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Sample records for abuse integrating effectiveness

  1. Typological and Integrative Models of Sexual Abuse

    OpenAIRE

    Demidova L.Y.,; Dvorjanchikov N.V.,

    2014-01-01

    We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the mode...

  2. Typological and Integrative Models of Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Demidova L.Y.,

    2014-11-01

    Full Text Available We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the models somehow takes into account the factors not explicitly addressed in other concepts. Systematic consideration of the theoretical models of sexual abuse can generalize and systematize the available data on the mechanisms of pedophile behavior. This review provides an opportunity to develop a new benchmark in the study of sexual abuse, get closer to building the most accurate and comprehensive model. In turn, this may contribute to solving the questions about the factors, dynamics, and the prevention of criminal sexual conduct against children

  3. Effects of Drug Abuse

    Science.gov (United States)

    ... Treatment Drug Treatment Facts Does Drug Treatment Work? Types of Drug Treatment What Is a Relapse? Find Treatment/Rehab Resources Friends and Family Can Help Prevent Drug Abuse Help Children and Teens Stay Drug-Free Talking ...

  4. Interventions to cope with alcohol abuse: integrative review

    Directory of Open Access Journals (Sweden)

    Fernanda Jorge Guimarães

    2015-09-01

    Full Text Available Alcohol is the most consumed drug in the world, which could generate social and health problems, affecting users, people living with them and the society in general. The aim was to identify the best evidence of interventions to reduce alcohol abuse. An integrative review of the literature, conducted on LILACS, CINAHL, PUBMED and SCOPUS, through the descriptors “intervention studies” and “alcoholism”. Nineteen articles were selected, most of them classified as two regarding level of evidence. They involved interventions with alcohol users, the most efficient were short interventions, internet-based interventions and counselling. Although cessation of alcohol use was not proved through the interventions, results point to a significant reduction in consumption, increase of the availability to change drinking habit and effective impact of short interventions when compared to usual treatments. Short interventions constitute the best interventions to reduce alcohol abuse.

  5. Understanding the effects of child abuse.

    Science.gov (United States)

    Warner, S L

    1977-01-01

    Child abuse is one of the difficult social phenomena with which the technologist directly deals as a part of his professional responsibilities. To be able to respond to all of the child's needs, radiologic technologists need to understand not only the physical effects, but also the psychological effects of the child. Understanding also helps the technologist deal with his own feelings when interacting with either the abused child or the child's parents. The Draw-A-Person test (DAP) was utilized in this study to illustrate visually the effect of abuse on the child's self-image. The subsequent personality characteristics of these children include low self-esteem, withdrawal, extreme forms of impulse control, and self-destructive behavior. Using the DAP, the abused child's self-portrait frequently showed body distortion, lack of detailing and poor sexual identification. In addition, the personality pattern of abusing parents was found to have many of the same characteristics as the personalities of abused children, because many times abusing parents were themselves abused as children. PMID:331392

  6. Genetic and perinatal effects of abused substances

    Energy Technology Data Exchange (ETDEWEB)

    Brande, M.C.; Zimmerman, A.M.

    1987-01-01

    This book provides an overview of the effects of several abused drugs, including opiates, cannabinoids, alcohol, nicotine, and cocaine, with special emphasis on the actions of these substances at the molecular and cellular levels. The first half deals with genetic effects, including molecular genetics, biochemical genetics, pharmacogenetics, cytogenetics, and genetic toxicity. The second half focuses on perinatal effects and covers: drug abuse during pregnancy; biochemical aspects of marihuana on male reproduction; and long-term behavioral and neuroendocrine effects of perinatal alcohol exposure.

  7. Study protocol for a group randomized controlled trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse: integrating effectiveness and implementation research

    Directory of Open Access Journals (Sweden)

    Keegan Natalie

    2009-09-01

    Full Text Available Abstract Background While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD, aimed at two early antecedents to drug abuse and other problem behaviors, namely, aggressive, disruptive behavior and poor academic achievement. The second purpose--the focus of this paper--was to examine the utility of a multilevel structure to support high levels of implementation during the effectiveness trial, to sustain WD practices across additional years, and to train additional teachers in WD practices. Methods The WD intervention integrated three components, each previously tested separately: classroom behavior management; instruction, specifically reading; and family-classroom partnerships around behavior and learning. Teachers and students in 12 schools were randomly assigned to receive either the WD intervention or the standard first-grade program of the school system (SC. Three consecutive cohorts of first graders were randomized within schools to WD or SC classrooms and followed through the end of third grade to test the effectiveness of the WD intervention. Teacher practices were assessed over three years to examine the utility of the multilevel structure to support sustainability and scaling-up. Discussion The design employed in this trial appears to have considerable utility to provide data on WD effectiveness and to inform the field with regard to structures required to move evidence-based programs into practice. Trial Registration Clinical Trials Registration Number: NCT00257088

  8. Study protocol for a group randomized controlled trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse: integrating effectiveness and implementation research

    OpenAIRE

    Keegan Natalie; Windham Amy; Ford Carla; Brown C Hendricks; Kellam Sheppard; Poduska Jeanne; Wang Wei

    2009-01-01

    Abstract Background While a number of preventive interventions delivered within schools have shown both short-term and long-term impact in epidemiologically based randomized field trials, programs are not often sustained with high-quality implementation over time. This study was designed to support two purposes. The first purpose was to test the effectiveness of a universal classroom-based intervention, the Whole Day First Grade Program (WD), aimed at two early antecedents to drug abuse and o...

  9. Radiation abuse and its effects

    International Nuclear Information System (INIS)

    This paper delves into overuse practiced in diagnostic radiography. The conventional attitudes to low-dose irradiation are critically examined, as is the MPD related to individual radiosensitivity. Concern is expressed that a sizeable proportion of radiologists ignore important aspects of the Code of Practice and this attitude is readily emulated in the hospital setting. The author advocates education within the medical profession and the community on the risks involved in radiation abuse and the benefits derived from justified exposures to x rays. (author)

  10. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    OpenAIRE

    de Witte, K.; E Mirzaee; AR Hidarnia; A KAZEMNEJAD; F Shafii; P. Azad Fallah; H Allahverdipour

    2005-01-01

    Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a uri...

  11. Assessment of Substance Abuse Behaviors in Adolescents’: Integration of Self-Control into Extended Parallel Process Model

    Directory of Open Access Journals (Sweden)

    K Witte

    2005-04-01

    Full Text Available Introduction: An effective preventive health education program on drug abuse can be delivered by applying behavior change theories in a complementary fashion. Methods: The aim of this study was to assess the effectiveness of integrating self-control into Extended Parallel Process Model in drug substance abuse behaviors. A sample of 189 governmental high school students participated in this survey. Information was collected individually by completing researcher designed questionnaire and a urinary rapid immuno-chromatography test for opium and marijuana. Results: The results of the study show that 6.9% of students used drugs (especially opium and marijuana and also peer pressure was determinant factor for using drugs. Moreover the EPPM theoretical variables of perceived severity and perceived self-efficacy with self-control are predictive factors to behavior intention against substance abuse. In this manner, self-control had a significant effect on protective motivation and perceived efficacy. Low self- control was a predictive factor of drug abuse and low self-control students had drug abuse experience. Conclusion: The results of this study suggest that an integration of self-control into EPPM can be effective in expressing and designing primary preventive programs against drug abuse, and assessing abused behavior and deviance behaviors among adolescent population, especially risk seekers

  12. Abuse

    Science.gov (United States)

    ... Paying for Care Insurance Medicare Medicare Part D Benefits Medicaid Tax Deductions & Credits Legal Matters Planning Ahead Legal Documents alz.org » Caregiver Center » Safety » Abuse Text size: A A A Special Situations First Responders Traveling In a Disaster Abuse Find your local Chapter ...

  13. Child sexual abuse: prevalence, effects and school based prevention

    OpenAIRE

    Ayşe Rezan Çeçen

    2007-01-01

    Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods) has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this s...

  14. Fraud and abuse. Building an effective corporate compliance program.

    Science.gov (United States)

    Matusicky, C F

    1998-04-01

    In 1997, General Health System (GHS), a not-for-profit integrated delivery system headquartered in Baton Rouge, Louisiana, developed a formal corporate compliance program. A newly appointed corporate compliance officer worked with key GHS managers and employees to assess the organization's current fraud and abuse prevention practices and recommend changes to meet new regulatory and organizational requirements. Then a structure for implementing these changes was developed, with staff training at its core. The program required a significant initial outlay of financial and human resources. The benefits to the organization, however, including a greater ability to respond quickly and effectively to possible compliance problems and better organizational communications, were worth the investment.

  15. Child sexual abuse: prevalence, effects and school based prevention

    Directory of Open Access Journals (Sweden)

    Ayşe Rezan Çeçen

    2007-03-01

    Full Text Available Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this study child sexual abuse reviewed considering  prevalence, effects on child and prevention in the light of literature. The last part of article has been suggesting and stressing urgently intervention school-based prevention programs child sexual abuse to prevent child sexual abuse.

  16. Child sexual abuse: prevalence, effects and school based prevention

    Directory of Open Access Journals (Sweden)

    Ayşe Rezan Çeçen

    2007-03-01

    Full Text Available Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this study child sexual abuse reviewed considering prevalence, effects on child and prevention in the light of literature. The last part of article has been suggesting and stressing urgently intervention school-based prevention programs child sexual abuse to prevent child sexual abuse.

  17. An Integrative Spiritual Development Model of Supervision for Substance Abuse Counselors-in-Training

    Science.gov (United States)

    Weiss Ogden, Karen R.; Sias, Shari M.

    2011-01-01

    Substance abuse counselors who address clients' spiritual development may provide more comprehensive counseling. This article presents an integrative supervision model designed to promote the spiritual development of substance abuse counselors-in-training, reviews the model, and discusses the implications for counselor education.

  18. Evaluation of the Effect of Interventions for the Female Drug Abusers

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective To investigate an effective method to facilitate the physical and mental recovery of drug abusers in detoxification restoration period. Methods Integrated interventions were adopted to observe the changes in the physical and mental conditions of female drug abusers who had withdrawn drugs. Results Comparing behavioral changes between the two groups before and after intervention, we found that changes of score in the intervention group were all higher than those in the control group in terms of their physical symptoms or state of anxiety. Conclusion It is necessary to help drug abusers understand the harm of drug-abuse, build up self-confidence and improve EQ through interventions, It will be beneficial for the drug addicts to refrain from drug-taking and regain a normal life. Our study has proved that positive results can only be obtained from integrated intervention projects.

  19. The Harmful Effects of Parental Substance Abuse on Children

    OpenAIRE

    Virtala, Maria; Suikkanen, Aino-Kaisa

    2010-01-01

    The purpose of this final project was to describe the harmful effects of parental substance abuse from child perspective as having to grow up in a substance abusing family is considered as child maltreatment. In addition, the trends in parental substance abuse and the children's visibility in the treatment cycle were stressed as the data was gathered from Järvenpää Addiction Hospital's children's treatment documents. This study is of qualitative nature including 80 treatment documents fro...

  20. Uncovering sexual abuse: evaluation of the effectiveness of The Victims of Violence and Abuse Prevention Programme.

    Science.gov (United States)

    Donohoe, J

    2010-02-01

    Discusses factors inhibiting open talk around a client's history of abuse including gender, age and diagnosis. * Evaluates the helpfulness of a training course designed to reduce and overcome these factors. * Aim of the evaluation is to help replicate the training nationally, following the positive impact found. Abstract Despite the high prevalence of sexual abuse among users of mental health services, it appears that mental health professionals are frequently unaware of clients' abuse histories. In order to address this, a Mental Health Trusts Collaboration Project of nine trusts was formed, which piloted delivering the Department of Health's Victims of Violence & Abuse Prevention Programme one-day education and training course regarding enquiring about histories of sexual abuse to various mental health practitioners. This hoped to educate practitioners in factors associated with victims and offenders, improve confidence and competence in asking about client's history of abuse and to increase awareness of the importance of asking. The purpose of this paper is to describe the impact of this course on mental health professionals' practice and attitudes in one of these nine trusts. It was found that since the delivery of the course, 44% (n= x) of professionals had been asking about abuse in 75-100% of cases. Gender, age and diagnosis of both the service users and the practitioners were all identified as factors potentially affecting practitioners' willingness to ask about abuse. Most importantly, 93% (n= x) of participants were found to feel they have the skills and knowledge to enquire about abuse and respond to disclosure in the appropriate way and 77% (n= x) of participants felt that this training had changed their clinical practice. The aim of this evaluation is to prove the effectiveness of the Department of Health's education and training course, which will help towards replicating the project nationally. PMID:20100302

  1. Effects of chronic cocaine abuse on postsynaptic dopamine receptors

    International Nuclear Information System (INIS)

    To assess the effects of chronic cocaine intoxication on dopamine receptors in human subjects, the authors evaluated [18F]N-methylspiroperidol binding using positron emission tomography in 10 cocaine abusers and 10 normal control subjects. Cocaine abusers who had been detoxified for 1 week or less showed significantly lower values for uptake of [18F]N-methylspiroperidol in striatum than the normal subjects, whereas the cocaine abusers who had been detoxified for 1 month showed values comparable to those obtained from normal subjects. The authors conclude that postsynaptic dopamine receptor availability decreases with chronic cocaine abuse but may recover after a drug-free interval

  2. An Integrated Approach to Treating Non-Offending Parents Affected by Sexual Abuse

    OpenAIRE

    Hernandez, Annette; Ruble, Cameron; Rockmore, Lori; McKay, Mary; Messam, Taiwanna; Harris, Meghan; Hope, Stephanie

    2009-01-01

    Childhood sexual abuse has been associated with a number of serious physical and psychological consequences throughout childhood and into adulthood for both child victims and their families. This paper describes the preliminary outcomes of a pilot group program to treat non-offending parents of sexually abused children. This group program is integrative in its approach combining elements of trauma-focused cognitive-behavioral and psychoeducational/supportive interventions to treat non-offendi...

  3. The Effects of Alcohol Regulation on Physical Child Abuse

    OpenAIRE

    Sara Markowitz; Michael Grossman

    1998-01-01

    The purpose of this paper is to examine the effects of alcohol regulation on physical child abuse. Given the established relationship between alcohol consumption and violence, the principal hypothesis to be tested is that an increase in the price of alcohol will lead to a reduction in the incidence of violence. We also examine the effects of measures of the ease of obtaining alcohol, illegal drug prices, and the socio-demographic characteristics of the parent on the incidence of child abuse. ...

  4. Integrating Substance Abuse Treatment and Child Welfare Services: Findings from the Illinois Alcohol and Other Drug Abuse Waiver Demonstration

    Science.gov (United States)

    Ryan, Joseph P.; Marsh, Jeanne C.; Testa, Mark F.; Louderman, Richard

    2006-01-01

    Alcohol and other drug abuse is a major problem for children and families involved with public child welfare. Substance abuse compromises appropriate parenting practices and increases the risk of child maltreatment. A substantial proportion of substantiated child abuse and neglect reports involve parental substance abuse. Once in the system,…

  5. Effects of separator breakdown on abuse response of 18650 Li-ion cells

    Science.gov (United States)

    Roth, E. P.; Doughty, D. H.; Pile, D. L.

    The thermal abuse tolerance of Li-ion cells depends not only on the stability of the active materials in the anode and cathode but also on the stability of the separator which prevents direct interaction between these electrodes. Separator response has been measured as a function of temperature and high voltage both for isolated materials and in full 18650 cells. Separators with different compositions and properties were measured to determine the effect of separator melt integrity on cell response under abusive conditions. These studies were performed as part of the U.S. Department of Energy (DOE) Advanced Technology Development (ATD) Program.

  6. Tax Treaty Abuse: Is Canada responding effectively?

    OpenAIRE

    Geoffrey T. Loomer

    2009-01-01

    This paper explores the means by which tax authorities worldwide seek to strengthen their tax treaties, through safeguards of varying nature and scope, in order to identify and prevent what they consider to be abuse of such treaties. These means of challenge may be grouped under two headings: purposive approaches to treaty interpretation, particularly with respect to the terms 'person', 'resident' and 'beneficial ownership'; and broader responses to unacceptable tax avoidance, specifically re...

  7. Electronic health records: essential tools in integrating substance abuse treatment with primary care

    Directory of Open Access Journals (Sweden)

    Clark HW

    2012-02-01

    Full Text Available Betty Tai1, Li-Tzy Wu2, H Westley Clark31Center for Clinical Trials Network, National Institute on Drug Abuse, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University Medical Center, Durham, NC, 3Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD, USAAbstract: While substance use problems are considered to be common in medical settings, they are not systematically assessed and diagnosed for treatment management. Research data suggest that the majority of individuals with a substance use disorder either do not use treatment or delay treatment-seeking for over a decade. The separation of substance abuse services from mainstream medical care and a lack of preventive services for substance abuse in primary care can contribute to under-detection of substance use problems. When fully enacted in 2014, the Patient Protection and Affordable Care Act 2010 will address these barriers by supporting preventive services for substance abuse (screening, counseling and integration of substance abuse care with primary care. One key factor that can help to achieve this goal is to incorporate the standardized screeners or common data elements for substance use and related disorders into the electronic health records (EHR system in the health care setting. Incentives for care providers to adopt an EHR system for meaningful use are part of the Health Information Technology for Economic and Clinical Health Act 2009. This commentary focuses on recent evidence about routine screening and intervention for alcohol/drug use and related disorders in primary care. Federal efforts in developing common data elements for use as screeners for substance use and related disorders are described. A pressing need for empirical data on screening, brief intervention, and referral to treatment (SBIRT for drug-related disorders to inform SBIRT and related EHR efforts is highlighted

  8. Adverse Effect of Child Abuse Victimization among Substance-Using Women in Treatment.

    Science.gov (United States)

    Kang, Sung-Yeon; Magura, Stephen; Laudet, Alexandre; Whitney, Shirley

    1999-01-01

    Study examined adverse effects of childhood sexual/physical abuse among substance-abusing women with children. Several significant differences between abused and nonabused women were found in service outcomes. Abused women had more problems relating to drug use and psychiatric/psychological adjustment at follow-up. Findings support a need for…

  9. Evolution of Women's Trauma-Integrated Services at the Substance Abuse and Mental Health Services Administration

    Science.gov (United States)

    Salasin, Susan E.

    2005-01-01

    In this article a historical overview of the evolution of the Women's Trauma Integrated Services model at the Substance Abuse and Mental Health Services Administration (SAMHSA) is presented. Milestones in women's services policy development at SAMHSA (1992-1998) and in trauma treatment development for four different trauma populations (1960-1998)…

  10. Evaluating the effectiveness of domestic abuse prevention education

    OpenAIRE

    David Gadd

    2014-01-01

    Purpose: A number of school-based domestic abuse prevention programmes have been developed in the UK but evidence as to the effectiveness of such programmes is limited. The aim of the research was to evaluate the effectiveness of one such programme and to see whether the outcomes differ by gender and experiences of domestic abuse. Method: Pupils aged 13–14 years across seven schools receiving a six-week education programme completed a questionnaire to measure their attitudes towards dom...

  11. Identifying and assessing the risk of opioid abuse in patients with cancer: an integrative review

    Directory of Open Access Journals (Sweden)

    Carmichael AN

    2016-06-01

    Full Text Available Ashley-Nicole Carmichael,1 Laura Morgan,1 Egidio Del Fabbro2 1School of Pharmacy, 2Division of Hematology, Oncology, and Palliative Care, Virginia Commonwealth University, Richmond, VA, USA Background: The misuse and abuse of opioid medications in many developed nations is a health crisis, leading to increased health-system utilization, emergency department visits, and overdose deaths. There are also increasing concerns about opioid abuse and diversion in patients with cancer, even at the end of life. Aims: To evaluate the current literature on opioid misuse and abuse, and more specifically the identification and assessment of opioid-abuse risk in patients with cancer. Our secondary aim is to offer the most current evidence of best clinical practice and suggest future directions for research. Materials and methods: Our integrative review included a literature search using the key terms “identification and assessment of opioid abuse in cancer”, “advanced cancer and opioid abuse”, “hospice and opioid abuse”, and “palliative care and opioid abuse”. PubMed, PsycInfo, and Embase were supplemented by a manual search. Results: We found 691 articles and eliminated 657, because they were predominantly noncancer populations or specifically excluded cancer patients. A total of 34 articles met our criteria, including case studies, case series, retrospective observational studies, and narrative reviews. The studies were categorized into screening questionnaires for opioid abuse or alcohol, urine drug screens to identify opioid misuse or abuse, prescription drug-monitoring programs, and the use of universal precautions. Conclusion: Screening questionnaires and urine drug screens indicated at least one in five patients with cancer may be at risk of opioid-use disorder. Several studies demonstrated associations between high-risk patients and clinical outcomes, such as aberrant behavior, prolonged opioid use, higher morphine-equivalent daily dose

  12. Cost-Effectiveness of Case Management in Substance Abuse Treatment

    Science.gov (United States)

    Saleh, Shadi S.; Vaughn, Thomas; Levey, Samuel; Fuortes, Laurence; Uden-Holmen, Tanya; Hall, James A.

