Discriminative Nursing Care Practices Towards Patients With Opioid Use Disorder In The Hospital Setting: How Knowledge And Social Attitudes Impact Care Delivery, Jeanne Adam Bernier

Doctoral Dissertations

Discriminative nursing care (DNC) practices towards patients with opioid use disorder (OUD) is a current phenomenon negatively affecting patient care and patient outcomes. It leads to delays in care, insufficient pain control, and feelings of guilt and shame, and it is linked to self-isolation, social isolation, social rejection, and even unemployment and housing disruption which perpetuate a dangerous cycle of inequity that is hard to overcome. In some cases, OUD stigmatization even increases morbidity and mortality rates. OUD stigmatization and discrimination are real problems in today’s health care climate due to the vast number of people affected by OUD and …

Using Expressive Arts Therapy To Develop Coping Mechanisms To Manage Substance Use, Zayna Mcdonald

Expressive Therapies Capstone Theses

This paper examines past and current usages of expressive arts therapy in developing coping mechanisms for substance use recovery and explores possibilities for further integration in the adolescent and young adult population around the world. Abundant information is available on the effects of drugs and other substances on mental health, but more research is needed on how the integration of expressive arts therapy can enhance substance abuse programs for these populations. According to the CDC, elevated adverse effects on mental health occurred during the COVID-19 pandemic in the US with young adults reporting increased substance use (Czeisler et al., 2020). …

A Review Of Pre-Clinical Studies On Meth-Induced Gut Microbiome Alterations, Payton Brabant

Honors Theses

Substance use disorder (SUD) is a chronic, pervasive disease that affects approximately 40.3 million people aged 12 and over within the United States (SAMHSA, 2021). Recent investigations have emphasized preventive measures targeting the development of SUDs and the occurrence of relapse. However, to date, FDA-approved medications are only available for those with alcohol (AUD) and opioid use disorders (OUD) (Forouzan et al., 2021). Given that about 964,000 people have methamphetamine use disorder (MUD) within the United States, investigation of novel treatment approaches for psychostimulant abuse is warranted (Forouzan, Hoffman, and Kosten, 2020). Several negative effects can occur after using methamphetamine …

Non-Abstinent Recovery In Mindfulness-Based Relapse Prevention: Exploring Mechanisms Of Change And Social Moderators, David I.K Moniz-Lewis

Psychology ETDs

Recovery from substance use disorder (SUD) is heterogeneous by nature. Yet, over the last 50 years, substance use treatment providers and researchers have often defined success as sustained abstinence from substances. An often overlooked but equally valid pathway to recovery for persons with SUD is non-abstinent recovery. However, the majority of the literature on non-abstinent recovery exists for individuals with alcohol use disorder (AUD) with little empirical inquiry into non-abstinent recovery for other types of SUD. Additionally, there is also no known literature, to date, that explores the mechanisms that lead to non-abstinent recovery for individuals who have engaged in …

Precision Medicine Approaches To Alcohol Use Disorder For American Indians: Assessment And Phenotypic Differentiation Of Reward And Relief Drinking, Hanna M. Hebden

Psychology ETDs

American Indian (AI) communities endorse high rates of abstinence from alcohol and substance use, yet experience disparate rates of alcohol and substance-related consequences. Alcohol and substance use is conceptualized as interwoven with unique AI contextual factors, which are often not incorporated into examination of related constructs. Current knowledge gaps exist in study of precision medicine approaches to treatment for reward and relief drinking in AI. This study aimed to understand reward and relief substance use phenotypes in AI. We described a contextually-informed model of relief assessment and to compare this assessment to the original reward and relief models using latent …

Complex Contexts Within Oxford, Ted J. Bobak

College of Science and Health Theses and Dissertations

The benefits of social network activity within a recovery home are demonstrative through friendships that are manifested by abstinent individuals through their day-to-day interactions. The social network bonds that these residents build serve as motivating factors that prompt the engagement of pro-social behaviors while also discouraging destructive behaviors such as relapse. Recovery home residents with psychiatric comorbidities experience unique challenges, regarding long-term recovery outcomes. The aim of the current research is to explore the microcosms of comorbid recovery home (Oxford House) residents on loaning, friendship, and advice-seeking ties, and to understand their overall recovery factor scores. We found that psychiatrically …

Self-Identified Atheists In 12-Step Substance Use Disorder Treatment And Aftercare, Elizabeth Clare Bayley

Walden Dissertations and Doctoral Studies

The Minnesota model is ubiquitous in the United States for the treatment of substance use disorder (SUD). The model uses 12 steps and is centered on a belief in god(s) or a higher power; however, it is anathema to an atheist worldview. Researchers have noted that atheists do not readily become involved with 12-step programs and tend to drop out; however, there had been no qualitative investigations of the lived experiences of atheists in 12-step SUD treatment. The purpose of this study was to determine whether 12-step SUD treatment was problematic for atheists. An integrated theoretical framework was used. Minority …

The Role Of Brain-Derived Neurotrophic Factor In The Link Between Physical Activity And Psychosocial Recovery From Alcohol Use Disorder, Adam D. Wilson

