A total of 22 subjects were recruited in this study including 8 young controls (4 men and 4 women, age range: 24–40 years, mean 31) and 14 older adults (6 men and 8 women, age range: 50–73 years, mean 61). In order to match the prevalence of AD in the older population, 1 AD and 2 MCI patients were included as positive controls whose diagnoses were based on consensus conference case reviews. The rest of the older individuals were selected from a carefully characterized cohort known as The Wisconsin Registry for AD Prevention (WRAP), many of whom have a parent with AD and are considered at high risk to develop AD (20 (link)). The study was approved by the Institutional Review Board at the University of Wisconsin. All participants provided informed consent prior to participation. The consent process included an initial screening for MRI and PET compatibility and discussion of major safety exclusion criteria. Study exclusion criteria included contraindications to MRI and PET; less than 10 years of education; pregnancy; major head trauma, psychiatric disease such as schizophrenia and substance dependence, or abnormal structural MRI and neuropsychological testing as part of study participation. Excluded medications include psychoactive medications, neuroleptics, short or long acting nitrates, and warfarin or other drugs that may affect CBF (such as caffeine within 3 hours and nicotine within 1 hour of the imaging exam).
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Substance Dependence
Substance Dependence
Substance Dependence is a condition characterized by a strong, compulsive desire to consume a particular substance, such as drugs or alcohol, despite the harmful consequences.
This disorder involves physical and psychological dependence, leading to tolerance, withdrawal symptoms, and continued use despite negative impacts on health and well-being.
Effective treatment often requires a combination of behavioral therapies and medication management.
Understanding the complexities of Substance Dependence is crucial for developing better interventions and improving outcomes for those affected by this challenging condition.
This disorder involves physical and psychological dependence, leading to tolerance, withdrawal symptoms, and continued use despite negative impacts on health and well-being.
Effective treatment often requires a combination of behavioral therapies and medication management.
Understanding the complexities of Substance Dependence is crucial for developing better interventions and improving outcomes for those affected by this challenging condition.
Most cited protocols related to «Substance Dependence»
Aged
Antipsychotic Agents
Caffeine
Conferences
Craniocerebral Trauma
Diagnosis
Ethics Committees, Research
Mental Disorders
Nicotine
Nitrates
Parent
Patients
Pharmaceutical Preparations
Pregnancy
Psychotropic Drugs
Safety
Schizophrenia
Substance Dependence
Warfarin
Woman
Affective Symptoms
Compulsive Behavior
Diagnosis
Homeostasis
Implantable Defibrillator
Neurobehavioral Manifestations
Neurodegenerative Disorders
Patients
Pharmaceutical Preparations
Population Group
Problem Behavior
Reading Frames
Substance Dependence
Accidents
Addictive Behavior
Amyotrophic lateral sclerosis 1
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Substance Dependence
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TimeLine
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Agoraphobia
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Drug Abuse
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Households
Panic Disorder
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Sadness
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Substance Dependence
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Mental Disorders
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Substance Abuse
Substance Dependence
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Most recents protocols related to «Substance Dependence»
Participant recruitment for the study commenced from August 2009 and ended June 2014. Participants were 51 treatment-seeking patients, 36 of whom had viable imaging data at baseline and 27 of these with follow-up MRI data. For this manuscript we include data from the 27 PTSD patients (13 females; age = 40.9 ± 11.8 years) who completed MRIs at both visits (see CONSORT diagram in Supplementary Fig. S1 ).
The PTSD sample had developed PTSD after experiencing assault, childhood abuse, motor vehicle accidents, or during police duties. PTSD was diagnosed according to DSM-IV criteria by masters or doctoral level clinical psychologists using the Clinician Administered PTSD Scale (CAPS; [19 (link)]. Symptoms were detected according to the ‘2/1’ method, in which symptoms were experienced for at least twice a month and caused moderate levels of distress. Levels of depression and anxiety were assessed using the Depression, Anxiety, and Stress Scale (DASS). Patients that reported psychosis, bipolar disorder, substance dependence, neurological disorders, or moderate to severe brain injury were excluded from the study. Patients taking medication (10 on selective serotonin reuptake inhibitors) were included on the condition that the dosage was stable for the previous two months and continued to be stable for the duration of the study. In addition, 21 controls (9 females; mean age 36.9 ± 14.0 years) who were age and gender-matched to the PTSD group were included in the study. Control participants had not experienced a Criterion A stressor and did not have an Axis I disorder, as assessed by the Mini International Neuropsychiatric Interview (MINI version 5.5) [20 (link)].
