All posts; Tags Include "Treatment"
- October 13, 2014
- 07:01 PM
- 386 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
- August 10, 2014
- 07:01 PM
- 456 views
“You’re all going to hate the word ‘recovery’”
by DJMac in Recovery Review
One of the problems with an aspirational and non-prescriptive definition of recovery is that it is hard to measure. The definitions most commonly featured in the literature share some elements including wellbeing or health, abstinence and citizenship. Clearly if you can’t define it precisely, then it’s hard to commission services to deliver on it. In [...]
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Neale, J., Tompkins, C., Wheeler, C., Finch, E., Marsden, J., Mitcheson, L., Rose, D., Wykes, T., & Strang, J. (2014) “You’re all going to hate the word ‘recovery’ by the end of this”: Service users’ views of measuring addiction recovery. Drugs: Education, Prevention, and Policy, 1-9. DOI: 10.3109/09687637.2014.947564
- July 29, 2014
- 07:01 PM
- 491 views
Gabapentin and pregabalin misuse
by DJMac in Recovery Review
Gabapentin and pregabalin misuse are problems that are not going to go away. My post on gabapentin is one of the most-read on this site. While these are useful medicines, workers in drug treatment and support see patients regularly on gabapentin or pregabalin who have misused the drugs or who are misusing them. Guidance is [...]
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Schifano, F. (2014) Misuse and Abuse of Pregabalin and Gabapentin: Cause for Concern?. CNS Drugs, 28(6), 491-496. DOI: 10.1007/s40263-014-0164-4
- July 12, 2014
- 04:31 AM
- 530 views
Gold standard addiction treatment
by DJMac in Recovery Review
Gold standard addiction treatment Addiction to alcohol or other drugs is not easy to recover from. However there are many pathways to recovery, including through treatment. One group of patients does far better than most other groups. In fact their results are so impressive that many commentators have urged us to learn from what’s [...]
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DuPont, R., McLellan, A., White, W., Merlo, L., & Gold, M. (2009) Setting the standard for recovery: Physicians' Health Programs. Journal of Substance Abuse Treatment, 36(2), 159-171. DOI: 10.1016/j.jsat.2008.01.004
- June 15, 2014
- 05:20 AM
- 437 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
- 427 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 [...]
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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
- June 3, 2014
- 07:15 PM
- 428 views
Detox is not enough
by DJMac in Recovery Review
One of the problems with treatment outcome research is that it’s typically not really recovery research. Often treatment outcome studies for opiate addiction will focus on opioid replacement, measuring reduction of harms over time using baseline measurements against eventual outcomes. If they compare treatment types then ORT is often compared against detox, which is arguably [...]
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Smyth BP, Barry J, Keenan E, & Ducray K. (2010) Lapse and relapse following inpatient treatment of opiate dependence. Irish medical journal, 103(6), 176-9. PMID: 20669601
SMYTH, B. (2005) In-patient treatment of opiate dependence: medium-term follow-up outcomes. The British Journal of Psychiatry, 187(4), 360-365. DOI: 10.1192/bjp.187.4.360
- June 2, 2014
- 04:00 AM
- 549 views
Moderate drinking or abstinence for alcoholics?
by DJMac in Recovery Review
There is evidence that treatment seekers favour abstinence when they come for help, but what does abstinence offer in terms of quality of life (QOL), compared to continued heavy drinking or moderate drinking? My own experience is that many dependent drinkers will first seek to try out controlled drinking. However some have already realised that [...]
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Daeppen, J., Faouzi, M., Sanchez, N., Rahhali, N., Bineau, S., & Bertholet, N. (2014) Quality of Life Depends on the Drinking Pattern in Alcohol-Dependent Patients. Alcohol and Alcoholism. DOI: 10.1093/alcalc/agu027
- May 19, 2014
- 01:22 PM
- 422 views
Doctors and Nurses with Addictions
by DJMac in Recovery Review
As I’ve said before, doctors get addicted to alcohol and other drugs. They also get different treatment and outcomes from their patients. But what about nurses? If you are a nurse or a doctor with a substance problem and it comes to the attention of your employer, then what happens to you in the UK [...]
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Shaw, M., McGovern, M., Angres, D., & Rawal, P. (2004) Physicians and nurses with substance use disorders. Journal of Advanced Nursing, 47(5), 561-571. DOI: 10.1111/j.1365-2648.2004.03133.x
- February 4, 2014
- 09:48 PM
- 696 views
Setting a Target Weight: An Arbitrary Exercise?
by Tetyana in Science of Eating Disorders
Achieving a healthy weight is a major goal of anorexia nervosa treatment. Indeed, a healthy weight is often seen as a prerequisite for psychological recovery. The fact that weight restoration is a crucial component of recovery is uncontroversial, the problem arises when it comes to determining what constitutes a healthy weight. How are ideal, optimal, or goal weights set? And who gets to decide?
