Characterisation of presentations to a community-based specialist addiction neuropsychology service: Cognitive profiles, diagnoses and comorbidities.

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 with addiction, substance use and cognitive impairment through the characterisation of client presentations to a newly established specialised addiction neuropsychology service. DESIGN AND METHODS:Retrospective case file audit. Neuropsychological assessment reports for consenting clients over a 4-year period were de-identified and reviewed. Cognitive domains assessed included attention, processing speed, working memory, intellectual functioning, memory and executive functioning. RESULTS:Of the 200 case files examined, the majority were male clients, with 11 years or lower of education and a history of daily substance use, with 30% continuing to use daily. Seventy-one percent had a formal mental health diagnosis and 41% had reported a history of trauma. The most prevalent cognitive impairments were observed in complex attention (50%) and memory (40%). New diagnoses were conveyed in 25% of cases, comprising acquired brain injury (16%) and neurodevelopmental disabilities (9%). DISCUSSION AND CONCLUSIONS:It is common for clients with substance use histories referred to an addiction neuropsychology service to present with complex histories including psychosocial difficulties, comorbid mental health and medical issues and cognitive impairment. As such, careful diagnostic formulations are required when multiple factors may contribute to cognitive deficits. This study highlights the importance of a state-wide specialist addiction neuropsychology service in supporting diagnostic clarification and informing relevant treatment approaches.

journal_name

Drug Alcohol Rev

journal_title

Drug and alcohol review

authors

Gooden JR,Cox CA,Petersen V,Curtis A,Manning V,Lubman DI

doi

10.1111/dar.13135

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

83-92

issue

1

eissn

0959-5236

issn

1465-3362

journal_volume

40

pub_type

杂志文章
  • Stopping petrol sniffing in remote Aboriginal Australia: key elements of the Mt Theo Program.

    abstract::Petrol sniffing is a major form of substance misuse in Aboriginal communities across Australia. This practice has detrimental effects on the health and wellbeing of individual sniffers, their families, communities and wider society. There are few examples of programmes that have successfully stopped petrol sniffing. T...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230600644640

    authors: Preuss K,Brown JN

    更新日期:2006-05-01 00:00:00

  • Smoking and its correlates in an Australian prisoner population.

    abstract::Despite evidence of high rates of smoking among prisoners, there has been limited research that describes smoking patterns and risk factors associated with smoking in this group. This study describes inmate smokers and identifies factors associated with smoking in prison, using a survey comprising a cross-sectional ra...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230600741198

    authors: Belcher JM,Butler T,Richmond RL,Wodak AD,Wilhelm K

    更新日期:2006-07-01 00:00:00

  • Public attitudes to the regulation of alcohol.

    abstract::Public support for the regulation of alcohol is central to government policies aimed at reducing consumption. This study uses a nationally representative population survey conducted in 1993 (n = 3500) to examine public support for 11 separate policies designed to reduce alcohol consumption. The results show that the r...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239500185241

    authors: McAllister I

    更新日期:1995-01-01 00:00:00

  • Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross-over trial.

    abstract:INTRODUCTION AND AIMS:Clerks and servers at alcohol establishments often fail to verify age. Using mystery shoppers to provide performance feedback is one approach to improving age verification. Few controlled studies have evaluated mystery shop interventions. This paper reports on a cluster randomised cross-over trial...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/dar.12839

    authors: Grube JW,DeJong W,DeJong M,Lipperman-Kreda S,Krevor BS

    更新日期:2018-09-01 00:00:00

  • What factors contributed to the misconduct of health practitioners? An analysis of Australian cases involving the diversion and supply of pharmaceutical drugs for non-medical use between 2010 and 2016.

    abstract:INTRODUCTION AND AIMS:Increasing quantities of pharmaceutical drugs are used non-medically around the world, including in Australia, resulting in rising harms. This study examines the role of health practitioners (HP) in diversion and the circumstances surrounding their misconduct in Australia. DESIGN AND METHODS:Trib...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12918

    authors: Hulme S,Hughes CE,Nielsen S

    更新日期:2019-05-01 00:00:00

  • Drug production, trafficking and trade in Asia and Pacific Island countries.