Psychology ETDs

Objective: Alcohol Use Disorder (AUD) is a common, chronically relapsing condition with substantial health and economic costs. United States federal agencies have put out calls in the last decade to expand the scientific evidence base for broad biopsychosocial recovery from AUD and other substance use disorders (SUD). The present study examined the role of physical activity and exercise in early recovery from AUD, with specific attention to changes in brain-derived neurotrophic factor (BDNF) as a marker of neuroplasticity and a potential mechanism for instantiation of recovery-aligned behaviors. Method: Individuals in the first year of recovery from AUD were …

Harming The Help-Seeking: Necessity For Assessing Harmful And Biased Attitudes Toward Clients With Substance Use Disorder, Crystal D. Mcdowell, Crystal Dawn Mcdowell

Psychology Doctoral Specialization Projects

Numerous times, as a new clinician, I have witnessed the substance use disorder population referred to as not being dependable, dangerous, burnt out, and even hopeless. Often times I have heard mental health professionals make statements amongst themselves that the client could not be helped, referred to them as a “frequent flyer,” (meant to convey they frequently present for treatment, relapse, and return for treatment), and complain how tax dollars are being wasted to support the client. I felt empathy and a sense of hopelessness for these clients as they were seeking treatment in order to get help and yet …

A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice

Counseling & Human Services Theses & Dissertations

Group therapy is commonly used in the treatment of substance use disorders (SUD). Many studies exist related to the efficacy of group interventions for veterans with SUDs. A meta-analysis and systematic review of the literature addressing the use of group therapy, specifically psychoeducational groups, cognitive behavioral therapy (CBT) groups and support groups, in the treatment of SUDs with veterans was conducted. The following questions guided the research: What are viable treatment outcomes for psychoeducational, CBT, and support groups of veterans with SUDs? and What are the measures that capture outcomes related to psychoeducational, CBT, and support groups of veterans with …

The Development And Exploration Of A Twelve-Factor Model Of Motivations For Using Substances, Taylor Altenberger

Master's Theses

The existing literature suggests inconsistent and limited application of various salient motives to use substances across substance classes and has been further limited by only measuring substance use motives by the frequency at which one uses for a given reason. The purpose of this study was the development and initial validation of the Motivations for Substance Use Questionnaire (MUSQ). The MUSQ was intended to be a more comprehensive measure identifying motives to use that have been selectively included in some measures and expanding the breadth of substances addressed. We also aimed to index and test cognitive aspects of the motives …

Staff Engagement And Training In Supported Addiction Recovery Program For Adults With Intellectual Disabilities, Hannah Carlson Jurewicz

Walden Dissertations and Doctoral Studies

The prevalence of substance use disorder (SUD) is similar among individuals with intellectual or developmental disabilities (ID/DD) and the general population, yet there is a disparity between treatment and outcomes for these two groups due to a lack of appropriately adapted treatment and staff training. The purpose of this case study was to examine how leaders in a behavioral health organization understand the engagement and training experience for staff who provide substance abuse treatment for individuals with ID/DD. Governance and operational data were collected and analyzed from internal archival sources and organizational leader interviews. Themes identified from coding indicated that …

An Examination Of Therapeutic Alliance During Prolonged Exposure In The Treatment Of A Comorbid Ptsd And Sud Population, Annelisa Pedersen

Dissertations, Theses, and Capstone Projects

Prolonged exposure has emerged as a highly effective method of treating PTSD (Foa, Hembree, & Rothbaum, 2007; Ruzek et al., 2014), yet for some individuals it has proven to be anxiety-arousing to the point of being contraindicated (Morris, 2015). As a treatment, prolonged exposure can be a challenging procedure to implement given the high levels of avoidance, fear, and resistance that often accompany a diagnosis of PTSD (Arntz, Tiesema, & Kindt, 2007; Hoffart et al., 2013; McLaughlin et al., 2014). When it is used to treat individuals who carry an additional diagnosis of SUD, further complications may arise with respect …

Making Sense Of Missing Sessions: Attendance Patterns In Posttraumatic Stress Disorder And Substance Use Disorder Treatments, Margaret Rauen

Dissertations, Theses, and Capstone Projects

The current study examined the diverse ways individuals with co-occurring Posttraumatic Stress Disorder and Substance Use Disorders (PTSD-SUD) attend treatment. The study was a secondary analysis of a randomized controlled trial for PTSD-SUD (Ruglass et al., 2017), in which participants meeting criteria for both PTSD and SUD (N=82) were randomized to either Concurrent Treatment of PTSD and SUD using Prolonged Exposure (COPE: n=39) or Relapse Prevention Therapy (RPT: n=43). Latent class growth analysis (Muthén & Muthén, 2000) revealed three distinct classes of attendance as the model of best fit. Diagnostic, but not demographic, variables were significantly associated with treatment attendance …

Effects Of Oxytocin On Human Aggression, Joseph L. Alcorn Iii

Dissertations & Theses (Open Access)

EFFECTS OF OXYTOCIN ON HUMAN AGGRESSION

Joseph Louis Alcorn III, B.S.

Advisory Professor: Scott D. Lane, Ph.D.

Human interaction is comprised of common, yet complex, behaviors and the outcomes of these social behaviors can beneficially or detrimentally impact individual and public health. One social behavior that can have profound detrimental outcomes is aggression. Aggression is a class of social behavior that is particularly prevalent in individuals with antisocial personality disorder (ASPD) and comorbid substance use disorder (SUD). Aggression in these individuals can manifest at maladaptive levels that place considerable burdens on public health and communities. Therefore, understanding the neurobehavioral underpinnings …