    2006-01-01

    Objective: The purpose of this study, which is part of a larger clinical trial, was to examine the cost-effectiveness of case management for individuals treated for substance abuse in a residential setting. Method: Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management…

  13. Helping Abused and Traumatized Children: Integrating Directive and Nondirective Approaches

    Science.gov (United States)

    Gil, Eliana

    2006-01-01

    Presenting an integrative model for treating traumatized children, this book combines play, art, and other expressive therapies with ideas and strategies drawn from cognitive-behavioral and family therapy. Eliana Gil demonstrates how to tailor treatment to the needs of each child by using both directive and nondirective approaches. Throughout,…

  14. Child Sexual Abuse Prevention Programs: What Makes them Effective in Protecting Children?

    Science.gov (United States)

    Kraizer, Sherryll; And Others

    1989-01-01

    Describes a school-based child abuse prevention program. The program's effectiveness is evaluated in terms of prevention of sexual abuse, the age of maximum receptivity to prevention education, and implications of the evaluation for early childhood educators. (RJC)

  15. Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis

    Directory of Open Access Journals (Sweden)

    Milligan Karen

    2010-09-01

    Full Text Available Abstract Background The rate of women with substance abuse issues is increasing. Women present with a unique constellation of risk factors and presenting needs, which may include specific needs in their role as mothers. Numerous integrated programs (those with substance use treatment and pregnancy, parenting, or child services have been developed to specifically meet the needs of pregnant and parenting women with substance abuse issues. This synthesis and meta-analysis reviews research in this important and growing area of treatment. Methods We searched PsycINFO, MedLine, PubMed, Web of Science, EMBASE, Proquest Dissertations, Sociological Abstracts, and CINAHL and compiled a database of 21 studies (2 randomized trials, 9 quasi-experimental studies, 10 cohort studies of integrated programs published between 1990 and 2007 with outcome data on maternal substance use. Data were summarized and where possible, meta-analyses were performed, using standardized mean differences (d effect size estimates. Results In the two studies comparing integrated programs to no treatment, effect sizes for urine toxicology and percent using substances significantly favored integrated programs and ranged from 0.18 to 1.41. Studies examining changes in maternal substance use from beginning to end of treatment were statistically significant and medium sized. More specifically, in the five studies measuring severity of drug and alcohol use, the average effect sizes were 0.64 and 0.40, respectively. In the four cohort studies of days of use, the average effect size was 0.52. Of studies comparing integrated to non-integrated programs, four studies assessed urine toxicology and two assessed self-reported abstinence. Overall effect sizes for each measure were not statistically significant (d = -0.09 and 0.22, respectively. Conclusions Findings suggest that integrated programs are effective in reducing maternal substance use. However, integrated programs were not

  16. Adolescent health-risk sexual behaviors: effects of a drug abuse intervention.

    Science.gov (United States)

    Hops, Hyman; Ozechowski, Timothy J; Waldron, Holly B; Davis, Betsy; Turner, Charles W; Brody, Janet L; Barrera, Manuel

    2011-11-01

    Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to individual cognitive behavior therapy (CBT) or to an integrated behavioral and family therapy (IBFT) condition, involving individual and family sessions. The HIV-specific intervention was not associated with change. IBFT and CBT were both efficacious in reducing HIV-risk behaviors from intake to the 18-month follow-up for high-risk adolescents. For low-risk adolescents, CBT (versus IBFT) was more efficacious in suppressing HRSB. These data suggest that drug abuse treatments can have both preventative and intervention effects for adolescents, depending on their relative HIV-risk. PMID:21833690

  17. 26 CFR 1.263A-15 - Effective dates, transitional rules, and anti-abuse rule.

    Science.gov (United States)

    2010-04-01

    ...-abuse rule. 1.263A-15 Section 1.263A-15 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE..., transitional rules, and anti-abuse rule. (a) Effective dates—(1) Sections 1.263A-8 through 1.263A-15 generally... account under former section 189 or section 266. (c) Anti-abuse rule. The interest capitalization...

  18. The Effectiveness of Group Assertiveness Training on Happiness in Rural Adolescent Females with Substance Abusing Parents

    OpenAIRE

    Hojjat, Seyed Kaveh; Golmakani, Ebrahim; Khalili, Mina Norozi; Chenarani, Maryam Shakeri; Hamidi, Mahin; Akaberi, Arash; Ardani, Amir Rezaei

    2015-01-01

    Background: Parental substance abuse confronts children with a variety of psychological, social, and behavioral problems. Children of substance abusing parents show higher levels of psychiatric disorders including anxiety and depression and exert lower levels of communication skills. Weak social skills in this group of adolescents put them at a higher risk for substance abuse. Many studies showed school based interventions such as life skill training can effective on future substance abusing ...

  19. AAS, growth hormone, and insulin abuse: psychological and neuroendocrine effects

    Directory of Open Access Journals (Sweden)

    Michael R Graham

    2008-06-01

    Full Text Available Michael R Graham1, Peter Evans2, Bruce Davies1, Julien S Baker11Health and Exercise Science Research Unit, Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, United Kingdom; 2Royal Gwent Hospital, Newport, Gwent, United KingdomAbstract: The nontherapeutic use of prescription medicines by individuals involved in sport is increasing. Anabolic-androgenic steroids (AAS are the most widely abused drug. Much of our knowledge of the psychological and physiological effects of human growth hormone (hGH and insulin has been learned from deficiency states. As a consequence of the Internet revolution, previously unobtainable and expensive designer drugs, particularly recombinant human growth hormone (rhGH and insulin, have become freely available at ridiculously discounted prices from countries such as China and are being abused. These drugs have various physiological and psychological effects and medical personnel must become aware that such prescription medicine abuse appears to be used not only for performance and cosmetic reasons, but as a consequence of psychological pre-morbidity.Keywords: AAS, cosmesis, growth hormone, insulin, performance, strength

  20. Proteomic Analyses of the Effects of Drugs of Abuse on Monocyte-Derived Mature Dendritic Cells

    OpenAIRE

    Jessica L. Reynolds; Supriya D Mahajan; Aalinkeel, Ravikunar; Nair, B.; Sykes, Donald E; Schwartz, Stanley A.

    2009-01-01

    Drug abuse has become a global health concern. Understanding how drug abuse modulates the immune system and how the immune system responds to pathogens associated with drug abuse, such hepatitis C virus (HCV) and human immunodeficiency virus (HIV-1), can be assessed by an integrated approach comparing proteomic analyses and quantitation of gene expression. Two-dimensional (2D) difference gel electrophoresis was used to determine the molecular mechanisms underlying the proteomic changes that a...

  1. The Amsterdam Sexual Abuse Case (ASAC)-study in day care centers: longitudinal effects of sexual abuse on infants and very young children and their parents, and the consequences of the persistence of abusive images on the internet

    NARCIS (Netherlands)

    R.J.L. Lindauer; S.N. Brilleslijper-Kater; J. Diehle; E. Verlinden; A.H. Teeuw; C.M. Middeldorp; W. Tuinebreijer; T.F. Bosschaart; E. van Duin; A. Verhoeff

    2014-01-01

    Background: Little research has been done on the signs of child sexual abuse (CSA) in infants and very young children, or on the consequences that such abuse ¿ including the persistence of the abusive pornographic images on the internet ¿ might have for the children and their parents. The effects of

  2. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings. PMID:22251389

  3. Everyone's business: developing an integrated model of care to respond to child abuse in a pediatric hospital setting.

    Science.gov (United States)

    Connolly, Sarah

    2012-01-01

    In pediatric hospitals, social work plays a central role in the prevention, identification, and management of child abuse. Children who are suspected of having been abused or neglected require an evaluation of their psychosocial situation. As an integral member of the health care team, the social worker is well placed to undertake comprehensive psychosocial assessments including information on the child's development, parental capacity, family, and community supports. Current practice approaches have seen a shift away from a narrow, "expert" approach to child protection. This article describes the development of an integrated model of social work service delivery to better respond to vulnerable and at-risk children in a pediatric hospital setting. Developing a new model of service required strategic planning, consultation, and endorsement from senior hospital management. The new model aimed to ensure a high quality, responsive social work service to children at risk of physical abuse, neglect, or cumulative harm. The change necessitated understanding of current research evidence, development of best practice guidelines, and effective communication with staff and external stakeholders. Policy development, implementation of practice guidelines, staff training, data collection, and service evaluation are described. The role of social work management and leadership were central in creating change. Visionary leadership is widely regarded as key to successful organizational change. The management approach included consultation with staff, building commitment to the need for change, addressing staff concerns, and providing a vision of enhanced client outcomes as a result of the change process. This article provides a candid overview of challenges and barriers to change. Change strategies described are easily transferable to other social work settings.

  4. Elder abuse

    OpenAIRE

    1999-01-01

    Elder abuse takes many forms and occurs in a variety of settings; it is both under-recognised and under-reported. Despite a lack of statutory guidelines or legislation, effective management is possible. More could be done to recognise abuse, and healthcare workers need to be vigilant, paying attention to both the circumstances in which abuse occurs and its warning signs.

  5. Uses and abuses of effective Lagrangians

    International Nuclear Information System (INIS)

    Motivated by past and recent analyses we critically reexamine the use of effective Lagrangians in the literature to constrain new physics and to determine the ''physics reach'' of future experiments. We demonstrate that many calculations, such as those involving anomalous trilinear gauge-boson couplings, either considerably overestimate loop-induced effects or give ambiguous answers. The source of these problems is the use of cutoffs to evaluate the size of such operators in loop diagrams. In contrast with other critiques of these loop estimates, we prove that the inclusion of nonlinearly realized gauge invariance into the low-energy Lagrangian is irrelevant to this conclusion. We use an explicit example using known multi-Higgs-boson physics above the weak scale to underline these points. We show how to draw conclusions regarding the nature of the unknown high-energy physics without making reference to low-energy cutoffs

  6. Uses and abuses of effective lagrangians

    CERN Document Server

    Burgess, C P

    1993-01-01

    Motivated by past and recent analyses we critically re-examine the use of effective lagrangians in the literature to constrain new physics and to determine the `physics reach' of future experiments. We demonstrate that many calculations, such as those involving anomalous trilinear gauge-boson couplings, either considerably overestimate loop-induced effects, or give ambiguous answers. The source of these problems is the use of cutoffs to evaluate the size of such operators in loop diagrams. In contrast to other critics of these loop estimates, we prove that the inclusion of nonlinearly-realized gauge invariance into the low-energy lagrangian is irrelevant to this conclusion. We use an explicit example using known multi-Higgs physics above the weak scale to underline these points. We show how to draw conclusions regarding the nature of the unknown high-energy physics without making reference to low-energy cutoffs.

  7. Alcohol abuse: medical effects of heavy drinking in late life.

    Science.gov (United States)

    Gambert, S R

    1997-06-01

    As many as 15% of community-dwelling older persons are heavy drinkers, but their alcoholism is often hidden from their physicians. Depression, loneliness, and lack of social support are the most frequently cited antecedents to drinking for older alcoholics. Clinically, the same amount of alcohol once consumed with impunity may cause clinical symptoms in late life. Physiologic changes in volume of distribution make older patients susceptible to acute alcohol toxicity, with its CNS effects and metabolic disturbances. Liver disease, nutritional deficiencies, and impotence are consequences of chronic alcohol abuse. PMID:9194788

  8. Promoting Effective Interviewing of Sexually Abused Children: A Pilot Study

    Science.gov (United States)

    Cheung, Monit

    2008-01-01

    Objective: This study is centered on interviewing techniques with alleged child sexual abuse victims who do and do not disclose sexual abuse. Method: Ninety randomly selected videotapes are reviewed, and the interviewing techniques are recorded on a 69-item Child Sexual Abuse Interviewing Skills Instrument. Results: The nondisclosure children are…

  9. Effects of Forgiveness of Perpetrators on Marital Adjustment for Survivors of Sexual Abuse.

    Science.gov (United States)

    Holeman, Virginia Todd; Myers, Rita W.

    1998-01-01

    The effects of forgiveness on survivors' marital adjustment and the effects of childhood sexual abuse on forgiveness were examined. Self-report scales regarding abuse and forgiveness and demographic information were collected from clients (N=63). ANOVA produced significant main effects; forgiveness was negatively correlated with perceived…

  10. Effects of volatile substance abuse on the respiratory system in adolescents

    OpenAIRE

    Büker Halime SC; Demir Esen; Yüncü Zeki; Gülen Figen; Midyat Levent; Tanaç Remziye

    2011-01-01

    Abstract Aim Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Chronic inhalant abuse can damage respiratory, cardiac, renal, hepatic, and neurologic systems. This study aims to determine the physiologic effects of inhaling solvents on the respiratory functions. Methods The general health status of the subjects was assessed by history taking, physical examination and a questionnaire which was designed to show the severity of respiratory symptoms. Spiro...

  11. Factors from Durkheim's Family Integration Related to Suicidal Ideation among Men with Histories of Child Sexual Abuse

    Science.gov (United States)

    Easton, Scott D.; Renner, Lynette M.

    2013-01-01

    Men who were sexually abused during childhood represent a highly stigmatized, marginalized population at risk for a variety of long-term mental health problems. Using the family integration dimension of Durkheim's theory of suicide, factors associated with suicidal ideation among a purposive sample of 487 men with histories of child sexual…

  12. Effectiveness of Role Play on Knowledge of Adolescents Regarding Substance Abuse

    Directory of Open Access Journals (Sweden)

    Nomimol Lucy Thomas,

    2015-04-01

    Full Text Available Background: Substance abuse and dependency are most common during adolescence. Adolescents are in a transitional phase, confusion can sometimes make them susceptible to taking up unfavourable habits. Attitude shaping by parents and knowledge of harmfulness of substance abuse can indirectly motivate the user to give up the habit. Substance abuse control programmes, focusing on youth, are essential, to reduce the burden of related diseases. Objectives: It was aimed to assess the level of knowledge of adolescents regarding substance abuse, to find the effectiveness of role play on knowledge regarding substance abuse among adolescents, to find out the association of knowledge scores of adolescents regarding substance abuse with selected socio demographic variables. Material and Methods: A quasi experimental, one group pre-test post-test design with evaluative approach was adopted for this study. The study was conducted at Krishna Charitable Trust’s English Medium School and Junior College, Karad, Maharashtra, India. Simple random sampling with lottery method was used for selecting the 60 subjects from VIIIth, IXth and Xth class. On the 1st day a structured knowledge questionnaire was used to assess the knowledge on substance abuse and role play was conducted followed by post test on the 7thday. Data was analyzed by using descriptive and inferential statistics. Result: The mean and standard deviation of the knowledge scores of the subjects in pre test was 11.51 + 3.55 which increased in post test after role play to 17.5 + 2.89. The paired ‘t’ test value were 15.363 (p < 0.0001 showing a significant increase in knowledge regarding substance abuse. There was an association between type of family and general information on substance abuse, education of father with commonly abused substances and the total score on substance abuse, education of mother with commonly abused substances and prevention and management of substance abuse and number of

  13. The Marihuana Perception Inventory: The Effects of Substance Abuse Instruction.

    Science.gov (United States)

    Gabany, Steve G.; Plummer, Portia

    1990-01-01

    Studied 617 high school and college students prior to and after substance abuse instruction to determine relationship between perceptions and demographic characteristics, and to learn whether substance abuse instruction was related to changes in student's perception of relationships. Findings from Marihuana Perception Inventory showed five factors…

  14. Contextual Effects on Kindergarten Teachers' Intention to Report Child Abuse

    Science.gov (United States)

    Feng, Jui-Ying; Wu, Yow-Wu B.; Fetzer, Susan; Chang, Hsin-Yi

    2012-01-01

    Child abuse is underreported for children with socioeconomic inequalities. The impact of geographic location combined with sociocultural characteristics on teachers' reports of child abuse remains unclear. A national survey of 572 kindergarten teachers from 79 schools in Taiwan used hierarchical linear modeling to investigate the contribution of…

  15. The White Bull effect: abusive coauthorship and publication parasitism.

    Science.gov (United States)

    Kwok, L S

    2005-09-01

    Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into the personality traits of such perpetrators is warranted.

  16. The Effectiveness of Drug Abuse Treatment: Implications for Controlling AIDS/HIV Infection. Background Paper 3.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    This background paper examines evidence for the effectiveness of treatment for drug abuse and evaluates the role of drug abuse treatment as a strategy to prevent Human Immunodeficiency Virus (HIV) spread. Because most intravenous (IV) drug users are not in treatment, the study also examines other approaches to HIV prevention. The remainder of the…

  17. Interactive Effect of Substance Abuse and Depression on Adolescent Social Competence

    Science.gov (United States)

    Becker, Sara J.; Curry, John F.

    2007-01-01

    This study explored the interactive effect of substance abuse and depression on social competence among 106 adolescent inpatients (57% female, 86% Caucasian). Substance abuse and depression were conceptualized using dimensional ratings of illness severity based on adolescent interviews, whereas social competence was conceptualized using parent…

  18. Child Abuse: An Integration of the Research Related to Education of Children Handicapped as a Result of Child Abuse. Final Report.

    Science.gov (United States)

    Kline, Donald F.; Hopper, Mark A.

    Reviewed in terms of a concept analysis is the literature on child abuse, and presented is an annotated bibliography of approximately 550 journal articles, 18 books, 6 dissertations, and 40 pamphlets on child abuse. Briefly reviewed is the historical context of child abuse. A concept analysis of child abuse is offered which suggests that any…

  19. The Differential Effects of Abuse Characteristics and Attachment in the Prediction of Long-Term Effects of Sexual Abuse.

    Science.gov (United States)

    Alexander, Pamela C.

    1993-01-01

    Female incest survivors (n=112) completed several inventories and checklists to measure sexual abuse severity and adult attachment. Analyses indicated that sexual abuse characteristics predicted depression, intrusive thoughts, and memory avoidance. Adult attachment, particularly a lack of secure attachment, predicted memory avoidance, and also…

  20. Does Having Children Moderate the Effect of Child Sexual Abuse on Depression?

    Science.gov (United States)

    Zeglin, Robert J; DeRaedt, Mary R; Lanthier, Richard P

    2015-01-01

    Nearly 1 in 5 girls and 1 in 20 boys under the age of 18 will be the victim of child sexual abuse. As adults, these individuals are more likely to report myriad mental illnesses including depression. Testing the hypothesis that having children would moderate the depressive effects of child sexual abuse, the authors used public-use data of the National Longitudinal Study of Adolescent Health Wave IV (n = 5,114; mean age = 29.00 years; SD = 1.78). Results indicate that having children significantly moderates the relationship between child sexual abuse and depression for females. Though the risk of depression is increased for all females with a child sexual abuse history, this increase is less dramatic for mothers. Two potential explanations of this effect are presented: biological and psychosocial. The possible implications for mental health professionals working with mothers with a child sexual abuse history include highlighting the role of their children as possible support. PMID:26340070

  1. The Cause of Child Abuse and Neglect and Their Effects on the Development of Children in Samaru Zaria, Nigeria.

    Science.gov (United States)

    Amdi, Veronica

    1990-01-01

    Initial discussion of the definition, types, causes, and effects of child abuse and neglect is followed by a description of a study of child abuse in Samaru Village of Nigeria and the effects of such abuse on the development of the child. (BG)

  2. Oral Health of Drug Abusers: A Review of Health Effects and Care

    Directory of Open Access Journals (Sweden)

    Hamed Ekhtiari

    2013-09-01

    Full Text Available Oral health problems, among the most prevalent comorbidities related to addiction, require more attention by both clinicians and policy-makers. Our aims were to review oral complications associated with drugs, oral health care in addiction rehabilitation, health services available, and barriers against oral health promotion among addicts. Drug abuse is associated with serious oral health problems including generalized dental caries, periodontal diseases, mucosal dysplasia, xerostomia, bruxism, tooth wear, and tooth loss. Oral health care has positive effects in recovery from drug abuse: patients’ need for pain control, destigmatization, and HIV transmission. Health care systems worldwide deliver services for addicts, but most lack oral health care programs. Barriers against oral health promotion among addicts include difficulty in accessing addicts as a target population, lack of appropriate settings and of valid assessment protocols for conducting oral health studies, and poor collaboration between dental and general health care sectors serving addicts. These interfere with an accurate picture of the situation. Moreover, lack of appropriate policies to improve access to dental services, lack of comprehensive knowledge of and interest among dental professionals in treating addicts, and low demand for non-emergency dental care affect provision of effective interventions. Management of drug addiction as a multi-organ disease requires a multidisciplinary approach. Health care programs usually lack oral health care elements. Published evidence on oral complications related to addiction emphasizes that regardless of these barriers, oral health care at various levels including education, prevention, and treatment should be integrated into general care services for addicts.

