Prevalence of substance use disorder
|
|
- Sheryl Porter
- 6 years ago
- Views:
Transcription
1 Prevalence of substance use disorder Institut für Therapieforschung München A question of definition? Ludwig Kraus 1,2), Elena Gomes de Matos 1) & Daniela Piontek 1) 1) IFT Institut für Therapieforschung, Munich, Germany 2) Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, Stockholm, Sweden First European Conference on Addictive Behaviours and Dependencies September 2015, Lisbon, Portugal
2 Introduction Definitions of substance use disorders (SUD) have substantially changed over the past 40 years Recent change from DSM-IV to DSM-5 - Merging abuse and dependence into a one-dimensional scale AUD measured with DSM-IV increased by 11.8 % when measured with the corresponding DSM-5 criteria (US: Agrawal et al., 2011); AUD diagnosed under DSM-5 increased prevalence by 61.7 % (Australia: Mewton et al., 2011) Tobacco disorder based on DSM-5 much higher than measured by DSM-IV (Chung et al., 2011) Small differences between DSM-5 and DSM-IV with regard to illegal drugs (Peer et al., 2013; Proctor et al., 2012) No comparative studies on disorders related to pharmaceuticals 2
3 Introduction Consumption measures not part of the classical symptomoriented medical diagnostic systems (DSM, ICD), despite - Results from IRT analyses: consumption measures similar informative as current criteria (for alcohol Li et al., 2007; Saha et al., 2010; for cannabis Piontek et al., 2011) - Evidence that greater levels of use generally associated with higher odds of being affected by SUD (Moss, Chen & Yi, 2012; Bohn et al., 1995; Knight et al., 2002) Proposal of an alternative definition of addiction based on heavy use over time (Rehm et al., 2013, 2014) - All consequences listed as SUD criteria linked to heavy use 3
4 Introduction Almost all of what is currently conceptualized under the heading of addiction or use disorders is a consequence of heavy use over time (Rehm et al., 2013; 2014a,b) A redefinition in terms of heavy use over time better fits the epidemiological data, would reduce stigmatization and help initiate early lifestyle changes and interventions 4
5 Introduction Different definitions lead to - Differences in prevalence rates - Differences in individuals classified for SUD Associations between diagnostic criteria and consumption - Correlation, regression analysis or risk functions - Using cut-off values and assess concordance Aims - Investigating quantitative and qualitative differences in diagnoses between the two DSM versions for various substances, - Analysing the link between the current criteria definition (DSM-5) and various indicators of consumption, and - Using definitions for at risk consumers in order to assess the extent of concordance and discordance with DSM-5 diagnoses 5
6 Methods Data Epidemiological Survey of Substance Abuse (ESA) (Kraus et al., 2013) Substances - Alcohol, tobacco, cannabis, cocaine, analgesics Measures (last 12 months) - SUD symptoms according to DSM-IV and DSM-5 - Consumption measures: frequency, quantity (alcohol, tobacco), volume/day, volume/consumption day 6
7 Methods Statistical analyses - 12-month prevalence estimates for disorders according to DSM-IV and DSM-5 - Sensitivity (the proportion of DSM-5 positives to all DSM-IV positives) and specificity (the proportion of DSM-5 negatives to all DSM-IV negatives) - Bivariate and multivariate associations between substance use and number of DSM-5 criteria - Various cut-offs for consumption (dichotomous measure) Assessment of concordance between consumption groups and DSM-5 substance use diagnoses Sensitivity, specificity, PPV, NPV, correctly classified individuals 7
8 Results: DSM-IV vs. DSM-5 DSM-IV vs. DSM-5: prevalence of SUDs among users 8
9 Results: DSM-IV vs. DSM-5 Institut für Therapieforschung München Sensitivity Specificity Alcohol Tobacco Cannabis Cocaine Analgesics
10 Results: DSM-5 vs. consumption Institut für Therapieforschung München Association between number of symptoms and consumption level r =.23 r =.33 Tobacco: r =.33 to.49 Cannabis: r =.57 Cocaine: r =.39 Analgesics r =.40 10
11 Results Cut-off Prevalence above threshold a) Prevalence DSM-5 a) Correctly classified Sensitivity Specificity PPV NPV Alcohol No. of days, drinking Frequency of EHD days/week monthly Daily mean volume US) 42/ Daily mean volume Can) 27/ Daily mean volume UK) 24/ Daily mean volume Germany) 12/ Mean volume per drinking day Mean volume per drinking day 20/
12 Discussion 1) DSM-5 leads to substantial changes in estimates of SUD across substance - No clear pattern of direction of changes - Low sensitivity (alcohol, cannabis, analgesics), low specificity (tobacco) 2) Substantial associations between substance use disorder and various consumption indicators 3) Dichotomized continuous consumption measures largely fail in the identification of individuals qualifying for SU diagnoses - DSM-5 criteria identify a disorder in individuals at low levels of consumption and vice versa fail to identify individuals who consume at high levels 12
13 Discussion Empirical and conceptual considerations Identification problem - Heavy users that under DSM-5 would not qualify as in need for treatment or intervention - Individuals with a profile of low frequent consumption/low quantities that qualify for SUD Misinterpretation of alcohol-attributable consequences - Differential responses by age (Pabst et al., 2011) - Confounding of responses: overestimation of AUD in patients with major depression; depressive individuals rated symptoms according to their negative views of themselves (Baggio et al., 2014) 13