    abstract::We report here on illicit drug production, trafficking and transit routes found in the Asia Pacific region. The report is based on the 'Situational analysis of illicit drug issues and responses in Asia and the Pacific', commissioned by the Australian National Council on Drugs Asia Pacific Drug Issues Committee. The si...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1080/09595230600972850

    authors: Reid G,Devaney ML,Baldwin S

    更新日期:2006-11-01 00:00:00

  • Methodological issues in the evaluation of Internet-based interventions for problem drinking.

    abstract:INTRODUCTION AND AIMS:In recent years, there has been an increase in the number of Internet-based interventions (IBI) for alcohol problems and other addictive behaviours. However, it is risky to assume interventions that have been found to work in face-to-face modalities can be translated into IBI that are equally effe...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2008.00001.x

    authors: Cunningham JA,Van Mierlo T

    更新日期:2009-01-01 00:00:00

  • Self-limiting non-medical pharmaceutical opioid use among young people in Sydney, Australia: An exploratory study.

    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

    authors: Dertadian GC,Dixon TC,Iversen J,Maher L

    更新日期:2017-09-01 00:00:00

  • Homelessness and incarceration associated with relapse into stimulant and opioid use among youth who are street-involved in Vancouver, Canada.

    abstract:INTRODUCTION AND AIMS:While much research has sought to identify the factors associated with initiation and cessation of various forms of drug use among vulnerable youth, little is known about relapse into drug use in this population. We sought to characterise relapse into stimulant and opioid use among street-involved...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12921

    authors: Goldman-Hasbun J,Nosova E,Kerr T,Wood E,DeBeck K

    更新日期:2019-05-01 00:00:00

  • Implementing a smoking cessation program in social and community service organisations: a feasibility and acceptability trial.

    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

    authors: Bryant J,Bonevski B,Paul C,Hull P,O'Brien J

    更新日期:2012-07-01 00:00:00

  • Contingency management for tobacco smoking during opioid addiction treatment: Implementation challenges.

    abstract:INTRODUCTION AND AIMS:Tobacco smoking prevalence in opioid addiction patients is approximately six times that of the general population, highlighting the need for novel interventions. A pilot/feasibility study was conducted to investigate whether a contingency management (CM) intervention could be added to UK standard ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.13216

    authors: Ainscough TS,Brose LS,Strang J,McNeill A

    更新日期:2020-11-24 00:00:00

  • A resounding success or a disastrous failure: re-examining the interpretation of evidence on the Portuguese decriminalisation of illicit drugs.

    abstract::In this Harm Reduction Digest two observers and scholars of the 2001 Portuguese drug policy reform consider divergent accounts of the reform which viewed it as a 'resounding success' or a 'disastrous failure'. Acknowledging from their own experience the inherent difficulties in studying drug law reform, Caitlin Hughes...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2011.00383.x

    authors: Hughes CE,Stevens A

    更新日期:2012-01-01 00:00:00

  • Do public expenditures on health and families relate to alcohol abstaining in adolescents? Multilevel study of adolescents in 24 countries.

    abstract:INTRODUCTION AND AIMS:Several European countries have observed an increase in the proportion of adolescents that abstain from drinking alcohol in the last decade. The reasons for this trend remain underexplored. We hypothesised that more generous government expenditures on health services and benefits to families with ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12696

    authors: Vieno A,Altoè G,Kuntsche E,Elgar FJ

    更新日期:2018-04-01 00:00:00

  • The relationship between take-away methadone policies and methadone diversion.

    abstract::The development of policies in relation to unsupervised doses of methadone (take-away doses) should be based upon the best available evidence. There are both risks and benefits associated with take-away doses. This study aimed to explore the relationship between take-away policies and one measure of harm: methadone in...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230500263939

    authors: Ritter A,Di Natale R

    更新日期:2005-07-01 00:00:00

  • Barriers and missed opportunities to HIV testing among injection drug users in two Mexico--US border cities.

