160 results match your criteria: "Recovery Research Institute[Affiliation]"

Recovery support services as part of the continuum of care for alcohol or drug use disorders.

Addiction

January 2025

Harvard Medical School and Center for Addiction Medicine, Recovery Research Institute, at Massachusetts General Hospital, Boston, MA, USA.

Background: The definition of 'recovery' has evolved beyond merely control of problem substance use to include other aspects of health and wellbeing (known as 'recovery capital') which are important to prevent relapse to problematic alcohol or other drug (AOD) use. Developing a Recovery Oriented System of Care (ROSC) requires consideration of interventions or services (Recovery Support Services, RSS) designed to build recovery capital which are often delivered alongside established treatment structures. Lived experience and its application to the process of engaging people, changing behaviour and relapse prevention is an essential part of these services.

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Who participates in the 'Celebrate Recovery' mutual-help organization? Results from a National US Investigation.

Drug Alcohol Depend

February 2025

Recovery Research Institute, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 151 Merrimac Street, 4th Floor, Boston, MA 02114, United States.

Introduction: Celebrate Recovery (CR) is a new, rapidly growing mutual-help organization (MHO) based on Christian principles and is the largest religious MHO in the US. However, very little is known about CR empirically.

Methods: Secondary data analysis of the National Recovery Study (NRS) (Kelly et al.

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Background: College students who are in recovery from substance use disorders face challenges related to abstaining from substance use, finding supportive social networks, and achieving their academic goals. These students may therefore seek out various recovery supports at their institutions to meet their needs and goals.

Methods: This study analyzed previously collected data to explore themes related to students' experiences of recovery, including their recovery needs and challenges while also attending college.

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Aims: Structured clinical interviewing is considered the gold standard in psychiatric diagnosis. The Diagnostic Assessment Research Tool (DART) is a novel modularized, non-copywritten, semi-structured interview; however, no studies have examined the psychometric properties of its alcohol use disorder (AUD) module. The primary aims of this study were to: (i) validate the factor structure of the DART AUD module and (ii) examine measurement invariance across several key demographic and subgroup factors.

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Examining Caregiver Practices During Adolescent Outpatient Alcohol Use and Co-Occurring Mental Health Treatment: Protocol for a Dyadic Ecological Momentary Assessment Study.

JMIR Res Protoc

December 2024

Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University,, Brown University, Providence, RI, United States.

Background: Caregiver-involved treatments for adolescents with alcohol use disorder and co-occurring disorders (AUD+CODs) are associated with the best treatment outcomes. Understanding what caregiving practices during treatment improve core adolescent treatment targets may facilitate the refinement and scalability of caregiver-involved interventions. Caregiving is dynamic, varying by context, affect, and adolescent behavior.

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Rationale: Several studies have reported associations between substance use and effort-related decision making, or the degree to which effort expenditure impacts the choice between lower and higher value rewards. However, previous research has not explored effort-related decision making in populations with severe substance use disorder.

Objectives: Investigate the association between effort-related decision-making and substance use disorder severity.

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Divergence in cannabis and alcohol use disorder prevalence trends from 2002 to 2019.

Drug Alcohol Depend

January 2025

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Baltimore, MD 21224, USA. Electronic address:

Article Synopsis
  • Daily cannabis use rose significantly by 94% from 2002 to 2019, but the prevalence of cannabis use disorder (CUD) among daily users decreased by nearly 48%.
  • Alcohol use showed a decrease in daily use by about 11% and a slight reduction in alcohol use disorder (AUD).
  • The findings indicate that societal perceptions of harm related to cannabis have evolved, affecting the diagnosis and treatment of CUD compared to AUD over the same period.
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Evaluating the association between alcohol sweetness preference, alcohol harm, and alcohol value.

Exp Clin Psychopharmacol

December 2024

Department of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, Johns Hopkins University School of Medicine.

Alcohol use disorder is prevalent, and various risk factors inform drinking onset and drinking patterns. Existing data suggest that alcohol sweet taste preference may be associated with harmful levels of alcohol use and alcohol-related harm. The present exploratory study aimed to characterize people's first alcohol use experience, probe the association between sweet taste preferences and drinking patterns over time, and evaluate the relationship between sweet taste preferences and behavioral economic variables.

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The transition from jail to community is a high-risk time for individuals experiencing substance use disorders (SUD), with elevated risks of overdose and other substance-related harms, as well as high recidivism rates and re-incarceration. Gains made from successful treatment in prison are often lost in this transition. The current paper evaluates this process for one justice programme, Chesterfield HARP, a Therapeutic Community based in the Chesterfield County jail that continues supporting former inmates through their release by examining engagement and retention rates and changes in recovery capital among incarcerated individuals before incarceration and after transition to recovery housing in the community.

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Policies vary substantially in terms of providing sources of psychosocial enrichment. Behavioral economic models of substance use and addiction emphasize that deficits in access to substance-free sources of reward increase substance reinforcing value and risk for addiction. The current study used an alcohol demand curve approach to test the hypothesis that various indices of reward deprivation would be associated with elevated alcohol reinforcing efficacy.

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Background: Collegiate Recovery Programs (CRPs) play a vital and expanding role in supporting students in recovery from substance use disorders and behavioral addictions at higher education institutions. Despite their importance, there is a lack of comprehensive research characterizing CRPs, including their program directors and the nature and influence of their funding streams.

Methods: A survey was administered to 70 CRP directors across the US and Canada.

