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Anandan R, Cross WM, Olasoji M. Mental Health Nurses' Attitudes on Consumers with Dual Diagnosis: A Thematic Analysis. Issues Ment Health Nurs 2024; 45:27-36. [PMID: 38190407 DOI: 10.1080/01612840.2023.2278779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2024]
Abstract
BACKGROUND The issue of dual diagnosis continues to be a global health concern. There is a lack of empirical research on mental health nurses' attitudes toward consumers with dual diagnosis. OBJECTIVE This study aimed to answer the following research question: How do mental health nurses describe their attitude toward consumers with co-existing mental health and drug and alcohol problems? DESIGN This qualitative study employed purposive sampling to recruit participants. Semi-structured interviews were conducted to explore mental health nurses' attitudes toward consumers with dual diagnosis. SETTING This study focused on mental health nurses employed in mental health settings. It placed a particular emphasis on mental health nurses who had experience in caring for consumers with dual diagnosis. Seventeen mental health nurses participated in the interview. METHODS Interviews were transcribed verbatim and coded using NVivo™ 12 Plus software. Thematic analysis was used to generate codes and themes inductively. RESULTS Three major themes with a total of eight sub-themes were identified: (1) satisfaction and connection, with three subthemes; (2) combating negativity in others, with two subthemes; and (3) working to improve outcomes, with three subthemes. CONCLUSIONS Participants were concerned about their peers' sense of fear and frustration, stigmatized language, and lack of consistency in providing dual diagnosis training for mental health nurses. There is a need to investigate effective strategies to address mental health nurses' stigmatized attitudes, fear, and frustration toward consumers with dual diagnosis.
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Affiliation(s)
- Roopalal Anandan
- Institute of Health and Wellbeing, Federation University Australia, Berwick, Australia
| | - Wendy M Cross
- Institute of Health and Wellbeing, Federation University Australia, Berwick, Australia
| | - Michael Olasoji
- Institute of Health and Wellbeing, Federation University Australia, Berwick, Australia
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Johnstone S, Dela Cruz GA, Kalb N, Tyagi SV, Potenza MN, George TP, Castle DJ. A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2023; 49:21-42. [PMID: 36283062 DOI: 10.1080/00952990.2022.2130348] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 08/16/2022] [Accepted: 09/23/2022] [Indexed: 11/06/2022]
Abstract
Background: Integrated and gender-responsive interventions, designed to target co-occurring substance use and psychiatric disorders in women, may be effective in addressing gender-specific challenges.Objectives: This systematic review aims to identify integrated gender-responsive substance use disorder treatments for women, summarize evaluations of these treatments, and address gaps in the literature.Methods: We searched PsycINFO, PubMed, and MEDLINE on September 24, 2021, and March 10, 2022. Included articles were randomized-controlled trials, secondary analyses of naturalistic studies, or open-label studies of integrated and gender-responsive treatments from any year that assessed both substance use and mental health/trauma outcomes.Results: We identified N = 24 studies (participants = 3,396; 100% women) examining Seeking Safety, Helping Women Recover and Beyond Trauma, A Woman's Path to Recovery, Modified Trauma Recovery and Empowerment Model (TREM), Breaking the Cycle, VOICES, Understanding and Overcoming Substance Misuse, Women's Recovery Group, Female Specific Cognitive Behavioral Therapy, and Moment by Moment in Women's Recovery. Across treatments there were significant improvements over time; Seeking Safety, Helping Women Recover, and TREM were associated with significantly better substance use and mental health outcomes relative to the comparison groups.Conclusions: Integrated gender-responsive treatments are a promising approach to treating women with co-occurring substance use and mental health concerns, and broad clinical implementation stands to benefit women. However, there remains a lack of studies evaluating substance use treatments in women with severe mental illness (e.g., psychotic-spectrum disorders) who differ in their needs and capacity.
