Provides child welfare workers and related professionals with information on the intersection
between substance use disorders and child maltreatment and describes strategies for prevention, intervention, and treatment, including examples of effective programs and practices.
A growing body of literature has identified the link
between substance use disorders, interpersonal violence, and risk of suicide.
There is a strong connection
between substance use disorders and mental health.
Further, the comorbidity
between substance use disorders and other Axis I disorders (for example, mood and anxiety disorders) is generally recognised by mental health professionals.
Not exact matches
Thus, it is possible that accurate and comprehensive diagnostic evaluations are not as critical once the provider determines the gross diagnostic distinction (i.e., distinguishing
between psychotic, mood and / or
substance use disorders).»
Opioid abuse and addiction is a growing concern in the U.S. with the National Institute on Drug Abuse estimating that approximately 2.1 million Americans suffer from
substance use disorders related to prescription opioid pain relievers and an estimated 467,000 Americans are addicted to heroin, with increasing recognition of the strong relationship
between opioid
use and heroin abuse.
Substance use disorders and behavioral addictions are the conseqence of a negative interaction
between blogical, psychological and social factors.
With high occurrences of
substance use disorders, mental health conditions, and family and trauma - related stressors, there is often significant distance
between clients and the nearest mental health practitioner.
This interaction
between the 5 - HTTLPR and stress extends to other phenotypes associated with the serotonin system as well, including post-traumatic stress
disorder (Xie et al., 2009), antisocial behavior (Li and Lee, in press),
substance use (Brody et al., 2009a), suicidality (Roy et al., 2007), sleep quality (Brummett et al., 2007) and anxiety sensitivity (Stein et al., 2007).
For our fifth and final addition in OnlineCounselingPrograms.com's blog series «Mental Health and...», we look into comorbidity
between mental illness and
substance use disorders, specifically how the two can be influential of one another and may typically occur at the same time.
Multiple logistic regression analyses were
used to determine the association
between panic attacks during adolescence in 1983 and the risk of personality
disorders during young adulthood in 1993, adjusting for differences in sociodemographic characteristics, adolescent personality
disorders, and co-morbid depressive and
substance use disorders.
A systematic literature review of primary research investigating the relationship
between work and depression, anxiety and
substance -
use disorders in male dominated industries, undertaken by the National Centre for Education and Training on Addiction (NCETA) at Flinders University.
It also highlights the importance of collaboration
between child protective services caseworkers and alcohol and drug abuse treatment providers in the examination, screening, assessment, and treatment of
substance use disorders.
Research indicates a link
between parental and caregiver
substance use disorders and child maltreatment.
The lifetime prevalence of exposure to one or more traumatic events is
between 40 % and 90 %, and about 15 % to 24 % of these instances develop into PTSD.2 3 Bearing in mind that traumatic events can also lead to other kinds of
disorder, such as major depression, anxiety
disorders,
substance -
use disorders, etc, then the figures are in fact a great deal higher.
The association
between partner and non-partner aggression and suicidal ideation in patients seeking
substance use disorder treatment.
Older men with
substance use disorders are at greater risk for nonfatal attempts and for death by suicide than are younger persons.10, 11 Past suicide attempts are a strong risk factor for subsequent suicidal behaviors in those with
substance use disorders.12 Depressed mood is a risk factor for suicidal behaviors in the general population and also predicts a greater likelihood of suicide in those with alcohol or drug
use disorders.3, 6,10 The link
between depression and suicidal behaviors in those with
substance use disorders may be particularly strong given the high comorbidity
between mood and
substance use disorders.13 Although it has not been examined thoroughly, independent mood
disorders and
substance - induced mood
disorders are likely to confer risk for suicide.
Because of the above, and also because
substance use has been shown to be related both to depression (e.g., de Graaf et al. 2003) and to disruptive behavior
disorders (Loeber et al. 2000), the model suggests reciprocal associations
between the three constructs (illustrated in Fig. 1 with double - headed arrows).
Summary: (To include comparison groups, outcomes, measures, notable limitations) This study compares outcomes
between adolescents and emerging adults with
substance use disorders who received the Adolescent Community Reinforcement Approach (A-CRA).
Lifetime prevalences of antisocial syndromes were estimated and logistic regression analyses were
used to examine associations
between antisocial syndromes and sociodemographic characteristics and
substance use disorders.
The moderating effect of parental illicit
substance use disorders on the relation
between adolescent depression and subsequent illicit
substance use disorders.
A few prior studies have noted a link
between PTSD and suicidal behavior [51], [52]; however, PTSD has received much less attention than mood and
substance use disorders as a risk factor for suicidal behavior.
Significant associations
between conduct
disorder and
substance use disorders were concentrated among women.
Reliabilities for current anxiety
disorders,
substance use disorders, disruptive
disorders (conduct
disorder or oppositional defiant
disorder), and «other» (primarily eating
disorders) ranged from 0.67 to 1.0, with a mean of 0.82; reliabilities for these
disorders in the past ranged
between 0.72 and 1.0, with a mean of 0.81.
We found that the interaction
between growth in depression and conduct
disorder symptoms uniquely predicted later
substance use problems, in addition to main effects of each, across boys and girls.
In addition, clear differences
between the predictor profiles confirmed that, compared to the abstainers and late onset groups, the early onset
substance use group appeared to be at much higher risk for adverse childhood predictors (revealing a problematic profile), including lower levels of parental knowledge about adolescents» activities and self - esteem and higher levels of novelty seeking and conduct
disorder (Flory et al. 2004; Wanner et al. 2006).
Virtually all of the associations
between APD and adult antisocial behavior and specific
substance use disorders were positive and statistically significant (p <.05).
Since the diagnosis of ADHD often coexists with conduct, oppositional — defiant, antisocial - personality, or
substance -
use disorder, 5 it is not clear whether these
disorders should be regarded as confounders, mediators, or colliders.30 Thus, to test whether the association
between medication
use and criminality was different depending on coexisting diagnoses, we performed a sensitivity analysis that included only patients without a diagnosis of a coexisting
disorder.
Strong associations
between conduct
disorder (CD), antisocial personality
disorder (ASPD) and
substance use disorders (SUD) seem to reflect a general vulnerability to externalizing behaviors.