14 Discussion Epidemiological perspective - It is suggested to base risk measures of negative consequences on objective measures rather than on diagnoses which are subject to various biases Clinical perspective - A combination of consumption and diagnostic measures may be optimal - Using established screenings tests such as the Alcohol Use Disorder Identification Test (AUDIT, Babor et al., 2001) or the Fagerstöm Test for Nicotine Dependence (FTND, Heatherton et al., 1991) - Capture both groups that otherwise would be missed by either one of the approaches (false positives/ negatives) 14
15 Discussion Perspective of early intervention - A numerical approach has been proposed advantageous (Nutt & Rehm, 2014) - The proposed approach does not limit interventions to diagnoses of a disorder or illness - A continuous monitoring of frequency and amount consumed works in the same way as the monitoring of calories, cholesterol or blood pressure - The question of cut-off points may be considered as recommendations rather than as a fixed line distinguishing between ill and healthy 15
16 16
17 Thank you for your attention! Institut für Therapieforschung München
18 Introduction Kettil Bruun Dependence is a rather useless term..the term is often used in such a way that one assumes, on the basis of consequences, that dependence is at hand, which means that we generally have no indications on dependence which by definition are separate from the consequences. Therefore I will from here on principally disregard the concept of dependence (Bruun, 1973)
Estimating Cannabis Use disorder
Estimating Cannabis Use disorder Institut für Therapieforschung München by using measures of heavy use over time Elena Gomes de Matos 1) & Ludwig Kraus 1,2) 1) IFT Institut für Therapieforschung, Munich,
More informationReframing Addictions
Reframing Addictions Institut für Therapieforschung München Is the Concept of Heavy Use Over Time also applicable to Gambling Disorders? Ludwig Kraus 1,2 1) IFT Institut für Therapieforschung, München
More informationAuthor Manuscript Faculty of Biology and Medicine Publication
Serveur Académique Lausannois SERVAL serval.unil.ch Author Manuscript Faculty of Biology and Medicine Publication This paper has been peer-reviewed but does not include the final publisher proof-corrections
More information(Data year 2016 / 2017) Drugs
GERMANY 2017 Report of the national REITOX Focal Point to the EMCDDA (Data year 2016 / 2017) Drugs Daniela Piontek, Esther Dammer, Loretta Schulte & Tim Pfeiffer-Gerschel IFT Institute for Therapy Research
More informationOlder adults with alcohol use disorder in the German addiction care system: Characterization and specific needs
Older adults with alcohol use disorder in the German addiction care system: Characterization and specific needs Lisbon Addictions 2015 Barbara Braun 1, Jutta Künzel 1, Hanna Brand 1 1 IFT, Munich, Germany
More informationDMRI Drug Misuse Research Initiative
DMRI Drug Misuse Research Initiative Executive Summary Comorbidity in the national psychiatric morbidity surveys Research Report submitted to the Department of Health in February 2004 Report prepared by:
More informationProperties of the Cannabis Abuse Screening Test (CAST) in the general population
International Journal of Methods in Psychiatric Research Int. J. Methods Psychiatr. Res. 24(2): 170 183 (2015) Published online in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/mpr.1465 Properties
More informationPrevention of illegal drug consumption in the Federal Centre for Health Education (BZgA)
Prevention of illegal drug consumption in the Federal Centre for Health Education () International Conference on SPICE prevention issues, September 25-26 Michaela Goecke, Frankfurt, 26.09.2012 The Federal
More informationWelcome to: DRUG IMPAIRMENT TRAINING for EDUCATION PROFESSIONALS (DITEP) Day One
Welcome to: DRUG IMPAIRMENT TRAINING for EDUCATION PROFESSIONALS (DITEP) Day One DITEP Main Menu - Day I Session I: Introduction and Overview Session II: Drugs and Society Session III: Overview of Alcohol
More informationDrug and Alcohol Review. Estimating high risk cannabis and opiate use in Ankara, Istanbul and Izmir
Estimating high risk cannabis and opiate use in Ankara, Istanbul and Izmir Journal: Drug and Alcohol Review Manuscript ID CDAR-0-000.R Manuscript Type: Original Paper Date Submitted by the Author: n/a
More informationEDRS. trends. bulletin. Alcohol use disorders amongst a group of regular ecstasy users. Key findings. july Introduction.
ecstasy and related drug trends july 2011 bulletin Authors: Sheena Arora and Lucy Burns, National Drug and Alcohol Research Centre, University of New South Wales Suggested citation: Arora, S. & Burns,
More informationADULT ATTENTION DEFICIT HYPERACTIVITY DISORDER AND ITS ASSOCIATION WITH SUBSTANCE USE AND ABUSE
SWISS PUBLIC HEALTH CONFERENCE 204 CONFÉRENCE SUISSE DE SANTÉ PUBLIQUE 204 ADULT ATTENTION DEFICIT HYPERACTIVITY DISORDER AND ITS ASSOCIATION WITH SUBSTANCE USE AND ABUSE Natalia Estévez, Michelle Dey
More informationCeasing cannabis use during the peak period of experimentation:
Ceasing cannabis use during the peak period of experimentation: A prospective study of the substance use and mental health outcomes of young adult cannabis users and former users Silins, E. 1, Swift, W.
