: 1.60-2.29). Follow-up comparative studies are needed to determine if policies with structured health programs can decrease transmission of hepatitis C.
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25.
  • Room, Robin (författare)
  • Preventing Youthful Substance Use and Harm-Between Effectiveness and Political Wishfulness
  • 2012
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 47:8-9, s. 936-943
  • Tidskriftsartikel (refereegranskat)abstract
    • Drinking, smoking, and drug use are symbolic behaviors for young people, often involving a claim for adult status, and set against a social clock of expectations about appropriate behavior for a given age. Use is set in a social world of youth sociability, which young people strive to control themselves. Hence, it is difficult to prevent or delay use through adult-run institutions such as schools. Youth-oriented prevention initiatives succeed best when in tune with general social trends, so that youth cannot so easily feel hypocritically singled out. Regulatory approaches that apply to all have had some success in limiting and shaping youthful use and problems. Well-evaluated trials of efforts to insulate youthful use from harm are needed.
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26.
  • Room, Robin (författare)
  • Spirituality, Intoxication and Addiction : Six Forms of Relationship
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:12, s. 1109-1113
  • Tidskriftsartikel (refereegranskat)abstract
    • The paper considers six connections between spirituality and intoxication or addiction. They are: intoxication as a means of communication with a spiritual world; intoxication as destroying spirituality; shared use and intoxication as creating and validating community; spirituality and religion as a means of collective sobering-up; spirituality in individual sobering up; and abstinence as a spiritual practice, a witness, or a badge of membership in a spiritual community. Intoxication can either enhance or impede spirituality, both at individual and collective levels. Spirituality is often important in sobering up, both individually and collectively, and abstinence is a part of spiritual or religious practice in some traditions. But a full account must acknowledge the diversity in the interactions of spirituality and intoxication or addiction.
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27.
  • Storbjörk, Jessica, 1977- (författare)
  • Drug Users as Social Change Agents : Increasing but Limited Possibilities in Sweden
  • 2012
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 47:5, s. 606-609
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • This commentary discusses some prerequisites for and potential changes in drug user participation in treatment, decision-making, and policy in Sweden. What possibilities and obstacles are there for drug users to serve as social change agents? To what extent are drug users able to bring about change in social organizations and institutions—changes that are beneficial from their point of view?
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29.
  • Sundin, Maud, et al. (författare)
  • Substance use/abuse and suicidal behavior in young adult women: a population-based study
  • 2011
  • Ingår i: Substance use & misuse. - : Informa UK Limited. - 1532-2491 .- 1082-6084. ; 46:13, s. 1690-1699
  • Tidskriftsartikel (refereegranskat)abstract
    • Associations between substance use variables and suicidal behavior were analyzed in an urban population sample from ("the Women and Alcohol in Gothenburg" study). In Phase I, 20-year-old women (n = 2,069) completed a screening questionnaire. Interviews were carried out with a stratified sample (n = 560). Data, collected in 1995 and 2000, were analyzed using logistic regression to generate odds ratios. Drug use, but not risky alcohol consumption, was associated with suicidal thoughts after adjusting for current depression. Study limitations and implications for suicide prevention are discussed. The study was funded by the Swedish Research Council and the Alcohol Research Council of Sweden.
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31.
  • von Braun, Therese, et al. (författare)
  • Narratives of Clients' Experiences of Drug Use and Treatment of Substance Use-Related Dependency
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1404-1415
  • Tidskriftsartikel (refereegranskat)abstract
    • The article focuses on narratives of clients' experiences of using/misusing alcohol and drugs and includes comments on their therapeutic process during treatment for dependency on psychoactive drugs. It discusses the role of narratives that focus on clients' experiences of understanding the use/ misuse of psychoactive drugs, emphasizing the importance of the narratives. Narrative therapy for substance-use-related dependency is discussed. Insight into the treatment processes of dependency, based on narrative case illustrations, is also provided.
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32.
  • von Braun, Thérèse, et al. (författare)
  • Perspectives on Treatment, Alliance and Narratives Concerning Substance Use-Related Dependency
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1386-1403
  • Tidskriftsartikel (refereegranskat)abstract
    • This article considers different perspectives on the treatment of substance use-related dependency, focusing on the importance of a therapeutic relationship, working alliance, counseling, and the use of narrative methods. The article also discusses some unresolved critical issues concerning the possibilities and limitations of acquiring necessary knowledge about substance use-related dependency when using narrative research methods. The main conclusion is that the therapeutic relationship between the therapist and the client is of crucial importance for a positive outcome of treatment and that narrative methods provide a detailed empirical database for analyses of substance use-related dependency.
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33.
  • von Braun, Therese (författare)
  • Therapists' Narratives of Therapeutic Relationships in the Treatment of Drug-Dependent Patients
  • 2013
  • Ingår i: Substance Use & Misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 48:13, s. 1416-1433
  • Tidskriftsartikel (refereegranskat)abstract
    • The article explores and analyzes therapists' narratives, using selected stories, and their strategies for achieving a positive therapeutic relationship and a therapeutic alliance with their patients as a critical dimension to enable effective treatment with patients manifesting dependency problems. Although the therapists are applying different treatment and dependency theories and methods they all emphasize the importance of the therapeutic alliance in order to be successful in the treatment process.
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