All participants underwent clinical and imaging assessments at baseline and again 12 weeks later. This study was approved by the Western Sydney Area Health Service Human Research Ethics Committee and informed consent was obtained from participants.
The PTSD sample had developed PTSD after experiencing assault, childhood abuse, motor vehicle accidents, or during police duties. PTSD was diagnosed according to DSM-IV criteria by masters or doctoral level clinical psychologists using the Clinician Administered PTSD Scale (CAPS; [19 (link)]. Symptoms were detected according to the ‘2/1’ method, in which symptoms were experienced for at least twice a month and caused moderate levels of distress. Levels of depression and anxiety were assessed using the Depression, Anxiety, and Stress Scale (DASS). Patients that reported psychosis, bipolar disorder, substance dependence, neurological disorders, or moderate to severe brain injury were excluded from the study. Patients taking medication (10 on selective serotonin reuptake inhibitors) were included on the condition that the dosage was stable for the previous two months and continued to be stable for the duration of the study. In addition, 21 controls (9 females; mean age 36.9 ± 14.0 years) who were age and gender-matched to the PTSD group were included in the study. Control participants had not experienced a Criterion A stressor and did not have an Axis I disorder, as assessed by the Mini International Neuropsychiatric Interview (MINI version 5.5) [20 (link)].
All participants underwent clinical and imaging assessments at baseline and again 12 weeks later. This study was approved by the Western Sydney Area Health Service Human Research Ethics Committee and informed consent was obtained from participants.
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Anxiety
Bipolar Disorder
Brain Injuries
Drug Abuse
Epistropheus
Ethics Committees, Research
Females
Gender
Homo sapiens
Magnetic Resonance Imaging
Nervous System Disorder
Patients
Pharmaceutical Preparations
Physicians
Post-Traumatic Stress Disorder
Psychotic Disorders
Selective Serotonin Reuptake Inhibitors
Substance Dependence
Traffic Accidents
All statistical analyses were conducted using R version 4.2.1; there were no missing data in the analyses. To compare participants regardless of their preferred nicotine consumption method (cigarettes or e-cigarettes), a composite nicotine dependence variable was created by taking the highest value of the FTCD and e-FTCD scores; this gave each participant a single nicotine dependence score. Age of onset of regular use for each of the substances was calculated by subtracting reported years of regular use from current age; a composite nicotine age of onset was created by taking the lowest age between cigarette and e-cigarette age of onset variables. Three different hierarchical multiple regressions were conducted, in which dependent variables were levels of dependence on alcohol, cannabis, and nicotine, respectively. In the regression analyses, predictor variables were added in four stages: the first models contained demographic variables (age, sex, and education), the second models contained personality variables (hopelessness, anxiety sensitivity, impulsivity, and sensation seeking), the third models contained ages of onset of regular use across substances, and the fourth models contained dependence on the other two substances. Regarding nicotine dependence, the fourth model included an additional variable: dual use of cigarettes and e-cigarettes. The variables were added in this order as it was the most chronologically plausible order, as demographic variables are from birth, personality is mostly stable from childhood, and age of first use comes before substance dependence. Finally, post-hoc analyses were conducted on significant variables in the final models for each of the regressions. Participants were categorized by dependence on each substance (dependent vs. non-dependent) using the cut-offs described in Section 2.2. For continuous variables, the means of each group were compared via Welch's t-tests; for categorical variables (e.g., sex and dual use of cigarettes/e-cigarettes), the ratios were compared via Pearson's χ2 tests.
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Anxiety
Birth
Cannabis
Ethanol
Hypersensitivity
Nicotine
Nicotine Dependence
Substance Dependence
Canadian adults (19 years old or older; N = 516) were recruited, as part of a larger study, through Qualtrics Panels, a survey company with a large pool of potential participants. Researchers provided Qualtrics Panels with eligibility criteria, who then recruited participants to complete an online survey measuring demographic information, substance dependence, substance use history, and personality. Eligibility criteria included fluency in English and recreational use (past 30 days) of alcohol, cannabis, and nicotine (via cigarettes or e-cigarettes); potential participants who did not meet these criteria were screened out of the study. Participants were compensated for their part in the larger study. Mean participant age was 39.8 (SD = 12.4), there was roughly an equal number of males (n = 257) and females (n = 258), and most participants were Caucasian (69.8%). Regarding education, 26.2% had completed community or technical college and 41.7% had obtained a university degree.