More information25 September 2012 Early Years Pathfinder. misuse. Insert name of presentation on Master Slide. Presenter: Dr Sarah J Jones
25 September 2012 Early Years Pathfinder Project Substance misuse Insert name of presentation on Master Slide Presenter: Dr Sarah J Jones Presentation aim To present the findings of the review Background
More informationTrends in cannabis use and cannabis-related treatment demand in Switzerland
Trends in cannabis use and cannabis-related treatment demand in Switzerland Etienne Maffli, Addiction Switzerland, Lausanne TDI and HRDU annual expert meetings, Lisbon, sept. 23-26 2014 Data sources available
More informationRESEARCHING THE MOTIVATIONS OF USING AND NOT USING NOVEL PSYCHOACTIVE SUBSTANCES IN INTERNET- BASED INTERVIEWS
RESEARCHING THE MOTIVATIONS OF USING AND NOT USING NOVEL PSYCHOACTIVE SUBSTANCES IN INTERNET- BASED INTERVIEWS Tessa-Virginia Hannemann 1 Daniela Piontek 1 Ludwig Kraus 1 2 1 IFT, Munich, Germany 2 Centre
More informationTHE MEASUREMENT CHARACTERISTICS of criteria
AGRAWAL, BUCHOLZ, AND LYNSKEY 857 DSM-IV Alcohol Abuse Due to Hazardous Use: A Less Severe Form of Abuse?* ARPANA AGRAWAL, PH.D., KATHLEEN K. BUCHOLZ, PH.D., AND MICHAEL T. LYNSKEY, PH.D. Department of
More information9/12/2012 ALCOHOL AND DRUG USE, ASSOCIATED DISORDERS AND THEIR PSYCHIATRIC COMORBIDITIES IN U.S. ADULTS OBJECTIVES
ALCOHOL AND DRUG USE, ASSOCIATED DISORDERS AND THEIR PSYCHIATRIC COMORBIDITIES IN U.S. ADULTS Risë B. Goldstein, Ph.D., M.P.H., Staff Scientist Laboratory of Epidemiology and Biometry Division of Intramural
More informationUnveiling a new strategy to stop substance abuse in our communities. November 20, 2008 Ingersoll, Ontario
Unveiling a new strategy to stop substance abuse in our communities November 20, 2008 Ingersoll, Ontario Acknowledgements Oxford County Drug Task Force Oxford County stakeholders / members School Principals
More informationWebinar: How Do We Measure Mental Illness & Addictions at a Population Level?
Webinar: How Do We Measure Mental Illness & Addictions at a Population Level? Jürgen Rehm Centre for Addiction and Mental Health, Toronto, Canada Dalla Lana School of Public Health and Department of Psychiatry,
More informationSubstance Abuse Treatment, Prevention, and Policy
Substance Abuse Treatment, Prevention, and Policy BioMed Central Review Short scales to assess cannabis-related problems: a review of psychometric properties Daniela Piontek 1, Ludwig Kraus* 1 and Danica
More information8. Attitudes and Beliefs
8. Attitudes and Beliefs Older adolescent Kentuckians are more likely to view smoking, alcohol use, and marijuana use positively than younger adolescents. Participants were asked if they thought they would
More informationIs the Relationship Between Major Depressive Disorder and Self-Reported Alcohol Use Disorder an Artificial One?
Alcohol and Alcoholism Vol. 50, No. 2, pp. 195 199, 2015 Advance Access Publication 29 December 2014 doi: 10.1093/alcalc/agu103 Is the Relationship Between Major Depressive Disorder and Self-Reported Alcohol
More informationAlcohol health promotion utilising a harm minimisation approach PREVENTIVE HEALTH MATTERS WEBINAR
Alcohol health promotion utilising a harm minimisation approach PREVENTIVE HEALTH MATTERS WEBINAR ALCOHOL IS A DRUG Drinking alcohol is the most common type of drug use in Australia Despite, Ice epidemic,
More informationALCOHOL ABUSE AND DEPENDENCE CRITERIA AS PREDICTORS OF A CHRONIC COURSE OF ALCOHOL USE DISORDERS IN THE GENERAL POPULATION
Alcohol & Alcoholism Vol 40, No 5, pp 441 446, 2005 Advance Access publication 11 July 2005 doi:101093/alcalc/agh183 ALCOHOL ABUSE AND DEPENDENCE CRITERIA AS PREDICTORS OF A CHRONIC COURSE OF ALCOHOL USE
More informationEvidence table for systematic reviews
Evidence table for systematic reviews Topic: CB use and dependence Reviewer: CMF Abbreviations: y- years Reference Research Parameters Population Outcomes Funding Additional comments Bibliographic reference
More informationMood Disorders and Addictions: A shared biology?
