OBJECTIVE To describe the characteristics at enrollment and outcomes of doctors in a substance dependence monitoring programme in Canada. DESIGN Prospective descriptive study. SETTING Provincial physician health programme, Canada. PARTICIPANTS All 100 doctors consecutively admitted to a substance dependence monitoring programme and followed until completion of monitoring or on leaving the...

BACKGROUND Serious substance misuse and dependence is widely seen as damaging to an individual and to society in general. Whereas the medical and society effects of substance misuse are widely described, some commentators suggest substance misuse may be an "alternative lifestyle". AIM To assess general life satisfaction amongst treatment-seeking people with substance dependence. METHODS The...

18 March 2004 | GENEVA/BRASILIA-The World Health Organization (WHO) today launched Neuroscience of Psychoactive Substance Use and Dependence, an authoritative report summarizing the latest scientific knowledge on the role of the brain in substance dependence. The report* is the first of its kind produced by WHO, and cites an explosion of advances in neuroscience to conclude that substance depen...

Indigenous adolescents are overrepresented at multiple stages of the justice system, but we know very little about the role that mental health, particularly substance use disorder, plays in Indigenous pathways to arrest. This study examined the association between substance use disorder, its comorbidity with other disorders, and arrest using a longitudinal sample of Indigenous youth from the No...

AIMS To review studies of the prevalence of substance abuse and dependence in prisoners on reception into custody. DESIGN AND METHOD A systematic review of studies measuring the prevalence of drug and alcohol abuse and dependence in male and female prisoners on reception into prison was conducted. Only studies using standardized diagnostic criteria were included. Relevant information, such as...

Opioids such as morphine, oxycodone, and fentanyl are widely used as effective analgesics for treating acute and chronic pain. Although appropriate use of opioid analgesics is an essential part of effective pain management, abuse and dependence on opioids pose a threat to health and have a devastating social and economic impact on families, communities, and nations. In a systematic analysis of ...

Addictions include a group of common, heritable psychiatric illnesses that have multiple psychiatric and medical comorbidities. Robust genetic associations have been found for alcohol dependence, nicotine dependence, and cocaine dependence. Common genetic associations have been found between alcohol dependence and aerodigestive cancers and between nicotine dependence and lung disease. These ass...

Background. There are limited community based treatment services for drug dependence in India. Rural areas and urban resettlement colonies are in particular deficient in such services. Aims. The current study aimed at preliminary assessment of substance use disorder management services at a community based substance use treatment clinic in an urban resettlement colony. Methods. The study was ca...

Alcoholism and drug addiction have marked impacts on the ability of families to function. Much of the literature has been focused on adult members of a family who present with substance dependency. There is limited research into the effects of adolescent substance dependence on parenting and family functioning; little attention has been paid to the parents' experience. This qualitative study lo...

BACKGROUND Bipolar disorder has emerged as a risk factor for substance use disorders (alcohol or drug abuse or dependence) in youth; however, the association between bipolar disorder and substance use disorders is complicated by comorbidity with conduct disorder. We used familial risk analysis to disentangle the association between the three disorders. METHODS We compared relatives of four pr...