Publications by authors named "J D Roache"

Article Synopsis
  • The study investigates how social and home environments influence early substance use initiation (SUI) in adolescents, particularly focusing on alcohol (AUI) and cannabis (CUI) use.
  • It examines whether family history of substance use disorders (FH+) affects the relationship between these environmental factors and SUI.
  • Findings reveal that risky peer affiliations increase the risk of AUI and CUI regardless of FH status, but a strong mother-youth relationship can provide protection from CUI, which is weakened for those with a FH+.
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Article Synopsis
  • * This clinical trial aims to compare quetiapine monotherapy against treatment as usual (TAU) to see if it offers better recovery from postconcussive syndrome and PTSD symptoms in veterans undergoing rehabilitation for mTBI.
  • * The study will enroll 146 veterans over 12 weeks, focusing on outcomes like symptom reduction, functional disability, and quality of life, with the goal of determining if quetiapine can enhance recovery and improve overall well-being.
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Preclinical research with rodents suggests that the L-type calcium channel blocker isradipine can enhance long-term extinction of conditioned place preference for addictive substances when it is administered in conjunction with extinction training. Although isradipine alone, which is FDA-approved for hypertension, has not shown a direct effect on craving in human drug users, its potential to augment behavioral treatments designed to reduce craving remains unknown. We conducted a triple-blind, randomized placebo-controlled pilot clinical trial of isradipine combined with a novel virtual reality cue exposure therapy (VR-CET) approach with multimodal cues that targeted craving.

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Military personnel and veterans are at heightened risk for exposure to traumatic events and posttraumatic stress disorder (PTSD), as well as intimate relationship problems associated with PTSD. The purpose of this study was to evaluate the relative efficacy of CBCT and PE in improving intimate relationship functioning in active duty military personnel or veterans and their intimate partners; both conditions were hypothesized to significantly improve PTSD. Method: In this study, 32 military service members or veterans with PTSD and their intimate partners were randomized to receive either Cognitive-Behavioral Conjoint Therapy for PTSD ( = 15; CBCT; [Monson, C.

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Background: The impact of posttraumatic stress disorder (PTSD) is substantial and often results in pervasive functional impairments. Although evidence-based treatments for PTSD are established, there remains room for improvement as many individuals continue to meet diagnostic criteria even after successful treatment completion. Cannabidiol (CBD) has attracted considerable attention based on its potential to treat a myriad of health conditions.

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