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Nagy NES, Ella EIA, Shorab EM, Moneam MHEDA, Tohamy AA. Assessment of addiction management program and predictors of relapse among inpatients of the Psychiatric Institute at Ain Shams University Hospital. MIDDLE EAST CURRENT PSYCHIATRY, AIN SHAMS UNIVERSITY 2022; 29:80. [PMCID: PMC9579533 DOI: 10.1186/s43045-022-00246-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Rehabilitation programs targeted to patients with substance use disorder (SUD) following successful detoxification constitute a global public health concern. This study aimed to examine the effectiveness of a combined pharmacotherapy/cognitive behavior therapy (CBT) model through assessing abstinence/relapse rate and quality of life (QOL) in a sample of patients with SUD. Indeed, we aimed to identify the relapse predictors. Results The relapse rate in the inpatient group was 45.33%, compared to 56% in the outpatient group. Multivariate analysis revealed that patients with educational levels less than secondary school, rural residency, being single or divorced, having cravings lasting for 6 weeks from detoxification, legal history, presence of borderline, antisocial and multiple personality disorder could predict relapse in patients with SUD. Moreover, there was a statistically significant difference between the legal, substance, and social domains of ASI (X2= 12.525, p=0.014; X2= 12.525, p=0.023; and X2= 6.335, p=0.042 respectively) and the majority of QOL domains and relapse. Conclusions Socio-demographic data, legal history, craving, and presence of co-morbid personality disorders along with, legal, substance, and social domains of ASI might be implicated in relapse, suggesting that addiction rehabilitation programs targeting these topics would reduce the risk of relapse.
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Affiliation(s)
- Nahla El Sayed Nagy
- grid.7269.a0000 0004 0621 1570Okasha Institute of Psychiatry, Ain Shams University, Abassia, Ramses street extension, P.O. Box 11657, Dair AL-Malak, Cairo Egypt
| | - Eman Ibrahim Abo Ella
- grid.7269.a0000 0004 0621 1570Okasha Institute of Psychiatry, Ain Shams University, Abassia, Ramses street extension, P.O. Box 11657, Dair AL-Malak, Cairo Egypt
| | - Eman Mohamed Shorab
- grid.7269.a0000 0004 0621 1570Okasha Institute of Psychiatry, Ain Shams University, Abassia, Ramses street extension, P.O. Box 11657, Dair AL-Malak, Cairo Egypt
| | - Mohamed Hossam El-Din Abdel Moneam
- grid.7269.a0000 0004 0621 1570Okasha Institute of Psychiatry, Ain Shams University, Abassia, Ramses street extension, P.O. Box 11657, Dair AL-Malak, Cairo Egypt
| | - Arwa Ahmed Tohamy
- grid.7269.a0000 0004 0621 1570Okasha Institute of Psychiatry, Ain Shams University, Abassia, Ramses street extension, P.O. Box 11657, Dair AL-Malak, Cairo Egypt
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Berg V, Kuja-Halkola R, D'Onofrio BM, Lichtenstein P, Latvala A. Parental substance misuse and reproductive timing in offspring: A genetically informed study. EVOL HUM BEHAV 2021. [DOI: 10.1016/j.evolhumbehav.2020.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Prediction Model of Alcohol Intoxication from Facial Temperature Dynamics Based on K-Means Clustering Driven by Evolutionary Computing. Symmetry (Basel) 2019. [DOI: 10.3390/sym11080995] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Alcohol intoxication is a significant phenomenon, affecting many social areas, including work procedures or car driving. Alcohol causes certain side effects including changing the facial thermal distribution, which may enable the contactless identification and classification of alcohol-intoxicated people. We adopted a multiregional segmentation procedure to identify and classify symmetrical facial features, which reliably reflects the facial-temperature variations while subjects are drinking alcohol. Such a model can objectively track alcohol intoxication in the form of a facial temperature map. In our paper, we propose the segmentation model based on the clustering algorithm, which is driven by the modified version of the Artificial Bee Colony (ABC) evolutionary optimization with the goal of facial temperature features extraction from the IR (infrared radiation) images. This model allows for a definition of symmetric clusters, identifying facial temperature structures corresponding with intoxication. The ABC algorithm serves as an optimization process for an optimal cluster’s distribution to the clustering method the best approximate individual areas linked with gradual alcohol intoxication. In our analysis, we analyzed a set of twenty volunteers, who had IR images taken to reflect the process of alcohol intoxication. The proposed method was represented by multiregional segmentation, allowing for classification of the individual spatial temperature areas into segmentation classes. The proposed method, besides single IR image modelling, allows for dynamical tracking of the alcohol-temperature features within a process of intoxication, from the sober state up to the maximum observed intoxication level.