  3. The Effectiveness of Emotional Schema Therapy on Emotional Schemas of Female Victims of Child Abuse and Neglect

    OpenAIRE

    S Daneshmandi; Z Izadikhah; Kazemi, H.; H Mehrabi

    2014-01-01

    Introduction: Development of emotional schemas is regarded as one of the long term effects of child abuse and neglect. Therefore, the present study aimed to investigate the effect of Emotional Schema Therapy on emotional schemas of female victims of child abuse and neglect. Methods: In this quasi-experimental design, 30 women, who had the history of child abuse and neglect (according to the scores obtained in the child abuse and neglect questionnaire) and met entry criteria, were selected ...

  4. Evidence for Specific Effects of Childhood Sexual Abuse on Mental Well-Being and Physical Self-Esteem.

    Science.gov (United States)

    Brayden, Robert M.; And Others

    1995-01-01

    The effect of child sexual abuse on female adult mental health and physical self-esteem was studied, based on a mental health survey in which 98 women reported sexual abuse and 110 served as comparisons. Women sexually abused as children obtained lower scores on well-being and physical self-concept measures. (SW)

  5. Integrating substance abuse care with community diabetes care: implications for research and clinical practice

    Directory of Open Access Journals (Sweden)

    Ghitza UE

    2013-01-01

    Full Text Available Udi E Ghitza,1 Li-Tzy Wu,2 Betty Tai11Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, United States Department of Health and Human Services, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USAAbstract: Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the diabetic population. This commentary discusses the scope and clinical implications of the public health problem of coexisting substance use and diabetes, including suggestions for future research. Diabetes is the seventh leading cause of death in the US, and is associated with many severe health complications like cardiovascular disease, stroke, kidney damage, and limb amputations. There are an estimated 24 million adults in the US with type 2 diabetes. Approximately 20% of adults aged 18 years or older with diabetes report current cigarette smoking. The prevalence of current alcohol use in the diabetic population is estimated to be around 50%–60% in epidemiological surveys and treatment-seeking populations. Cigarette smoking is associated with an increased risk of type 2 diabetes in a dose-dependent manner and is an independent modifiable risk factor for development of type 2 diabetes. Diabetic patients with an alcohol or other drug use disorder show a higher rate of adverse health outcomes. For example, these patients experience more frequent and severe health complications as well as an increased risk of hospitalization, and require longer hospital stays. They are also less likely to seek routine care for diabetes or adhere to diabetes treatment than those without an alcohol or other drug use disorder. The Affordable Care Act of 2010 and the Mental Health Parity Act and Addiction Equity Act of 2008 provide opportunities for facilitating integration of

  6. Elder Abuse and Substance Abuse

    Science.gov (United States)

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues The Role of Culture in Elder ... factor in all types of elder abuse, including physical mistreatment, emotional abuse, financial exploitation, and neglect. It is also a ...

  7. Adolescent cocaine abuse. Addictive potential, behavioral and psychiatric effects.

    Science.gov (United States)

    Estroff, T W; Schwartz, R H; Hoffmann, N G

    1989-12-01

    Four hundred seventy-nine drug abusing adolescent patients enrolled in seven Straight, Inc. Adolescent Drug-Abuse Treatment Programs in five geographic regions across the United States were studied to determine the severity and patterns of cocaine abuse. Of these, 341 admitted to cocaine use and became part of this survey. Cocaine use was categorized as heavy, intermediate, or light. Areas examined were the addictive spectrum, psychosocial dysfunction, and psychiatric symptoms. Intermediate and heavy users of cocaine abused significantly less marijuana and inhalants than light cocaine abusers. Heavy and intermediate users were more likely to use cocaine intravenously and to use crack. They developed tachyphylaxis more frequently, progressed to weekly use in less than 3 months more frequently, and became preoccupied with obtaining and using cocaine significantly more frequently. They used more sedative hypnotics to calm themselves and engaged in more criminal behavior, such as stealing from parents and stores and passing bad checks. They had more arrests for possession of drugs, stole more cars, sold more drugs, and were more likely to trade sexual favors to obtain the drug. Heavy and intermediate users were significantly more psychiatrically disturbed than light users, becoming more suspicious, nervous, aggressive, and demonstrating increased symptoms of fatigue, sleeplessness, decreased appetite, and increasing cocaine dysphoria. All of these symptoms could be mistaken for psychiatric disorders. This study suggests that cocaine is as addictive in adolescents as in adults; possibly more so. It also causes psychosocial dysfunction and psychiatric symptoms. Further research into cocaine addiction among adolescents is indicated. PMID:2582695

  8. Vitamin D as an Effective Treatment Approach for Drug abuse and Addiction

    OpenAIRE

    Jaqueline Kalleian Eserian

    2013-01-01

    Effective pharmacological treatments for drug abuse and addiction have not yet been identified. Evidences show that vitamin D may be involved in neurodevelopment and may have a neuroprotective effect on dopaminergic pathways in the adult brain. The fact that vitamin Dincreases the levels of tyrosine hydroxylase expression implies that vitamin D could modulate dopa- minergic processes. Drugs of abuse act through different mechanisms of action and on differentlocations in the brain reward syste...

  9. Multisystemic Therapy for Child Abuse and Neglect: A Randomized Effectiveness Trial

    OpenAIRE

    Swenson, Cynthia Cupit; Schaeffer, Cindy M.; Henggeler, Scott W.; Faldowski, Richard; Mayhew, Amy Marie

    2010-01-01

    The primary purpose of this study was to conduct a randomized effectiveness trial of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) for physically abused youth (mean age = 13.88 years, 55.8% female, 68.6% Black) and their families. Eighty-six families being followed by Child Protective Services due to physical abuse were randomly assigned to MST-CAN or Enhanced Outpatient Treatment (EOT), with both interventions delivered by therapists employed at a community mental health center...

  10. Mediation effect of social skills between impulsivity with substance abuse in adolescents

    Directory of Open Access Journals (Sweden)

    Mehdi Poorkord

    2013-07-01

    Full Text Available The aim of this study is to examine mediation effect of social skills between impulsivity with substance abuse in adolescents. The research sample consists of 616 students of vulnerable high schools in Ardabil City. Together the data of Impulsivity Scale, Matson social skills scale and substance abuse survey were used [Matson, J. L., Rotatori, A. F., & Helsel, W. J. (1983. Development of a rating scale to measure social skills in children: The Matson Evaluation of Social Skills with Youngsters (MESSY. Behaviour Research and therapy, 21(4, 335-340.]. The results show that impulsivity indirectly is associated with substance abuse students (P<0.001 through the effect on social skills. The results indicate that high levels of impulsivity and low-level social skills increase substance abuse in students. These results are consistent with other existing results found in the literature.

  11. Identifying and assessing the risk of opioid abuse in patients with cancer: an integrative review

    OpenAIRE

    Carmichael AN; Morgan L; Del Fabbro E

    2016-01-01

    Ashley-Nicole Carmichael,1 Laura Morgan,1 Egidio Del Fabbro2 1School of Pharmacy, 2Division of Hematology, Oncology, and Palliative Care, Virginia Commonwealth University, Richmond, VA, USA Background: The misuse and abuse of opioid medications in many developed nations is a health crisis, leading to increased health-system utilization, emergency department visits, and overdose deaths. There are also increasing concerns about opioid abuse and diversion in patients with cancer, even at the en...

  12. Mothers' physical abusiveness in a context of violence: effects on the mother-child relationship.

    Science.gov (United States)

    Timmer, Susan G; Thompson, Dianne; Culver, Michelle A; Urquiza, Anthony J; Altenhofen, Shannon

    2012-02-01

    The purpose of this study was to investigate the effects of mothers' physical abusiveness on the quality of the mother-child relationship, and note how it further varied by their exposure to interparental violence (IPV). The sample consisted of 232 clinic-referred children, aged 2 to 7 years, and their biological mothers. Slightly more than a quarter of the children (N = 63, 27.2%) had been physically abused by their mothers; approximately half of these children also had a history of exposure to IPV (N = 34, 54%). Investigating effects of physical abuse in the context of IPV history on mothers' and children's emotional availability, we found that physically abused children with no IPV exposure appeared less optimally emotionally available than physically abused children with an IPV exposure. However, subsequent analyses showed that although dyads with dual-violence exposure showed emotional availability levels similar those of nonabusive dyads, they were more overresponsive and overinvolving, a kind of caregiving controllingness charasteric of children with disorganized attachment styles. These findings lend some support to the notion that the effects of abuse on the parent-child relationship are influenced by the context of family violence, although the effects appear to be complex.

  13. An investigation of scale effects in family substance abuse treatment programs

    OpenAIRE

    Lee A James

    2010-01-01

    Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families) was too small to be economical. Although the sample size (just nine programs) was too small to permit reliable inference, the data clearly signalled the impor...

  14. Peer effects, unobserved factors and risk behaviours: an analysis of alcohol abuse and truancy among adolescents

    OpenAIRE

    Duarte, Rosa; Escario, José-Julián; Molina, José Alberto

    2007-01-01

    The objective of this paper is to examine the factors which affect alcohol abuse and truancy among adolescents. We propose a new theoretical specification in which alcohol abuse and truancy appear as derived demands, given that they condition peer group and family acceptance, and we introduce unobserved individual effects that can influence both behaviours. Empirically, our paper develops an analysis where, after controlling for the existence of unobserved individual factors affecting both de...

  15. Effects of Abusive Parenting, Caretaker Arrests, and Deviant Behavior on Dating Violence among Homeless Young Adults

    OpenAIRE

    Tyler, Kimberly A.; Schmitz, Rachel M.

    2015-01-01

    Though dating violence is widespread among young adult homeless populations, its risk factors are poorly understood by scholars. To address this gap, the current study uses a social learning theory to examine the effects of abusive parenting and caretaker arrests on dating violence among 172 homeless young adults. Results from path analyses revealed that child physical abuse and caretaker arrests were positively associated with engaging in a greater number of school fights, which, in turn, wa...

  16. Modest abuse-related subjective effects of zolpidem in drug-naïve volunteers

    OpenAIRE

    Licata, Stephanie C.; Mashhoon, Yasmin; MacLean, Robert R.; Lukas, Scott E.

    2011-01-01

    Recent case reports suggest that the short-acting benzodiazepine-like hypnotic zolpidem may have abuse potential among individuals who have no personal history of abusing drugs or alcohol, particularly at doses higher than those recommended for treating insomnia. The present study recruited drug-naïve volunteers to assess the subjective effects of multiple doses of zolpidem (0, 5, 10, or 20 mg) administered in a within-subject double-blind design. Participants (n=11) answered computerized que...

  17. Gender Differences: Effects of Stress on Expressed and Received Abuse.

    Science.gov (United States)

    Rose, Patricia; Marshall, Linda L.

    Abuse between intimates has begun to be examined. Recent research has studied the incidence and causes of violence in marriages and in premarital relationships. A study was conducted to examine the level of intimate violence, patterns of violence for each gender, and the relationship of stress to violence in adult relationships. Study participants…

  18. Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain.

    Science.gov (United States)

    Ducharme, Lori J; Chandler, Redonna K; Harris, Alex H S

    2016-01-01

    The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Drug Abuse (NIDA), and Veterans Health Administration (VHA) share an interest in promoting high quality, rigorous health services research to improve the availability and utilization of evidence-based treatment for substance use disorders (SUD). Recent and continuing changes in the healthcare policy and funding environments prioritize the integration of evidence-based substance abuse treatments into primary care and general medical settings. This area is a prime candidate for implementation research. Recent and ongoing implementation projects funded by these agencies are reviewed. Research in five areas is highlighted: screening and brief intervention for risky drinking; screening and brief intervention for tobacco use; uptake of FDA-approved addiction pharmacotherapies; safe opioid prescribing; and disease management. Gaps in the portfolios, and priorities for future research, are described.

  19. Physical Child Abuse and Teacher Harassment and Their Effects on Mental Health Problems Amongst Adolescent Bully-Victims in Taiwan.

    Science.gov (United States)

    Yen, Cheng-Fang; Ko, Chih-Hung; Liu, Tai-Ling; Hu, Huei-Fan

    2015-10-01

    This study compared physical child abuse and teacher harassment of bully-victims with other groups and examined their associations with mental health problems in bully-victims. For 6,160 adolescents, experiences of physical child abuse, teacher harassment, peer bullying, and six mental health problem indicators were assessed. Adolescents that had experienced physical child abuse and teacher harassment were more likely to be bully-victims but not neutral or pure victims. Adolescents who reported physical child abuse were more likely to be bully-victims but not pure bullies. Bully-victims that had experienced teacher harassment exhibited more severe depression and insomnia than did those without teacher harassment. Gender had moderating effects on the difference in physical child abuse between bully-victims and neutrals and on the association between physical child abuse and suicidality in bully-victims. Physical child abuse and teacher harassment should be considered when preventive and intervention programs are developed for adolescents. PMID:25300192

  20. AAS, growth hormone, and insulin abuse: psychological and neuroendocrine effects

    OpenAIRE

    Graham, Michael R; Peter Evans; Bruce Davies; Baker, Julien S.

    2008-01-01

    Michael R Graham1, Peter Evans2, Bruce Davies1, Julien S Baker11Health and Exercise Science Research Unit, Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, United Kingdom; 2Royal Gwent Hospital, Newport, Gwent, United KingdomAbstract: The nontherapeutic use of prescription medicines by individuals involved in sport is increasing. Anabolic-androgenic steroids (AAS) are the most widely abused drug. Much of our knowledge of the psychological and physiological effe...

  1. The Effect of Perceived Abusive Management of Workers to Their Performance and the Role of Emotional Intelligence on This Effect

    OpenAIRE

    AKIN, Mahmut; ÖZDEVECİOĞLU, Mahmut; Karaca, Mustafa; Banu İŞTAHLI

    2014-01-01

    In this research it is evaluated the effect of perceived abusive management of workers to their performance and the role of emotional intelligence on this effect. Research is realized with 253 civil servants in Kırşehir. Workers performance is handled two dimensional. One of them is task performance and the other one is contextual performance. According to the results, emotional intelligence is diminished or eliminated the effects of abusive management on workers performance. Additionally; em...

  2. Neighborhood alcohol outlet density and rates of child abuse and neglect: moderating effects of access to substance abuse services.

    Science.gov (United States)

    Morton, Cory M; Simmel, Cassandra; Peterson, N Andrew

    2014-05-01

    This study investigates the relationship between concentrations of on- and off-premises alcohol outlets and rates of child abuse and neglect. Additionally, the study seeks to locate protective features of a neighborhood's built environment by investigating the potentially moderating role that access to substance abuse treatment and prevention services plays in the relationship between alcohol outlet density and child maltreatment. Using a cross-sectional design, this ecological study utilized data from 163 census tracts in Bergen County, New Jersey, on reports of child abuse and neglect, alcohol outlets, substance abuse treatment and prevention facilities, and the United States Census to investigate the linkages between socioeconomic structure, alcohol availability, and access to substance abuse service facilities on rates of child abuse and neglect. Findings indicate areas with a greater concentration of on-premises alcohol outlets (i.e., bars) had higher rates of child neglect, and those with easier access to substance abuse services had lower rates of neglect, controlling for neighborhood demographic and socioeconomic structure. Additionally, the relationship between on-premises alcohol outlet density and rates of child neglect was moderated by the presence of substance abuse service facilities. A greater concentration of off-premises outlets (i.e., liquor stores) was associated with lower rates of physical abuse. Findings suggest that the built environment and socioeconomic structure of neighborhoods have important consequences for child well-being. The implications for future research on the structural features of neighborhoods that are associated with child well-being are discussed.

  3. Effects of volatile substance abuse on the respiratory system in adolescents

    Directory of Open Access Journals (Sweden)

    Büker Halime SC

    2011-06-01

    Full Text Available Abstract Aim Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Chronic inhalant abuse can damage respiratory, cardiac, renal, hepatic, and neurologic systems. This study aims to determine the physiologic effects of inhaling solvents on the respiratory functions. Methods The general health status of the subjects was assessed by history taking, physical examination and a questionnaire which was designed to show the severity of respiratory symptoms. Spirometry, ventilation/perfusion scintigraphy, and high resolution computed tomography (HRCT were performed to assess pulmonary functions and anatomy. Results Thirty-one male volatile substance abusers and 19 control subjects were included in the study. The mean age of onset of inhalant use was 14.6 ± 2.2 (9-18 years and duration of drug use was 3.7 ± 1.7 years. The most common respiratory symptoms in volatile substance abusers were nasal congestion (45.2%, sputum (38.7%, exercise intolerance (32.3% and cough (22.6%. Results of spirometric studies showed 12 (41.4% subjects with low FVC values Conclusion This study has shown a positive correlation between volatile substance abuse and the development of restrictive ventilatory pattern, but more comprehensive studies are needed for more precise conclusions.

  4. An investigation of scale effects in family substance abuse treatment programs

    Directory of Open Access Journals (Sweden)

    Lee A James

    2010-07-01

    Full Text Available Abstract This short report investigates scale effects in family substance abuse treatment programs. In Massachusetts, the family substance abuse treatment programs were much more costly than other adult residential treatment models. State officials were concerned that the "scale" or size of these programs (averaging just eight families was too small to be economical. Although the sample size (just nine programs was too small to permit reliable inference, the data clearly signalled the importance of "scale effects" in these family substance abuse treatment programs. To further investigate scale effects in family substance abuse treatment programs, data from the Center for Substance Abuse Treatment's (CSAT's Residential Women and Children and Pregnant and Postpartum Women (RWC-PPW Demonstration were re-analyzed, focusing on the relationship between cost per family-day and the estimated average family census. This analysis indicates strong economies of scale up until an average family census of about 14, and less apparent scale effects beyond that point. In consideration of these and other study findings, a multidisciplinary interagency team redesigned the Massachusetts' family treatment program model. The new programs are larger than the former family treatment programs, with each new program having capacity to treat 11 to 15 families depending on family makeup.

  5. Effect of Song Writing versus Recreational Music on Posttraumatic Stress Disorder (PTSD) Symptoms and Abuse Attribution in Abused Children.

    Science.gov (United States)

    Coulter, Susan J.

    2000-01-01

    Attempts to develop a song-writing technique to reduce posttraumatic stress disorder (PTSD) symptoms in abused children from 9 to 17 years old, all patients of an inpatient psychiatric child/adolescent unit who had been physically and/or sexually abused. Finds no significant change in overall scores due to treatment condition. (SR)

  6. Helping Yourself Heal: A Recovering Man's Guide to Coping with the Effects of Childhood Abuse

    Science.gov (United States)

    ... based on Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues , 36 in the Treatment Improvement ... or depressed and may be part of the reason you abuse substances. You may ■ Have flashbacks of the abuse ■ ...

  7. Central nervous system effects of chronic solvent abuse

    International Nuclear Information System (INIS)

    Thirteen organic solvent abusers (13 men and 2 women) were examined by magnetic resonace imaging (MRI) and singl photon emission computed tomography (SPECT). Three patients had neurological findings, such as ataxia of the upper extremities and walking disorder, and 2 of these had localized signal abnormality on MRI. T2-weighted imaging showed high signal intensities in the cerebral white matter, endocyst posterior shank, pars ventralis, and cerebellar white matter. These seemed to be attributable to demyelination. Two patients who showed locally abnormal MRI findings had begun to abuse organic solvents. There was a significant correlation between the age at the time of beginning inhalation and behavioral IQ (r=0.84). This suggested the importance of age at the time of beginning inhalation. When SPECT images were visually interpreted in 11 patients, 5 patients had a decreased blood flow in the bilateral frontal lobes (n=2), the right frontal lobe (n=2), and the bilateral cerebellar hemisphere (n=2). In the other 6 patients, blood flow was normal. There was a negative correlation between blood flow in the left frontal lobe and the score for the third Scale for the Assessment of Negative Symptoms (SANS) item. (N.K.)

  8. Tests of a Direct Effect of Childhood Abuse on Adult Borderline Personality Disorder Traits: A Longitudinal Discordant Twin Design

    OpenAIRE

    Bornovalova, Marina A.; Huibregtse, Brooke M; Hicks, Brian M.; Keyes, Margaret; McGue, Matt; Iacono, William

    2012-01-01

    We used a longitudinal twin design to examine the causal association between sexual, emotional, and physical abuse in childhood (before age 18) and borderline personality disorder (BPD) traits at age 24 using a discordant twin design and biometric modeling. Additionally, we examined the mediating and moderating effects of symptoms of childhood externalizing and internalizing disorders on the link between childhood abuse and BPD traits. Although childhood abuse, BPD traits, and internalizing a...

  9. Integrating substance abuse care with community diabetes care: implications for research and clinical practice

    OpenAIRE

    Ghitza UE; Wu LT; Tai B

    2013-01-01

    Udi E Ghitza,1 Li-Tzy Wu,2 Betty Tai11Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, United States Department of Health and Human Services, Bethesda, MD, 2Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USAAbstract: Cigarette smoking and alcohol use are prevalent among individuals with diabetes in the US, but little is known about screening and treatment for substance use disorders in the d...