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Affiliation(s)
- Samantha Johnstone
- Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Gil Angela Dela Cruz
- Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Natalie Kalb
- Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Smita Vir Tyagi
- Departments of Psychiatry and Neuroscience and the Child Study Center, Yale University School of Medicine, New Haven, CT, USA
| | - Marc N Potenza
- Forensic Consultation and Assessment Team, CAMH, Toronto, Ontario, Canada
- Child Study Centre, Connecticut Mental Health Center, New Haven, CT, USA
- Women's Health Research, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - Tony P George
- Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - David J Castle
- Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
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Çelik S, Öztürk A, Kes E, Kurt A. The relationship of gambling with sensation-seeking behavior and psychological resilience in university students. Perspect Psychiatr Care 2022; 58:2199-2207. [PMID: 35133668 DOI: 10.1111/ppc.13047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 01/24/2022] [Accepted: 01/29/2022] [Indexed: 11/30/2022] Open
Abstract
PURPOSE We aimed to analyze the relationship of gambling with university students' sensation-seeking behavior and psychological resilience. DESIGN AND METHODS This cross-sectional and correlational research was performed with 650 students. Data collection tools were Personal Information Form, South Oaks Gambling Screen (SOGS), Zuckerman Sensation-Seeking Scale (ZSSS), and Brief Resilience Scale (BRS). FINDINGS Of the students, 1.2% were probably pathological gamblers. There was a positive relationship between students' SOGS and ZSSS scores (p < 0.05). However, there was no relationship between students' SOGS and BRS scores (p > 0.05). PRACTICE IMPLICATIONS Psychological support units and instructors take an active role in determining the gambling behaviors of students and related factors in advance, raising awareness of gambling, and preventing the negative effects of these behaviors in faculty campuses.
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Affiliation(s)
- Sevim Çelik
- Nursing Department, Faculty of Health Sciences, Bartın University, Agdaci, Bartın, Turkey
| | - Ayfer Öztürk
- Nursing Department, Faculty of Health Sciences, Bartın University, Agdaci, Bartın, Turkey
| | - Eda Kes
- Nursing Department, Faculty of Health Sciences, Bartın University, Agdaci, Bartın, Turkey
| | - Aylin Kurt
- Nursing Department, Faculty of Health Sciences, Bartın University, Agdaci, Bartın, Turkey
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Al-Khawaldeh SA, Hamdan-Mansour AM, Shehadeh JH, Thultheen IN. Socio-Demographics and Psychological Correlates of Anger Among Individuals Diagnosed with Alcohol Use Disorder In Jordan. Open Nurs J 2020. [DOI: 10.2174/1874434602014010135] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective:
Psychological disturbances such as anger, impulsivity and resilience among individuals with alcohol use disorder are considered barriers to successful treatment and contribute to poor prognosis and early relapse. The purpose of this study is to investigate the socio-demographic and psychological factors associated with anger among individuals diagnosed with alcohol use disorder in Jordan.
Methods:
A descriptive correlational design was used to collect data using self-reported questionnaire from 54 hospitalized patients with alcohol use disorder admitted for treatment over 4 months period. Data collected in relation to anger, impulsivity, and resilience.
Results:
The results showed that 64% of the patients in this study had severe clinical anger, 70% had moderate to high impulsivity level, and about 48% had high level of resilience. The findings also showed a significant positive correlation between patients’ anger and impulsivity (r = .36, p <0.05), while a significant negative correlation was observed between patients’ anger and resilience (r = - 0.60, p < .001).
Conclusion:
The link between anger, impulsivity and resilience is alarming mental health professionals toward the need for an integrated model of care during and after interventions to prevent relapse and sustain sobriety.
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Yasin H, Bulatova N, Wazaify M. Patterns of Substance Use among Patients in Addiction Rehabilitation in Jordan. Subst Use Misuse 2020; 55:1035-1044. [PMID: 32013654 DOI: 10.1080/10826084.2020.1722697] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: This study aimed to identify pattern of substance use among patients at two public addiction rehabilitation centers in Amman. It provided a description of substance use career and assessment of addiction severity, quality of life and quality of sleep among participants.Methods: A quantitative cross-sectional study using a structured data collection form consisting of 4 parts: 1. General data including the demographic characteristics, medical history and career of drug abuse. 2. Severity of addiction using the severity of dependence scale (SDS). 3. Quality of life measured by the EQ-5D and 4. Quality of sleep measured by the insomnia severity index (ISI) scale.Results: A total of 93 patients from 2 treatment settings were recruited over 5 months. The total number of actively used substances was 196, with an average of 2 substances per patient. Alcohol and synthetic cannabinoids were the two most commonly used substances (39.8% and 38.7% respectively) followed by benzodiazepines (33.4%). A notable drop in heroin use was observed (5.4%, 5 out of 23 opioid user) compared to the years 2007-2009. The mean SDS score among patients was 11.43 (SD ± 3.48) indicating high dependence. Sleep problems were reported by 45% of patients. Data showed a significant role of community pharmacies in supplying drugs of abuse for users.Conclusion: Pattern of substance use changed significantly in Jordan with synthetic cannabinoids being of the top substances used and heroin use dropping. Actions should be taken to reframe the legalization of dispensing certain drugs by pharmacists without a prescription.
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Affiliation(s)
- Haya Yasin
- Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, Jordan
| | - Nailya Bulatova
- Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, Jordan
| | - Mayyada Wazaify
- Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, Jordan
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