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Courchesne NS, Muth CM, Barker M, Woodruff SI. Correlates of Breath Alcohol Concentration Among Driving Under the Influence Program Clients in Southern California. JOURNAL OF DRUG ISSUES 2018. [DOI: 10.1177/0022042618815688] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Understanding factors correlated with breath alcohol concentration (BrAC) at time of arrest for driving under the influence (DUI) may lead to informed rehabilitation programs. This study describes correlations between BrAC at time of arrest and sociodemographic, mental, and physical health, and alcohol-related characteristics among clients in a large California DUI Program. Client reported data ( n = 17,282) were collected at an intake from 2009 to 2014. BrACs ranged from 0.083% to 0.390%, with an average of 0.159% ( SD = 0.051), almost twice the legal limit in the state. Approximately 10.6% of the variance in BrAC was explained by 11 significant correlates. Two sociodemographic factors (age and race/ethnicity) as well as several alcohol-related characteristics were related to higher BrAC levels, whereas comorbid mental and physical health factors played less of a role. Factors associated with BrAC are complex and warrant further investigation to identify causality and inform future interventions.
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Korn L, Weiss Y, Rosenbloom T. Driving violations and health promotion behaviors among undergraduate students: Self-report of on-road behavior. TRAFFIC INJURY PREVENTION 2017; 18:813-819. [PMID: 28409675 DOI: 10.1080/15389588.2017.1316842] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 04/04/2017] [Indexed: 06/07/2023]
Abstract
INTRODUCTION The purposes of this study are to characterize Israeli undergraduate students' driving violations in the terms of problem behavior theory and to identify whether there is any relationship between driving violations and health risk behaviors, daring behaviors, excitement seeking, and health promotion behaviors. METHODS This study is based on a structured self-reported anonymous questionnaire distributed to undergraduate students in an academic institution. The sample included 533 undergraduate students (374 females and 159 males). The mean age was 23.4 (SD = 1.4, range = 5). RESULTS A higher prevalence of self-reported driving violations was found among males in comparison to females. All substance use measures were positively related to driving violations; for example, use of cigarettes (OR = 4.287, P <.001) and water pipes (odds ratio [OR] = 3.000, P <.001) as well as binge drinking (OR = 5.707, P <.001) and regular cannabis smoking (OR = 5.667, P <.001) raise the probability of committing rare driving violations. The strongest predictive factors for the frequent driving violations group were alcohol consumption-related variables: binge drinking (OR = 2.560, P <.01) and drunkenness (OR = 2.284, P <.05). Strong odd ratios were also found between the frequent driving violations group and selling or dealing drugs (12.143, P <.001), and stealing something valuable (13.680, P <.001). The strongest predicted variable for the rare driving violations group was physical confrontation due to verbal disagreement (3.439, P <.05) and the concept that selling or dealing drugs is socially acceptable (2.521, P <.05). The probability of executing rare driving violations was higher for subjects who reported intense physical workout regimens (OR = 1.638, P <.05). CONCLUSIONS Problem behavior theory succeeded in explaining health risk behavior and driving violations. This study shows that bachelors tend to be more involved in risk behaviors, such as substance use, excitement-seeking behaviors, and daring behaviors and are active physically and thus constitute a risk group for driving violations. As such, intervention resources should be directed toward this group.
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Affiliation(s)
- Liat Korn
- a Department of Health Systems Management, School of Health Sciences , Ariel University , Ariel , Israel
| | - Yossi Weiss
- a Department of Health Systems Management, School of Health Sciences , Ariel University , Ariel , Israel
| | - Tova Rosenbloom
- b Department of Management , Bar-Ilan University , Ramat-Gan , Israel
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Koukiou G, Anastassopoulos V. Intoxicated person discrimination using infrared signature of facial blood vessels. AUST J FORENSIC SCI 2015. [DOI: 10.1080/00450618.2015.1060522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Demirbaş H, Özgür Ilhan İ, Doğan YB, Canatan A. Reliability and Validity of the Turkish Version of the Addiction Severity Index in Male Alcohol Dependents. Noro Psikiyatr Ars 2014; 51:216-221. [PMID: 28360629 DOI: 10.4274/npa.y6767] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2012] [Accepted: 12/05/2012] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION We aimed to evaluate the psychometric characteristics of the Turkish translation of the Addiction Severity Index (ASI) in 115 male alcohol-dependent patients. METHOD The reliability of the instrument was assessed by measuring test-retest, interrater and internal reliabilities. In the validity analysis, the correlation coefficients between corresponding severity ratings and composite scores of each subscale and concurrent validity were assessed. Moreover, the discriminant validity and concurrent validity scores were calculated. RESULTS The test-retest reliability of the ASI scores ranged from .79 to .91. The interrater reliability assigned by three raters was high (.74 to .99). Cronbach's alpha coefficient for internal consistency was .85 for all scales, and it varied between .64 and .77 for the subscales. The Beck Depression Inventory moderately correlated with the Psychatric status, and the MacAndrew Alcoholism Scale correlated with the Alcohol and Drug Use subscales of the Addiction Severity Index (ASI). The correlation coefficient was .91 for the alcohol use subscale. CONCLUSION The results obtained in this study suggest that the Turkish version of the ASI could be used as a reliable and valid instrument in alcohol-dependent patients.