  10. Trauma and Sexuality: The Effects of Childhood Sexual, Physical, and Emotional Abuse on Sexual Identity and Behavior.

    Science.gov (United States)

    Chu, James A., Ed.; Bowman, Elizabeth S., Ed.

    This book examines the effects of childhood trauma--including sexual abuse--on sexual orientation and behavior. It is directed at helping counselors expand their sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation,…

  11. Physical Abuse

    Science.gov (United States)

    ... Additional Resources Return to: What is Elder Abuse? Physical Abuse Physical abuse is physical force or violence that results in ... may be acquaintances, sons, daughters, grandchildren, or others. Physical abuse that is perpetrated by spouses or intimate partners ...

  12. Neighborhood Alcohol Outlet Density and Rates of Child Abuse and Neglect: Moderating Effects of Access to Substance Abuse Services

    OpenAIRE

    Morton, Cory M.; Simmel, Cassandra; Peterson, N Andrew

    2014-01-01

    This study investigates the relationship between concentrations of on- and off-premises alcohol outlets and rates of child abuse and neglect. Additionally, the study seeks to locate protective features of a neighborhood's built environment by investigating the potentially moderating role that access to substance abuse treatment and prevention services plays in the relationship between alcohol outlet density and child maltreatment. Using a cross-sectional design, this ecological study utilized...

  13. Sexual Abuse

    Science.gov (United States)

    Navigation Physical Abuse Sexual Abuse Domestic Violence Psychological Abuse Financial Abuse Neglect Critical Issues What Communities Can Do The Role ... Abuse and Neglect Ramsey-Klawsnik, H. (1996). Assessing physical and sexual abuse in health care settings. In L.A. Baumhover & S. ...

  14. Sexual Abuse Survivors' Perceptions of the Effectiveness of EMDR and Eclectic Therapy

    Science.gov (United States)

    Edmond, Tonya; Sloan, Lacey; McCarty, Dawn

    2004-01-01

    Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse--Eye movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted…

  15. Proximate Effects of a Child Sexual Abuse Prevention Program in Elementary School Children.

    Science.gov (United States)

    Hebert, Martine; Lavoie, Francine; Piche, Christiane; Poitras, Michele

    2001-01-01

    The effects of the sexual child abuse prevention program ESPACE were evaluated with 133 Canadian children (grades 1-3). Children participating in the prevention program showed greater preventive knowledge and skills relative to children not participating. Follow-up data showed knowledge gains were maintained while the preventive skill gains may…

  16. Healthy Families New York (HFNY) Randomized Trial: Effects on Early Child Abuse and Neglect

    Science.gov (United States)

    DuMont, Kimberly; Mitchell-Herzfeld, Susan; Greene, Rose; Lee, Eunju; Lowenfels, Ann; Rodriguez, Monica; Dorabawila, Vajeera

    2008-01-01

    Objective: To evaluate the effects of a home visiting program modeled after Healthy Families America on parenting behaviors in the first 2 years of life. Methods: A sample of 1173 families at risk for child abuse and neglect who met the criteria for Healthy Families New York (HFNY) was randomly assigned to either an intervention group that was…

  17. Parental Depression and Child Outcomes: The Mediating Effects of Abuse and Neglect

    Science.gov (United States)

    Mustillo, Sarah A.; Dorsey, Shannon; Conover, Kate; Burns, Barbara J.

    2011-01-01

    Using longitudinal data on 1,813 children and parents from a nationally representative child-welfare sample, National Survey of Child and Adolescent Well-Being (NSCAW), this study investigated physically abusive and neglectful parenting as mediating the effects of parent depression on child mental health by developmental stage. Findings from…

  18. Effectiveness of home visiting in reducing partner violence for families experiencing abuse: A systematic review

    NARCIS (Netherlands)

    Prosman, G.J.; Wong, S.H.; Wouden, J.C. van der; Lagro-Janssen, A.L.M.

    2015-01-01

    BACKGROUND: Intimate partner violence (IPV) against women is a major, global societal problem with enormous health consequences both for mother and child. Home visiting interventions in families at risk of abuse seem promising in decreasing IPV. In this systematic review, we aim to assess the effect

  19. The Effect of Corporal Punishment and Verbal Abuse on Delinquency: Mediating Mechanisms

    Science.gov (United States)

    Evans, Sara Z.; Simons, Leslie Gordon; Simons, Ronald L.

    2012-01-01

    While the link between parenting and delinquency is well established, there is less consensus among scholars with regards to the processes that account for this link. The current study had two objectives. The first was to disentangle the effects of African American parents' use of corporal punishment and verbal abuse on the conduct problems of…

  20. Childhood Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Evrim Aktepe

    2009-08-01

    behavioral and psychological results by itself, early trauma may also lead to biological effects. Especially traumas during neuron plasticity phase may lead hypersensitivity of neuroendocrine stress response. Early life stresses are shown to lead changes in corticotrophin releasing factor system in preclinical and clinical phase studies. In the treatment of sexual abuse, emotional process related with trauma should be focused on. This process may be conducted with play therapy. Development of higher level defense mechanism, increasing ego capacity, orientation to social activity and personal activity according to skills is aimed. For the elimination of guiltiness related with stigmatization, the child should be told that it is not herhis fault to incorporate into sexual interaction and the culprit is abuser. It is fairly important for medical staff, school and family to have sufficient information about sexual abuse for prevention and early recognition.

  1. The effect of a family-based intervention with a cognitive-behavioral approach on elder abuse.

    Science.gov (United States)

    Khanlary, Zahra; Maarefvand, Masoomeh; Biglarian, Akbar; Heravi-Karimooi, Majideh

    2016-01-01

    Elder abuse may become a health issue in developing countries, including Iran. The purpose of this investigation was to study the effectiveness of Family-Based Cognitive-Behavioral Social Work (FBCBSW) in reducing elder abuse. In a randomized clinical trial in Iran, 27 elders participated in intervention and control groups. The intervention groups received a five-session FBCBSW intervention and completed the Domestic-Elder-Abuse-Questionnaire (DEAQ), which evaluates elder abuse at baseline and follow-ups. Repeated measures of analysis of variance (ANOVA) and the Wilcoxon test were used to analyze the data. The repeated measures ANOVA revealed that FBCBSW was successful in reducing elder abuse. The Wilcoxon test indicated that emotional neglect, care neglect, financial neglect, curtailment of personal autonomy, psychological abuse, and financial abuse significantly decreased over time, but there was no statistically significant difference in physical abuse before and after the intervention. The findings from this study suggest that FBCBSW is a promising approach to reducing elder abuse and warrants further study with larger samples.

  2. The Effectiveness of Psycho-Educational School-Based Child Sexual Abuse Prevention Training Program on Turkish Elementary Students

    Science.gov (United States)

    Cecen-Erogul, Ayse Rezan; Kaf Hasirci, Ozlem

    2013-01-01

    In Turkey, there is neither systematic nor structured child sexual abuse prevention programs for school-aged children in school settings. The main purpose of this study was to investigate the effectiveness of a school-based child sexual abuse prevention program on elementary school (4th grade) students. Quasi-experimental design with pretest,…

  3. Effects of Trauma Intervention on HIV Sexual Risk Behaviors among Women with Co-Occurring Disorders in Substance Abuse Treatment

    Science.gov (United States)

    Amaro, Hortensia; Larson, Mary Jo; Zhang, Annie; Acevedo, Andrea; Dai, Jianyu; Matsumoto, Atsushi

    2007-01-01

    Women in substance abuse treatment often have co-occurring mental health disorders and a history of trauma; they are also at high risk for HIV infection and other sexually transmitted diseases via unprotected sex. A quasi-experimental study evaluated the effectiveness of trauma-enhanced substance abuse treatment combined with HIV/AIDS prevention…

  4. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Suci Wulansari

    2012-11-01

    Full Text Available Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope to be able to do an early diagnose, prevention, and right therapy to minimize the negative impacts that can happen. Raising competencies of health care providers and building more hospitals that can be an integrated crisis centre in child abuse is a must. The government has built some policies to prevent children from child abuse, that has to be socialized, implemented an evaluated. It is hoped that Health Department has to make a continued and integrated systems and make a standard procedures for all of health care providers to prevent and provide the right therapy for the victim of child abuse. Key words: Child Abuse, growth and development, policies

  5. Moving evidence-based drug abuse prevention programs from basic science to practice: "bridging the efficacy-effectiveness interface".

    Science.gov (United States)

    August, Gerald J; Winters, Ken C; Realmuto, George M; Tarter, Ralph; Perry, Cheryl; Hektner, Joel M

    2004-01-01

    This article examines the challenges faced by developers of youth drug abuse prevention programs in transporting scientifically proven or evidence-based programs into natural community practice systems. Models for research on the transfer of prevention technology are described with specific emphasis given to the relationship between efficacy and effectiveness studies. Barriers that impede the successful integration of efficacy methods within effectiveness studies (e.g., client factors, practitioner factors, intervention structure characteristics, and environmental and organizational factors) are discussed. We present a modified model for program development and evaluation that includes a new type of research design, the hybrid efficacy-effectiveness study that addresses program transportability. The utility of the hybrid study is illustrated in the evaluation of the Early Risers "Skills for Success" prevention program.

  6. Effects of the abused inhalant toluene on the mesolimbic dopamine system

    OpenAIRE

    Woodward, John J; Beckley, Jacob

    2014-01-01

    Toluene is a representative member of a class of inhaled solvents that are voluntarily used by adolescents and adults for their euphorigenic effects. Research into the mechanisms of action of inhaled solvents has lagged behind that of other drugs of abuse despite mounting evidence that these compounds exert profound neurobehavioral and neurotoxicological effects. Results from studies carried out by the authors and others suggest that the neural effects of inhalants arise from their interactio...

  7. Time-varying effect models for ordinal responses with applications in substance abuse research

    OpenAIRE

    Dziak, John J.; Li, Runze; Zimmerman, Marc A.; Buu, Anne

    2014-01-01

    Ordinal responses are very common in longitudinal data collected from substance abuse research or other behavioral research. This study develops a new statistical model with free SAS macro’s that can be applied to characterize time-varying effects on ordinal responses. Our simulation study shows that the ordinal-scale time-varying effects model has very low estimation bias and sometimes offers considerably better performance when fitting data with ordinal responses than a model that treats th...

  8. Educators, Schools, and Child Abuse.

    Science.gov (United States)

    Broadhurst, Diane D.

    The booklet provides an overview on the school-related issues involved in child abuse and neglect. Definitions, causes, and effects of abuse and neglect are reviewed in the first chapter; guidelines for identifying physical and sexual abuse, neglect, and emotional maltreatment are offered in chapter 2. Aspects of reporting abuse are noted as are…

  9. Effects of Community Based Educational Prevention Program of Drug Abuse in Reduction of High Risk Behavior

    Directory of Open Access Journals (Sweden)

    H Aranpour

    2010-08-01

    Full Text Available Introduction: Overcoming social problems requires a participatory approach. This study was performed in order to determine the effect of community based educational prevention program of drug abuse in reduction of high risk behavior. Methods: This study was a community based participatory research. According to planned approach to community health model, "the health companion group" was established with participation of public representatives of villages, researchers, and managers of health sectors. Need assessment and priority setting of health problems was done. Drug abuse was selected as the topmost priority of health problems. By interviewing 10 year olds and older members of households, the questionnaires were completed. By conducting workshops, distributing educational pamphlets and face to face training for six months, the educational program was carried out. After this period, the study population was interviewed again. Data was analyzed by SPSS software, X2, and T tests. Results: The mean score of drug abuse related high risk behavior was 26.8 +/- 2.05 before educational program and 25.2 ±2.3 after the program. The mean score of psychological health was 26.2±5.8 before educational program and 26.4±5.7 after the program. The rate of negative drug abusing related behavior decreased and positive behavior increased after the educational program. Conclusion: The community based participatory research with participation of the public can be a proper pattern to prevent drug abuse and related high risk behaviors and as a result reduce costs and complications of this problem.

  10. Cyclohexane, a potential drug of abuse with pernicious effects for the brain

    Directory of Open Access Journals (Sweden)

    Oscar eGonzalez-Perez

    2016-01-01

    Full Text Available Cyclohexane is a volatile solvent used as a harmless substitute for dangerous organic solvents in several products, such as paint thinners, gasoline and adhesives. Many of these products are used as drugs of abuse and can severely damage neural tissue and impair neurological functions. However, there is very little information on the effects of cyclohexane on the brain. In humans, cyclohexane produces headaches, sleepiness, dizziness, limb weakness, motor changes and verbal memory impairment. Recent studies in mice have demonstrated behavioral alterations, reactive gliosis, microglial reactivity and oxidative stress in the brains of cyclohexane-exposed animals. This indicates that cyclohexane may represent a potential problem for public health. Therefore, studies are needed to clarify the neurobiological effects of this volatile compound, including the cellular and molecular mechanisms of neurotoxicity, and to minimize the human health risk posed by the intentional or accidental inhalation of this potential drug of abuse.

  11. Toxic Knowledge: Self-Alteration Through Child Abuse Work.

    Science.gov (United States)

    Sigad, Laura I; Davidov, Jonathan; Lev-Wiesel, Rachel; Eisikovits, Zvi

    2016-02-01

    The purpose of the present article is to examine the multiple ways in which the private lives of professionals are affected by involvement with child abuse intervention and prevention. Using a descriptive-phenomenological perspective and 40 in-depth interviews with professionals to present a model based on qualitative data, we studied the ways in which child abuse professionals conceptualize, understand, and integrate their experiences into their personal and family lives. We find that the process of internalizing child abuse knowledge occurs in two domains: One affirms or denies the existence of the phenomenon; the other concerns the strategies used to contend with the effects of working in abuse. Knowledge of child abuse is toxic, in the sense that it serves as a catalyst leading to the alteration of one's self-perception and parental identity. We present a typology of self-alteration resulting from child abuse knowledge and describe the mechanism of this change. PMID:25381277

  12. Elder Abuse

    Science.gov (United States)

    ... facilities or nursing homes. The mistreatment may be Physical, sexual, or emotional abuse Neglect or abandonment Financial abuse - stealing of money or belongings Possible signs of elder abuse include unexplained bruises, burns, ...

  13. Dextromethorphan: a case study on addressing abuse of a safe and effective drug

    OpenAIRE

    Spangler, David C.; Loyd, Catherine M.; Skor, Emily E.

    2016-01-01

    Background Dextromethorphan is a safe, effective cough suppressant, available without a prescription in the United States since 1958. Due to a perceived prevalence of abuse of dextromethorphan by teens, in 2007 the Drug Enforcement Administration requested the Food and Drug Administration evaluate whether dextromethorphan should be recommended for scheduling under the Controlled Substances Act. The Food and Drug Administration held an Advisory Committee meeting in 2010 to provide a scientific...

  14. Cost-effectiveness of individual versus group psychotherapy for sexually abused girls

    OpenAIRE

    Paul R. McCrone; Weeramanthri, Tara; Martin R.J. Knapp; Rushton, Alan; Trowell, Judith; Miles, Gillian; Kolvin, Israel

    2005-01-01

    Children who have been sexually abused may suffer from emotional and behavioural difficulties. Recent research found that individual and group psychotherapy have similar outcomes. In this study we compare the costs and cost-effectiveness of the two therapies and support for carers. Subjects were recruited to two clinics in London and randomly allocated to treatments. Total mean costs of individual therapy were found to be £1246 greater than for group therapy. Costs as they would apply in rout...

  15. Employment Type and Length of Stay in Substance Abuse Treatment: Economic Factors and Gender Specific Effects

    OpenAIRE

    Quinn A.W. Keefer

    2013-01-01

    We present an economic argument for the effect of employment on length of stay in substance abuse treatment, which is documented to contribute to positive post-treatment outcomes. We begin by presenting a theoretical model which predicts longer lengths of stay for employed versus unemployed individuals, as is observed empirically. The model shows that along with its psychological benefits, employment increases length of stay by increasing the opportunity costs of substance use. As labor marke...

  16. Effects of type of exercise on depression in recovering substance abusers.

    Science.gov (United States)

    Palmer, J A; Palmer, L K; Michiels, K; Thigpen, B

    1995-04-01

    This experiment investigated the effects of three types of structured exercise (aerobics, bodybuilding, and circuit training) on depressive symptoms of 45 clients undergoing a 4-wk., inpatient rehabilitation program for substance abuse. Pre- and posttest measures included the Center of Epidemiological Studies--Depression, resting pulse rate, blood pressure, maximum strength on incline bench press, and estimates of aerobic fitness and body fat. The bodybuilding program produced a significant decrease in depressive symptoms. Physiological and psychological explanations are discussed.

  17. The Effect of Maternal Depression and Substance Abuse on Child Human Capital Development

    OpenAIRE

    Frank, Richard G; Ellen Meara

    2009-01-01

    Recent models of human capital formation represent a synthesis of the human capital approach and a life cycle view of human development that is grounded in neuroscience (Heckman 2007). This model of human development, the stability of the home and parental mental health can have notable impacts on skill development in children that may affect the stock of human capital in adults (Knudsen, Heckman et al. 2006; Heckman 2007). We study effects of maternal depression and substance abuse on childr...

  18. The Effectiveness of Emotional Schema Therapy on Emotional Schemas of Female Victims of Child Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    S Daneshmandi

    2014-12-01

    Conclusion: The study findings proposed that Emotional Schema Therapy can be regarded as an effective intervention in order to modify some dimensions of emotional schemas in women with child abuse and neglect history.

  19. Gender vulnerabilities, spousal abuse and the incidence of HIV in Lesotho:a case for an integrative rights-based approach.

    Science.gov (United States)

    Olowu, 'Dejo

    2011-09-01

    The article posits that imbalances in gender relations are influencing two distinctive yet connected crises for women in Lesotho: the HIV epidemic and spousal abuse. The overarching premise is that as spousal abuse is increasingly recognised and as HIV infections spread, responses to the phenomenon do not reflect the related risks and consequences in married women's lives. This article underscores the nexus of connections between HIV and spousal abuse in Lesotho, identifying potential areas for pragmatic state-led responses. Applying a rights-based approach, it assesses women's vulnerability to each problem at the individual, societal and programmatic levels, noting that there are both direct and underlying factors heightening risks for women. The article asks, what is the value added by a rights-based approach to the subject under discourse? And, how can a rights-based approach be translated into practical tools for planning, monitoring and evaluating projects and programmes aimed at tackling the multifaceted risks and challenges of HIV and spousal abuse confronting women in Lesotho? In response to these questions, the author identifies three trajectories of opportunities for an integrated, comprehensive response. The unmistakable anchor of the article's propositions is the rights-based approach. Although the discussion focuses on Lesotho, the implications for the broader African region cannot be overemphasised in light of commonly shared experiences pertaining to the severe difficulties posed by spousal abuse and HIV.

  20. Abnormalities of white matter integrity in the corpus callosum of adolescents with PTSD after childhood sexual abuse: a DTI study.

    Science.gov (United States)

    Rinne-Albers, Mirjam A W; van der Werff, Steven J A; van Hoof, Marie-José; van Lang, Natasja D; Lamers-Winkelman, Francien; Rombouts, Serge A; Vermeiren, Robert R J M; van der Wee, Nic J A

    2016-08-01

    This study seeks to determine whether white matter integrity in the brain differs between adolescents with post-traumatic stress disorder (PTSD) due to childhood sexual abuse (CSA) and matched healthy adolescents and whether there is a relationship between white matter integrity and symptom severity in the patient group. Using 3T diffusion tensor imaging, we examined fractional anisotropy (FA) in a group of adolescents with CSA-related PTSD (n = 20) and matched healthy controls (n = 20), in a region of interest consisting of the bilateral uncinate fasciculus (UF), the genu, splenium and body of the corpus callosum (CC), and the bilateral cingulum. In addition, we performed an exploratory whole brain analysis. Trauma symptomatology was measured with the Trauma Symptom Checklist for Children (TSCC) to enable correlational analyses between FA differences and trauma symptomatology. The PTSD group had significantly lower FA values in the genu, midbody and splenium of the CC in comparison with controls (p Post hoc analyses of the eigenvalues of the DTI scan showed increased radial and mean diffusivity in the patient group. In addition, we found a significant negative correlation between scores on the anger subscale of the TSCC and FA values in the left body of the CC in patients (p trauma exposure affects the development of the CC, which may play a role in the pathophysiology of PTSD in adolescents. PMID:26700102

  1. Domestic Abuse and Child Health

    OpenAIRE

    Rawlings, Samantha; Siddique, Zahra

    2014-01-01

    We examine the effects of different kinds of domestic abuse (physical violence, emotional abuse, sexual abuse and physical violence while the victim is pregnant) on health outcomes of children born to victims. We use data on approximately 0.6 million children born between 1975 and 2013 across thirty different developing countries to investigate this relationship. Comparing children of abused mothers with otherwise similar children whose mothers were not victims of abuse, we find these childre...

