Abstract:
:Clinicians' impact on substance use disorder treatment has been much less studied than therapy and patient variables. Yet, in this selective review of literature, a growing body of empirical work on clinicians' impact highlights several key issues that have relevance both to clinical practice and future research. These issues include clinicians' effect on treatment retention and outcome, professional characteristics, recovery status, adherence to protocols, counter-transference, alliance, personality, beliefs about treatment, and professional practice issues. Specific recommendations are offered to help improve the quality of care clinicians provide. In particular, it is suggested that greater accountability for clinicians' performance be balanced with increased support for their very difficult role. Methodological issues in studying clinicians are also addressed.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Najavits LM,Crits-Christoph P,Dierberger Adoi
10.3109/10826080009148253subject
Has Abstractpub_date
2000-10-01 00:00:00pages
2161-90issue
12-14eissn
1082-6084issn
1532-2491journal_volume
35pub_type
杂志文章,评审abstract::101 drug users were interviewed at baseline when 6-weeks abstinent. Eighty-four percent reported having drug-related dreams. More subjects reported drug dreams when abstinent than when using drugs. Ninety percent of subjects were followed-up at 6 months. Higher baseline measures of dream frequency were prospectively r...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089609045795
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Dialectical behavior therapy (DBT) has demonstrated efficacy in treating disorders such as alcohol dependence that are characterized by emotional dysregulation. Preliminary evidence has revealed the feasibility of DBT skills training (ST) as a stand-alone treatment for such disorders. Although emotional dysr...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1480035
更新日期:2018-12-06 00:00:00
abstract::Background: Temporary abstinence from alcohol as a challenge could support self-knowledge, self-care, and health consciousness in several ways. Objectives: The present study explored Dry November participants' personal experiences and coping strategies during a one-month abstinence period. The research is embedded in ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1705861
更新日期:2020-01-01 00:00:00
abstract::We investigated the extent of jello shot consumption among underage youths. We conducted a pilot study among a nonrandom national sample of 108 drinkers, aged 16-20 years, recruited from the Knowledge Networks Internet panel in 2010 by using consecutive sampling. The prevalence of past 30-day jello shot consumption am...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2010.538886
更新日期:2011-01-01 00:00:00
abstract::Despite effectiveness in research, the efficacy of screening and brief intervention (SBI) for risky substance users is not adequately understood in routine clinical practice. Primary healthcare professionals (n = 103) from three cities in a metropolitan area in Brazil were trained and supervised in SBI and then screen...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2012.740128
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Individuals experiencing elevated negative mood and stress may drink to self-medicate, yet daily-level evidence for these associations is mixed. OBJECTIVE:To clarify daily associations between negative mood and perceived stress with alcohol use among high-risk college students and test whether these associa...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2017.1392980
更新日期:2018-05-12 00:00:00
abstract::The purpose of this study was to investigate the influence of age, gender, tobacco-related knowledge, treatment modality, and changes in smoking patterns on intention to quit tobacco use among individuals participating in substance use disorder (SUD) treatment in Ohio. Of the 791 SUD program attendees, 91.7% currently...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080701202528
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Adolescent alcohol and drug use in the United States are associated with negative consequences spanning multiple domains. Much of the public health surveillance of these behaviors relies on self-report survey data. These data frequently takes the form of frequency or prevalence data for specific substances, ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1027930
更新日期:2015-01-01 00:00:00
abstract::If an important objective of addiction treatment is to increase patient employment, then it makes sense to locate vocational assistance within treatment programs. The purpose of this special issue is to present new research on the improvement of vocational services in addiction treatment. The volume begins with a crit...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-200034585
更新日期:2004-01-01 00:00:00
abstract::Estimates of substance use and other mental health disorders of veterans (N = 269) who returned to predominantly low-income minority New York City neighborhoods between 2009 and 2012 are presented. Although prevalences of posttraumatic stress disorder, traumatic brain injury, and depression clustered around 20%, the e...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2013.796989
更新日期:2013-07-01 00:00:00
abstract::Background: The bulk of research on adoption of injecting is from Europe and America, despite the existence of syndemics of drug injecting, HIV, and viral hepatitis globally. Objectives: This study explores adoption and continuation of injecting drug use. Methods: The study draws on in-depth interviews with 41 (n = 41...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1681452
更新日期:2020-01-01 00:00:00
abstract::Pharmaceutical cognitive enhancement (PCE) represents the non-medical use of prescribed medication for the improvement of cognitive functioning and academic performance. Although there are some studies about PCE prevalence, it is less clear how users and non-users of PCE substances differ with respect to their positiv...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1267223
更新日期:2017-06-07 00:00:00
abstract::Data from a subsample of women (N = 4,235) in two waves of the National Longitudinal Surveys of Youth (NLSY) are used to examine the relationship between parental alcoholism and alcohol use in adult life. Dyadic cohesion in marital communication (frequency of interaction and agreement on substantive issues that affect...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089709055873
更新日期:1997-09-01 00:00:00
abstract::The aim of the present study was to examine the effect of the unique characteristics of residing in security and political conflict zones on the willingness to use and on the actual abuse of psychoactive substances. The study focuses on the differences between youths residing in and outside conflict zones in Israel. T...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1245344
更新日期:2017-08-24 00:00:00
abstract::The upsurge of consumption of party drugs among adolescents in recent years in Hong Kong has been part of the global trend of adolescent recreational use of drugs at rave parties, discos and similar party settings. Scholars in Western societies have recently proposed the thesis of "normalization of adolescent drug use...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080601026019
更新日期:2006-01-01 00:00:00
abstract::Registered and advanced practice nurses are employed in substance user treatment facilities across the US and in most industrialized countries. Patterns of employment and job descriptions for nurses, however, are highly inconsistent and seriously flawed. Many regulatory system, legislative and government agency factor...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1007681
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Alcohol use disorder (AUD) has been conceptualized as a chronic self-regulation failure. OBJECTIVES:The aim of this study was to examine the most probable pathways related to self-regulation among patients with AUD. In this study, a hypothetical model was proposed that focused on the relationship between ri...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2018.1424912
更新日期:2018-08-24 00:00:00
abstract::Harm reduction is explored, historically, in terms of ideologies, concepts, processes, types, stakeholders, legal, policy, service delivery, and ethical considerations and their micro and macro consequences. Necessary critical conditions underpinning ideologies and programs throughout their life cycle are examined, as...