    abstract:INTRODUCTION AND AIMS:Despite increasing HIV prevalence in cities along the Mexico--US border, HIV testing among high-risk populations remains low. We sought to identify barriers associated with HIV testing among injection drug users (IDUs) in Tijuana and Ciudad Juarez, the two largest Mexican border cities located acr...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595230701710845

    authors: Moyer LB,Brouwer KC,Brodine SK,Ramos R,Lozada R,Cruz MF,Magis-Rodriguez C,Strathdee SA

    更新日期:2008-01-01 00:00:00

  • An overview of take-home naloxone programs in Australia.

    abstract:INTRODUCTION AND AIMS:Take-home naloxone (THN) programs commenced in Australia in 2012 in the Australian Capital Territory and programs now operate in five Australian jurisdictions. The purpose of this paper is to record the progress of THN programs in Australia, to provide a resource for others wanting to start THN pr...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12812

    authors: Dwyer R,Olsen A,Fowlie C,Gough C,van Beek I,Jauncey M,Lintzeris N,Oh G,Dicka J,Fry CL,Hayllar J,Lenton S

    更新日期:2018-05-01 00:00:00

  • Issues with recruitment to randomised controlled trials in the drug and alcohol field: a literature review and Australian case study.

    abstract:ISSUES:The randomised control trial (RCT) is a widely used tool for measuring the effectiveness of health treatments and services. However, subject recruitment is an ongoing challenge for those conducting RCTs and may have a serious impact on the success of the study and the reliability of the outcomes. APPROACH:In th...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审

    doi:10.1080/09595230701829561

    authors: Thomson CL,Morley KC,Teesson M,Sannibale C,Haber PS

    更新日期:2008-03-01 00:00:00

  • Infant mortality among women on a methadone program during pregnancy.

    abstract:INTRODUCTION AND AIMS:The rate and correlates of infant death in those born to opioid-dependent women are unclear. This study aims to determine the infant mortality rate of infants born to women on a methadone program during pregnancy and to identify any modifiable risk factors. DESIGN AND METHODS:A retrospective stud...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2010.00176.x

    authors: Burns L,Conroy E,Mattick RP

    更新日期:2010-09-01 00:00:00

  • Alcohol consumption and driving intentions amongst hotel patrons.

    abstract::To examine the extent to which hotel patrons drink in excess of current health recommendations, and to identify risk factors for excessive drinking, hotel patrons were invited to participate in a survey of social drinking, which included a free breath test. Patrons were approached at 15 min. intervals, and 1000 subjec...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239300185711

    authors: McLean S,Wood LJ,Davidson J,Montgomery IM,Jones ME

    更新日期:1993-01-01 00:00:00

  • The early alcoholism treatment movement in Australia, 1859-1939.

    abstract::Advancing ideas pioneered in the United States of America, Australian medical reformers and their lay supporters persuaded colonial governments in the late nineteenth century to recognize that alcohol dependence was a treatable disease. In practice, that recognition was only partial. While inebriates legislation was e...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239200185101

    authors: Lewis MJ

    更新日期:1992-01-01 00:00:00

  • Gender differences in adolescents attending a drug and alcohol withdrawal service.

    abstract:INTRODUCTION AND AIMS:Gender differences have been reported in adult substance users, but little research has examined gender differences in adolescents presenting to treatment services. This study aimed to explore gender differences in adolescents presenting to a withdrawal service. DESIGN AND METHODS:All presentatio...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2009.00152.x

    authors: Dean AJ,McBride M,Macdonald EM,Connolly Y,McDermott BM

    更新日期:2010-05-01 00:00:00

  • "Just using old works": injecting risk behaviour in prison.

    abstract::A minority of injecting drug users engage in high risk injecting behaviours when in prison. In the United Kingdom between a quarter and a third of injectors who enter prison inject when in prison, and of these about three-quarters share needles and syringes. In the present study, 44 drug injectors who had been release...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239600185991

    authors: Turnbull PJ,Power R,Stimson GV

    更新日期:1996-09-01 00:00:00

  • Barriers and facilitators to switching from smoking to vaping: Advice from vapers.