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Adult
Cannabis
Caucasoid Races
Eligibility Determination
Ethanol
Females
Males
Nicotine
Substance Dependence
Substance Use
Ethical approval for this study was granted by LJMU Research Ethics Committee. A data sharing agreement for the extraction of patient level data was drawn up between LJMU and Liverpool CCG, in accordance with the Data Protection Act 2018. The inclusion criteria for patients were: age over 18 years; CNCP diagnosis; in receipt of any opioid prescription between August 2016 and August 2018. Patients with a history of substance dependence (current read code for dependence or free text entry indicating dependence in patient’s record), and those prescribed opioids to manage cancer pain (current read code for cancer diagnosis; prescribed opioid predominantly used in management of cancer pain not CNCP) were excluded. While we were interested in opioid prescribing for CNCP, the extracted data demonstrated that there was a great deal of heterogeneity in the coding of linked problems (providing reason why an opioid prescription was issued) with over 60,000 distinct reported problems. Categories of CNCP were created by grouping together similar conditions and conferring with a consultant anaesthetist (BF) to develop typologies. The most common linked problem for which opioids were prescribed was for musculoskeletal pain (n = 16,137) specifically back pain (n = 10,974) and arthritis (n = 7,154). For a full list of the 78 categories and frequency of linked prescriptions see S1 File . Upon further investigation of the linked problems, it was evident that there were anomalies in coding of linked problems, with some codes reflecting that a patient may have initially requested an appointment for an alternative reason. See S2 File for full list of linked problems.
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Anesthetist
Arthritis
Back Pain
Cancer Pain
Consultant
Diagnosis
Ethics Committees, Research
Genetic Heterogeneity
Malignant Neoplasms
Management, Pain
Opioids
Patients
Prescriptions
Substance Dependence
We recruited adults with clinically significant binge-spectrum EDs (N = 63), including BN-spectrum and BED, from the community for participation in a parent trial of CBT-E augmented by inhibitory control training (clinicaltrials.gov identifier: NCT04076553). Participants were included in the parent trial if they were between 18 and 55 years old, experienced an average of at least one objective binge eating episode per week over the previous 12 weeks, had stable psychiatric medication for the past 3 months (if applicable), had a reliable Internet connection, and were located in the USA and willing and able to participate in remote intervention and assessments. Participants were excluded if they were not fluent in English, were below a BMI of 18.5, were planning to begin (in the next 6 months) or currently participating in another weight loss treatment or psychotherapy for binge eating and/or weight loss. Participants were not eligible if they had a diagnosis of autism spectrum disorder or intellectual disability, were currently experiencing other severe psychopathology that would limit their ability to engage in the treatment program (e.g., severe depression, substance dependence, active psychotic disorder), or demonstrated high levels of inhibitory control (and thus would not benefit from the inhibitory control training portion of the treatment). Participants were also excluded from the parent trial if at least half of their binge episodes were composed nearly entirely of fruit/vegetables (i.e., 80% or more of the total food consumed during binges were raw fruits and vegetables) because of the intention to test inhibitory control training toward more traditional binge foods (e.g., pizza, ice cream). Participants were not eligible if they had experienced a recent head trauma, neurological condition, or brain condition that would interfere with completion of daily computer trainings.
The current study represents a secondary analysis of data from the parent trial. For the current study’s analyses, participants were included if they completed at least one session of treatment. Of these 63 individuals, 11 (17.5% of sample) dropped out of treatment prior to completing all 12 sessions. Attrition rates in our study are comparable to rates in other trials of CBT for EDs [3 (link)]. Participants completed 10.48 treatment sessions on average (SD = 3.51). In the current sample, 29 participants were randomized to the “sham” training condition, and 34 to the inhibitory control training condition. Table1 depicts participant demographic information, diagnoses, and BMI.
