International Journal of Addiction Research and Therapy


Modelling Predictors of Gambling Harms with Stochastic Search Variable Selection (SSVS)

Research Article of International Journal of Addiction Research and Therapy Modelling Predictors of Gambling Harms with Stochastic Search Variable Selection (SSVS) Alysha Cooper, Harvey H. C. Marmurek University of Guelph The purpose of the present study was to introduce stochastic search variable selection (SSVS) as a procedure to identify a subset of important predictors of gambling harm. The target set of predictors were dimensions of trait impulsivity, gambling cognitions, and gambling motivations. Five types of gambling harm (feeling one has a personal problem; social criticism; feeling guilt; health; and, financial) were measured by the Problem Gambling Severity Index. Casino patrons completed the measures. As a first step, we identified the significant predictors that would be included in modelling an aggregate harm score. The most important predictors, the cognition that one is not able to stop gambling, and the motivation to escape or avoid life stressors, were positively associated with overall harm. Two weaker, but statistically significant, predictors were negatively associated with harm: sensation-seeking and illusion of control. Although a perceived inability to stop gambling was the most important predictor of each individual harm, the pattern of predictors varied across harms. For example, sensation-seeking was an important predictor only for the belief that one has a gambling problem, and escape/avoidance motivation was strongly predictive of financial harm. The results suggest that primary interventions designed to mitigate harm should address the belief that the gambler is unable to stop gambling, and motivations related to escape/avoid life stressors. Other interventions would be tailored to the specific harms experience by the gambler. Keywords: Modelling Predictors, Gambling Harms, Stochastic Search Variable Selection (SSVS) ...

Anger, Anxiety and Health Determinants in the Process of Community Recovery

Review Article of International Journal of Addiction Research and Therapy Anger, Anxiety and Health Determinants in the Process of Community Recovery Pascal Scoles, DSW, LCSW Professor, Behavioral Health and Human Services and Director, Office of Collegiate Recovery, Student Life, Community College of Philadelphia, PA The article discusses anger and anxiety in the context of recovery. It relates social determinants of health to individual pathology and how an individuals stress level is related to one’s community. How stressors such as, drug infected areas, lack of access to parks and playgrounds, quality education, etc impact significantly on a person’s anxiety is discussed. To help facilitate healthy change the use of peer specialists and partnering with the faith-based community can create a more comprehensive network of supportive allies. Keywords: Anger, Anxiety, Health Determinants, Community Recovery ...

MAGUEREZ ARCH AS A METHODOLOGY FOR APPLICABILITY OF ACTIONS IN ADHESION TO ALCOHOL TREATMENT

Research Article of International Journal of Addiction Research and Therapy MAGUEREZ ARCH AS A METHODOLOGY FOR APPLICABILITY OF ACTIONS IN ADHESION TO ALCOHOL TREATMENT Carla Suzana Balbino da Silva Miranda¹*, Arely de Macêdo Bona², Flávia Alessandra Bezerra Furtado³, Márcia Vannusa Vieira4, Maria Jamisse de Araújo Oliveira5; Vanessa de Morais Braga6; ¹*Mestranda na Universidade Estadual do Ceará (UECE), ²Mestranda UECE; ³Mestranda UECE; 4Mestranda UECE; 5Mestranda UECE; 6Mestranda UECE Introduction: The active methodology is an educational conception that stimulates critical-reflexive teaching-learning processes. Objective to apply the Arco de Maguerez in the Jardim Oasis community, in the municipality of Iguatu-CE. Methodology: The first method was applied to the Hanlon method, in which priorities were established, based on the criteria of magnitude, severity, effectiveness and feasibility. Each criterion was analyzed using numerical score scores: magnitude (1-10); severity (1-10), effectiveness (0.5-1.5) and feasibility (0 or 1). It was through the observational analysis that the problematization “difficulty in adhering to the treatment of alcoholism” was highlighted. As a methodological framework, he used the Maguerez Arch based on “five steps”: observation of reality; key points of the problem; theorization; hypotheses of solution; application of action in reality. Results: First Step - Observation of Concrete Reality. Second Step - Determination of Key Posts Third Step - Theorizing: There is a consensus in the literature on the low adherence rate of dependents, the dropout rates are generally above 50%. The literature found that more than 50% of patients evade in the first month. Fourth Step - Solution Hypotheses: Establish Links; inform; use harm reduction policy. Step Five - Application to Reality; Action plans to improve the problem in the reference territory. Conclusion: It was understood that despite being a pedagogical instrument focused on the teaching - learning process, it can be fully applied in the daily routine of health services, ...

Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

Research Article of International Journal of Addiction Research and Therapy Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up Soontaree Srikosai1, Sirisak Thitidilokrat2, Hathaichonnee Booncharoen3, Doungdaen Chainoy4, Apisak Wittayanookulluk5, Napatsorn Rungsiwaroj5, Lasita Srithammachart 5                 1Rajanagarindra Institute of Child Development, Department of Mental Health, Thailand; 2Srithanya Hospital, Department of Mental Health, Thailand; 3Mental Health Center Region; 4Department of Mental Health, Thailand; 4Suan Prung Psychiatric Hospital, Department of Mental Health, Thailand; 5Thanyarak Chiangmai Hospital, Department of Medicine, Thailand Background: After receiving in-patient treatment for alcohol abuse, alcohol-dependent patients (ADP) are at risk to return to heavy drinking. Little has been known regarding the correlates of socio-demographic and heavy drinking within 6-month after inpatient treatment. Objectives: This study aims to examine the socio-demographic correlates of heavy drinking among Thai ADP after hospital discharge within six-months. Methods: A prospective cohort study of 618 ADP who received inpatient treatment at two tertiary care hospitals in Northern Thailand between July and December 2014. Heavy drinking is defined by the World Health Organization as ≥5 standard drinks for men and ≥4 standard drinks for women per occasion. Heavy drinking data was collected using a Timeline Follow Back Calendar (TLFB) every month after discharge. Other measures included the Alcohol Use Disorder Identification Test (AUDIT), Rosenberg Self-esteem Scale, Alcohol Craving Control (ACC), Severity of Alcohol Dependence Questionnaire (SADQ), and demographic questionnaires. Results: 618 participants present with a mean age of 43.28 (SD=10.01) years, 94.2% male, 216 (35%) reported that family members are drinkers, and 400 (70.7%) continue to exhibit heavy drinking behaviour. The logistic regression model revealed that age at onset of alcohol use was correlated with heavy drinking after hospital discharge within 6 months (p<.01). Conclusions/Importance: Many socio-demographic factors were analysed as potential correlates of a return to heavy-drinking. The only relevant ...

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International Journal of Addiction Research and Therapy (ISSN:2637-8795; DOI:10.28933/IJART) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Addiction Research and Therapy (Indexing information).

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International Journal of Addiction Research and Therapy

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