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[PMID]:28317510
[Au] Autor:Wendt DC; Hallgren KA; Daley DC; Donovan DM
[Ad] Endereço:Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
[Ti] Título:Predictors and Outcomes of Twelve-Step Sponsorship of Stimulant Users: Secondary Analyses of a Multisite Randomized Clinical Trial.
[So] Source:J Stud Alcohol Drugs;78(2):287-295, 2017 Mar.
[Is] ISSN:1938-4114
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This secondary data analysis explored predictors and outcomes of having a 12-step sponsor among individuals receiving treatment for stimulant use disorders, inclusive of four types of 12-step groups (Narcotics Anonymous, Alcoholics Anonymous, Cocaine Anonymous, and Crystal Meth Anonymous). METHOD: For a multisite randomized clinical trial, participants (N = 471; 59% women) were recruited among adult patients in 10 U.S. community treatment programs. Participants were randomized into treatment as usual (TAU) or a 12-step facilitation (TSF) intervention: Stimulant Abuser Groups to Engage in 12-Step (STAGE-12). Logistic regression analyses explored the extent to which participants obtained sponsors, including the extent to which treatment condition and other predictors (12-step experiences, expectations, and beliefs) were associated with having a sponsor. The relationship between end-of-treatment sponsorship and follow-up substance use outcomes was also tested. RESULTS: Participants were more likely to have a sponsor at the end of treatment and 3-month follow-up, with the STAGE-12 condition having higher sponsorship rates. Twelve-step meeting attendance and literature reading during the treatment period predicted having a sponsor at the end of treatment. Sponsorship at the end of treatment predicted a higher likelihood of abstinence from stimulant use and having no drug-related problems at follow-up. CONCLUSIONS: This study extends previous research on sponsorship, which has mostly focused on alcohol use disorders, by indicating that sponsorship is associated with positive outcomes for those seeking treatment from stimulant use disorders. It also suggests that sponsorship rates can be improved for those seeking treatment from stimulant use disorders through a short-term TSF intervention.
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Estimulantes do Sistema Nervoso Central/efeitos adversos
Metanfetamina/efeitos adversos
Transtornos Relacionados ao Uso de Substâncias/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Central Nervous System Stimulants); 44RAL3456C (Methamphetamine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171029
[Lr] Data última revisão:
171029
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE


  2 / 1142 MEDLINE  
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[PMID]:28080094
[Au] Autor:Tonigan JS; McCallion EA; Frohe T; Pearson MR
[Ad] Endereço:Department of Psychology, Center on Alcoholism, Substance Abuse & Addictions, University of New Mexico.
[Ti] Título:Lifetime Alcoholics Anonymous attendance as a predictor of spiritual gains in the Relapse Replication and Extension Project (RREP).
[So] Source:Psychol Addict Behav;31(1):54-60, 2017 Feb.
[Is] ISSN:1939-1501
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study investigated the association between extent of lifetime attendance in Alcoholics Anonymous (AA) and spiritual gains among treatment seeking adults for alcohol use disorder. Participants included 246 individuals from 2 of the 3 sites in the Relapse Replication and Extension Project (Lowman, Allen, Stout, & The Relapse Research Group, 1996). Baseline characteristics included 63% male, 39.9% single, and the average age was 34 years (SD = 8.2). The Alcoholics Anonymous Involvement questionnaire (Tonigan, Connors, & Miller, 1996) was used to assess lifetime AA attendance. The Religious Beliefs & Behaviors Questionnaire (Connors, Tonigan, & Miller, 1996) was used to assess spirituality. Percent days abstinent (PDA) and drinks per drinking day (DPDD) were measured using the Form 90. At baseline, adults with more extensive AA histories were more severely alcohol impaired although they were no older relative to adults with less past AA exposure. Clear patterns of AA engagement were found between the high-low AA history groups over follow-up, with adults with less AA experience reporting less AA participation across a swath of AA-specific measures. Gains in spiritual practices significantly mediated AA-related benefit as measured by PDA and DPDD. Tests for moderated-mediation indicated that the magnitude of the mediational effect of spiritual gains did not differ between high-low AA history groups. Having an extensive AA history did not advantage (or disadvantage) adults in mobilizing future spiritual practices that are prescribed in AA. Clinical assessment of client AA history is important, however, because it predicts both the nature and extent that clients may participate in AA. (PsycINFO Database Record
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Álcool/reabilitação
Alcoólicos Anônimos
Espiritualidade
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Recidiva
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170605
[Lr] Data última revisão:
170605
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.1037/adb0000235


