R D Weiss

..The authors' goal was to pilot test a newly developed manual-based group psychotherapy, called Integrated Group Therapy (IGT), for patients with bipolar disorder and substance dependence...

..We thus investigated reasons for substance use and perceived substance-induced improvement in BPD symptoms among patients with current BPD and substance dependence...

..This study examined the relationship between cocaine craving, psychosocial treatment, and cocaine use in the ensuing week...

..These findings point to infrequent utilization over time of psychosocial treatments focusing specifically on bipolar and substance use disorder...

..This study examines particular sociodemographic and clinical characteristics as possible predictors of attendance at self-help groups in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study...

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..In CT, higher levels of alliance were associated with decreased retention...

..The purpose of this study was to assess the validity of self-reports of substance use among outpatients dually diagnosed with substance use disorder and either bipolar disorder or posttraumatic stress disorder...

..The treatment uses an integrated approach by discussing topics that are relevant to both disorders and by highlighting common aspects of recovery from and relapse to each disorder...

..While patterns of attendance were relatively consistent over time, findings suggest that a treatment emphasizing the importance of self-help groups is likely to encourage more self-help group attendance and participation over time...

..Frequency of contact between informants and patients was associated significantly with the level of agreement. These findings suggest that obtaining collateral informant data when studying this population may be of limited value...

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..Treatment research on women is limited but suggests the possibility of retaining patients and achieving positive outcomes...

..This replicates previous research showing better treatment outcome for cocaine dependent women. This may be related to specific characteristics of women who enter mixed-gender cocaine treatment programs...

..The authors concluded that the superiority of individual drug counseling in modifying cocaine use does not extend broadly to other addiction-associated problems...

..The findings suggest that this rapid, easily administered craving questionnaire may have short-term predictive validity...

..All results are clearly tentative, however, due to the lack of a control group, multiple comparisons, and absence of assessment of dropouts...

..Implications regarding the relationship of alcoholism and other forms of substance abuse are discussed...

..The impact of anxiety disorders has not been well delineated in prospective studies of bipolar disorder...

..Functional magnetic resonance imaging (MRI) was used to test whether brain activation was detectable in regions previously associated with cocaine cue-induced craving...

..Finally, the limitations of human research on the effects of MDMA and suggestions for future MDMA research will be discussed...

..The role of psychotherapies, particularly coping skills therapy, in combination with opioid antagonists is highlighted in the presentations of the clinical data. Finally, future research directions for opioid antagonists are discussed...

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..Bipolar and substance use disorders frequently co-occur, and both are associated with impulsivity, impaired judgment, and risk-taking...

..Therapeutic aspects involved in addressing these themes are discussed...

..The authors hypothesized that patients receiving integrated group therapy would have fewer days of substance use and fewer weeks ill with bipolar disorder...

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..The primary/secondary distinction for SUD is not valid when variations in the age of onset of the non-SUD are linked to course characteristics...

..To examine patterns of adherence to mood stabilizers and reasons for nonadherence in patients with bipolar disorder, with and without substance use disorder (SUD)...

..The results suggest that during uncontrolled follow-up phases, additional non-protocol services may potentially confound the interpretation of treatment group comparisons in drug use outcomes...

..The current study identified baseline demographic and clinical characteristics that predict treatment dropout among patients with co-occurring bipolar and substance use disorders...

..A number of forms of psychosocial treatment for cocaine dependence have shown promising results, as detailed in the study descriptions...

..The costs and cost-effectiveness of these combinations are unknown and of interest to clinicians and policy makers...

..Women who had and had not engaged in such behavior differed in SD diagnoses and reasons for staying safe, but not in the number or type of traumatic experiences, age at first trauma, or substance abuse diagnoses...

..Ongoing research examining the optimal combinations of medications with different psychosocial treatments for alcohol dependence may further inform the field...

..Our study provides an initial substance dependence trait-specific blueprint of associated regions for future candidate gene studies...

..These findings support the validity of the methods used to derive homogeneous subgroups of CD subjects and the resulting CD subtypes. Independent replication of these findings would provide further validation of this approach...

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..This modified version of the SIP was psychometrically sound, and may be useful in patients with both disorders. A greater understanding of perceived negative consequences may enhance outcome assessment in dually diagnosed populations...

..The purpose of this retrospective study was to examine the relationship between smoking, severity of bipolar disorder, suicidal behavior, and psychiatric and substance use disorder comorbidity...

..Effect sizes were generally in the moderate to high range. Some gains were sustained at follow-up. SS appears a promising treatment for this population, but needs further study and perhaps additional clinical modification...

..Trends indicating improvement on 11 other outcome variables were also found. Treatment attendance, satisfaction, and alliance were extremely high. The need for further evaluation using more rigorous methodology is discussed...

..The findings indicate the potential utility of a substance abuse consultation service in a psychiatric hospital...

..At present, however, little is known about prior AAS use among men entering inpatient substance abuse treatment...

..We investigated the relationship between educational attainment and drinking outcomes after discharge from inpatient treatment for alcohol dependence...

..There was no evidence of cost shifting. Although emphasis on outpatient treatment did not result in cost shifting, the combination of substance use disorder and psychiatric illness remains an expensive public health problem...

..In addition, a measure of beliefs about addiction developed to test mediation of outcome of cognitive therapy was found to correlate moderately with drug use outcomes in both cognitive therapy and individual drug counseling...

..The complex dynamics of women as both recipients and enactors of negative relationship behaviors are discussed...

..Our findings highlight the need for greater clinical guidance and treatment options for patients with bipolar disorder and comorbidity...

..The most common treatments were individual therapy, medication, and hospitalization. Some treatments were perceived as harmful by some participants. The discussion addresses how to help patients obtain needed treatments...

..8 versus illicit=15.8, P<0.05). These findings suggest that a history of substance abuse is common among patients abusing CR oxycodone, including individuals for whom CR oxycodone was initially legitimately prescribed for pain...

..This paper presents a review of issues related to medication adherence in patients with these substance use disorders...

..Moreover, the distinction between attending meetings and actively participating in 12-step activities has not typically been examined...

..Unique methodological and logistical hurdles encountered in research on group therapy for substance use disorders, as well as considerations for future research, are also discussed...

..Our findings point to the importance of further investigating the ramifications of a trauma history among those who are dually diagnosed with bipolar and substance use disorders...

..To examine the potential impact of recovery from substance use disorder (SUD) on the course of bipolar disorder among patients diagnosed with both bipolar and substance use disorders according to DSM-IV criteria...

..An algorithm summarizing the consensus recommendations is provided in an appendix...

..Integrating knowledge regarding program materials' readability level and literacy levels of different populations could be successful aides to substance abuse treatment...

..The authors examined whether certain medical disorders are more prevalent among adults with severe mental illness and whether a comorbid substance use disorder increases prevalence beyond the effect of severe mental illness alone...

..However, each study site has provided site-specific information on the budget, budget justifications, listing of key personnel, Consultant/consortium agreements, and human subjects sections of their respective proposals. ..

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..The CTN will thus help to bridge the gap between the addiction research and treatment communities, thus improving the overall quality of treatment for drug dependent patients. ..

..As part of the K24 Award, Dr. Weiss will receive additional training in the areas of 1) chronic pain, 2) brain imaging, and 3) statistics, which will simultaneously strengthen his own research skills and improve his mentoring abilities. ..

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