  2. The effects of housing costs on polydrug abuse patterns: a comparison of heroin, cocaine, and alcohol abusers.

    Science.gov (United States)

    Petry, N M

    2001-02-01

    This study evaluated how price of housing affects hypothetical purchasing decisions. Participants (26 heroin, 28 cocaine, and 15 alcohol abusers, and 25 controls) were exposed to 4 conditions in which they "purchased" drugs, food, housing, and entertainment. Whereas income remained constant, housing prices varied across conditions. Except for 23% of heroin abusers, participants purchased housing regardless of cost, so that income increased as housing cost decreased. Demand for food was income inelastic, whereas demand for entertainment was income elastic. Each group showed income elastic demand for their drug of choice. Hypothetical choices were reliable; drug choices were correlated with urinalysis results, and willingness to forgo housing in the simulation was correlated with time spent homeless in real life. This study shows that changes in housing prices may affect choices for drug and nondrug reinforcers. PMID:11519635

  3. Superior efficacy of cognitive-behavioral therapy for urban crack cocaine abusers: main and matching effects.

    Science.gov (United States)

    Maude-Griffin, P M; Hohenstein, J M; Humfleet, G L; Reilly, P M; Tusel, D J; Hall, S M

    1998-10-01

    This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and 12-step facilitation (12SF) in treating cocaine abuse. Participants (N = 128) were randomly assigned to treatment conditions and assessed at baseline and at Weeks 4, 8, 12, and 26. Treatment lasted for 12 weeks. It was hypothesized that participants treated with CBT would be significantly more likely to achieve abstinence from cocaine than participants treated with 12SF. A series of patient-treatment matching hypotheses was also proposed. Across 2 different outcome variables, it was found that participants in CBT were significantly more likely to achieve abstinence than participants in 12SF. In addition, some support for matching hypotheses was found, suggesting that both psychotherapies may be differentially effective for identified subgroups of persons that abuse cocaine. PMID:9803702

  4. Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers

    Directory of Open Access Journals (Sweden)

    Naregal PM

    2016-01-01

    Full Text Available Background: Child abuse is one major threat to children all over the globe. Regardless of the type of child abuse, the result is serious emotional harm affecting the normal growth & development of child. School teachers are in contact with children daily and by reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. Objectives: 1. To assess the knowledge of primary school teachers regarding child abuse and neglect. 2. To assess the effectiveness of planned teaching programme on knowledge of primary school teachers regarding child abuse and neglect. 3. To find out the association between pre-test knowledge scores of primary school teachers with selected demographic variables. Material and Methods: The research approach used for the study was evaluative approach. The study was conducted in 3 primary schools at Karad, Maharashtra, India using one group pre-test post-test design. Non-probability Purposive sampling technique was used for selecting 30 primary school teachers. On the 1st day Structured knowledge questionnaire was used for collecting data and planned teaching programme on child abuse and neglect was conducted and followed by post test on the 7th day. The data collected, tabulated and analyzed in terms of objectives of the study using descriptive and inferential statistics. Results: In pre-test majority 18 (60% teachers had poor and 6 (20% had average and good knowledge regarding child abuse and neglect respectively. Where as in post-test majority 19(63% teachers had average knowledge, 6(20% had good knowledge and 5(17% teachers had poor knowledge regarding knowledge of child abuse and neglect. The mean pre test value is 9.433 and the mean post test value is 16.200 a difference of 6.77.The paired‘t’ value is 5.512, (p 0.05 of Knowledge scores with any other demographic variables. Conclusion: The study showed that the planned teaching programme on child

  5. Is Web-Based Education Effective in Reducing Belief Toward Drug Abuse Among College Students?

    Directory of Open Access Journals (Sweden)

    Jalilian

    2015-02-01

    Full Text Available Background Addiction is considered a basic structural problem in modern society, and seems to reach an epidemic scale in the last decades. Choosing a method to fulfill the intervention is an important issue to conduct educational interventions to prevent addictive behaviors. In this regard, web-based education has been widely used to introduce preventive programs to risky behaviors during recent years. Objectives The aim of the present study was to investigate the impact of web-based education intervention to decrease positive beliefs encouraging drug abuse among male medical college students. Patients and Methods This was a prospective-retrospective intervention study that was conducted among 75 male students in Kermanshah University of Medical Sciences, Kermanshah, Iran, during 2014. t-test was used for the statistical analysis. Results Our findings indicated that the belief toward drug abuse was significantly reduced after education (P = 0.003. In addition, compared pre and post-intervention scores on survey items showed a significant reduction in enjoyment, improve energy, attraction, higher strength, and higher self-esteem items after education (P 0.05. Conclusions Our findings showed that designing and implementing web-based educational intervention could be effective to reduce the positive beliefs toward drug abuse among college students.

  6. The Effects of Child Abuse and Exposure to Domestic Violence on Adolescent Internalizing and Externalizing Behavior Problems

    OpenAIRE

    Moylan, Carrie A.; Herrenkohl, Todd I.; Sousa, Cindy; Tajima, Emiko A.; Herrenkohl, Roy C.; Russo, M. Jean

    2010-01-01

    This study examines the effects of child abuse and domestic violence exposure in childhood on adolescent internalizing and externalizing behaviors. Data for this analysis are from the Lehigh Longitudinal Study, a prospective study of 457 youth addressing outcomes of family violence and resilience in individuals and families. Results show that child abuse, domestic violence, and both in combination (i.e., dual exposure) increase a child’s risk for internalizing and externalizing outcomes in ad...

  7. Child Abuse

    Science.gov (United States)

    ... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than physical damage. An abused child may become ...

  8. Integrated Programs for Mothers with Substance Abuse Issues and Their Children: A Systematic Review of Studies Reporting on Child Outcomes

    Science.gov (United States)

    Niccols, Alison; Milligan, Karen; Smith, Ainsley; Sword, Wendy; Thabane, Lehana; Henderson, Joanna

    2012-01-01

    Background: Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children. Objectives: To examine the impact and effects of integrated programs for…

  9. New insights into cannabis consumption; abuses and possible therapeutic effects

    Directory of Open Access Journals (Sweden)

    Daniela Luiza Baconi

    2014-10-01

    Full Text Available Cannabis is one of the oldest psychotropic drugs known to humanity. The paper assesses the current knowledge on the cannabis, including the mechanisms of action and the therapeutic potential of cannabinoids. Three varieties of Cannabis plant are recognised: Cannabis sativa, Cannabis indica, and Cannabis ruderalis. The variety indica is used predominantly to obtain the drugs. Cannabis herb is usually named marijuana, while the cannabis oleoresin secreted by the glandular hairs found mainly on the flowering or fruiting tops of the plant is known as hashish. More than 400 known chemicals are present in cannabis, at least 70 of which are called cannabinoids. The major psychoactive constituent in cannabis is delta-9-tetrahydrocannabinol (Δ9-THC. It is now recognized that there are three types of cannabinoids: natural (phytocannabinoids, endogenous cannabinoids, and synthetic cannabioids. Cannabinoids exert their actions by binding to specific membrane protein, the cannabinoid receptor. To date, two subtypes of cannabinoid receptors, named cannabinoid-1 (CB1, most abundantly expressed in the central nervous system and cannabinoid-2 (CB2 receptors, found predominantly in peripheral tissues with immune functions have been cloned. Therefore, the concept of endogenous cannabinoid system (endocannabinoid system, SEC has been developed. Based on the current scientific evidence, there are several effects of cannabinoids with potential therapeutic use: antiemetic, analgesic in cancerous pains, and chronic neuropathic pain, in multiple sclerosis or spinal cord injuries. Cannabis consume can result in a state of drug dependency and cannabis withdrawal has been included in DSM-V. Cannabis plant remains controversial in the twenty-first century and the potential therapeutic of specific cannabinoid compounds and medical marijuana remains under active medical research.

  10. Delineating selection and mediation effects among childhood personality and environmental risk factors in the development of adolescent substance abuse.

    Science.gov (United States)

    Hicks, Brian M; Johnson, Wendy; Durbin, C Emily; Blonigen, Daniel M; Iacono, William G; McGue, Matt

    2014-01-01

    Utilizing the large, longitudinal Minnesota Twin Family Study (N = 2510; 96 % European American ancestry), we examined the influence of several person-environment transactions on adolescent substance abuse. We focused on the two childhood personality traits found to be most predictive of substance abuse in this sample-socialization (willingness to follow rules and endorse conventional values) and boldness (social engagement and assurance, stress resilience, thrill seeking)-and the environmental variables of antisocial and prosocial peers, academic engagement, parent-child relationship quality, and stressful life events. Path analysis revealed that low socialization had a selection effect for each environmental risk factor, that is, socialization at age 11 predicted environmental risk at age 14, after controlling for the stability of the environmental variables from ages 11 to 14. Antisocial peers and academic engagement at age 14 then mediated some of the risk of low socialization on substance abuse at age 17, but the majority of risk for substance abuse was accounted for by the stability of socialization from age 11 to 14. Boldness at age 11 also increased risk for substance abuse, but did so primarily via a direct effect. The findings help to parse the nature of person-environment transactions across multiple personality traits and contextual risk factors that contribute to adolescent substance abuse.

  11. Behavioral Couples Treatment for Substance Use Disorder: Secondary Effects on the Reduction of Risk for Child Abuse.

    Science.gov (United States)

    Kelley, Michelle L; Bravo, Adrian J; Braitman, Abby L; Lawless, Adrienne K; Lawrence, Hannah R

    2016-03-01

    Risk for child abuse was examined prior to and after behavioral couples treatment (BCT) among 61 couples in which one or both parents were diagnosed with substance use disorder (SUD). All couples were residing with one or more school-age children. Mothers and fathers completed pretreatment, post-intervention, and 6-month post-intervention follow-up assessments. Results of piecewise latent growth models tested whether the number of BCT sessions attended and number of days abstinent from drugs and alcohol influenced relationship satisfaction and its growth over time, and in turn if relationship satisfaction and change in relationship satisfaction influenced risk for child abuse. For both mothers and fathers, attending more BCT sessions lead to a direct increase in relationship satisfaction, which in turn led to stronger reductions in risk for child abuse. This effect was maintained from the post-intervention through the 6-month post-intervention follow-up. For fathers, number of days abstinent significantly influenced reduction in child abuse potential at post-intervention via relationship satisfaction. This indirect effect was not present for mothers. The overall benefits of BCT on mothers' and fathers' risk for child abuse suggest that BCT may have promise in reducing risk for child abuse among couples in which one or both parents have SUD.

  12. The Integrity of Science: Identifying Logical Fallacies, Deceitful Tactics, and Abuse of the Public Trust

    Science.gov (United States)

    Gleick, P. H.

    2006-12-01

    Science, government, and society interact in diverse and complex ways, but good scientific information and advice are vital for making sound policy decisions. Recent efforts to discredit or distort science for political agendas raise difficult questions for the scientific community. As a result, there is growing distrust of scientists long held in esteem by the public and a growing misuse of science critical for public policy. This paper will categorize and define more than 20 different kinds of problems that challenge the integrity of science, including logical fallacies, such as Arguments from Ideology, Personal Incredulity, or Ignorance; and deceitful tactics, such as ad hominem attacks, "straw man" mischaracterizations, scientific misconduct, and misuse of facts. Examples from the geophysical sciences and its intersection with the public policy arena will be presented, together with suggestions for strengthening the public trust.

  13. Medical Consequences of Drug Abuse

    Science.gov (United States)

    ... Home » Related Topics » Medical Consequences Medical Consequences of Drug Abuse Email Facebook Twitter Drug addiction is a brain ... and lung disease can all be affected by drug abuse. Some of these effects occur when drugs are ...

  14. Recognizing Emotion in Faces: Developmental Effects of Child Abuse and Neglect.

    Science.gov (United States)

    Pollak, Seth D.; Cicchetti, Dante; Hornung, Katherine; Reed, Alex

    2000-01-01

    Two experiments assessed recognition of emotion among physically abused and neglected preschoolers. Results showed that neglected children had more difficulty discriminating emotional expressions that control or abused children. Abused children displayed response bias for angry facial expressions. Control children viewed discrete emotions as…

  15. Effects of drugs of abuse on the central neuropeptide Y system.

    Science.gov (United States)

    Gonçalves, Joana; Martins, João; Baptista, Sofia; Ambrósio, António Francisco; Silva, Ana Paula

    2016-07-01

    Neuropeptide Y (NPY), which is widely expressed in the central nervous system is involved in several neuropathologies including addiction. Here we comprehensively and systematically review alterations on the central NPY system induced by several drugs. We report on the effects of psychostimulants [cocaine, amphetamine, methamphetamine, 3,4-methylenedioxymethamphetamine (MDMA) and nicotine], ethanol, and opioids on NPY protein levels and expression of different NPY receptors. Overall, expression and function of NPY and its receptors are changed under conditions of drug exposure, thus affecting several physiologic behaviors, such as feeding, stress and anxiety. Drugs of abuse differentially affect the components of the NPY system. For example methamphetamine and nicotine lead to a consistent increase in NPY mRNA and protein levels in different brain sites whereas ethanol and opioids decrease NPY mRNA and protein expression. Drug-induced alterations on the different NPY receptors show more complex regulation pattern. Manipulation of the NPY system can have opposing effects on reinforcing and addictive properties of drugs of abuse. NPY can produce pro-addictive effects (nicotine and heroin), but can also exert inhibitory effects on addictive behavior (AMPH, ethanol). Furthermore, NPY can act as a neuroprotective agent in chronically methamphetamine and MDMA-treated rodents. In conclusion, manipulation of the NPY system seems to be a potential target to counteract neural alterations, addiction-related behaviors and cognitive deficits induced by these drugs. PMID:25904345

  16. Integration of Services for Victims of Child Sexual Abuse at the University Teaching Hospital One-Stop Centre

    OpenAIRE

    Elwyn Chomba; Laura Murray; Michele Kautzman; Alan Haworth; Mwaba Kasese-Bota; Chipepo Kankasa; Kaunda Mwansa; Mia Amaya; Don Thea; Katherine Semrau

    2010-01-01

    Objective. To improve care of sexually abused children by establishment of a “One Stop Centre” at the University Teaching Hospital. Methodology. Prior to opening of the One Stop Centre, a management team comprising of clinical departmental heads and a technical group of professionals (health workers, police, psychosocial counselors lawyers and media) were put in place. The team evaluated and identified gaps and weaknesses on the management of sexually abused children prev...

  17. Evaluation of Effectiveness of Integrated Intervention Program in Improving Drug Addicts' Psychological Health1

    Institute of Scientific and Technical Information of China (English)

    YA-QIONG YAN; YONG-YOU LIU; YUE-FENG ZENG; YI-WEI CUI; JI-WEI LEI; ZENG-ZHEN WANG

    2008-01-01

    Objective To investigate the social mental state of drug addicts in a compulsive drug abuse treatment center;evaluate the effectiveness of integrated program for the prevention of abuse relapse and improvement of drug addicts' psychological health.Methods The study subjects were addicts from the Wuhan Compulsive Drug Abuse Treatment Center between October 2003 and June 2004,who satisfied the inclusion criteria.A non-randomized control-intervention study design was adopted.Volunteers willing to take part in intervention were put into the intervention group with their full awareness and willingness to prevent drug abuse relapse.The control group was composed of the addicts who were willing to prevent relapse and to be followed up after their discharge. Results The effectiveness of the integrated intervention program in promoting addicts' psychological health:before the intervention,the scores of Self-Rating Anxiety Scale(SAS),the positive and negative dimensionalities of Simple Coping Style Questionnaire(SCSQ)and Chinese Perceived Stress Scales(CPSS)had no significant differences between the intervention group and the control group.After the intervention,exccpt that the SCSQ's positive dimensionality in the intervention group was significantly higher than that in the control group,other indices in the intervention group were lower.Before and after the intervention.the psychological health level in both the groups was lower than that in the normal population;there were significant differences between addicts and normal subjects in regards with all of the indices above. Conclusion Drug abuse was associated closely with addicts' social mental factors.The integrated intervention program can alleviate anxiety and stress,reduce co-morbid mental disorders and effectively improve their coping style.In conclusion,the program can promote addicts' psychological health significantly.

  18. State-dependent and environmental modulation of brain hyperthermic effects of psychoactive drugs of abuse

    Science.gov (United States)

    Kiyatkin, Eugene A.

    2014-01-01

    Hyperthermia is a known effect induced by psychomotor stimulants and pathological hyperthermia is a prominent symptom of acute intoxication with these drugs in humans. In this manuscript, I will review our recent work concerning the brain hyperthermic effects of several known and recently appeared psychostimulant drugs of abuse (cocaine, methamphetamine, MDMA, methylone, and MDPV). Specifically, I will consider the role of activity state and environmental conditions in modulating the brain temperature effects of these drugs and their acute toxicity. Although some of these drugs are structurally similar and interact with the same brain substrates, there are important differences in their temperature effects in quiet resting conditions and the type of modulation of these temperature effects under conditions that mimic basic aspects of human drug use (social interaction, moderately warm environments). These data could be important for understanding the potential dangers of each drug and ultimately preventing adverse health complications associated with acute drug-induced intoxication.

  19. An Integrated, Multidimensional Treatment Model for Individuals Living with HIV, Mental Illness, and Substance Abuse

    Science.gov (United States)

    Bouis, Stephanie; Reif, Susan; Whetten, Kathryn; Scovil, Janet; Murray, Andrea; Swartz, Marvin

    2007-01-01

    The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern affecting both HIV treatment and prevention. This article describes a treatment model that was…

  20. Effect of music therapy on the anxiety levels and sleep patterns of abused women in shelters.

    Science.gov (United States)

    Hernández-Ruiz, Eugenia

    2005-01-01

    The purpose of this study was to explore the effect of a music therapy procedure (music listening paired with progressive muscle relaxation) on the reduction of anxiety and improvement of sleep patterns in abused women in shelters. Twenty-eight women residing in 2 domestic violence shelters in a Midwestern city met with the researcher on 5 consecutive days for half-hour sessions. A pretest-posttest design with control and experimental groups was used. The dependent variables included: stait anxiety measured by the STAI (Spielberger et al., 1983) before and after each music stimulus, sleep quality as measured by the PSQI (Buysse et al., 1989) on the first and last sessions, and levels of fatigue as measured by the Fatigue Scale (Lee, 1992) at waking time. The independent variable was a 20-minute recording of participant-selected music with a Progressive Muscle Relaxation script. Results indicated that music therapy constituted an effective method for reducing anxiety levels. Results also indicated a significant effect on sleep quality for the experimental group, but not for the control group. No significant relationships were found between anxiety levels and sleep quality, nor fatigue levels and sleep quality. These results seem promising in the light of domestic violence research, which has found that a greater amount of personal resources is a crucial aspect of abused women's recovery process. Reduction of anxiety and improvement of sleep quality can be considered as increased personal resources, and seem feasible through the use of music therapy. PMID:15913391

  1. Mephedrone, a new designer drug of abuse, produces acute hemodynamic effects in the rat.

    Science.gov (United States)

    Meng, Harry; Cao, James; Kang, Jiesheng; Ying, Xiaoyou; Ji, Junzhi; Reynolds, William; Rampe, David

    2012-01-01

    Mephedrone (4-methylmethcathinone) is a new and popular drug of abuse widely available on the Internet and still legal in some parts of the world. Clinical reports are now emerging suggesting that the drug displays sympathomimetic toxicity on the cardiovascular system but no studies have yet explored its cardiovascular effects. Therefore we examined the effects of mephedrone on the cardiovascular system using a combination of in vitro electrophysiology and in vivo hemodynamic and echocardiographic measurements. Patch clamp studies revealed that mephedrone, up to 30 μM, had little effect on the major voltage-dependent ion channels of the heart or on action potentials recorded in guinea pig myocytes. Subcutaneous administration of mephedrone (3 and 15 mg/kg) to conscious telemetry-implanted rats produced dose-dependent increases in heart rate and blood pressure which persisted after pre-treatment with reserpine. Echocardiographic analysis demonstrated that intravenous injection of mephedrone (0.3 and 1mg/kg) increased cardiac function, including cardiac output, ejection fraction, and stroke volume, similar to methamphetamine (0.3mg/kg). We conclude that mephedrone is not directly pro-arrhythmic, but induces substantial increases in heart rate, blood pressure and cardiac contractility and this activity contributes to the cardiovascular toxicity in people who abuse the drug.

  2. Special Issue: Substance Abuse.

    Science.gov (United States)

    Fuhrmann, Barbara S., Ed.; Washington, Craig S., Ed.