The current study represents a secondary analysis of data from the parent trial. For the current study’s analyses, participants were included if they completed at least one session of treatment. Of these 63 individuals, 11 (17.5% of sample) dropped out of treatment prior to completing all 12 sessions. Attrition rates in our study are comparable to rates in other trials of CBT for EDs [3 (link)]. Participants completed 10.48 treatment sessions on average (SD = 3.51). In the current sample, 29 participants were randomized to the “sham” training condition, and 34 to the inhibitory control training condition. Table
Participant demographics and baseline characteristics by diagnosis (N = 63)
Bulimia nervosa (incl. subthreshold; n = 27) | Binge eating disorder (n = 36) | |||
---|---|---|---|---|
Mean or n | SD or % | Mean or n | SD or % | |
Age | 37.2 | 12.7 | 42.9 | 9.6 |
Gender | ||||
Male | 1 | 3.7% | 6 | 16.7 |
Female | 26 | 96.3% | 30 | 83.3 |
Race | ||||
White | 21 | 77.8% | 31 | 86.1% |
African American | 2 | 7.4% | 4 | 11.1% |
Asian | 2 | 7.4% | 0 | 0% |
Multiracial | 1 | 3.7% | 1 | 2.8% |
Unknown/prefer not to say | 1 | 3.7% | 0 | 0% |
Ethnicity | ||||
Hispanic/Latinx | 4 | 14.8% | 3 | 8.3% |
Non-Hispanic | 23 | 85.2% | 33 | 91.7% |
Disordered eating behaviors | ||||
Binge episodes past 3 months | 91.4 | 58.9 | 91.3 | 48.6 |
Compensatory behaviors 3 months | 71.7 | 77.3 | 0.5 | 1.4 |
BMI | 31.3 | 8.3 | 36.2 | 12.6 |
Fear of weight gain | ||||
GFFS 10-item scores | 30.9 | 5.7 | 23.8 | 7.4 |
BMI body mass index, GFFS Goldfarb Fear of Fat Scale
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Adult
Autism Spectrum Disorders
Brain Diseases
Bulimia Nervosa
Craniocerebral Trauma
Diagnosis
Disorder, Binge-Eating
Ethnicity
Fear
Feeding Behaviors
Food
Fruit
Hispanics
Ice Cream
Index, Body Mass
Intellectual Disability
Negroid Races
Nervous System Disorder
Parent
Pharmaceutical Preparations
Psychological Inhibition
Psychotherapy
Psychotic Disorders
Substance Dependence
Tooth Attrition
Vegetables
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More about "Substance Dependence"
Substance Dependence, also known as Drug Addiction or Substance Use Disorder (SUD), is a complex and challenging condition characterized by a strong, compulsive desire to consume a particular substance, such as drugs or alcohol, despite the harmful consequences.
This disorder involves both physical and psychological dependence, leading to tolerance, withdrawal symptoms, and continued use despite negative impacts on health and well-being.
Effective treatment often requires a combination of behavioral therapies, such as cognitive-behavioral therapy (CBT) and contingency management, as well as medication management, including the use of pharmacotherapies like methadone, buprenorphine, and naltrexone.
Understanding the intricacies of Substance Dependence is crucial for developing better interventions and improving outcomes for those affected by this condition.
Researchers and clinicians may utilize various statistical software packages, such as SAS version 9.4, Stata 15, SPSS Statistics 22, Avance III 600 MHz, STATA MP11, Trio scanner, Stata 11, Stata 14, 400 MHz spectrometer, and Stata 13, to analyze data and inform their studies on Substance Dependence.
These tools can help researchers identify patterns, trends, and associations that can inform the development of more effective treatment strategies and prevention programs.
Ackonwledging the complexities of Substance Dependence and the need for comprehensive, evidence-based approaches is key to addressing this challenging condition and improving the lives of those affected.
By combining the insights gained from research, clinical experience, and advanced analytical tools, we can continue to make progress in understanding and managing Substance Dependence.
This disorder involves both physical and psychological dependence, leading to tolerance, withdrawal symptoms, and continued use despite negative impacts on health and well-being.
Effective treatment often requires a combination of behavioral therapies, such as cognitive-behavioral therapy (CBT) and contingency management, as well as medication management, including the use of pharmacotherapies like methadone, buprenorphine, and naltrexone.
Understanding the intricacies of Substance Dependence is crucial for developing better interventions and improving outcomes for those affected by this condition.
Researchers and clinicians may utilize various statistical software packages, such as SAS version 9.4, Stata 15, SPSS Statistics 22, Avance III 600 MHz, STATA MP11, Trio scanner, Stata 11, Stata 14, 400 MHz spectrometer, and Stata 13, to analyze data and inform their studies on Substance Dependence.
These tools can help researchers identify patterns, trends, and associations that can inform the development of more effective treatment strategies and prevention programs.
Ackonwledging the complexities of Substance Dependence and the need for comprehensive, evidence-based approaches is key to addressing this challenging condition and improving the lives of those affected.
By combining the insights gained from research, clinical experience, and advanced analytical tools, we can continue to make progress in understanding and managing Substance Dependence.