Abstract:
INTRODUCTION AND AIMS:Stepped-care has been recommended in the alcohol and other drug field and adopted in a number of service settings, but few research projects have examined this approach. This article aims to describe a pilot trial of stepped-care methods in the treatment of methamphetamine use and depression comorbidity. DESIGN AND METHODS:An adaptive treatment strategy was developed based on recommendations for stepped-care among methamphetamine users, and incorporating cognitive behaviour therapy/motivational intervention for methamphetamine use and depression. The adaptive treatment strategy was compared with a fixed treatment, comprising an extended integrated cognitive behaviour therapy/motivational intervention treatment. Eighteen participants across two study sites were involved in the trial, and were current users of methamphetamines (at least once weekly) exhibiting at least moderate symptoms of depression (score of 17 or greater on the Beck Depression Inventory II). RESULTS:Treatment delivered via the adaptive treatment (stepped-care) model was associated with improvement in depression and methamphetamine use, however, was not associated with more efficient delivery of psychological treatment to this population relative to the comparison treatment. DISCUSSION AND CONCLUSIONS:This pilot trial attests to the potential for adaptive treatment strategies to increase the evidence base for stepped-care approaches within the alcohol and other drug field. However, in order for stepped-care treatment in this trial to be delivered efficiently, specific training in the delivery and philosophy of the model is required.
journal_name
Drug Alcohol Revjournal_title
Drug and alcohol reviewauthors
Kay-Lambkin FJ,Baker AL,McKetin R,Lee Ndoi
10.1111/j.1465-3362.2010.00203.xsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
475-82issue
5eissn
0959-5236issn
1465-3362pii
DAR203journal_volume
29pub_type
杂志文章,多中心研究abstract:INTRODUCTION AND AIMS:To examine relationships between perceived neighbourhood cohesion and alcohol, tobacco and cannabis consumption in New Zealand. DESIGN AND METHODS:A two-level random intercept regression model was used to examine the extent to which perception of neighbourhood cohesion (at the individual and area...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00385.x
更新日期:2012-06-01 00:00:00
abstract::Two major global problems face mankind in the forthcoming decades. The rapidly increasing populations, especially in developing countries, are already causing social and economic strain in many areas, and the escalating demand for energy at both the individual and collective levels are matters requiring serious global...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239000185361
更新日期:1990-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Indicators suggest an escalation in opioid use globally, with recent HIV outbreaks linked to non-medical pharmaceutical opioid (NMPO) use. Little is known about how young Australians engage in NMPO use. DESIGN AND METHODS:During 2015, we conducted qualitative interviews with young people (16-29 y...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12474
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:There is a strong association between alcohol and offending behaviour and 25% of police time involves alcohol-related incidents. This pilot study aimed to investigate the feasibility of delivering alcohol screening and brief intervention (ASBI) to individuals arrested for offences linked to drinki...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2010.00223.x
更新日期:2010-11-01 00:00:00
abstract::Aboriginal males and females aged 15 years and over were recruited from patients attending community-controlled health services in Perth and Carnarvon, Western Australia. Questions were asked about present and past use of alcohol. Rates of abstinence and drinking cessation were greater than in the general population. ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239700186751
更新日期:1997-12-01 00:00:00
abstract:INTRODUCTION AND AIMS:To investigate the association between smokeless tobacco consumption (STC) during pregnancy and risk of stillbirth. DESIGN AND METHODS:We conducted a population-based case-control study of 253 cases and 759 randomly selected control women in Madaripur, Bangladesh. We conducted a survey of two rur...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12566
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION AND AIMS:Synthetic cannabinoid dependence and withdrawal are not well described in the literature. We aimed to report on the characteristics and treatment course of clients attending a detoxification service for support with synthetic cannabinoid withdrawal in Auckland, New Zealand. DESIGN AND METHODS:A r...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12225
更新日期:2015-03-01 00:00:00
abstract::The range of tobacco control activities should be viewed as essential parts of a complex multi-component puzzle. Intervention strategies designed to address tobacco control should be comprehensive and include both primary and secondary prevention activities and be multi-faceted and capable of bringing about change at ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239300185641
更新日期:1993-01-01 00:00:00
abstract:ISSUES:Drug use accounts for one of the main disease groups in Europe, with relevant consequences to society. There is an increasing need to evaluate the economic consequences of drug use in order to develop appropriate policies. Here, we review the social costs of illegal drugs, alcohol and tobacco in the European Uni...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/dar.12504
更新日期:2017-09-01 00:00:00
abstract::The study aimed to determine patterns of use of medical services and prescriptions for pharmaceuticals among 438 heroin users interviewed for the Australian Treatment Outcome Study (ATOS) at baseline, 12 and 24 months. Drug use declined markedly, and there were significant improvements in health. There were declines i...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230601146660
更新日期:2007-03-01 00:00:00
abstract:INTRODUCTION AND AIMS:Smoking is a major cause of preventable illness for Indigenous peoples. As most regular smoking is established during adolescence when other substances are often first used, effective tobacco prevention requires an understanding of the patterns of related substance use for Indigenous youth. DESIG...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13130
更新日期:2021-01-01 00:00:00
abstract::This paper reviews evidence on two hypotheses about the relationship between cannabis use and psychosis. The first hypothesis is that heavy cannabis use may cause a "cannabis psychosis"-a psychosis that would not occur in the absence of cannabis use, the symptoms of which are preceded by heavy cannabis use and remit a...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239800187271
更新日期:1998-12-01 00:00:00
abstract:INTRODUCTION AND AIMS:The province of Saskatchewan, Canada introduced minimum prices graded by alcohol strength in April 2010. As previous research found this intervention significantly decreased alcohol consumption and alcohol-attributable morbidity, we aim to test the association between the intervention and the rate...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12670