    1984-01-01

    Presents ten articles about substance abuse: its effects, consequences, and strategies for intervention. Describes specific group therapy techniques and presents both a court service designed for assisting juveniles with drug/alcohol offenses, and a school-based substance abuse prevention program. Looks at strategies for counseling special…

  3. Drug Abuse

    Science.gov (United States)

    ... as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug ...

  4. Working with the Abused Camper.

    Science.gov (United States)

    Johnson, Rebecca Cowan

    1990-01-01

    Describes forms of and reasons behind child abuse. Describes camp staff's role as reporters of suspected abuse. Describes techniques for identifying and dealing with abuse victims. Recommends offering victims respect, support, advocacy, and unconditional love. Describes steps staff might take to maximize camp's effectiveness in helping abuse…

  5. Child abuse: Effects on the child and family in selected villages in Enugwu-Ukwu, Njikoka Local Government Area of Anambra, Nigeria

    Directory of Open Access Journals (Sweden)

    Achema G

    2014-03-01

    Full Text Available Background: Child abuse is a major problem that has been living with man and seen by many as one of his day to day activities. Aim: The study aimed to ascertain the practice and effects of child abuse on the child and family in selected villages in Enugwu-Ukwu, Njikoka Local Government Area of Anambra state, and also to identify the factors associated with child abuse among the children. Methods: The study is a descriptive survey design using self-administered interviewer questionnaire. Four villages were purposively sampled for the study; Oruokwe, Awobu, Urukpeleke, and Uruogbo. Systematic sampling technique was adopted in sampling subjects. Results: Findings showed that the most common associated factor with child abuse with parent/guardian is poverty (50.7% and low social economic status (34.5%. The practices of child abuse are majorly concerned with starving the children (44.2% and kicking/shaking the children (41.2%. The effects on the child abuse on the child and family could lead the abused children into early marriage (26.5% and unwanted pregnancy (22.5%. Conclusion: The study indicated that child abuse in Njikoka LGA is due to poverty/low socio-economic status. The practices of child abuse borders on starving the children, kicking/shaking them and that, the effects of child abuse could lead the children into early marriage and/or having unwanted pregnancy. Therefore, social awareness campaign on child abuse and effects should be adopted and effective child abuse laws should be enacted by the government and stiff penalties and sanctions should be melted out to the offenders.

  6. Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: mediating effects of emotion regulation.

    Science.gov (United States)

    Choi, Ji Young; Oh, Kyung Ja

    2014-02-01

    The purpose of the present study was to identify the mediating effects of emotion regulation on the association between cumulative childhood trauma and behavior problems in sexually abused children in Korea, using structural equation modeling (SEM). Data were collected on 171 children (ages 6-13 years) referred to a public counseling center for sexual abuse in Seoul, Korea. Cumulative childhood traumas were defined on the basis of number of traumas (physical abuse, witnessing domestic violence, neglect, traumatic separation from parent, and sexual abuse) and the severity and duration of traumas. Children were evaluated by their parents on emotion regulation using the Emotion Regulation Checklist and internalizing and externalizing behavior problems using the Korean-Child Behavior Checklist. SEM analyses confirmed the complete mediation model, in which emotion dysregulation fully mediates the relationship between cumulative childhood traumas and internalizing/externalizing behavior problems. These findings indicate that emotion regulation is an important mechanism that can explain the negative effects of cumulative childhood traumas and that there is a need to focus on emotion regulation in sexually abused children exposed to cumulative trauma. PMID:24210271

  7. Effects of Methadone Maintenance Treatment on Decision-Making Processes in Heroin-Abusers: A Cognitive Modeling Analysis

    Directory of Open Access Journals (Sweden)

    Arash Khodadadi

    2010-05-01

    Full Text Available A B S T R A C TIntroduction: Although decision-making processes have become a principal target of study among addiction researchers, few researches are published according to effects of different treatment methods on the cognitive processes underlying decision making up to now. Utilizing cognitive modeling method, in this paper we examine the effects of Methadone maintenance treatment (MMT on cognitive processes underlying decision-making disorders in heroin-abusers. Methods: For this purpose, for the first time, we use the balloon analog risk task (BART to assess the decision-making ability of heroin-abusers before and after treatment and compare it to the non heroin-dependent subjects. Results: Results demonstrate that heroin-abusers show more risky behavior than other groups. But, there is no difference between the performance of heroin-abusers after 6 months of MMT and control group. Modeling subjects’ behavior in BART reveals that poor performance in heroin-abusers is due to reward-dependency and insensitivity to evaluation. Discussion: Results show that 6 months of MMT decreases reward-dependency and increases sensitivity to evaluation.

  8. Evaluating the effectiveness of domestic abuse prevention education: Are certain children more or less receptive to the messages conveyed?

    OpenAIRE

    Fox, Claire L.; Corr, Mary-Louise; Gadd, David; Sim, Julius

    2016-01-01

    PurposeA number of school-based domestic abuse prevention programmes have been developed in the United Kingdom, but evidence as to the effectiveness of such programmes is limited. The aim of the research was to evaluate the effectiveness of one such programme and to see whether the outcomes differ by gender and experiences of domestic abuse.MethodPupils aged 13–14 years, across seven schools, receiving a 6-week education programme completed a questionnaire to measure their attitudes towards d...

  9. 4-Methylmethcathinone (mephedrone): neuropharmacological effects of a designer stimulant of abuse.

    Science.gov (United States)

    Hadlock, Gregory C; Webb, Katy M; McFadden, Lisa M; Chu, Pei Wen; Ellis, Jonathan D; Allen, Scott C; Andrenyak, David M; Vieira-Brock, Paula L; German, Christopher L; Conrad, Kevin M; Hoonakker, Amanda J; Gibb, James W; Wilkins, Diana G; Hanson, Glen R; Fleckenstein, Annette E

    2011-11-01

    The designer stimulant 4-methylmethcathinone (mephedrone) is among the most popular of the derivatives of the naturally occurring psychostimulant cathinone. Mephedrone has been readily available for legal purchase both online and in some stores and has been promoted by aggressive Web-based marketing. Its abuse in many countries, including the United States, is a serious public health concern. Owing largely to its recent emergence, there are no formal pharmacodynamic or pharmacokinetic studies of mephedrone. Accordingly, the purpose of this study was to evaluate effects of this agent in a rat model. Results revealed that, similar to methylenedioxymethamphetamine, methamphetamine, and methcathinone, repeated mephedrone injections (4× 10 or 25 mg/kg s.c. per injection, 2-h intervals, administered in a pattern used frequently to mimic psychostimulant "binge" treatment) cause a rapid decrease in striatal dopamine (DA) and hippocampal serotonin (5-hydroxytryptamine; 5HT) transporter function. Mephedrone also inhibited both synaptosomal DA and 5HT uptake. Like methylenedioxymethamphetamine, but unlike methamphetamine or methcathinone, repeated mephedrone administrations also caused persistent serotonergic, but not dopaminergic, deficits. However, mephedrone caused DA release from a striatal suspension approaching that of methamphetamine and was self-administered by rodents. A method was developed to assess mephedrone concentrations in rat brain and plasma, and mephedrone levels were determined 1 h after a binge treatment. These data demonstrate that mephedrone has a unique pharmacological profile with both abuse liability and neurotoxic potential.

  10. The Effect of Economic, Physical, and Psychological Abuse on Mental Health: A Population-Based Study of Women in the Philippines

    OpenAIRE

    Diddy Antai; Ayo Oke; Patrick Braithwaite; Gerald Bryan Lopez

    2014-01-01

    Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15–49 years in the 2008 Philippines Demographic and Health Surveys (PDHS) (N = 9,316). Resul...

  11. The Effects of Family-Centered Problem-Solving Education on Relapse Rate, Self Efficacy and Self Esteem Among Substance Abusers

    OpenAIRE

    Habibi, Rahim; Nikbakht Nasrabadi, Alireza; Shabany Hamedan, Maryam; Saleh Moqadam, Amirreza

    2016-01-01

    Background: The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and non-pharmaceutical therapies but also self efficacy and self esteem promotion. Objectives: The current study attempted to clarify the effects of Problem Solving Education (PSE) on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods: This non-controlled clinical trial (quasi-experimental) assessed 60 opium and heroin abusers who were will...

  12. Longitudinal Study on the Effects of Child Abuse and Children’s Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    OpenAIRE

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2010-01-01

    This study examined the unique and combined effects of child abuse and children’s exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, while youth dually exposed to abuse and domestic violence were less attached to parents in adolescence than those who were not exposed, those who were abused only, and those who w...

  13. Child abuse

    International Nuclear Information System (INIS)

    Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibilitys of abuse whenever they diagnose a fracture, intracranial bleed, ar visceral injury, especially when the history is not compatible with their findings. Metaphyseal 'corner' fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse. (orig.)

  14. Substance abuse and child maltreatment.

    Science.gov (United States)

    Wells, Kathryn

    2009-04-01

    Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. Members of the medical community need to understand these risks because the medical community plays a unique and important role in identifying and caring for these children. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. The abuse of legal substances may be just as detrimental to parental functioning as abuse of illicit substances. Many substance abusers are also polysubstance users and the compounded effect of the abuse of multiple substances may be difficult to measure. Often other interrelated social features, such as untreated mental illness, trauma history, and domestic violence, affect these families.

  15. Adolescent Health-Risk Sexual Behaviors: Effects of a Drug Abuse Intervention

    OpenAIRE

    Hops, Hyman; Ozechowski, Timothy J.; Waldron, Holly B.; Davis, Betsy; Turner, Charles W.; Brody, Janet L.; Barrera, Manuel

    2011-01-01

    Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to indiv...

  16. The Effects of Alcohol Abuse on Pulmonary Alveolar-Capillary Barrier Function in Humans

    OpenAIRE

    Burnham, Ellen L.; Halkar, Raghuveer; Burks, Marsha; Moss, Marc

    2008-01-01

    Aims: Alcohol abuse is associated with the development of the acute respiratory distress syndrome, a disorder characterized by abnormal alveolar-capillary permeability. We hypothesized that individuals with a history of alcohol abuse would have clinical evidence of abnormal alveolar-capillary permeability even in the absence of symptoms. This could contribute to their propensity for the development of this disorder. Methods: Thirty-three subjects with a history of alcohol abuse, but no other ...

  17. Effectiveness of START psychological intervention in reducing abuse by dementia family carers: randomized controlled trial

    OpenAIRE

    Cooper, C.; Barber, J; Griffin, M.; Rapaport, P.; Livingston, G.

    2016-01-01

    BACKGROUND: Family carers of people with dementia frequently report acting abusively toward them and carer psychological morbidity predicts this. We investigated whether START (STrAtegies for RelaTives), a psychological intervention which reduces depression and anxiety in family carers also reduces abusive behavior in carers of people living in their own homes. We also explored the longitudinal course of carer abusive behavior over two year. METHODS: We included self-identified family carers ...

  18. Effect of Life Skills Training on Drug Abuse Preventive Behaviors among University Students

    OpenAIRE

    Moshki, Mahdi; Hassanzade, Tahere; Taymoori, Parvaneh

    2014-01-01

    Background: Drug abuse is now-a-days one of the gravest social harms. Recent years have experienced a drastic rise in drug abuse among school and university students. Thus, the need for special attention to the issue is deemed important. The present study was conducted with the aim of assessing the impact of life skills training on promotion of drug abuse preventive behaviors. Methods: This field trial experimental study was conducted on 60 students of Gonabad Medical University selected thro...

  19. Welfare effects of financial integration

    OpenAIRE

    Hartmann, Philipp; Grüner, Hans Peter; Fecht, Falko

    2007-01-01

    This paper compares four forms of inter-regional financial risk sharing: (i) segmentation, (ii) integration trough the secured interbank market, (ii) integration trough the unsecured interbank market, (iv) integration of retail markets. The secured interbank market is an optimal risk-sharing device when banks report liquidity needs truthfully. It allows diversification without the risk of cross-regional financial contagion. However, free-riding on the liquidity provision in this market restra...

  20. Abuse Potential of Pregabalin

    DEFF Research Database (Denmark)

    Schjerning, Ole; Rosenzweig, Mary; Pottegård, Anton;

    2016-01-01

    BACKGROUND: Several case reports and epidemiological studies have raised concern about the abuse potential of pregabalin, the use of which has increased substantially over the last decade. Pregabalin is, in some cases, used for recreational purposes and it has incurred attention among drug abusers...... for causing euphoric and dissociative effects when taken in doses exceeding normal therapeutic dosages or used by alternative routes of administration, such as nasal insufflation or venous injection. The magnitude of the abuse potential and the mechanism behind it are not fully known. OBJECTIVE: The aim...... of this study was to present a systematic review of the data concerning the abuse potential of pregabalin. METHODS: We performed a systematic literature search and reviewed the preclinical, clinical and epidemiological data on the abuse potential of pregabalin. RESULTS: We included preclinical (n = 17...

  1. A Call for Integrating a Mental Health Perspective into Systems of Care for Abused and Neglected Infants and Young Children

    Science.gov (United States)

    Osofsky, Joy D.; Lieberman, Alicia F.

    2011-01-01

    A system of care for abused and neglected infants and young children should adopt a comprehensive perspective, with mental health considerations systematically incorporated into policies and decisions affecting children and their families. Children age birth to 5 years have disproportionately high rates of maltreatment, with long-term consequences…

  2. CUTANEOUS COMPLICATIONS OF INJECTION DRUG ABUSE

    OpenAIRE

    Bimal; De, Anuradha; Sandeep Kumar

    2014-01-01

    Drug abuse is a worldwide problem with disastrous consequences for the patient, family and society at large. The case of injection drug abusers seems a little different as cutaneous complications may occur. Considering these complications the present article attempts to review the adverse effects of parenteral drug abuse on the skin including the common skin and soft tissue infections secondary to the drug abuse.

  3. Can Norm Theory Explain the Effects of Victim Age and Level of Physical Maturity on Perceptions of Child Sexual Abuse?

    Science.gov (United States)

    Rogers, Paul; Davies, Michelle; Anderson, Irina; Potton, Anita

    2011-01-01

    The present study examines the effects of victim age, victim physical maturity, and respondent gender on attributions toward victims, perpetrator, and the nonoffending members of the victim's family in a hypothetical child sexual abuse (CSA) case. Participants read a brief CSA vignette in which the male perpetrator (a school caretaker) sexually…

  4. Early Marriage, Rape, Child Prostitution, and Related Factors Determining the Psychosocial Effects Severity of Child Sexual Abuse in Ethiopia

    Science.gov (United States)

    Wondie, Yemataw; Zemene, Workie; Reschke, Konrad; Schroder, Harry

    2011-01-01

    This study was aimed at identifying factors that determine the psychosocial effects severity of child sexual abuse. Data were collected from 318 female children in Ethiopia using the Children's Impact of Traumatic Events Scale-Revised and the Rosenberg Self-Esteem Scale. The results revealed that respondents who survived rape and child…

  5. A Model of Sexual Abuse's Effects on Suicidal Behavior and Delinquency: The Role of Emotions as Mediating Factors

    Science.gov (United States)

    Sigfusdottir, Inga Dora; Asgeirsdottir, Bryndis Bjork; Gudjonsson, Gisli H.; Sigurdsson, Jon Fridrik

    2008-01-01

    Drawing on Agnew's general strain theory, we examined whether depressed mood and anger mediated the effects of sexual abuse on suicidal behavior and delinquency. Participants included 9,113 students attending high schools in Iceland. Structural equation modeling showed that, while controlling for family structure and parental education, being…

  6. The effect of intimate exposure to alcohol abuse on the acquisition of knowledge about drinking.

    Science.gov (United States)

    Rainer, J P

    1994-01-01

    This study explored how an alcohol education program might be structured to effectively educate college students about the consequences of alcohol use. The primary hypothesis tested stated that individuals would vary significantly in the amount of knowledge learned from a structured alcohol education workshop, based on the degree of familial or social exposure s/he has had to alcohol abuse. Social learning variables of locus of control, dogmatism, and expectancy for risk were tested for interaction with degree of exposure, to determine their influence on learning. A pretest-posttest control group was employed with a sample of 66 undergraduate college students. A four hour alcohol education program was administered to teach cognitive information and fact about alcohol, with a goal of facilitating responsible use/nonuse of alcohol. The Student Drinking Questionnaire measured acquisition of knowledge. The Adult Nowicki-Strickland Internal/External Scale measured locus of control, and Schultze's Short Dogmatism Scale measured dogmatism. The researcher developed an instrument for expectancy for risk. Multiple regression analyses yielded prediction equations for the variables under study. For the sample group, results demonstrated that a significant portion of the variance in the residualized posttest scores was accounted for by level of exposure and dogmatism. When the sample was blocked according to intimate or social exposure, dogmatism was the only construct entering the regression equation at a significant level for the intimate exposure group. None of the constructs were able to predict any of the residualized posttest scores for the social exposure group. It was concluded that: (1) Students in the sample learned differentially based on the degree of intimate exposure of alcohol; (2) Dogmatism is a moderating variable with acquisition of knowledge for those intimately exposed to alcohol abuse, but locus of control and expectancy for risk are not; and (3) Further

  7. "Effects of recombinant human erythropoietin high mimicking abuse doses on oxidative stress processes in rats".

    Science.gov (United States)

    Bianchi, Sara; Fusi, Jonathan; Franzoni, Ferdinando; Giovannini, Luca; Galetta, Fabio; Mannari, Claudio; Guidotti, Emanuele; Tocchini, Leonardo; Santoro, Gino

    2016-08-01

    Although many studies highlight how long-term moderate dose of Recombinant Human Erythropoietin (rHuEPO) treatments result in beneficial and antioxidants effects, few studies take into account the effects that short-term high doses of rHuEPO (mimicking abuse conditions) might have on the oxidative stress processes. Thus, the aim of this study was to investigate the in vivo antioxidant activity of rHuEPO, administered for a short time and at high doses to mimic its sports abuse as doping. Male Wistar healthy rats (n=36) were recruited for the study and were treated with three different concentrations of rHuEPO: 7.5, 15, 30μg/kg. Plasma concentrations of erythropoietin, 8-epi Prostaglandin F2α, plasma and urinary concentrations of NOx were evaluated with specific assay kit, while hematocrit levels were analyzed with an automated cell counter. Antioxidant activity of rHuEPO was assessed analyzing the possible variation of the plasma scavenger capacity against hydroxylic and peroxylic radicals by TOSC (Total Oxyradical Scavenging Capacity) assay. Statistical analyses showed higher hematocrit values, confirmed by a statistically significant increase of plasmatic EPO concentration. An increase in plasma scavenging capacity against peroxyl and hydroxyl radicals, in 8-isoprostane plasmatic concentrations and in plasmatic and urinary levels of NOX were also found in all the treated animals, though not always statistically significant. Our results confirm the literature data regarding the antioxidant action of erythropoietin administered at low doses and for short times, whereas they showed an opposite incremental oxidative stress action when erythropoietin is administered at high doses. PMID:27470373

  8. Modification of pharmacokinetic and abuse-related effects of cocaine by human-derived cocaine hydrolase in monkeys

    OpenAIRE

    Schindler, Charles W.; Justinova, Zuzana; LaFleur, David; Woods, Doug; Roschke, Viktor; Hallak, Hussein; Sklair-Tavron, Liora; Redhi, Godfrey H.; Yasar, Sevil; Bergman, Jack; Goldberg, Steven R.

    2012-01-01

    Although substantial research effort has focused on developing pharmacological treatments for cocaine abuse, no effective medications have been developed. Recent studies show that enzymes that metabolize cocaine in the periphery, forestalling its entry into the brain, can prevent cocaine toxicity and its behavioral effects in rodents. Here we report on effects of one such enzyme (Albu-CocH) on the pharmacokinetic and behavioral effects of cocaine in squirrel monkeys. Albu-CocH was developed f...

  9. A Pilot Trial of Integrated Behavioral Activation and Sexual Risk Reduction Counseling for HIV-Uninfected Men Who Have Sex with Men Abusing Crystal Methamphetamine

    OpenAIRE

    Mimiaga, Matthew J.; Reisner, Sari L.; Pantalone, David W.; O'Cleirigh, Conall; Mayer, Kenneth H.; Safren, Steven A.

    2012-01-01

    Crystal methamphetamine use is a major driver behind high-risk sexual behavior among men who have sex with men (MSM). Prior work suggests a cycle of continued crystal methamphetamine use and high-risk sex due to loss of the ability to enjoy other activities, which appears to be a side effect of this drug. Behavioral activation (BA) is a treatment for depression that involves learning to reengage in life's activities. We evaluated a novel intervention for crystal methamphetamine abuse and high...

  10. Parenting and Family Stress as Mediators of the Long-Term Effects of Child Abuse.

    Science.gov (United States)

    Wind, Tiffany Weissmann; Silvern, Louise

    1994-01-01

    Data on child physical/sexual abuse, family stress histories, perceived parental warmth, and current psychological functioning were gathered from 259 working women. Multiple regression analyses showed that parental warmth strongly influenced or mediated the relationship of intrafamilial child abuse to depression and self-esteem levels. However,…

  11. Protective and Vulnerability Factors for Physically Abused Children: Effects of Ethnicity and Parenting Context

    Science.gov (United States)

    Haskett, Mary E.; Allaire, Jason C.; Kreig, Shawn; Hart, Kendrea C.

