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  • November 2, 2014
  • 12:17 PM
  • 417 views

What is recovery?

by DJMac in Recovery Review

A stumbling block to moving forward with recovery in the UK is lack of agreement about what recovery actually is. Highly specific definitions (e.g. recovery = abstinence) can lead to exclusion and fierce disagreement while non-specific definitions are too woolly to measure in services which are being asked to deliver measurable outcomes. Professionals and recovering people Professionals are [...]
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Kaskutas LA, Borkman TJ, Laudet A, Ritter LA, Witbrodt J, Subbaraman MS, Stunz A, & Bond J. (2014) Elements that define recovery: the experiential perspective. Journal of studies on alcohol and drugs, 75(6), 999-1010. PMID: 25343658  

  • October 13, 2014
  • 07:01 PM
  • 387 views

What do clinicians make of addiction recovery?

by DJMac in Recovery Review

Which teachers were the best when you were at school? Likely the ones who believed in you, connected with you, who had a vision for where you could go and who enthusiastically helped you get there. The same characteristics are likely to define the best clinicians too. In a study, published a few days ago, [...]
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Pillay, I., Best, D., & Lubman, D. (2014) Exploring Clinician Attitudes to Addiction Recovery in Victoria, Australia. Alcoholism Treatment Quarterly, 32(4), 375-392. DOI: 10.1080/07347324.2014.949126  

  • September 1, 2014
  • 11:46 PM
  • 436 views

Unpacking Recovery Part 4: Are We All on the Same Page?

by Andrea in Science of Eating Disorders


Another issue in defining and understanding recovery is that patients and clinicians may have different opinions about what recovery looks like and how to get there. Certainly, there is a body of literature from the critical feminist tradition in particular that explores how at times, patients can “follow the rules” of treatment systems to achieve a semblance of “recovery,” from a weight restoration and nutrition stabilization perspective, but feels nothing like a full and happy li........ Read more »

Noordenbos, G., & Seubring, A. (2006) Criteria for Recovery from Eating Disorders According to Patients and Therapists. Eating Disorders, 14(1), 41-54. DOI: 10.1080/10640260500296756  

  • August 26, 2014
  • 07:01 PM
  • 429 views

Narcotics Anonymous for military veterans

by DJMac in Recovery Review

A few years back in a city far, far away, I asked a consultant addiction psychiatrist why he did not refer any of his patients to NA. “There’s not a shred of evidence that it works,” he said. Even then he was misinformed, but I’ve thought many times since then about how his patients were [...]
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  • August 17, 2014
  • 07:01 PM
  • 481 views

Young people and 12-step – what’s not to like?

by DJMac in Recovery Review

Recent research suggests AA works as well for young people as it does for older adults, although maybe in different ways. Referring to 12-step mutual aid is embodied in our National Clinical Guidelines, National Drugs Policies and by NICE. Getting people to go is a different story as a leaflet and a recommendation has a [...]
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Labbe, A., Slaymaker, V., & Kelly, J. (2014) Toward Enhancing Twelve-Step Facilitation among young people: A systematic qualitative investigation of Young Adults' 12-step Experiences. Substance Abuse. DOI: 10.1080/08897077.2014.950001  

  • August 6, 2014
  • 02:27 AM
  • 528 views

Does AA work for young people?

by DJMac in Recovery Review

Evidence has accumulated over the last couple of decades of the association between attendance at Alcoholics Anonymous and improved drinking outcomes, including abstinence. AA is sometimes seen as an organisation that is better suited to older drinkers seeking sobriety than to folk under thirty, though there are in fact young people’s meetings in various large [...]
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  • July 1, 2014
  • 03:43 PM
  • 405 views

What is recovery and how do we measure it?

by DJMac in Recovery Review

What is recovery and how do we measure it? One problem with asking services to deliver recovery outcomes is that we actually do need to measure something to see if taxpayers are getting value for money. In a recently published paper, John F Kelly and Bettina Hoeppner from Harvard, take a look at the problems [...]
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Kelly, J., & Hoeppner, B. (2014) A biaxial formulation of the recovery construct. Addiction Research , 1-5. DOI: 10.3109/16066359.2014.930132  

  • June 22, 2014
  • 02:01 PM
  • 503 views

Solution to alcoholism? Get sober friends!

by DJMac in Recovery Review

A solution to alcoholism? If you want to live long and healthily, get loads of friends. That was the finding of a massive meta-analysis of around 150 studies involving over a third of a million people. Good social connections predict longevity. Dependent drinking shortens lives. Is the process of finding sober friends helpful as a solution [...]
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Litt, M., Kadden, R., Kabela-Cormier, E., & Petry, N. (2007) Changing network support for drinking: Initial findings from the Network Support Project. Journal of Consulting and Clinical Psychology, 75(4), 542-555. DOI: 10.1037/0022-006X.75.4.542  