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Affiliation(s)
- Hatice Demirbaş
- Gazi University Faculty of Arts, Department of Psychology, Ankara, Turkey
| | - İnci Özgür Ilhan
- Ankara University Faculty of Medicine, Alcohol and Substance Abuse Treatment Unit, Ankara, Turkey
| | - Yıldırım Beyatlı Doğan
- Ankara University Faculty of Medicine, Alcohol and Substance Abuse Treatment Unit, Ankara, Turkey
| | - Ayşe Canatan
- Gazi University Faculty of Arts, Department of Sociology, Ankara, Turkey
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Sarkar S, Nebhinani N, Kaur J, Kaur K, Ghai S, Basu D. Relationship of reasons and fears of treatment with outcome in substance using population attending a de-addiction centre. Ind Psychiatry J 2013; 22:143-8. [PMID: 25013316 PMCID: PMC4085807 DOI: 10.4103/0972-6748.132929] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Substance users approach a treatment facility for a variety of reasons as well as avoid or delay in help seeking due to perceived fears with treatment facilities. Sometimes these factors might be associated with treatment outcomes. OBJECTIVES We studied the relationship of reasons and fears of treatment seeking with treatment outcome in substance users. MATERIALS AND METHODS One hundred subjects, attending the Drug Deaddiction and Treatment Centre, PGIMER, were prospectively recruited by purposive sampling. A semistructured proforma was used to gather sociodemographic and clinical data. Reasons of help-seeking and fear questionnaire, social support scale, and PGI locus of control scale were then applied. Followup data were available for 69 patients, which were classified into good or poor outcome based on relapse status. RESULTS At 6 months followup, 22 patients had relapsed, while 47 patients did not relapse. A higher degree of dysfunction due to substance at baseline was associated with relapsed status at followup. Parents or guardians coming to know about resuming substance and being unemployed for a long time were the reasons associated with relapsed status, while needing to consult a doctor immediately was significantly related to abstinent status at followup. Fear of not being able to meet substance using friends was associated with a poorer outcome in the form of relapse. CONCLUSIONS Reasons for treatment seeking as well as fears related to treatment have significant implications on the clinical outcome of substance abusing patients. Addressing these could help in better patient outcomes.
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Affiliation(s)
- Siddharth Sarkar
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Naresh Nebhinani
- Postgraduate Institute of Medical Science, Rohtak, Haryana, India
| | - Jasveen Kaur
- National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Kamalpreet Kaur
- National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sandhya Ghai
- National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Debasish Basu
- Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Bahi A. Retracted article: Selective activation of the metabotropic glutamate receptor subtype 7 "mGluR7" attenuates acquisition, expression, and reinstatement of ethanol place preference. Psychopharmacology (Berl) 2011; 216:601. [PMID: 21706135 DOI: 10.1007/s00213-011-2371-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2011] [Accepted: 05/24/2011] [Indexed: 10/18/2022]
Affiliation(s)
- Amine Bahi
- Faculty of Medicine and Health Sciences, Department of Anatomy, United Arab Emirates University, Al Ain, United Arab Emirates.
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Hubicka B, Källmén H, Hiltunen A, Bergman H. Personality traits and mental health of severe drunk drivers in Sweden. Soc Psychiatry Psychiatr Epidemiol 2010; 45:723-31. [PMID: 19730762 DOI: 10.1007/s00127-009-0111-8] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2008] [Accepted: 07/24/2009] [Indexed: 11/29/2022]
Abstract
The present study was intended to investigate personality characteristics and mental health of severe driving under influence (DUI) offenders in a Swedish cohort. More specifically the aim was to investigate the personality traits as assessed by The NEO personality inventory (NEO-PI-R) and aspects of mental health as assessed by the symptom checklist (SCL-90) as compared to the general population. The subjects were 162 severe DUI offenders (with the BAC >0.099%) with an age range of 18-88 years, 143 males and 19 females. It was found that the openness to experience and conscientiousness scales of NEO-PI-R differentiated Swedish DUI offenders from Swedish norm population. The differences between the DUI group and the general population on the on SCL-90 scales were all significant except on the Hostility scale. Two main subtypes of DUI offenders identified were roughly comparable to types I and II alcoholics, as in Cloninger's typology. Among all the scales used (personality traits, psychiatric comorbidity and alcohol use), the only factor that was predictive for future relapses to drunk driving was the factor of depression.
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Affiliation(s)
- Beata Hubicka
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
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