  3 / 1142 MEDLINE  
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[PMID]:27757928
[Au] Autor:Rosenstock J
[Ad] Endereço:University of Pittsburgh, Pittsburgh, PA, USA. rosenstockjb@upmc.edu.
[Ti] Título:Comment on "A Qualitative Analysis of Medical students? Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula".
[So] Source:Acad Psychiatry;41(1):145, 2017 Feb.
[Is] ISSN:1545-7230
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Comportamento Aditivo
Currículo
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Alcoolismo
Terapia Cognitiva
Seres Humanos
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170215
[Lr] Data última revisão:
170215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1007/s40596-016-0597-9


  4 / 1142 MEDLINE  
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[PMID]:27015258
[Au] Autor:Galanter M; Josipovic Z; Dermatis H; Weber J; Millard MA
[Ad] Endereço:a Department of Psychiatry, Division of Alcoholism and Drug Abuse , New York University School of Medicine , New York , NY , USA.
[Ti] Título:An initial fMRI study on neural correlates of prayer in members of Alcoholics Anonymous.
[So] Source:Am J Drug Alcohol Abuse;43(1):44-54, 2017 Jan.
[Is] ISSN:1097-9891
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Many individuals with alcohol-use disorders who had experienced alcohol craving before joining Alcoholics Anonymous (AA) report little or no craving after becoming long-term members. Their use of AA prayers may contribute to this. Neural mechanisms underlying this process have not been delineated. OBJECTIVE: To define experiential and neural correlates of diminished alcohol craving following AA prayers among members with long-term abstinence. METHODS: Twenty AA members with long-term abstinence participated. Self-report measures and functional magnetic resonance imaging of differential neural response to alcohol-craving-inducing images were obtained in three conditions: after reading of AA prayers, after reading irrelevant news, and with passive viewing. Random-effects robust regressions were computed for the main effect (prayer > passive + news) and for estimating the correlations between the main effect and the self-report measures. RESULTS: Compared to the other two conditions, the prayer condition was characterized by: less self-reported craving; increased activation in left-anterior middle frontal gyrus, left superior parietal lobule, bilateral precuneus, and bilateral posterior middle temporal gyrus. Craving following prayer was inversely correlated with activation in brain areas associated with self-referential processing and the default mode network, and with characteristics reflecting AA program involvement. CONCLUSION: AA members' prayer was associated with a relative reduction in self-reported craving and with concomitant engagement of neural mechanisms that reflect control of attention and emotion. These findings suggest neural processes underlying the apparent effectiveness of AA prayer.
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Alcoolismo/fisiopatologia
Encéfalo/fisiopatologia
Fissura/fisiologia
Religião
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Sinais (Psicologia)
Feminino
Neuroimagem Funcional
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Estimulação Luminosa
Indução de Remissão
Autocontrole
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160326
[St] Status:MEDLINE
[do] DOI:10.3109/00952990.2016.1141912


  5 / 1142 MEDLINE  
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[PMID]:27354234
[Au] Autor:Litt MD; Kadden RM; Tennen H; Kabela-Cormier E
[Ad] Endereço:Division of Behavioral Sciences and Community Health, University of Connecticut Health Center, United States; Department of Psychiatry, University of Connecticut School of Medicine, United States. Electronic address: Litt@uchc.edu.
[Ti] Título:Network Support II: Randomized controlled trial of Network Support treatment and cognitive behavioral therapy for alcohol use disorder.
[So] Source:Drug Alcohol Depend;165:203-12, 2016 Aug 01.
[Is] ISSN:1879-0046
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The social network of those treated for alcohol use disorder can play a significant role in subsequent drinking behavior, both for better and worse. Network Support treatment was devised to teach ways to reconstruct social networks so that they are more supportive of abstinence and less supportive of drinking. For many patients this may involve engagement with AA, but other strategies are also used. PURPOSE: The current trial of Network Support treatment, building on our previous work, was intended to further enhance the ability of patients to construct abstinence-supportive social networks, and to test this approach against a strong control treatment. METHODS: Patients were 193 men and women with alcohol use disorder recruited from the community and assigned to either 12 weeks of Network Support (NS) or Packaged Cognitive-Behavioral Treatment (PCBT), and followed for 27 months. RESULTS: Results of multilevel analyses indicated that NS yielded better posttreatment results in terms of both proportion of days abstinent and drinking consequences, and equivalent improvements in 90-day abstinence, heavy drinking days and drinks per drinking day. Mediation analyses revealed that NS treatment effects were mediated by pre-post changes in abstinence self-efficacy and in social network variables, especially proportion of non-drinkers in the social network and attendance at Alcoholics Anonymous. CONCLUSION: It was concluded that helping patients enhance their abstinent social network can be effective, and may provide a useful alternative or adjunctive approach to treatment.
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Álcool/psicologia
Transtornos Relacionados ao Uso de Álcool/terapia
Terapia Cognitiva/métodos
Rede Social
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Transtornos Relacionados ao Uso de Álcool/diagnóstico
Alcoólicos Anônimos
Alcoolismo/diagnóstico
Alcoolismo/psicologia
Alcoolismo/terapia
Feminino
Seres Humanos
Masculino
Meia-Idade
Negociação/métodos
Negociação/psicologia
Autoeficácia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160630
[St] Status:MEDLINE