Litt, M., Kadden, R., Kabela-Cormier, E., & Petry, N. (2009) Changing network support for drinking: Network Support Project 2-year follow-up. Journal of Consulting and Clinical Psychology, 77(2), 229-242. DOI: 10.1037/a0015252  

  • June 15, 2014
  • 05:20 AM
  • 439 views

Drug treatment is not delivering on recovery

by DJMac in Recovery Review

This hot-off-the-press paper starts with a financial bent. The costs to the UK taxpayer of illicit drug use are £15.4 billion ($26.1 billion) annually, most of it from crime. Quite a bill. How ought we reduce this? Medication assisted treatment (MAT) say Dale-Perera and colleagues, because strategies associated with rapid abstinence are associated with poor [...]
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Dale-Perera, A., Alam, F., & Barker, P. (2014) Opioid-dependence treatment in the era of recovery: insights from a UK survey of physicians, patients and out-of-treatment opioid users. Journal of Substance Use, 1-9. DOI: 10.3109/14659891.2014.923532  

  • June 9, 2014
  • 11:08 AM
  • 428 views

Smoking in recovery – the Blue Whale in the room 

by DJMac in Recovery Review

Blue Whale Alert Smoking and other addictions go hand in hand. In treatment populations, it’s usual to find that about 80-90% of clients are current smokers, compared to 20% of say the Scottish population. Nobody has done a survey on smoking prevalence in recovering populations in Scotland, but I would guess that for smoking in recovery [...]
The post Smoking in recovery – the Blue Whale in the room appeared first on Recovery Review.
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Gulliver SB, Kamholz BW, & Helstrom AW. (2006) Smoking cessation and alcohol abstinence: what do the data tell us?. Alcohol research , 29(3), 208-12. PMID: 17373411  

  • May 28, 2014
  • 02:25 AM
  • 369 views

What can doctors in long term recovery teach us?

by DJMac in Recovery Review

We can no more do without spirituality than we can do without food, shelter or clothing – Bruce Lipton Despite the fact that there are plenty of them about, we don’t have a lot of information on people in long term recovery. The researchers behind this study took the opportunity to interview doctors in long [...]
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Galanter, M., Dermatis, H., Stanievich, J., & Santucci, C. (2013) Physicians in Long-Term Recovery Who Are Members of Alcoholics Anonymous. The American Journal on Addictions, 22(4), 323-328. DOI: 10.1111/j.1521-0391.2013.12051.x  

  • May 21, 2014
  • 05:26 PM
  • 408 views

Recovery aggro – will we ever agree?

by DJMac in Recovery Review

What is recovery and how do you measure it? It’s contentious; that’s for sure. Recovery aggro is a reality. We could take off our coats and go outside to settle it or we can try to get some sort of consensus. Abstinence or maintenance If you align recovery solely with abstinence, you risk losing out on [...]
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Neale, J., Finch, E., Marsden, J., Mitcheson, L., Rose, D., Strang, J., Tompkins, C., Wheeler, C., & Wykes, T. (2014) How should we measure addiction recovery? Analysis of service provider perspectives using online Delphi groups. Drugs: Education, Prevention, and Policy, 1-14. DOI: 10.3109/09687637.2014.918089  

  • May 5, 2014
  • 04:13 AM
  • 458 views

The wise do recover from addiction

by DJMac in Recovery Review

Wisdom’s not a very scientific term is it? We sort of know what it means, but it’s vague and not really something to value or measure in scientific literature - right? It’s a bit like spirituality; you might get a dozen different definitions depending on whom you talk to. That hasn’t stopped researchers exploring what [...]
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DiGangi, J., Majer, J., Mendoza, L., Droege, J., Jason, L., & Contreras, R. (2014) What Promotes Wisdom in 12-Step Recovery?. Journal of Groups in Addiction , 9(1), 31-39. DOI: 10.1080/1556035X.2013.836869  

Galanter, M., Dermatis, H., Post, S., & Sampson, C. (2013) Spirituality-Based Recovery From Drug Addiction in the Twelve-Step Fellowship of Narcotics Anonymous. Journal of Addiction Medicine, 7(3), 189-195. DOI: 10.1097/ADM.0b013e31828a0265  

Kelly, J., Stout, R., Magill, M., Tonigan, J., & Pagano, M. (2011) Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous’ Principal Theoretical Mechanism of Behavior Change. Alcoholism: Clinical and Experimental Research, 35(3), 454-463. DOI: 10.1111/j.1530-0277.2010.01362.x  