Despite its recognized importance, there’s surprisingly little consensus on how target w........ Read more »
Roots, P., Hawker, J., & Gowers, S. (2006) The use of Target Weights in the Inpatient Treatment of Adolescent Anorexia Nervosa. European Eating Disorders Review, 323-328. DOI: 10.1002/erv.723
- January 13, 2014
- 10:53 AM
- 1,458 views
Examining Mandometer(r) Founders’ 10 “Reasons” Why Eating Disorders Are Not Mental Disorders – Part II
by Tetyana in Science of Eating Disorders
This is the last post in my mini-series on the Mandometer® Treatment. (Links to earlier posts here: Part I, Part II, and Part III). In this post I’m going to continue examining Bergh et al.’s reasons for why eating disorders are not mental disorders (#6-10). In my last post I omitted something important: I didn’t define mental disorders, but to avoid repeating myself, please see my comment on the topic here.
Bergh et al.’s reason #6 why EDs are not mental disorder........ Read more »
Bergh C, Callmar M, Danemar S, Hölcke M, Isberg S, Leon M, Lindgren J, Lundqvist A, Niinimaa M, Olofsson B.... (2013) Effective treatment of eating disorders: Results at multiple sites. Behavioral Neuroscience, 127(6), 878-89. PMID: 24341712
- January 8, 2014
- 10:00 AM
- 657 views
Examining Mandometer(r) Founders’ 10 “Reasons” Why Eating Disorders Are Not Mental Disorders
by Tetyana in Science of Eating Disorders
This is Part III of my mini-series on the Mandometer® treatment. In my first post, I wrote about the history and rationale of the Mandometer® treatment. In my second post, I evaluated a recent study published by the creators of Mandometer® (Bergh et al., 2013); I wanted to see whether their data supported their claims (spoiler alert: it didn’t). In this post, I’m going to focus on the first five of Bergh et al.’s ten reasons why eating disorders are not mental disorders........ Read more »
Bergh C, Callmar M, Danemar S, Hölcke M, Isberg S, Leon M, Lindgren J, Lundqvist A, Niinimaa M, Olofsson B.... (2013) Effective treatment of eating disorders: Results at multiple sites. Behavioral Neuroscience, 127(6), 878-89. PMID: 24341712
- December 30, 2013
- 11:22 AM
- 724 views
The Finest Quality Snake Oil: Mandometer(r) Treatment for Eating Disorders – Part II
by Tetyana in Science of Eating Disorders
This is Part II of my mini-series on the Mandometer(r) treatment for eating disorders (link to Part I). In Part I, I provided some background on the Mandometer(r) treatment; in this post, I want to take an in-depth look at the recent Mandometer treatment study. My main goal is to see whether their data live up to their claims. Warning: This post may contain high levels of snark.
Their main claims? This is from the abstract:
Sounds pretty good, right? (Note the use of the word “........ Read more »
Bergh C, Callmar M, Danemar S, Hölcke M, Isberg S, Leon M, Lindgren J, Lundqvist A, Niinimaa M, Olofsson B.... (2013) Effective treatment of eating disorders: Results at multiple sites. Behavioral neuroscience, 127(6), 878-89. PMID: 24341712
- December 24, 2013
- 08:05 PM
- 842 views
The Finest Quality Snake Oil: Mandometer(r) Treatment for Eating Disorders – Part I
by Tetyana in Science of Eating Disorders
PROTIP: When selling your snake oil treatment, try NOT to make wildly outrageous efficacy claims. But if you can’t resist that temptation, try to limit your hard-to-believe, eye-roll-inducing claims to your treatment — there’s no need to go further.
In this post, I’m going to give a brief history of the Mandometer® treatment and its apparent rationale. In the next one or two posts, I will do an analysis of the most recently study by the group that claims to show r........ Read more »
Bergh C, & Södersten P. (1996) Anorexia nervosa, self-starvation and the reward of stress. Nature medicine, 2(1), 21-2. PMID: 8564826
Bergh, C., Eklund, S., Eriksson, M., Lindberg, G., & Sodersten, P. (1996) A new treatment of anorexia nervosa. . The Lancet, 611-612. DOI: 10.1016/S0140-6736(05)64824-6
Bergh, C., Brodin, U., Linberg, G., & Sodersten, P. (2002) Randomized controlled trial of a treatment for anorexia and bulimia nervosa. PNAS, 99(14), 9486-9491. DOI: 10.1073/pnas.142284799
Bergh C, Callmar M, Danemar S, Hölcke M, Isberg S, Leon M, Lindgren J, Lundqvist A, Niinimaa M, Olofsson B.... (2013) Effective treatment of eating disorders: Results at multiple sites. Behavioral neuroscience, 127(6), 878-89. PMID: 24341712
- November 8, 2013
- 11:28 PM
- 760 views
Dialectical Behavioural Therapy for the “Difficult to Treat” Eating Disorder Patients
by Andrea in Science of Eating Disorders
If there is anything we’ve learned over the many years of eating disorder research, it is that eating disorders are extremely complex. Often, this complexity is intensified by comorbidities, including post-traumatic stress disorder, depression, and “personality disorders.” Unfortunately, individuals whose disorders are labeled persistent, chronic, or “difficult to treat” may be even less likely to receive the treatment and support they require, deserve, and de........ Read more »
Federici A, & Wisniewski L. (2013) An intensive DBT program for patients with multidiagnostic eating disorder presentations: a case series analysis. The International Journal of Eating Disorders, 46(4), 322-31. PMID: 23381784
- October 25, 2013
- 07:10 PM
- 631 views
The Sobering Reality (and the Silver Lining) of Treating Anorexia Nervosa in Adults: A Randomised Controlled Trial
by Tetyana in Science of Eating Disorders
The challenges of treating anorexia nervosa are plenty; some of these challenges — like low prevalence rate and high treatment dropout rate — make conducting randomised controlled trials aimed at identifying effective treatment methods really hard as well.