journal_title:Substance use & misuse
pub_type: 历史文章,杂志文章
doi:10.1080/10826080601141990
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:To extend our knowledge of general strain theory by exploring how under-researched strains such as racial discrimination, witnessing violence, physical victimization and verbal bullying affect adolescent substance use while considering differences according to racial identification. METHODS:This research ut...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1191513
更新日期:2016-10-14 00:00:00
abstract::After experiencing a period of rapid decline between 1986 and 1994, cocaine use is once again on the rise in the United States. The increased prevalence of use among college students is particularly troubling because of its potential impact on human capital acquisition and long-term labor market success. Merging infor...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080500521755
更新日期:2006-01-01 00:00:00
abstract::The present study was conducted as an evaluation of a two-year pilot program started in 1998 in the Netherlands to provide free hepatitis B vaccination targeted at drug users (DUs). In order to identify which demographic and social-cognitive factors predict vaccination uptake, written questionnaires were distributed i...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080802344609
更新日期:2008-12-01 00:00:00
abstract::In this investigation, secondary analyses were performed on an extensive database for 473 biological and 128 adoptive families. These data, which were gathered as part of the Vancouver Family Survey, were used to examine the prevalence and predictors of "heavy" marijuana use in a Canadian youth sample aged 14-25. Resu...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826080500318558
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Understanding the characteristics of drug users in the night-time economy (NTE), and whether particular drugs are associated with risky practices and experience of harm, is necessary to inform targeted policy responses in this context. OBJECTIVES:To investigate the correlates of drugs used in the Australian...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1214153
更新日期:2017-01-02 00:00:00
abstract:BACKGROUND:Incarcerated populations have high rates of childhood adversities and substance use problems. Moreover, childhood adversities are well-documented predictors of substance misuse. OBJECTIVE:To investigate the impact of childhood sexual and physical abuse, caregiver abuse of drugs or alcohol, and time spent in...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1261899
更新日期:2017-05-12 00:00:00
abstract::This study focuses mainly on youths' opinions about their delinquency and drug use trajectories. A qualitative approach was taken for this phenomenological research. The life account method was used to conduct a total of 62 interviews: 36 boys and 26 girls recruited in youth detention and addiction treatment centers, ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/ja-200055404
更新日期:2005-01-01 00:00:00
abstract::Backgrounds: Non-attendance in mental healthcare is a substantial problem. Research has shown that sending a short message service (SMS) reminder could reduce non-attendance by 50 percent in general health services and by 25 percent in mental health institutions. However, no studies exist on the effect of sending SMS ...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1650774
更新日期:2019-01-01 00:00:00
abstract::Although young people attending raves have been most visibly associated with the use of ecstasy and other "club drugs" in the United States, there is reason to believe that they are not a homogenous group in terms of their drug use practices. The purpose of this article is to begin developing a typology of young adult...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1081/JA-200066830
更新日期:2005-01-01 00:00:00
abstract::Alcohol and alcohol expectancies relate to sexual victimization. The present study examined these links in a sample of 407 predominantly Hispanic male and female college students, along the Mexico-US border. The study also examined the independent contribution of sexual sensation seeking to the prediction of victimiza...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826081003694854
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:The population of adults accessing opioid treatment is growing older, but exact estimates vary widely, and little is known about the characteristics of the aging treatment population. Further, there has been little research regarding the epidemiology, healt h status, and functional impairments in this popula...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1027929
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Discrimination is detrimental to physical and mental health, particularly insofar as health-risk behaviors are concerned. Particular attention has been paid to excess alcohol consumption and smoking in view of the ready availability of these substances in Western societies. OBJECTIVES:To determine whether a...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2019.1573838
更新日期:2019-01-01 00:00:00