Mood Disorders and Addictions: A shared biology? Dr. Paul Stokes Clinical Senior Lecturer, Centre for Affective Disorders, Department of Psychological Medicine Disclosures No relevant disclosures: No paid
More informationFROM SCIENCE TO ACTION? 100 YEARS LATER ALCOHOL POLICIES REVISITED
FROM SCIENCE TO ACTION? 100 YEARS LATER ALCOHOL POLICIES REVISITED FROM SCIENCE TO ACTION? 100 YEARS LATER ALCOHOL POLICIES REVISITED Edited by Richard Müller Swiss Institute for the Prevention of Alcohol
More informationEMERGENCY ROOM AND PRIMARY CARE SERVICES UTILIZATION AND ASSOCIATED ALCOHOL AND DRUG USE IN THE UNITED STATES GENERAL POPULATION
Alcohol & Alcoholism Vol. 34, No. 4, pp. 581 589, 1999 EMERGENCY ROOM AND PRIMARY CARE SERVICES UTILIZATION AND ASSOCIATED ALCOHOL AND DRUG USE IN THE UNITED STATES GENERAL POPULATION CHERYL J. CHERPITEL
More informationBRIEF REPORT FACTORS ASSOCIATED WITH UNTREATED REMISSIONS FROM ALCOHOL ABUSE OR DEPENDENCE
Pergamon Addictive Behaviors, Vol. 25, No. 2, pp. 317 321, 2000 Copyright 2000 Elsevier Science Ltd. Printed in the USA. All rights reserved 0306-4603/00/$ see front matter PII S0306-4603(98)00130-0 BRIEF
More informationContinuous, categorical and mixture models of DSM-IV alcohol and cannabis use disorders in the Australian communityadd_
RESEARCH REPORT doi:10.1111/j.1360-0443.2010.02951.x Continuous, categorical and mixture models of DSM-IV alcohol and cannabis use disorders in the Australian communityadd_2951 1246..1253 Andrew J. Baillie
More informationAustralian secondary school students' use of tobacco, alcohol, and over-thecounter and illicit substances in 2014
Australian secondary school students' use of tobacco, alcohol, and over-thecounter and illicit substances in 214 Presentation by Paul Dillon Drug and Alcohol Research and Training Australia Based on the
More informationCannabis withdrawal predicts severity of cannabis involvement at 1-year follow-up among treated adolescents
RESEARCH REPORT doi:10.1111/j.1360-0443.2008.02158.x Cannabis withdrawal predicts severity of cannabis involvement at 1-year follow-up among treated adolescents Tammy Chung, Christopher S. Martin, Jack
More informationAlcohol and cocaine use amongst young people and its impact on violent behaviour
Alcohol and cocaine use amongst young people and its impact on violent behaviour An analysis of the 2006 Offending Crime and Justice Survey CARLY LIGHTOWLERS CRIME SURVEY USER GROUP DECEMBER 2011 Carly
More informationSummary. The 2007 ESPAD report Substance use among students in 35 countries
Summary The 27 ESPAD report Substance use among students in 35 countries EN Legal notice This publication of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is protected by copyright.
More informationDIETARY FACTORS OR DIETARY PATTERNS? HOW TO EFFECTIVELY PREVENT CARDIOVASCULAR DISEASE THROUGH NUTRITION
DIETARY FACTORS OR DIETARY PATTERNS? HOW TO EFFECTIVELY PREVENT CARDIOVASCULAR DISEASE THROUGH NUTRITION Demosthenes B. Panagiotakos, PhD, FRSPH, FACE Associate Professor of Biostatistics & Epidemiology
More informationModels and frameworks that assist in assessing alcohol and other drug use
Models and frameworks that assist in assessing alcohol and other drug use (2012) DECEMBER 2009 Provided by Drug & Alcohol Services South Australia Harm Minimisation: examples Seatbelts Bike helmets Traffic
More informationManaging drug misuse in pregnancy and beyond
Managing drug misuse in pregnancy and beyond Dr Emily Finch Clinical Director Addictions CAG, South London and Maudsley Foundation NHS Trust Rachel Evans, Adfam 1 / Aims of the session Update on management
More informationROLL-YOUR-OWN CIGARETTES AS A RISK FACTOR FOR TOBACCO DEPENDENCE IN NEW ZEALAND
ROLL-YOUR-OWN CIGARETTES AS A RISK FACTOR FOR TOBACCO DEPENDENCE IN NEW ZEALAND A report prepared as part of a Ministry of Health contract for scientific services by Dr R A Lea Dr P Truman 22 December
More informationFACTORS IN CHILDHOOD AND YOUTH PREDICTING ALCOHOL DEPENDENCE AND ABUSE IN SWEDISH WOMEN: FINDINGS FROM A GENERAL POPULATION STUDY
Alcohol & Alcoholism Vol. 32,. 3, pp. 267-274, 17 FACTORS IN CHILDHOOD AND YOUTH PREDICTING ALCOHOL DEPENDENCE AND ABUSE IN SWEDISH WOMEN: FINDINGS FROM A GENERAL POPULATION STUDY LENA SPAK*, FREDRIK SPAK
More informationReview of the Proposed DSM-5 Substance Use Disorder
Received 11/18/11 Revised 04/28/12 Accepted 04/29/12 Review of the Proposed DSM-5 Substance Use Disorder K. Dayle Jones, Carman Gill, and Shannon Ray The DSM-5 Task Force has recommended a new substance
More informationA Snapshot of Substance Use: Licit and Illicit Drug Use Yesterday among People Who Inject Drugs in Australia ( ).