So I was pretty excited about the recently published randomised controlled trial comparing focal psychodynamic therapy (FPT), cognitive behaviour therapy (CBT), and optimised treatment as usual in adult (a harder to treat ........ Read more »
Zipfel S, Wild B, Groß G, Friederich HC, Teufel M, Schellberg D, Giel KE, de Zwaan M, Dinkel A, Herpertz S.... (2013) Focal psychodynamic therapy, cognitive behaviour therapy, and optimised treatment as usual in outpatients with anorexia nervosa (ANTOP study): randomised controlled trial. Lancet. PMID: 24131861
Bulik CM. (2013) The challenges of treating anorexia nervosa. Lancet. PMID: 24131860
- October 21, 2013
- 03:00 PM
- 433 views
Breakthrough Treatment for Alzheimer’s….in Mice
by Juliarosencl in Antisense Science
Alzheimer’s disease is a growing problem as the population ages and the Alzheimer’s Society predicts that over a million people in the UK will suffer from dementia by 2021.
A paper published in the journal Science Translational Medicine on October the 9th was quickly jumped on by the press as and hailed as a ‘turning point’ by Prof R Morris at Kings College London. However it is important to note that this study that must be taken with a “pinch of salt” as........ Read more »
Lesné SE. (2013) Breaking the Code of Amyloid-β Oligomers. International journal of cell biology, 950783. PMID: 24072999
Selkoe DJ. (2004) Cell biology of protein misfolding: the examples of Alzheimer's and Parkinson's diseases. Nature cell biology, 6(11), 1054-61. PMID: 15516999
Moreno JA, Halliday M, Molloy C, Radford H, Verity N, Axten JM, Ortori CA, Willis AE, Fischer PM, Barrett DA.... (2013) Oral treatment targeting the unfolded protein response prevents neurodegeneration and clinical disease in prion-infected mice. Science translational medicine, 5(206). PMID: 24107777
- October 5, 2013
- 01:58 PM
- 533 views
The Art of Therapy: Using of Arts-Based Therapies in Eating Disorder Treatment
by Andrea in Science of Eating Disorders
Arts-based therapies are often used to supplement more “traditional” eating disorder treatment protocols in various different settings, ranging from individual therapy to inpatient units. However, as Frisch, Franko & Herzog (2006) note, no published research provides empirical support for the use of arts-based therapies for eating disorder treatment.
You might be wondering: if there is no empirical support, why are clinicians still using these therapeutic practices? You might also be wonder........ Read more »
Frisch MJ, Franko DL, & Herzog DB. (2006) Arts-based therapies in the treatment of eating disorders. Eating Disorders, 14(2), 131-42. PMID: 16777810
- September 22, 2013
- 11:33 PM
- 596 views
Cognitive-Behavioural Therapy for Bulimia Nervosa in the “Real World”: What’s the Evidence?
by Tetyana in Science of Eating Disorders
Cognitive-behavioural therapy (CBT) is commonly described as the evidence-based treatment for bulimia nervosa. But do the findings from nearly perfectly crafted trials, with stringently followed protocols and “ideal” participants apply to the “real world”? How generalizable are the findings from carefully selected participants to clinical populations where, for one, the prevalence of psychiatric comorbidities is relatively high?
In other words, CBT has been shown to be efficacious ........ Read more »
Waller G, Gray E, Hinrichsen H, Mountford V, Lawson R, & Patient E. (2013) Cognitive-behavioral therapy for bulimia nervosa and atypical bulimic nervosa: Effectiveness in clinical settings. International Journal of Eating Disorders. PMID: 23996224
- July 3, 2013
- 01:07 AM
- 575 views
Hide or Seek? Social Support and Eating Disorders
by Andrea in Science of Eating Disorders
Social support has been noted as key in helping individuals with any number of health issues to cope with illness and even thrive in adverse situations (Sarason, Sarason & Pierce, 1990). Individuals with eating disorders may be encouraged, as an adjunct to treatment or even in the absence of formal treatment, to seek out social support to help with the day-to-day management of their disorder (Holt & Espelage, 2002). However, not everyone with an eating disorder seeks out social sup........ Read more »
Akey JE, Rintamaki LS, & Kane TL. (2013) Health Belief Model deterrents of social support seeking among people coping with eating disorders. Journal of Affective Disorders, 145(2), 246-52. PMID: 22840616
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