更新日期:2018-04-01 00:00:00
abstract::Local and regional policymakers, care providers and prevention workers involved in addiction and addiction care need timely and reliable information. As few data on substance use are available at a local or regional level, an integrated local or regional monitoring system for alcohol and drugs (MAD) was developed. The...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230600657774
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION AND AIMS:Few studies have investigated the relationship of barroom aggression with both general and barroom-specific alcohol expectancies. The present study investigated these associations in a rarely studied and high-risk population: construction tradespeople. DESIGN AND METHODS:Male construction tradesp...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12360
更新日期:2016-09-01 00:00:00
abstract::The number of patients in hospitals who experience alcohol-related problems is high, and the provision of intervention for these patients is a significant public health measure. The current move towards casemix funding of acute hospital services provides an opportunity for the development of such programmes. Modificat...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595239600186191
更新日期:1996-12-01 00:00:00
abstract:INTRODUCTION AND AIMS:Emerging research suggests that the sub-population of anabolic-androgenic steroid (AAS) users who experience physical appearance concerns may suffer greater psychological dysfunction than other sub-populations, including users with athletic or occupational concerns. Thus, among current AAS users, ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12688
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION AND AIMS:Research on alcohol-related harm has predominantly focused on harm suffered by the drinker and priority has been given to health-related harms. In comparison, studies on alcohol's harms to others than the drinker are scarce. This study sought to examine the human sufferings from other people's dri...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2012.00480.x
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION AND AIMS:The study investigated the nature and content of alcohol brand websites in the UK. DESIGN AND METHODS:The research involved an audit of the websites of the 10 leading alcohol brands by sales in the UK across four categories: lager, spirits, Flavoured Alcoholic Beverages and cider/perry. Each site...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2010.00257.x
更新日期:2011-11-01 00:00:00
abstract::Windows of opportunity for changing drug laws open infrequently and they often close without legislative change being affected. In this paper the author, who has been intimately involved in the process, describes how evidence-based recommendations to 'decriminalize' cannabis have recently been progressed through publi...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230410001704226
更新日期:2004-06-01 00:00:00
abstract:INTRODUCTION AND AIMS:Novel ways of accessing and engaging smokers who are socially and economically disadvantaged may help reduce socioeconomic disparities in smoking rates. This study assessed the feasibility and acceptability of integrating smoking cessation support into usual care at a social and community service ...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/j.1465-3362.2011.00391.x
更新日期:2012-07-01 00:00:00
abstract:ISSUES:There is controversy regarding the extent to which alcohol plays a causal role in sexual assault perpetration. APPROACH:This paper critically reviews the relevant alcohol administration and survey research literature. KEY FINDINGS:Alcohol administration researchers have randomly assigned male participants to d...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/j.1465-3362.2011.00296.x
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND AIMS:Cognitive impairment is a common feature of individuals with substance-use disorders. However, research tends to exclude highly complex clinical cases, limiting the generalisability of findings for 'real-world' populations. The objective of this study was to examine the complexities associated wit...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.13135
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION AND AIMS:Binge drinking is a major public health issue in Australia, particularly among young people. There has been a considerable focus on alcohol advertising, among both researchers and policy makers, resulting in efforts to bring about some level of regulation of unacceptable advertising practices. How...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230701494390
更新日期:2007-09-01 00:00:00
abstract:ISSUES:Health-care systems globally are moving away from process measures of performance to payments for outcomes achieved. It follows that there is a need for a selection of proven quality tools that are suitable for undertaking comprehensive assessments and outcomes assessments. This review aimed to identify and eval...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/dar.12039
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION AND AIMS:Industry groups with vested interests in policy regularly work to protect their profits via the endorsement of ineffective voluntary regulation and interventions, extensive lobbying activity and minimising the health impact of consumption behaviours. This study aims to examine all alcohol industry...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1111/dar.12399
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION AND AIMS:Despite advances towards integration of care for women with co-occurring substance use disorder (SUD) and post-traumatic stress disorder (PTSD), low abstinence rates following SUD/PTSD treatment remain the norm. The utility of investigating distinct substance use trajectories is a critical innovat...
journal_title:Drug and alcohol review
pub_type: 杂志文章,随机对照试验
doi:10.1111/dar.12230
更新日期:2015-05-01 00:00:00
abstract:ISSUES:The toxicology of homicide offenders and victims, and homicide as a cause of death among psychoactive substance users. APPROACH:Review of the toxicology of homicide, and homicide as a cause of death among psychoactive substance users. KEY FINDINGS:A half or more of offenders are intoxicated by a psychoactive s...
journal_title:Drug and alcohol review
pub_type: 杂志文章,评审
doi:10.1111/j.1465-3362.2009.00099.x
更新日期:2010-03-01 00:00:00
abstract::The objective of this study was to examine patterns and yearly trends in alcohol-related hospitalization rates during the period 1987/88-1995/96 for men and women living in metropolitan and rural/remote Victoria. Alcohol-related hospitalizations were extracted from the Victorian Inpatient Minimum Dataset (VMD) for the...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/713659421
更新日期:2000-12-01 00:00:00
abstract::We outline and evaluate competing explanations of three relationships that have consistently been found between cannabis use and the use of other illicit drugs, namely, (1) that cannabis use typically precedes the use of other illicit drugs; and that (2) the earlier cannabis is used, and (3) the more regularly it is u...
journal_title:Drug and alcohol review
pub_type: 杂志文章
doi:10.1080/09595230500126698
更新日期:2005-01-01 00:00:00