  • September 23, 2013
  • 09:49 AM
  • 857 views

Exercise Diet and Recovery: High Protein Intake Before Bed Increases Rate of Muscle Synthesis.

by AB Kirk in Stiff Competition

Over the last few years a number of studies have looked at the importance of timing for nutrient intake. A number of studies have looked at the timing of carbohydrateThe post Exercise Diet and Recovery: High Protein Intake Before Bed Increases Rate of Muscle Synthesis. appeared first on WODMasters:.... Read more »

Res PT, Groen B, Pennings B, Beelen M, Wallis GA, Gijsen AP, Senden JM, & VAN Loon LJ. (2012) Protein ingestion before sleep improves postexercise overnight recovery. Medicine and science in sports and exercise, 44(8), 1560-9. PMID: 22330017  

Groen BB, Res PT, Pennings B, Hertle E, Senden JM, Saris WH, & van Loon LJ. (2012) Intragastric protein administration stimulates overnight muscle protein synthesis in elderly men. American journal of physiology. Endocrinology and metabolism, 302(1). PMID: 21917635  

  • May 22, 2013
  • 08:45 AM
  • 1,460 views

CrossFit Regionals Competitions: Ice Baths and Deep Massage. Do they help?

by AB Kirk in Stiff Competition

CrossFit Regionals Competitions s are almost here. Athletes should arrive well rested and hopefully injury free. CrossFit Regionals competitions are very intense. Athletes will have to complete several WODs aThe post CrossFit Regionals Competitions: Ice Baths and Deep Massage. Do they help? appeared first on WODMasters Stiff Competition.... Read more »

  • May 17, 2013
  • 12:13 PM
  • 771 views

Transitioning from Adolescent to Adult Eating Disorder Treatment Programs: What Are The Challenges?

by Andrea in Science of Eating Disorders


Navigating health service systems can seem daunting, to say the least. Making phone calls, getting doctor appointments and referrals, attending intake appointments, and preparing oneself for treatment can be both mentally and physically draining. When children and adolescents develop eating disorders, their parents become the main navigators in this scenario, making decisions and arrangements for their under-18-year-olds. But what happens when these adolescents reach the age of 18, and sti........ Read more »

Dimitropoulos, G., Tran, A., Agarwal, P., Sheffield, B., & Woodside, B. (2013) Challenges in Making the Transition Between Pediatric and Adult Eating Disorder Programs: A Qualitative Study From the Perspective of Service Providers. Eating Disorders, 21(1), 1-15. DOI: 10.1080/10640266.2013.741964  

  • November 18, 2012
  • 06:04 PM
  • 1,107 views

Weight Restored, Eating Well, But No Menses in Sight? Huh?

by Tetyana in Science of Eating Disorders

It is to be expected that the Diagnostic and Statistical Manual of Mental Disorders, at least when it comes to anorexia nervosa, relies heavily on measures that are hard to quantify and measure objectively. The big exception is amenorrhea: the absence of menses (commonly known as “periods”) for three consecutive months. As I’ve mentioned before, this criterion will be removed from the next edition of the DSM, thankfully. But for now, it is still there.
Perhaps because it is........ Read more »

Golden, N.H., Jacobson, M.S., Schebendac, J., Solanto, M.V., Hertz, S.M., & Shenker, R. (1997) Resumption of Menses in Anorexia Nervosa. Archives of Pediatrics , 151(1), 16. DOI: 10.1001/archpedi.1997.02170380020003  

Silber, T. (1997) Resumption of Menses in Anorexia Nervosa-Reply. Archives of Pediatrics , 151(6), 635. DOI: 10.1001/archpedi.1997.02170430100025  

  • July 6, 2012
  • 08:49 AM
  • 748 views

Should athletes abstain from drinking? Alcohol not water.

by ABK in Environment and Health


We were recently asked if drinking alcohol would have an effect on athletic performance and recovery. I know it sounds like this one would be obvious and part of it is. It’s reasonable to assume there is a statistically significant improbability of doing your best while drunk. You might do well by accident, but the odds are very, very stacked against that happening. But how about a beer after a WOD or workout, or a glass of wine with dinner? It looks like light drinkers perform as well ........ Read more »

  • July 6, 2012
  • 08:14 AM
  • 929 views

Should athletes abstain from drinking? Alcohol not water.

by Andrea Kirk in WODMasters

We were recently asked if drinking alcohol would have an effect on athletic performance and recovery. I know it sounds like this one would be obvious and part of it is. It’s reasonable to assume there is a statistically significant improbability of doing your best while drunk. You might do well by accident, but the odds are very, very stacked against that happening. But how about a beer after a WOD or workout, or a glass of wine with dinner? It looks like light drinkers perform as well a........ Read more »

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