  6 / 1142 MEDLINE  
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[PMID]:27182026
[Au] Autor:Yoo JS; Lee J; Park WY
[Ad] Endereço:Department of Nursing Science, College of Medicine, Chungbuk National University, Cheongju, Korea.
[Ti] Título:[Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea].
[So] Source:J Korean Acad Nurs;46(2):305-14, 2016 Apr.
[Is] ISSN:2093-758X
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:PURPOSE: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. METHODS: A cross sectional survey was conducted with participants (N =203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). RESULTS: Of the educational diagnostic variables, self-esteem (ß=.23), family functioning (ß=.12), abstinence self-efficacy (ß=.12) and social capital (ß=.11) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (ß=-.44) and perceived health status (ß=.35) were the main factors in QOL. Also, physical health status and practice (ß=.106), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). CONCLUSION: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.
[Mh] Termos MeSH primário: Alcoolismo/psicologia
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Alcoólicos Anônimos
Estudos Transversais
Depressão/diagnóstico
Nível de Saúde
Seres Humanos
Masculino
Meia-Idade
Análise de Regressão
República da Coreia
Autoimagem
Autoeficácia
Capital Social
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170407
[Lr] Data última revisão:
170407
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160517
[St] Status:MEDLINE
[do] DOI:10.4040/jkan.2016.46.2.305


  7 / 1142 MEDLINE  
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[PMID]:27120262
[Au] Autor:Timko C; Laudet A; Moos RH
[Ad] Endereço:a Center for Innovation to Implementation , Department of Veterans Affairs Health Care System and Stanford University School of Medicine , Palo Alto , CA , USA.
[Ti] Título:Al-Anon newcomers: benefits of continuing attendance for six months.
[So] Source:Am J Drug Alcohol Abuse;42(4):441-9, 2016 Jul.
[Is] ISSN:1097-9891
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Al-Anon Family Groups, a 12-step mutual-help program for people concerned about another person's drinking, is the most widely used form of help by Concerned Others. OBJECTIVES: This longitudinal study examined newcomers' outcomes of attending Al-Anon. Aims were to better understand early gains from Al-Anon to inform efforts in the professional community to facilitate concerned others' attendance of and engagement in Al-Anon. METHODS: We compared two groups of Al-Anon newcomers who completed surveys at baseline and 6 months later: those who discontinued attendance by the 6-month follow-up (N = 133), and those who were still attending Al-Anon meetings (N = 97); baseline characteristics were controlled in these comparisons. RESULTS: Newcomers who sustained participation in Al-Anon over the first 6 months of attendance were more likely than those who discontinued participation during the same period to report gains in a variety of domains, such as learning how to handle problems due to the drinker, and increased well-being and functioning, including reduced verbal or physical abuse victimization. Newcomers to Al-Anon reported more personal gains than drinker-related gains. The most frequent drinker gain was a better relationship with the Concerned Other; attendees were more likely to report this, as well as daily, in-person contact with the drinker. CONCLUSION: Al-Anon participation may facilitate ongoing interaction between Concerned Others and drinkers, and help Concerned Others function and feel better. Thus, short-term participation may be beneficial. Health-care professionals should consider providing referrals to Al-Anon and monitoring early attendance.
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Alcoolismo/terapia
Cooperação do Paciente/psicologia
Qualidade de Vida
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160428
[St] Status:MEDLINE
[do] DOI:10.3109/00952990.2016.1148702