    2008-01-01

    Objective: Although social maladjustment appears to be common among abused children, negative outcomes are not inevitable. This investigation was designed to determine whether ethnicity and features of the parenting context predicted children's social adjustment, and whether the strength and direction of these relations differed for abused and…

  12. Tackling the health and mental health effects of domestic and sexual violence and abuse

    OpenAIRE

    Itzin, Catherine

    2006-01-01

    This document sets out a programme of work to equip services and professionals to identify and respond to the health and mental health needs of individuals affected by domestic violence, childhood sexual abuse, rape, oblique sexual assault and sexual exploitation including children, adolescents, and adults, both victims and abusers, male and female.

  13. Drugs of abuse modulate dopaminergic neurotransmission : effects on exocytosis and neurotransmitter receptor function

    NARCIS (Netherlands)

    Hondebrink, L.

    2011-01-01

    An extensive amount of literature is available on drugs of abuse. However, current knowledge on cellular and molecular mechanisms of actions is insufficient and hampers treatment of intoxicated patients. Drugs of abuse cause 100.000 hospital admissions yearly only in the US. Therefore, we investigat

  14. Industrialization Stresses, Alcohol Abuse & Substance Dependence: Differential Gender Effects in a Kenyan Rural Farming Community

    Science.gov (United States)

    Walt, Lisa C.; Kinoti, Elias; Jason, Leonard A.

    2013-01-01

    Developing countries' industrialization and urbanization attempts have been linked to psychological distress and alcohol abuse. We used Hobfoll's COR theory to examine the relationship between gender, perceived resource loss (an indicator of industrialization stress), and alcohol abuse and dependence in a sample of Kenyan rural village men and…

  15. Notes on the Lasting Effects of Early Child Abuse throughout the Life Cycle.

    Science.gov (United States)

    Steele, Brandt F.

    1986-01-01

    Common themes in research on individuals who were abused as children are reviewed, noting transmission of a basic inability to provide good parenting. Psychological residues are discussed (including low self-esteem) along with delinquency, depression, attachment disorders, and sexual abuse. (CL)

  16. Trajectories of Childhood Aggression and Inattention/Hyperactivity: Differential Effects on Substance Abuse in Adolescence

    Science.gov (United States)

    Jester, Jennifer M.; Nigg, Joel T.; Buu, Anne; Puttler, Leon I.; Glass, Jennifer M.; Heitzeg, Mary M.; Fitzgerald, Hiram E.; Zucker, Robert A.

    2008-01-01

    335 children of alcoholic and nonalcoholic fathers were examined to study the relation between childhood behavior trajectories and adolescent substance abuse. Findings suggested that children with both aggression and inattention/hyperactivity were at an increased risk of substance abuse when compared to children with only inattention/hyperactivity…

  17. Service Utilization, Perceived Changes of Self, and Life Satisfaction among Women Who Experienced Intimate Partner Abuse: The Mediation Effect of Empowerment

    Science.gov (United States)

    Song, Li-yu

    2012-01-01

    This study explored the growth experiences of women abused by their intimate partner, specifically focusing on the associations between social services and empowerment, perceived changes of self, and life satisfaction. The potential effects of demographic variables, social support, coping, and experience of partner abuse were also explored. A…

  18. The cost and cost-effectiveness of an enhanced intervention for people with substance abuse problems at risk for HIV.

    OpenAIRE

    Zarkin, G A; Lindrooth, R C; Demiralp, B; Wechsberg, W

    2001-01-01

    OBJECTIVE: To estimate the costs, effectiveness, and cost-effectiveness of prevention interventions for out-of-treatment substance abusers at risk for HIV. This is the first cost-effectiveness study of an AIDS intervention that focuses on drug use as an outcome. STUDY DESIGN: We examined data from the North Carolina Cooperative Agreement site (NC CoOp). All individuals in the study were given the revised NIDA standard intervention and randomly assigned to either a longer, more personalized en...

  19. Integration of lateral flow and micro array technologies for multiplex immunoassay: application to the determination of drugs of abuse

    International Nuclear Information System (INIS)

    We report on a lateral flow micro array that combines multi-spot immunochip technology and immunochromatography. It can serve as a tool for the simultaneous detection of multiple analytes. The test zone of the nitrocellulose support comprises a micro array spotted with up to 32 antigens that can capture labeled gold-antibodies after lateral flow. The detection limits and detectable concentration ranges of the assay were characterized. The method was applied to the determination of drugs of abuse (and their metabolites) in urine, specifically of morphine, amphetamine, methamphetamine, and benzoylecgonine. The assay format is rapid (10 min), and has both a low relative standard deviation (-1 for drugs of abuse) are comparable to those of conventional single-analyte strip methods. (author)

  20. A pilot trial of integrated behavioral activation and sexual risk reduction counseling for HIV-uninfected men who have sex with men abusing crystal methamphetamine.

    Science.gov (United States)

    Mimiaga, Matthew J; Reisner, Sari L; Pantalone, David W; O'Cleirigh, Conall; Mayer, Kenneth H; Safren, Steven A

    2012-11-01

    Crystal methamphetamine use is a major driver behind high-risk sexual behavior among men who have sex with men (MSM). Prior work suggests a cycle of continued crystal methamphetamine use and high-risk sex due to loss of the ability to enjoy other activities, which appears to be a side effect of this drug. Behavioral activation (BA) is a treatment for depression that involves learning to reengage in life's activities. We evaluated a novel intervention for crystal methamphetamine abuse and high-risk sex in MSM, incorporating 10 sessions of BA with integrated HIV risk reduction counseling (RR). Forty-four subjects were screened, of whom 21 met initial entry criteria. A total of 19 participants enrolled; 16 completed an open-phase study of the intervention. Behavioral assessments were conducted at baseline, 3 months postbaseline, and 6 months postbaseline. Linear mixed effects regression models were fit to assess change over time. Mean unprotected anal intercourse (UAI) episodes decreased significantly from baseline to acute postintervention (β=-4.86; 95% confidence interval [CI]=-7.48, -2.24; p=0.0015) and from baseline to 6 months postbaseline (β=-5.07; 95% CI=-7.85, -2.29; p=0.0017; test of fixed effects χ(2)=16.59; df=2,13; p=0.0002). On average, there was a significant decrease over time in the number of crystal methamphetamine episodes in the past 3 months (χ(2)=22.43; df=2,15; p<0.0001), and the number of days of crystal methamphetamine use in the past 30 days (χ(2)=9.21; df=2,15; p=0.010). Statistically significant reductions in depressive symptoms and poly-substance use were also maintained. Adding behavioral activation to risk reduction counseling for MSM with problematic crystal methamphetamine use may augment the potency of a risk reduction intervention for this population. Due to the small sample size and time intensive intervention, future testing in a randomized design is necessary to determine efficacy, with subsequent effectiveness testing. PMID

  1. How to Handle Abuse

    Science.gov (United States)

    ... abuse: physical, sexual, verbal or emotional, and neglect. Physical abuse: Physical abuse is hitting hard with a hand or an ... choking, painful grabbing, and kicking also can be physical abuse. Sexual abuse: Your body has private parts. These ...

  2. Inhalant Abuse

    Science.gov (United States)

    ... she is likely to try other kinds of drugs, especially alcohol and marijuana. Symptoms How can I tell if my child is abusing inhalants? It can be hard to recognize the signs of inhalant abuse. Teenagers who use inhalants may have some of the ...

  3. Effect of Educational Program to Decrease Substance Abuse among Suburban Bus Drivers Based on Theory of Planned Behavior

    OpenAIRE

    Moeini, B.; S. Bashirian; A. Moghimbeigi; V. Kafami; A.A. Mousali

    2015-01-01

    Introduction & Objective: Driving under the influence of drugs is considered a social pathology that has adverse effects on a society. This study aimed to investigate the effect of substance abuse educational program among the bus drivers on the basis of the theory of planned be-havior. Materials & Methods: This quasi-experimental study was conducted on 80 suburban bus drivers working at Hamadan transportation terminal. The bus drivers were randomly divided in two equal groups (intervention a...

  4. Vaccines for Drug Abuse

    Science.gov (United States)

    Shen, Xiaoyun; Orson, Frank M.; Kosten, Thomas R.

    2012-01-01

    Current medications for drug abuse have had only limited success. Anti-addiction vaccines to elicit antibodies that block the pharmacological effects of drugs have great potential for treating drug abuse. We review the status for two vaccines that are undergoing clinical trials (cocaine and nicotine) and two that are still in pre-clinical development (methamphetamine and heroin). We also outline the challenges and ethical concerns for anti-addiction vaccine development and their use as future therapeutics. PMID:22130115

  5. Evaluation of the Effectiveness of Client Participation in Drug Abuse Treatment

    Directory of Open Access Journals (Sweden)

    Akbar Aliverdinia

    2014-01-01

    The results suggest an inverse relationship between participation in the treatment process and differential association. Previous studies have also shown that as long as the patient is present in the treatment system there is a lower risk of committing social crimes. In general, we can conclude that participation in the treatment process leads to reduction of drug abuse by increasing associations and beliefs that are against drug abuse and by negating positive attitudes towards drugs.

  6. Evaluation of the Effectiveness of Client Participation in Drug Abuse Treatment

    OpenAIRE

    Akbar Aliverdinia; S. Ahmad Mir Mohamad Tabar Divkolai

    2014-01-01

    Introduction Drug abuse seems to be a major problem in all contemporary societies; it has destroyed millions of lives and fighting it has consumed a substantial percentage of national budgets around the world (UN Drug Report, 2011: 8).Iran has one of the most serious drug problems in the world and the latest Rapid Situation Assessment (RSA), which was conducted in 2010 by the authorities in the country, estimated the number of drug users - both drug abusers and recreational drug users – to...

  7. Treating paternal drug abuse using Learning Sobriety Together: Effects on adolescents versus children

    OpenAIRE

    Kelley, Michelle L.; Fals-Stewart, William

    2007-01-01

    The focus of this study was whether couples-based treatment for substance abuse had comparable secondary benefits on the internalizing and externalizing behaviors of adolescent versus child siblings living in their homes. Couples took part in a couples-based treatment for substance abuse that combines Behavioral Couples Therapy and individual counseling (i.e., Learning Sobriety Together). During a 17-month assessment period, the relationship between parents’ functioning (i.e., fathers’ drug u...

  8. Child Abuse and Domestic Abuse

    Science.gov (United States)

    ... Traumatic Stress Disorder Reporting Domestic Abuse Reporting Suspected Child Abuse or Neglect Traumatic Brain Injury Family & Relationships There’s more to a military family than moving and deployments — take us along through each phase of your military ... Care and Youth Programs Parenting Military Youth on ...

  9. Alcohol abuse and HIV infection have additive effects on frontal cortex function as measured by auditory evoked potential P3A latency.

    Science.gov (United States)

    Fein, G; Biggins, C A; MacKay, S

    1995-02-01

    Both alcohol and human immunodeficiency virus (HIV) infection have been shown to produce central nervous system (CNS) morbidity in frontal brain regions. The degree to which the CNS morbidity in HIV infection, as it affects frontal cortex function, may be preferentially increased by alcohol abuse was examined using the auditory P3A evoked potential. The P3A indexes an orienting response, maximal over frontal cortex that occurs when novel nontarget stimuli are presented in the midst of a target detection paradigm. Four groups of subjects were compared: HIV+ alcohol abusers, HIV+ light/nondrinkers, HIV- alcohol abusers, and HIV- light/nondrinkers. The alcohol abuser and light/nondrinker HIV+ groups were matched on percent CD4 lymphocytes, insuring that the results reflected specific CNS effects and were not a result of differences between the groups in the degree of systemic immune suppression. Alcohol abuse and HIV infection had at least additive effects on P3A latency, consistent with alcohol abuse worsening the effect of HIV disease on frontal cortex function. Post-hoc analyses suggested that concomitant alcohol abuse results in the effects of HIV infection on P3A latency becoming manifest earlier in the HIV disease process. PMID:7727627

  10. Hidden Abuse within the Home: Recognizing and Responding to Sibling Abuse

    Science.gov (United States)

    Stutey, Diane; Clemens, Elysia V.

    2015-01-01

    Sibling abuse is a serious phenomenon in our society that often goes unaddressed. Victims of sibling abuse experience psychological effects similar to those of child abuse (Caspi, 2012; Wiehe, 2002). The purpose of this article is to provide school counselors with a definition of sibling abuse and a five-step model to recognize and respond. A…

  11. Post irradiation effects (PIE) in integrated circuits

    International Nuclear Information System (INIS)

    Post Irradiation Effects (PIE) ranging from normal recovery catastrophic failure have been observed in integrated circuits during the PIE period. These variations indicate that a rebound or PIE recipe used for radiation hardness assurance must be chosen with care. In this paper, the authors provide examples of PIE in a variety of integrated circuits of importance to spacecraft electronics

  12. Peer abuse

    OpenAIRE

    Alikaşifoğlu, Müjgan

    2011-01-01

    Peer abuse is commonly seen as bullying behaviors The most common definition of bullying used in the literature was formulated by Dan nbsp;Olweus According to Olweus bullying is an aggressive behavior that: a is intended to cause harm or distress b occurs repeatedly over nbsp;time and c occurs in a relationship in which there is an imbalance of power Peer abuse shares many characteristics with other types of nbsp;abuse namely child maltreatment and domestic violence Bullying behaviors may be ...

  13. Caregiver Unresolved Loss and Abuse and Child Behavior Problems: Intergenerational Effects in a High-Risk Sample

    OpenAIRE

    Zajac, Kristyn; Kobak, Roger

    2009-01-01

    This study examines the intergenerational effects of caregivers’ Unresolved loss and abuse on children’s behavior problems from middle childhood to early adolescence in an economically disadvantaged sample. One hundred twenty four caregivers completed the Adult Attachment Interview (AAI) and a lifetime trauma interview during the age 13 wave of the study. Child behavior problems were assessed at four time points (ages 6, 8, 10, and 13) with teacher-reported CBCL total problem scales. The chil...

  14. On the Effectiveness of Group Dialectical Behavior Therapy in the Enhancement of Distress Tolerance and Emotional Regulation in Substance Abusers

    OpenAIRE

    mohsen nadimi

    2016-01-01

    Objective: The aim of this study was to investigate the effectiveness of group dialectical behavior therapy in the improvement of distress tolerance and emotion regulation among substance abusers. Method: A quasi-experimental study along with pretest-posttest and control group was used for the conduct of this study. The population of the study consisted of all addicts referring to addiction treatment center of Zahedshahr (Omid Center) in summer 2012. From among this population, the number of ...

  15. Relations Between Parent Psychopathology, Family Functioning, and Adolescent Problems In Substance-Abusing Families: Disaggregating the Effects of Parent Gender

    OpenAIRE

    Burstein, Marcy; Stanger, Catherine; Dumenci, Levent

    2012-01-01

    The present study: (1) examined relations between parent psychopathology and adolescent internalizing problems, externalizing problems, and substance use in substanceabusing families; and (2) tested family functioning problems as mediators of these relations. Structural equation modeling was used to estimate the independent effects of parent psychopathology and family functioning problems by parent gender. Participants included 242 parents in treatment for substance abuse and/or dependence an...

  16. The EARLY ALLIANCE prevention trial: an integrated set of interventions to promote competence and reduce risk for conduct disorder, substance abuse, and school failure.

    Science.gov (United States)

    Dumas, J E; Prinz, R J; Smith, E P; Laughlin, J

    1999-03-01

    Describes the EARLY ALLIANCE interventions, an integrated set of four programs designed to promote competence and reduce risk for early-onset conduct disorder, substance abuse, and school failure. These interventions are evaluated as part of a prevention trial that begins at school entry and targets child functioning and socializing practices across multiple contexts (school, peer group, family) and multiple domains (affective, social, and achievement coping-competence). The paper presents the conceptual foundation of the four interventions, including a synopsis of the risk and protective factors associated with conduct disorder and related outcomes, and of the coping-competence model driving EARLY ALLIANCE. The developmental rationale, intended impact, and procedures are described for each intervention: a universally administered classroom program and indicated, peer, reading-mentoring, and family programs. Interventions are currently being tested in a prevention trial, which is briefly summarized. PMID:11324096

  17. Drug abuse

    International Nuclear Information System (INIS)

    This paper reports that this study used SPECT to examine patients who have abused drugs to determine whether SPECT could identify abnormalities and whether these findings have clinical importance. Fifteen patients with a history of substance abuse (eight with cocaine, six with amphetamine, and one with organic solvent) underwent SPECT performed with a triple-headed camera and Tc-99m HMPAO both early for blood flow and later for functional information. These images were then processed into a 3D videotaped display used in group therapy. All 15 patients had multiple areas of decreased tracer uptake peppered throughout the cortex but mainly affecting the parietal lobes, expect for the organic solvent abuser who had a large parietal defect. The videotapes were subjectively described by a therapist as an exceptional tool that countered patient denial of physical damage from substance abuse. Statistical studies of recidivism between groups is under way

  18. Preventing Child Abuse and Neglect

    Science.gov (United States)

    ... Abuse & Neglect Fatalities Preventing Child Abuse & Neglect National Child Abuse Prevention Month Overview Promoting Child & Family Well-Being Public ... Abuse & Neglect Preventing Child Abuse & Neglect Resources on child abuse prevention, protecting children from risk of abuse, and strengthening ...

  19. The protective effect of neighborhood social cohesion in child abuse and neglect.

    Science.gov (United States)

    Maguire-Jack, Kathryn; Showalter, Kathryn

    2016-02-01

    Relations between parents within a neighborhood have the potential to provide a supportive environment for healthy and positive parenting. Neighborhood social cohesion, or the mutual trust and support among neighbors, is one process through which parenting may be improved. The current study investigates the association between neighborhood social cohesion and abuse and neglect, as well as specific types of abuse and neglect. The sample for the study is comprised of 896 parents in one urban Midwestern County in the United States. Participants were recruited from Women, Infants, and Children clinics. Negative binomial regression is used to examine the association between neighborhood social cohesion and child maltreatment behaviors, as measured by the Conflict Tactics Scale, Parent-to-Child Version (Straus et al., 1998). In this sample of families, neighborhood social cohesion is associated with child neglect, but not abuse. In examining the relationship with specific types of abuse and neglect, it was found that neighborhood social cohesion may have a protective role in some acts of neglect, such as meeting a child's basic needs, but not potentially more complex needs like parental substance abuse. PMID:26774530

  20. Long-term effects of child abuse and neglect on emotion processing in adulthood.

    Science.gov (United States)

    Young, Joanna Cahall; Widom, Cathy Spatz

    2014-08-01

    To determine whether child maltreatment has a long-term impact on emotion processing abilities in adulthood and whether IQ, psychopathology, or psychopathy mediate the relationship between childhood maltreatment and emotion processing in adulthood. Using a prospective cohort design, children (ages 0-11) with documented cases of abuse and neglect during 1967-1971 were matched with non-maltreated children and followed up into adulthood. Potential mediators (IQ, Post-Traumatic Stress [PTSD], Generalized Anxiety [GAD], Dysthymia, and Major Depressive [MDD] Disorders, and psychopathy) were assessed in young adulthood with standardized assessment techniques. In middle adulthood (Mage=47), the International Affective Picture System was used to measure emotion processing. Structural equation modeling was used to test mediation models. Individuals with a history of childhood maltreatment were less accurate in emotion processing overall and in processing positive and neutral pictures than matched controls. Childhood physical abuse predicted less accuracy in neutral pictures and childhood sexual abuse and neglect predicted less accuracy in recognizing positive pictures. MDD, GAD, and IQ predicted overall picture recognition accuracy. However, of the mediators examined, only IQ acted to mediate the relationship between child maltreatment and emotion processing deficits. Although research has focused on emotion processing in maltreated children, these new findings show an impact child abuse and neglect on emotion processing in middle adulthood. Research and interventions aimed at improving emotional processing deficiencies in abused and neglected children should consider the role of IQ.