    abstract:INTRODUCTION AND AIMS:Information available to consumers about nicotine vaping products varies according to the regulatory environment. A common information source in Australia, where nicotine vaping products are highly regulated, is advice from vapers. The aim of this study was to report on what advice current vapers ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12907

    authors: Morphett K,Weier M,Borland R,Yong HH,Gartner C

    更新日期:2019-03-01 00:00:00

  • The prevalence and correlates of secondary traumatic stress among alcohol and other drug workers in Australia.

    abstract:INTRODUCTION AND AIMS:The high prevalence of trauma exposure and post-traumatic stress disorder (PTSD) among clients of alcohol and other drug (AOD) services is well documented. Less is known, however, about the impact this has on workers who assess and treat such clients. The aim of this study was to examine the preva...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12204

    authors: Ewer PL,Teesson M,Sannibale C,Roche A,Mills KL

    更新日期:2015-05-01 00:00:00

  • Association between concurrent alcohol and tobacco use and poverty.

    abstract:INTRODUCTION AND AIMS:The harm from alcohol and tobacco use in low- and middle-income countries includes substantial economic cost to the individual. Our aim was to describe the expenditure on concurrent alcohol and tobacco use in relation to family income in two districts in Sri Lanka. DESIGN AND METHODS:A community-...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/j.1465-3362.2010.00202.x

    authors: de Silva V,Samarasinghe D,Hanwella R

    更新日期:2011-01-01 00:00:00

  • A local and regional Alcohol and Drugs Monitor in the Netherlands: a tale of three cities.

    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

    authors: van de Mheen H,Toet J,Knibbe RA,Garretsen HF,Spruit IP,van den Berg M

    更新日期:2006-05-01 00:00:00

  • What factors are associated with abstinence amongst socioeconomically disadvantaged smokers? A cross-sectional survey of use of cessation aids and quitting approach.

    abstract:INTRODUCTION AND AIMS:This study aimed to compare current and ex-smokers' sociodemographic and psychosocial characteristics, use of cessation aids and abrupt versus gradual quitting approaches. DESIGN AND METHODS:A cross-sectional survey of financially disadvantaged adults attending a community service organisation wa...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1111/dar.12561

    authors: Twyman L,Bonevski B,Paul C,Bryant J,West R,Siahpush M,D'este C,Oldmeadow C,Palazzi K

    更新日期:2018-02-01 00:00:00

  • An Australian survey of the procedures used for the treatment of opiate users.

    abstract::Drug and alcohol agencies across Australia were asked to describe the services they offer to opiate users. Of the 284 agencies identified as providing treatment, 229 (81%) responded. A standard assessment procedure was used in 72% of agencies. Eighty (35%) agencies offered detoxification and had assisted 7883 clients ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239200185471

    authors: Baillie AJ,Webster P,Mattick RP

    更新日期:1992-01-01 00:00:00

  • Early unsupervised drinking--reducing the risks. The School Health and Alcohol Harm Reduction Project.

    abstract::The School Health and Alcohol Harm Reduction Project (SHAHRP) aimed to reduce alcohol-related harm by enhancing students' abilities to identify and deal with high-risk drinking situations and issues. The SHAHRP study involved a quasi-experimental research design, incorporating intervention and control groups and measu...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/0959523031000154409

    authors: McBride N,Farringdon F,Midford R,Meuleners L,Phillips M

    更新日期:2003-09-01 00:00:00

  • In-patient setting and long duration for the treatment of alcohol dependence? Out-patient care is as good.

    abstract::A combined narrative/meta-analytic review of the results of a number of well-conducted randomized controlled clinical trials indicates that there is no evidence that usual treatment delivered in an in-patient or residential setting is superior to treatment delivered on an out-patient or non-residential basis for the t...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章

    doi:10.1080/09595239400185201

    authors: Mattick RP,Jarvis T

    更新日期:1994-01-01 00:00:00