illicit drug reporting system july 2016 A Snapshot of Substance Use: Licit and Illicit Drug Use Yesterday among People Who Inject Drugs in Australia (2006-2015). Authors: Amy Peacock 1,2, Bethany Lusk
More informationTobacco addiction: time to clear the air
Tobacco addiction: time to clear the air ADR Academic Day, Sydney, March 16 2018 Dr Ashley Webb, MBBS MPH FANZCA Specialist Anaesthetist Peninsula Health, Melbourne Australia awebb@phcn.vic.gov.au Outline
More informationHarm Reduction. Christopher Shaw, PMHNP Massachusetts General Hospital.
Harm Reduction Christopher Shaw, PMHNP Massachusetts General Hospital Harm Reduction Harm reduction (HR) refers to the policies, programs and practices that aim primarily to reduce the adverse health,
More informationCHAPTER 2 CRITERION VALIDITY OF AN ATTENTION- DEFICIT/HYPERACTIVITY DISORDER (ADHD) SCREENING LIST FOR SCREENING ADHD IN OLDER ADULTS AGED YEARS
CHAPTER 2 CRITERION VALIDITY OF AN ATTENTION- DEFICIT/HYPERACTIVITY DISORDER (ADHD) SCREENING LIST FOR SCREENING ADHD IN OLDER ADULTS AGED 60 94 YEARS AM. J. GERIATR. PSYCHIATRY. 2013;21(7):631 635 DOI:
More informationCharacteristics and Predictors of Recidivist Drink-Drivers
Characteristics and Predictors of Recidivist Drink-Drivers Christine M. Wickens, Rosely Flam-Zalcman, Robert E. Mann, Gina Stoduto, Chloe Docherty, & Rita K. Thomas Remedial Programs Aim - to reduce risk
More informationAddiction, health and treatment interventions
Addiction, health and treatment interventions J. Rehm Social and Epidemiological Research (SER) Department, Centre for Addiction and Mental Health, Toronto, Canada Dalla Lana School of Public Health, University
More informationDoug Sellman Professor of Psychiatry & Addiction Medicine National Addiction Centre University of Otago, Christchurch
How to intervene effectively with heavy drinkers in primary care GPCME 2015 Doug Sellman Professor of Psychiatry & Addiction Medicine National Addiction Centre University of Otago, Christchurch Acknowledgement:
More informationAddictions and Lifestyles in Contemporary Europe. Reframing Addictions Project
Addictions and Lifestyles in Contemporary Europe Reframing Addictions Project Responds to a 2009 call in the socioeconomic sciences and the humanities to study s and lifestyles in contemporary European
More informationDrug Surveillance Systems in Canada
Drug Surveillance Systems in Canada Judy Snider Office of Drugs and Alcohol Research and Surveillance Controlled Substances and Tobacco Directorate Drug Observatories Meeting - CICAD Roseau, Dominica August
More informationGiven the relatively high prevalence of alcohol-related harm among youth, medical organizations recommend routine
Screening for Underage Drinking and Diagnostic and Statistical Manual of Mental Disorders, 5th Edition Alcohol Use Disorder in Rural Primary Care Practice Duncan B. Clark, MD, PhD 1, Christopher S. Martin,
More informationSocio-Cultural Perspectives on Drinking
BD 295 Introductory Lectures Professor Perkins Spring 2011 Socio-Cultural Perspectives on Drinking I. Patterns of fuse II. Measures of Problem Drinking III. Societal Costs and 2 nd Hand Effects IV. Causes
More informationChapter 13. Types of Drugs and Their Effects. Unit 5: Drug Use and Abuse. Key Terms. What Are Drugs?