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Article Synopsis
  • A small working group was formed to modernize the Methodological Expectations for Campbell Collaboration Intervention Reviews (MECCIR) based on feedback indicating that the previous version was too lengthy and challenging to use.
  • The goal was to create a more concise and relevant checklist that includes guidance for both conducting and reporting reviews, applicable to various types including quantitative non-intervention reviews.
  • The development process included multiple meetings to discuss and refine the checklist, aligning it with existing standards, and incorporated feedback from Campbell members to ensure it was comprehensive yet user-friendly.
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Relationship between central autonomic effective connectivity and heart rate variability: A Resting-state fMRI dynamic causal modeling study.

Neuroimage

October 2024

Institute for Drug and Alcohol Studies, Department of Psychiatry, Virginia Commonwealth University, 203 East Cary Street, Suite 202, Richmond 23219, VA, United States; Department of Psychiatry, Virginia Commonwealth University, VA, United States; Department of Pharmacology and Toxicology, Virginia Commonwealth University, VA, United States; Department of Neurology, Virginia Commonwealth University, VA, United States; C. Kenneth and Dianne Wright Center for Clinical and Translational Research, Virginia Commonwealth University, VA, United States.

The central autonomic network (CAN) serves as a regulatory hub with top-down regulatory control and integration of bottom-up physiological feedback via the autonomic nervous system. Heart rate variability (HRV)-the time variance of the heart's beat-to-beat intervals-is an index of the CAN's affective and behavioral regulatory capacity. Although neural functional connectivities that are associated with HRV and CAN have been well studied, no published report to date has studied effective (directional) connectivities (EC) that are associated with HRV and CAN.

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Publisher Correction: Hazardous drinking and alcohol use disorders.

Nat Rev Dis Primers

September 2024

Institute for Mental Health Policy Research, Campbell Family Mental Health Research Institute, PAHO/WHO Collaborating Centre, Centre for Addiction and Mental Health, Toronto, Canada.

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Background: Most feedback received by health services is positive. Our systematic scoping review mapped all available empirical evidence for how positive patient feedback creates healthcare change. Most included papers did not provide specific details on positive feedback characteristics.

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Background And Aims: Alcohol use disorder (AUD) is characterized by low levels of engagement with effective treatments. Enhancing awareness of AUD treatments and how to navigate the treatment system is crucial. Many individuals use online sources (e.

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Social recovery capital (SRC) is the combination of social resources that can be used to initiate and sustain addiction recovery through friends, family, and peers. Broadly, understanding one's SRC allows us to get a sense of where one has social support for recovery and where there may be social barriers to their recovery process. SRC is often a vital component of many people's recovery journey, yet our understanding of how best to use this concept in research and practice remains underdeveloped.

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Heterogeneity in choice models of addiction: the role of context.

Psychopharmacology (Berl)

September 2024

Department of Psychology, University of Sheffield, Sheffield, S1 2LT, UK.

Rationale: Theories of addiction guide scientific progress, funding priorities, and policy development and ultimately shape how people experiencing or recovering from addiction are perceived and treated. Choice theories of addiction are heterogenous, and different models have divergent implications. This breeds confusion among laypeople, scientists, practitioners, and policymakers and reduces the utility of robust findings that have the potential to reduce the global burden of addiction-associated harms.

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Article Synopsis
  • The study aims to assess cannabis use and use disorder prevalence through epidemiologic surveys, addressing discrepancies in existing estimates and their reliability.
  • A meta-analysis of 39 studies from 1980-2013 revealed significant variability in prevalence rates, with past-year use estimated at 12.83% and lifetime use at 38.31%, indicating notable differences influenced by factors like country and methodology.
  • The findings highlight concerns about the generalizability of cannabis prevalence data and suggest recommendations for improving the validity and reliability of future estimates.
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The reinforcing efficacy, or behavior-strengthening effect, of a substance is a critical determinant of substance use typically quantified by measuring behavioral allocation to the substance under schedules of reinforcement with escalating response requirements. Although responses on these tasks are often used to indicate stable reinforcing effects or trait-level abuse potential for an individual, task designs often demonstrate within-person variability across varying degrees of a constraint within experimental procedures. As a result, quantifying behavioral allocation is an effective approach for measuring the impact of contextual and psychosocial factors on substance reward.

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Background: Improved knowledge of factors that influence treatment engagement could help treatment providers and systems better engage patients. The present study used machine learning to explore associations between individual- and neighborhood-level factors, and SUD treatment engagement.

Methods: This was a secondary analysis of the Global Appraisal of Individual Needs (GAIN) dataset and United States Census Bureau data utilizing random forest machine learning and generalized linear mixed modelling.

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Human laboratory models of reward in substance use disorder.

Pharmacol Biochem Behav

August 2024

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Baltimore, MD 21224, USA. Electronic address:

Human laboratory models in substance use disorder provide a key intermediary step between highly controlled and mechanistically informative non-human preclinical methods and clinical trials conducted in human populations. Much like preclinical models, the variety of human laboratory methods provide insights into specific features of substance use disorder rather than modelling the diverse causes and consequences simultaneously in a single model. This narrative review provides a discussion of popular models of reward used in human laboratory research on substance use disorder with a focus on the specific contributions that each model has towards informing clinical outcomes (forward translation) and analogs within preclinical models (backward translation).

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Background: Behavioral economic theory suggests that the value of alcohol depends upon elements of the choice context, such that increasing constraints on alternatives (e.g., price) or increasing the benefits of alcohol (e.

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Objective: Social environment is a key determinant of substance use, but cannabis-related social network analysis is not common, in part because of the assessment burden of comprehensive egocentric social network analysis.

Method: The current pre-registered secondary analysis assessed the psychometric properties (i.e.

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Social recovery capital (SRC) refers to resources and supports gained through relationships and is vital to adolescent addiction recovery. Much is known about how substance use relates to social networks, but little is known about how other dimensions of social networks influence recovery (e.g.

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