  8 / 1142 MEDLINE  
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[PMID]:26108396
[Au] Autor:Kastenholz KJ; Agarwal G
[Ad] Endereço:Northwestern University Feinberg School of Medicine, Chicago, IL, USA. kurt-kastenholz@fsm.northwestern.edu.
[Ti] Título:A Qualitative Analysis of Medical Students' Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula.
[So] Source:Acad Psychiatry;40(3):468-74, 2016 Jun.
[Is] ISSN:1545-7230
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This paper describes medical students' views of alcoholism and their response to attending an Alcoholics Anonymous (AA) meeting during their psychiatry clerkship. This may assist other educators in planning their addiction curricula. METHODS: Medical students were required to attend an AA meeting during their psychiatry clerkship and then to write a reflection piece on this experience. We selected a random sample of 40 pieces and performed a qualitative analysis to identify the prominent ideas and themes in this sample. RESULTS: Medical students found their experience attending an AA meeting to be educationally valuable. They reported their familiarity with AA prior to this experience was largely limited to popular media depictions. Students reported understanding alcoholism as a disease with both biological and psychosocial components. They were often concerned with the presence of religiosity and spirituality at the meetings. Following the experience, students felt more comfortable referring patients to AA and identified empathy, honesty, and openness as crucial contributors to the efficacy of AA. CONCLUSIONS: Students felt that attending an AA meeting during their psychiatry clerkship was an educationally valuable experience. Medical students' familiarity with addiction treatment is limited, and attending an AA meeting may be helpful in increasing their comfort with treating addicted patients in the future. In addition, educators may want to explicitly address the spirituality issue related to some treatment programs to increase the likelihood that future physicians feel comfortable referring their patients to recovery programs.
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Alcoolismo/reabilitação
Atitude do Pessoal de Saúde
Estágio Clínico
Currículo
Psiquiatria/educação
Estudantes de Medicina
[Mh] Termos MeSH secundário: Seres Humanos
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170124
[Lr] Data última revisão:
170124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150626
[St] Status:MEDLINE
[do] DOI:10.1007/s40596-015-0380-3


  9 / 1142 MEDLINE  
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[PMID]:25701085
[Au] Autor:Dermatis H; Galanter M
[Ad] Endereço:Division of Alcoholism and Drug Abuse, Department of Psychiatry, The Center for Spirituality and Healthcare, NYU School of Medicine, 550 First Avenue, New York, NY, 10016, USA. hd7@nyu.edu.
[Ti] Título:The Role of Twelve-Step-Related Spirituality in Addiction Recovery.
[So] Source:J Relig Health;55(2):510-21, 2016 Apr.
[Is] ISSN:1573-6571
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This paper reviews empirical studies conducted on the role of spirituality and religiosity (S/R) characteristics in 12-step recovery among program members followed up after substance abuse treatment and those assessed independent of formal treatment. Aspects of spiritual functioning that change in relation to program participation and those S/R characteristics that were found to mediate the association between program involvement and drinking-related outcomes are discussed. In addition, a review is provided of 12-step program studies investigating S/R-related predictors of clinical outcomes relevant to risk of relapse among members in long-term recovery. To further examine the role of S/R characteristics in recovery, a study was conducted on long-term AA members to assess the relationship of S/R characteristics and AA program involvement to craving for alcohol and emotional distress after controlling for relevant demographic variables. Feeling God's presence daily, believing in a higher power as a universal spirit, and serving as an AA sponsor were all predictive of positive outcomes.
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Comportamento Aditivo/psicologia
Comportamento Aditivo/reabilitação
Espiritualidade
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171117
[Lr] Data última revisão:
171117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150222
[St] Status:MEDLINE
[do] DOI:10.1007/s10943-015-0019-4


  10 / 1142 MEDLINE  
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[PMID]:27538278
[Au] Autor:Tomy A
[Ti] Título:Assessing the Quality of Life of Clients with Alcohol Dependence Syndrome (ADS) attending Alcoholics Anonymous (AA) meetings in a selected area of Delhi.
[So] Source:Nurs J India;106(1):43-6, 2015 Jan-Feb.
[Is] ISSN:0029-6503
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Alcoólicos Anônimos
Alcoolismo/enfermagem
Alcoolismo/reabilitação
Qualidade de Vida
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Índia
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:160819
[Lr] Data última revisão:
160819
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160820
[St] Status:MEDLINE



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