: Chapter 13 Types of Drugs and Their Effects Key Terms drugs psychoactive drugs marijuana (cannabis) hallucinogens depressants stimulants anabolic steroids continuum of drug use bingeing physical dependence
More informationDrinking over the life-course and health effects. Annie Britton Alcohol Lifecourse Project University College London
Drinking over the life-course and health effects Annie Britton Alcohol Lifecourse Project University College London CLOSER 22 nd March 2018 H H H C C O H H H The UK Medical Research Council Alcohol Research
More informationDefining & diagnosing addiction
Defining & diagnosing addiction Jürgen Rehm TUD Dresden, CAMH Toronto et al. No COI for this topic, but in general support from WHO, NIH, pharmaceutical companies (Tx for alcohol dependence) Tuesday 24th
More informationAuthor Manuscript Faculty of Biology and Medicine Publication
Serveur Académique Lausannois SERVAL serval.unil.ch Author Manuscript Faculty of Biology and Medicine Publication This paper has been peer-reviewed but does not include the final publisher proof-corrections
More informationEnvironmental Scan of Post- Secondary National Campus Survey Questions about Alcohol
www.ccsa.ca www.ccdus.ca Environmental Scan of Post- Secondary National Campus Survey Questions about Alcohol Summary Report December 2017 Environmental Scan of Post- Secondary National Campus Survey Questions
More informationThe Impact of Substance Use Disorders on Hospital Use
www.ccsa.ca www.cclt.ca Report in Short The Impact of Substance Use Disorders on Hospital Use What Is this Report About? This report: Describes trends in individuals hospitalized because of a primary diagnosis
More informationDiagnostic orphans for alcohol use disorders in a treatment-seeking psychiatric sample
Available online at www.sciencedirect.com Drug and Alcohol Dependence 96 (2008) 187 191 Short communication Diagnostic orphans for alcohol use disorders in a treatment-seeking psychiatric sample Lara A.
More informationBENZODIAZEPINE DEPENDENCE AMONG MULTIDRUG USERS IN THE CLUB SCENE. Steven P. Kurtz and Mance E. Buttram
BENZODIAZEPINE DEPENDENCE AMONG MULTIDRUG USERS IN THE CLUB SCENE Steven P. Kurtz and Mance E. Buttram Global Addiction 2016 2 4 October 2016 Venice, Italy This research was supported by grant number DA0196048
More informationParental supply of alcohol and adolescent drinking, harms, and alcohol use disorder symptoms: Six years later Richard P Mattick et al.
Parental supply of alcohol and adolescent drinking, harms, and alcohol use disorder symptoms: Six years later Richard P Mattick et al. Australian Parental Supply of Alcohol Longitudinal Study (APSALS)
More informationTRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS
Fact Sheet N 127 August 1996 TRENDS IN SUBSTANCE USE AND ASSOCIATED HEALTH PROBLEMS Psychoactive substance use is an increasing public health concern. Problems associated with this use cover a broad spectrum
More informationBurden and cost of alcohol, tobacco and illegal drugs globally and in Europe
Burden and cost of alcohol, tobacco and illegal drugs globally and in Europe Jürgen Rehm 1-4 Kevin D. Shield 1,2,3 1) Centre for Addiction and Mental Health, Toronto, Canada 2) University of Toronto, Canada
More informationSubstance consumption and willingness to drive a comparison of illegal drugs and alcohol
Substance consumption and willingness to drive a comparison of illegal drugs and alcohol H.-P. Krüger and M. Vollrath Center for Traffic Sciences (IZVW), University of Wuerzburg, Germany Keywords Illegal
More informationALCOHOL USE IN YOUTH. Gareth Hagger Johnson (University of Leeds) 1. Why measure young people s alcohol use?
SURVEY QUESTION BANK: Topic Overview 3 (January 2011) ALCOHOL USE IN YOUTH Gareth Hagger Johnson (University of Leeds) 1. Why measure young people s alcohol use? There is considerable interest in moderating
More informationDecriminalization of Personal Use of Psychoactive Substances
DRAFT POSITION STATEMENT Decriminalization of Personal Use of Psychoactive Substances The use of illegal psychoactive substances (IPS) in Canada persists despite ongoing efforts to limit their consumption.
More informationSocial Inequality and Substance Use and Problematic Gambling Among Adolescents and Young Adults: A Review of Epidemiological Surveys in Germany
Send Orders for Reprints to reprints@benthamscience.ae 26 Current Drug Abuse Reviews, 2016, 9, 26-48 Social Inequality and Substance Use and Problematic Gambling Among Adolescents and Young Adults: A Review
More informationIMPLICATIONS OF GENE- ENVIRONMENT INTERPLAY FOR APPROACHES TO SUBSTANCE ABUSE AND COMORBIDITY
Ppt. Oslo 3 th Nov 9 IMPLICATIONS OF GENE- ENVIRONMENT INTERPLAY FOR APPROACHES TO SUBSTANCE ABUSE AND COMORBIDITY By Michael Rutter PERCENTAGE OF GENETIC INFLUENCE REPORTED IN BEHAVIORAL GENETIC STUDIES
More information8 Key Findings from the 2018 Community Cannabis Survey
8 Key Findings from the 2018 Community Cannabis Survey MARCH 2019 Author Auburn Larose, Epidemiologist Planning and Evaluation Services research@healthunit.ca 1 8 Key Findings from the 2018 Community Cannabis
More informationCharacteristics of People who Report Both Driving after Drinking and Driving after Cannabis Use
Characteristics of People who Report Both Driving after Drinking and Driving after Cannabis Use Branka Agic 1,2, Gina Stoduto 1, Gillian Sayer 1,2, Anca Ialomiteanu 1, Christine M. Wickens 1, Robert E.
More informationSubstance Use and Mental Health Screening Tools in Practice 2018 VCHIP CHAMP Learning Session
The heart and science of medicine. UVMHealth.org/Childrens Substance Use and Mental Health Screening Tools in Practice 2018 VCHIP CHAMP Learning Session Michelle Shepard, MD, PhD Stanley Weinberger, MD,
More informationCannabis use and other illicit drug use: testing the cannabis gateway hypothesis
Original Article Cannabis gateway David M. Fergusson et al. RESEARCH REPORT doi:10.1111/j.1360-0443.2005.01322.x Cannabis use and other illicit drug use: testing the cannabis gateway hypothesis David M.
More informationBackground and Effects of the German New Psychoactive Substances Act
Background and Effects of the German New Psychoactive Substances Act Regina Kühnl 1 & Ludwig Kraus 1, 2, 3 1 IFT, 2 Department of Public Health Sciences, Stockholm University, Stockholm 3 Institute of
More informationFactors Influencing Smoking Behavior Among Adolescents
RESEARCH COMMUNICATION Factors Influencing Smoking Behavior Among Adolescents Urmi Sen 1, Arindam Basu 2 Abstract Objective To study the impact of tobacco advertisements and other social factors on the
More informationJoseph W Hogan Brown University & AMPATH February 16, 2010
Joseph W Hogan Brown University & AMPATH February 16, 2010 Drinking and lung cancer Gender bias and graduate admissions AMPATH nutrition study Stratification and regression drinking and lung cancer graduate
More informationTemporal Changes in Alcohol-Related Morbidity and Mortality in Germany
Addiction European Res ear c h Research Report Received: September 28, 2014 Accepted: March 14, 2015 Published online: May 5, 2015 Ludwig Kraus a, b Alexander Pabst a, c Daniela Piontek a Gerrit Gmel d
More informationThe Effects of Maternal Alcohol Use and Smoking on Children s Mental Health: Evidence from the National Longitudinal Survey of Children and Youth
1 The Effects of Maternal Alcohol Use and Smoking on Children s Mental Health: Evidence from the National Longitudinal Survey of Children and Youth Madeleine Benjamin, MA Policy Research, Economics and
More informationTHE USE OF AUDIT TO ASSESS LEVEL OF ALCOHOL PROBLEMS IN RURAL VIETNAM
Alcohol & Alcoholism Vol. 40, No. 6, pp. 578 583, 2005 Advance Access publication 22 August 2005 doi:10.1093/alcalc/agh198 THE USE OF AUDIT TO ASSESS LEVEL OF ALCOHOL PROBLEMS IN RURAL VIETNAM KIM BAO
More informationAlcohol and nicotine use and dependence: Common genetic and other risk factors
Washington University School of Medicine Digital Commons@Becker Presentations 2006: Alcohol and Tobacco Dependence: from Bench to Bedside 2006 Alcohol and nicotine use and dependence: Common genetic and
More informationPERSPECTIVES ON DRUGS Characteristics of frequent and high-risk cannabis users
European Monitoring Centre for Drugs and Drug Addiction UPDATED 28. 5. 2013 PERSPECTIVES ON DRUGS Characteristics of frequent and high-risk cannabis users Cannabis is Europe s most commonly used illicit
More informationW. De La Haye, M.D., M.P.H., D.M. Department of Community Health & Psychiatry, The University of the West Indies, Mona Campus, JAMAICA
W. De La Haye, M.D., M.P.H., D.M. Department of Community Health & Psychiatry, The University of the West Indies, Mona Campus, JAMAICA Less severe mental disorder/more severe substance abuse disorder
More informationWhat are acceptable thresholds for alcohol consumption?
What are acceptable thresholds for alcohol consumption? J. Rehm Institut for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada Dalla Lana School of Public Health, University
More informationIncidence and Risk of Alcohol Use Disorders by Age, Gender and Poverty Status: A Population-Based-10 Year Follow-Up Study
Incidence and Risk of Alcohol Use Disorders by Age, Gender and Poverty Status: A Population-Based-10 Year Chun-Te Lee 1,2, Chiu-Yueh Hsiao 3, Yi-Chyan Chen 4,5, Oswald Ndi Nfor 6, Jing-Yang Huang 6, Lee
More informationTreatment Outcomes from the TDC: A Look at Smoking Cessation Among Patients with Co- Occurring Disorders
University of Kentucky From the SelectedWorks of Chizimuzo T.C. Okoli December, 2010 Treatment Outcomes from the TDC: A Look at Smoking Cessation Among Patients with Co- Occurring Disorders Chizimuzo T.C.
More informationPostal address: National Drug Research Institute, Curtin University,
Age at first use of alcohol predicts the risk of heavy alcohol use in early adulthood: a longitudinal study in the United States Wenbin Liang 1 and Tanya Chikritzhs 1 1 National Drug Research Institute,
More informationNicotine dependence, use of illegal drugs and psychiatric morbidity
Addictive Behaviors 31 (2006) 1722 1729 Short communication Nicotine dependence, use of illegal drugs and psychiatric morbidity José María Martínez-Ortega a, Dolores Jurado b, Miguel Angel Martínez-González
More informationMenthol Cigarette Report
Menthol Cigarette Report Tobacco Products Scientific Advisory Committee Meeting July 15, 2010 Corinne G. Husten, MD, MPH Senior Medical Advisor Center for Tobacco Products, FDA 1 Menthol Cigarette Report
More informationPROBLEMATIC USE OF (ILLEGAL) DRUGS
PROBLEMATIC USE OF (ILLEGAL) DRUGS A STUDY OF THE OPERATIONALISATION OF THE CONCEPT IN A LEGAL CONTEXT SUMMARY 1. Introduction The notion of problematic drug use has been adopted in Belgian legislation
More informationTemplate Control Page. Substance Misuse Newham Template Guide. Substance Misuse Newham. Date September 2015 DOCUMENT MANAGEMENT REVISION HISTORY
Template Control Page Substance Misuse Newham Template Guide Title Substance Misuse Newham Author CEG Status Active Date September 2015 DOCUMENT MANAGEMENT REVISION HISTORY Version Date Summary of Changes
More informationInteractions between Alcohol, Cannabis and Cocaine in Risks of Traffic Violations and Traffic Crashes
Interactions between Alcohol, Cannabis and Cocaine in Risks of Traffic Violations and Traffic Crashes 1 M.Chipman, 2 S. Macdonald and 3 R. Mann 1 Department of Public Health Sciences, University of Toronto,
More informationStatistics, Probability and Diagnostic Medicine
Statistics, Probability and Diagnostic Medicine Jennifer Le-Rademacher, PhD Sponsored by the Clinical and Translational Science Institute (CTSI) and the Department of Population Health / Division of Biostatistics
More informationLecture Outline. Biost 517 Applied Biostatistics I. Purpose of Descriptive Statistics. Purpose of Descriptive Statistics
Biost 517 Applied Biostatistics I Scott S. Emerson, M.D., Ph.D. Professor of Biostatistics University of Washington Lecture 3: Overview of Descriptive Statistics October 3, 2005 Lecture Outline Purpose
More informationAlcoholism: new conception, old challenges
Alcoholism: new conception, old challenges Australian Doctors in Recovery Inaugural NZ Doctors in Recovery 18 March 2018 Doug Sellman Professor of Psychiatry & Addiction Medicine National Addiction Centre
More information21 units per week. 14 units per week
Patient Support Worksheet: Supporting Your Commitment To Reduce Your Drinking About this worksheet In talking to your healthcare professional you have already taken the first step towards overcoming your
More informationA Study of substance abuse among chronic kidney disease patients having psychiatric illness undergoing haemodialysis
International Journal of Multidisciplinary and Current Research Research Article ISSN: 2321-3124 Available at: http://ijmcr.com A Study of substance among chronic kidney disease patients having psychiatric
More informationClinical and public health significance of the proposed changes to the diagnosis of alcohol abuse and dependence in DSM-5
Clinical and public health significance of the proposed changes to the diagnosis of alcohol abuse and dependence in DSM-5 Dr Tim Slade, Senior Research Fellow, National Drug and Alcohol Research Centre,
More informationNeuroscience of Addiction
Neuroscience of Addiction Carlton Erickson, Ph.D. Associate Dean for Research and Graduate Studies Distinguished Professor of Pharmacology Director, Addiction Science Research and Education Center College
More informationGambling und Gaming:
Gambling und Gaming: Anmerkungen zu Definitionen, Diagnostik und Behandlung Experten-Workshop Internetbezogene Störungen BMG, Berlin 11.-12. 1.2018 Prof. em. Karl Mann Senior Professor Central Institute
More informationReview of Drug Impaired Driving Legislation (Victoria Dec 2000) and New Random Drug Driving Legislation Based on Oral Fluid Testing
Review of Drug Impaired Driving Legislation (Victoria Dec 2000) and New Random Drug Driving Legislation Based on Oral Fluid Testing P D Swann MC Boorman JJ Potter VicRoads Road Safety Department 60 Denmark
More informationWe acknowledge the traditional custodians of the land on which we meet today and pay respect to Elders past, present and emerging.
We acknowledge the traditional custodians of the land on which we meet today and pay respect to Elders past, present and emerging. We also extend that respect to other Aboriginal and/or Torres Strait Islanders
More information