  1. Evaluations of the effects of Sweden's spanking ban on physical child abuse rates: a literature review.

    Science.gov (United States)

    Larzelere, R E; Johnson, B

    1999-10-01

    Sweden's 1979 law banning corporal punishment by parents was welcomed by many as a needed policy to help reduce physical abuse of children. This study reviews the published empirical evidence relevant to that goal. Only seven journal articles with pertinent data were located. One study reported that the rate of physical child abuse was 49% higher in Sweden than in the USA, comparing its 1980 Swedish national survey with the average rates from two national surveys in the United States in 1975 and 1985. In contrast, a 1981 retrospective survey of university students suggested that the Swedish abuse rate had been 79% less than the American rate prior to the Swedish spanking ban. Some unpublished evidence suggests that Swedish rates of physical child abuse have remained high, although child abuse mortality rates have stayed low there. A recent Swedish report suggested that the spanking ban has made little change in problematic forms of physical punishment. The conclusion calls for more timely and rigorous evaluations of similar social experiments in the future. PMID:10611766

  2. Effect of Educational Program to Decrease Substance Abuse among Suburban Bus Drivers Based on Theory of Planned Behavior

    Directory of Open Access Journals (Sweden)

    B. Moeini

    2015-01-01

    Full Text Available Introduction & Objective: Driving under the influence of drugs is considered a social pathology that has adverse effects on a society. This study aimed to investigate the effect of substance abuse educational program among the bus drivers on the basis of the theory of planned be-havior. Materials & Methods: This quasi-experimental study was conducted on 80 suburban bus drivers working at Hamadan transportation terminal. The bus drivers were randomly divided in two equal groups (intervention and control. Intervention program design was implemented after diagnostic evaluation. The effect of educational intervention on behavior was assessed two months after the last training session. SPSS -16 was employed for data analysis. Results: After the educational intervention, the average rates of the constructs of the theory of planned behavior in the intervention group significantly increased but these changes were not significant in the control group: attitude (t=9.53, P=0.000, subjective Norms (t=9.59, P=0.000, perceived behavioral control (t=-4.14, P =0.000. Also, behavioral intention to substance abuse avoidance and current behavior for substance abuse significantly decreased in the intervention group as compared to the control group (P<0.05. Behavioral intention and current behavior in the intervention group subsided from 15 and 12 people before the educational intervention to 3 and 0 people at the end of the educational program, respec-tively. Conclusion: The results showed that using the theory of planned behavior along with the train-ing skills strategies to resist drug abuse has a significant impact to create a psychiatric immu-nization and substance refusal in drivers. (Sci J Hamadan Univ Med Sci 2015; 21 (4:330-340

  3. Effectiveness of Planned Teaching Programme on Knowledge Regarding Prevention of Child Abuse and Neglect Among Primary School Teachers

    OpenAIRE

    Naregal PM; Mohite VR; Hiremath P; Chendake M; Karale RB; Pawar S

    2016-01-01

    Background: Child abuse is one major threat to children all over the globe. Regardless of the type of child abuse, the result is serious emotional harm affecting the normal growth & development of child. School teachers are in contact with children daily and by reporting suspected child abuse and neglect, teachers can make an important contribution to the early detection and prevention of abuse. Objectives: 1. To assess the knowledge of primary school teachers regarding child abuse and neglec...

  4. A neurocognitive model of borderline personality disorder: effects of childhood sexual abuse and relationship to adult social attachment disturbance.

    Science.gov (United States)

    Minzenberg, Michael J; Poole, John H; Vinogradov, Sophia

    2008-01-01

    Borderline personality disorder (BPD) is a paradigmatic disorder of adult attachment, with high rates of antecedent childhood maltreatment. The neurocognitive correlates of both attachment disturbance and maltreatment are both presently unknown in BPD. This study evaluated whether dimensional adult attachment disturbance in BPD is related to specific neurocognitive deficits, and whether childhood maltreatment is related to these dysfunctions. An outpatient BPD group (n=43) performed nearly 1 SD below a control group (n=26) on short-term recall, executive, and intelligence functions. These deficits were not affected by emotionally charged stimuli. In the BPD group, impaired recall was related to attachment-anxiety, whereas executive dysfunction was related to attachment-avoidance. Abuse history was correlated significantly with executive dysfunction and at a trend level with impaired recall. Neurocognitive deficits and abuse history exhibited both independent and interactive effects on adult attachment disturbance. These results suggest that (a) BPD patients' reactivity in attachment relationships is related to temporal-limbic dysfunction, irrespective of the emotional content of stimuli, (b) BPD patients' avoidance within attachment relationships may be a relational strategy to compensate for the emotional consequences of frontal-executive dysregulation, and (c) childhood abuse may contribute to these neurocognitive deficits but may also exert effects on adult attachment disturbance that is both independent and interacting with neurocognitive dysfunction. PMID:18211741

  5. Integrating Art into Group Treatment for Adults with Post-Traumatic Stress Disorder from Childhood Sexual Abuse: A Pilot Study

    Science.gov (United States)

    Becker, Carol-Lynne J.

    2015-01-01

    Current research supports the use of exposure-based treatments for posttraumatic stress disorder (PTSD) and integrated treatments show potential for enhanced symptom reduction. This pilot study developed a manualized group treatment integrating art interventions with exposure, grounding, and narrative therapy for five adults with PTSD who were…

  6. The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: study protocol of two randomised controlled trials

    OpenAIRE

    Lako, D.A.M.; Vet, R.; Beijersbergen, M.D.; Herman, D.B.; Hemert, A.M. van; Wolf, J.R.L.M.

    2013-01-01

    BACKGROUND: One of the main priorities of Dutch organisations providing shelter services is to develop evidence-based interventions in the care for abused women and homeless people. To date, most of these organisations have not used specific intervention models and the interventions which have been implemented rarely have an empirical and theoretical foundation. The present studies aim to examine the effectiveness of critical time intervention (CTI) for abused women and homeless people. METHO...

  7. Time to presentation, pattern and immediate health effects of alleged child sexual abuse at two tertiary hospitals in Addis Ababa, Ethiopia

    OpenAIRE

    Girgira, Timketa; Tilahun, Birkneh; Bacha, Tigist

    2014-01-01

    Background Children are vulnerable to abuse and violence because their level of development makes them unable to protect themselves. Such adversities during early childhood may have a negative impact on the future lives of the victims. This study was done to determine the delay to hospital presentation, clinical manifestations and immediate health effects of child sexual abuse in two tertiary care hospitals in Ethiopia. Methods We reviewed records of all cases of child sexual and physical abu...

  8. Effect of Educational Program to Encourage Safe Sexual Behaviors Among Addicted Men Refered to Substance Abuse Treatment Centers in Hamadan, Western Iran: Applying the Theory of Planned Behavior

    OpenAIRE

    Babak Moeini; Seyed Mohammad Mahdi Hazavehei; Saeed Bashirian; Alireza Soltanian; Amir Abbas Mousali; Vahid Kafami

    2014-01-01

    Introduction: Unsafe sexual behaviors as important risky behaviors can expose individuals and society to dangerous infectious disease such as AIDS and viral hepatitis. Considering the high prevalence of unsafe sexual behaviors, this study aimed to determine the effect of educational programs to encourage safe sexual behaviors among substance abusers referred to substance abuse treatment centers in Hamadan, Western Iran by applying the theory of planned behavior. Materials & Methods: This ...

  9. Effects of an Educational and Support Program for Family and Friends of a Substance Abuser

    Science.gov (United States)

    Jeffrey Platter, Amanda

    2010-01-01

    Many family members are adversely affected by their loved ones drinking or drug problem. The aim of the present study was to explore changes in coping and enabling behaviors among family members who attended a community educational and psychosocial group for friends and family of a substance abuser, and to examine the concerns of these family…

  10. School-Based Child Sexual Abuse Prevention Programs: A Review of Effectiveness

    Science.gov (United States)

    Topping, Keith J.; Barron, Ian G.

    2009-01-01

    In this systematic and critical review of purely school based child sexual abuse prevention program efficacy studies, 22 studies meeting the inclusion criteria differed by target population, program implementation, and evaluation methodology. Measured outcomes for children included knowledge, skills, emotion, risk perception, touch discrimination,…

  11. Community Notification: Perceptions of Its Effectiveness in Preventing Child Sexual Abuse.

    Science.gov (United States)

    Redlich, Allison D.

    2001-01-01

    Megan's law enables law enforcement to notify communities when convicted sex offenders reside in their neighborhoods. Investigates community members', law enforcement officials', and law students' attitudes toward community notification and other child abuse prevention measures. The groups significantly differed in support of Megan's Law and…

  12. Caregiver Perceptions of Sexual Abuse and Its Effect on Management after a Disclosure

    Science.gov (United States)

    Walker-Descartes, Ingrid; Sealy, Yvette M.; Laraque, Danielle; Rojas, Mary

    2011-01-01

    Objective: The aim of the study was to examine caregiver management strategies for child sexual abuse (CSA) when presented with hypothetical scenarios that vary in physical invasiveness. Methods: One hundred fifty three caregivers were given 3 scenarios of CSA with 7 management strategies presented in the 21-item Taking Action Strategies (TAS)…

  13. The Effects of Sample Selection Bias on Racial Differences in Child Abuse Reporting.

    Science.gov (United States)

    Ards, Sheila; Chung, Chanjin; Myers, Samuel L., Jr.

    1998-01-01

    Data from the National Incidence Study (NIS) of Child Abuse and Neglect suggest no racial difference in child maltreatment, although there are more black children within the child welfare population. This study found selection bias in the NIS design caused by the exclusion of family, friends, and neighbors that resulted in differences in NIS cases…

  14. Multiple Forensic Interviews during Investigations of Child Sexual Abuse: A Cost-Effectiveness Analysis

    Science.gov (United States)

    Block, Stephanie D.; Foster, E. Michael; Pierce, Matthew W.; Berkoff, Molly C.; Runyan, Desmond K.

    2013-01-01

    In suspected child sexual abuse some professionals recommend multiple child interviews to increase the likelihood of disclosure or more details to improve decision-making and increase convictions. We modeled the yield of a policy of routinely conducting multiple child interviews and increased convictions. Our decision tree reflected the path of a…

  15. The Effect of MSW Education on Students' Knowledge and Attitudes Regarding Substance Abusing Clients

    Science.gov (United States)

    Senreich, Evan; Straussner, Shulamith Lala A.

    2013-01-01

    Entering ("n"?=?475) and graduating ("n"?=?454) students at 3 master's of social work programs in the northeast were compared regarding their knowledge and attitudes concerning working with substance abusing clients. In comparison to entering students, graduating students demonstrated modestly higher levels of knowledge,…

  16. Stable genetic effects on symptoms of alcohol abuse and dependence from adolescence into early adulthood

    NARCIS (Netherlands)

    Beek, van J.H.D.A.; Kendler, K.S.; Moor, de M.H.M.; Geels, L.M.; Bartels, M.; Vink, J.M.; Berg, van den S.M.; Willemsen, G.; Boomsma, D.I.

    2012-01-01

    Relatively little is known about how genetic influences on alcohol abuse and dependence (AAD) change with age. We examined the change in influence of genetic and environmental factors which explain symptoms of AAD from adolescence into early adulthood. Symptoms of AAD were assessed using the four AA

  17. Students' Evaluations of the Effectiveness of Substance Abuse Education: The Impact of Different Delivery Modes.

    Science.gov (United States)

    Dykeman, Cass; Nelson, J. Ron

    1996-01-01

    Asked 96 students, grades 3, 6, 8, 12, about various teaching methods (expert-led, teacher-led, peer-led, and parent in home) commonly employed in substance abuse education. Students generally believed that each type of would positively influence drug- and alcohol-related knowledge but not behavior. Expert-led discussions were believed the most…

  18. Evaluation of a School-Based Sexual Abuse Prevention Program: Cognitive and Emotional Effects.

    Science.gov (United States)

    Binder, Renee L.; McNiel, Dale E.

    1987-01-01

    A school-based child sexual abuse prevention program consisting of separate two-hour workshops for children (ages 5-12), parents, and teachers was evaluated. Results indicated parents were more informed and interactive with their children following the workshops. Children showed no increased emotional stress and reported feeling safer and better…

  19. A Forty Year Perspective on Effects of Child Abuse and Neglect.

    Science.gov (United States)

    McCord, Joan

    1983-01-01

    Between 1975 and 1979, 98 percent of men identified as young children were retraced. Records for juvenile delinquency showed higher rates among abused, neglected, and rejected boys than those raised by loving parents. Alcoholism, divorce, and occupational success rates were similar among the four groups. Maternal self-confidence and education…

  20. The Effects of Childhood Abuse on Relationship Quality: Gender Differences and Clinical Implications

    Science.gov (United States)

    Larsen, Carly D.; Sandberg, Jonathan G.; Harper, James M.; Bean, Roy

    2011-01-01

    This study examined the relationship between self-reported childhood physical and sexual abuse, romantic relationship quality, possible gender differences, and clinical implications. Three hundred thirty-eight women and 296 men who sought services at a university mental health clinic in the northeast region of the United States completed a…

  1. Elder Abuse and Neglect: Assessment Tools, Interventions, and Recommendations for Effective Service Provision

    Science.gov (United States)

    Imbody, Bethany; Vandsburger, Etty

    2011-01-01

    With our communities rapidly aging, there is always a clear need for greater knowledge on how to serve elders. Professionals must be able to recognize cases of abuse and neglect and provide appropriate follow up services. Through reviewing recent literature, this paper surveys existing assessment tools and interventions, describes characteristics…

  2. Gene-environment correlation in the development of adolescent substance abuse: selection effects of child personality and mediation via contextual risk factors.

    Science.gov (United States)

    Hicks, Brian M; Johnson, Wendy; Durbin, C Emily; Blonigen, Daniel M; Iacono, William G; McGue, Matt

    2013-02-01

    We used a longitudinal twin design to examine selection effects of personality traits at age 11 on high-risk environmental contexts at age 14 and the extent to which these contexts mediated risk for substance abuse at age 17. Socialization at age 11 (willingness to follow rules and endorse conventional values) predicted exposure to contextual risk at age 14. Contextual risk partially mediated the effect of socialization on substance abuse, though socialization also had a direct effect. In contrast, boldness at age 11 (social engagement and assurance, thrill seeking, and stress resilience) also predicted substance abuse directly but was unrelated to contextual risk. There was substantial overlap in the genetic and shared environmental influences on socialization and contextual risk, and genetic risk in socialization contributed to substance abuse indirectly via increased exposure to contextual risk. This suggests that active gene-environment correlations related to individual differences in socialization contributed to an early, high-risk developmental trajectory for adolescent substance abuse. In contrast, boldness appeared to index an independent and direct genetic risk factor for adolescent substance abuse.

  3. The Effect of Matrix Method on Anxiety and Attitude Toward Methamphetamine and Crack Abuse in Males Referring to Addiction Treatment Centers in Tonkabon, Iran

    Directory of Open Access Journals (Sweden)

    Hemmati Sabet

    2015-11-01

    Full Text Available Background Drug abuse is a major problem in the communities and has many harmful effects on human body. Objectives The current study aimed to compare the efficacy of matrix method on anxiety and attitude of male crack abusers referred to addiction treatment centers in Tonkabon, Iran, in 2014. Patients and Methods The current semi -experimental study included 1,000 males referred to addiction treatment centers in Tonkabon with crack abuse history in 2014. Based on Morgan sample volume formula, 278 males with anxiety and higher attitude to drug abuse were randomly selected from 1,000 males referred to addiction treatment centers in Tonkabon. Then, 30 subjects were reselected out of them and equally assigned into two groups of experimental and control, 15 subjects in each group. The experimental group received 24 sessions of 30 - 60 minutes matrix treatment method in group, but the control group received no training. At the end of training period the post-test was carried out. The research findings confirmed the efficacy of matrix method on anxiety and attitude to crack abuse among those referring to the addition treatment center. Results The single covariance analysis of ANCOVA indicated that the value of Eta about 72% of variance of anxiety variable and about 76% of variance of drug abuse variable are taken in to account for variable of group. The intervention was effective in reducing anxiety and attitude to crack in males. Evaluating the adjusted mean showed the effectiveness of matrix method on anxiety and attitude to crack abuse in males. Conclusions The research result showed that matrix method affected the reduction of methamphetamine and attitude to crack abuse in males referred to the addition treatment center.

  4. How ineffective family environments can compound maldevelopment of critical thinking skills in childhood abuse survivors.

    Science.gov (United States)

    Kostolitz, Alessandra C; Hyman, Scott M; Gold, Steven N

    2014-01-01

    The high stress of childhood abuse is associated with neurobiological detriments to executive function. Child abuse survivors may also be cognitively and relationally disadvantaged as a result of being raised in emotionally impoverished families that lack cohesion, organization, flexibility, self-expression, and moral and ethical values and fail to provide opportunities for effective learning. A review of literature demonstrates how dysfunctional family of origin environments common to child abuse survivors, concomitant with the extreme stress of overt acts of abuse, can act as a barrier to the development of higher-order critical thinking skills. The article concludes by discussing ramifications of critical thinking skill deficits in child abuse survivors and highlights the importance of integrating and prioritizing critical thinking skills training in treatment.

  5. Acculturation and associated effects on abused immigrant women's safety and mental functioning: results of entry data for a 7-year prospective study.

    Science.gov (United States)

    Nava, Angeles; McFarlane, Judith; Gilroy, Heidi; Maddoux, John

    2014-12-01

    Intimate partner violence has negative effects on women's safety and wellbeing. When immigrant women are victimized the danger and poor health may intensify. The purpose was to determine the impact of acculturation on severity of violence, danger for murder, mental health functioning, and safety behaviors of abused immigrant women. Entry data of a 7-year prospective study of 106 abused immigrant women who were first time users of safe shelter or justice services is presented. The interview included the Severity of Violence Against Women Scale, Danger Assessment, Brief Symptom Inventory (BSI), Safety Behavior Checklist, and Acculturation for Hispanics instruments. A significant (p acculturation and safety behaviors and BSI scores was established. Higher acculturation scores were associated with significantly more practiced safety behaviors and higher levels of depression. Understanding the specific needs of abuse immigrant women associated with acculturation is imperative to develop interventions to interrupt abuse and promote safety and mental well-being.

  6. Substance Abuse and Trauma.

    Science.gov (United States)

    Simmons, Shannon; Suárez, Liza

    2016-10-01

    There is a strong, bidirectional link between substance abuse and traumatic experiences. Teens with cooccurring substance use disorders (SUDs) and posttraumatic stress disorder (PTSD) have significant functional and psychosocial impairment. Common neurobiological foundations point to the reinforcing cycle of trauma symptoms, substance withdrawal, and substance use. Treatment of teens with these issues should include a systemic and integrated approach to both the SUD and the PTSD. PMID:27613348

  7. Path integral evaluation of equilibrium isotope effects

    CERN Document Server

    Zimmermann, Tomas

    2009-01-01

    A general and rigorous methodology to compute the quantum equilibrium isotope effect is described. Unlike standard approaches, ours does not assume separability of rotational and vibrational motions and does not make the harmonic approximation for vibrations or rigid rotor approximation for the rotations. In particular, zero point energy and anharmonicity effects are described correctly quantum mechanically. The approach is based on the thermodynamic integration with respect to the mass of isotopes and on the Feynman path integral representation of the partition function. An efficient estimator for the derivative of free energy is used whose statistical error is independent of the number of imaginary time slices in the path integral, speeding up calculations by a factor of 60 at 500 K. We describe the implementation of the methodology in the molecular dynamics package Amber 10. The method is tested on three [1,5] sigmatropic hydrogen shift reactions. Because of the computational expense, we use ab initio pote...

  8. Adolescent Victims of Abuse: A Treatment Model.

    Science.gov (United States)

    Anderson-Merchant, Darlene

    This paper presents a theory and model for treating adolescent victims of physical and sexual abuse and neglect. The theory examines issues related to abuse or neglect and the effect that an abusive history has on adolescent development. Specific issues noted are depression, anger, low self-esteem, self-shame, lack of trust, a sense of…

  9. Evaluation of Child Abuse and Neglect

    OpenAIRE

    Selen Acehan; Aysegul Bilen; Mehmet Oguzhan Ay; Muge Gulen; Akkan Avci; Ferhat Icme

    2013-01-01

    Child abuse is an important public health problem that can cause serious injury, disability and even death, and have medical, legal, and social aspects. Prevention of repeated abuse at an early stage is necessary to limit long-term effects of abuse. Unfortunately, these children often do not receive the diagnosis in the emergency department, despite using emergency service. We aimed at the evaluation and management of child abuse and neglect which has a very important social dimension, in the...

  10. Treating paternal drug abuse using Learning Sobriety Together: effects on adolescents versus children.

    Science.gov (United States)

    Kelley, Michelle L; Fals-Stewart, William

    2008-01-01

    The focus of this study was whether couples-based treatment for substance abuse had comparable secondary benefits on the internalizing and externalizing behaviors of adolescent versus child siblings living in their homes. Couples took part in a couples-based treatment for substance abuse that combines Behavioral Couples Therapy and individual counseling (i.e., Learning Sobriety Together). During a 17-month assessment period, the relationship between parents' functioning (i.e., fathers' drug use as determined by percent days abstinent and parents' dyadic adjustment) as rated by mothers, fathers, and children's teachers and internalizing behavior (as rated by mothers' only) was stronger for children than their adolescent siblings, particularly in terms of children's externalizing behaviors. Interventions that reduce paternal drug use and improve couple functioning may reduce internalizing and externalizing symptoms for children in their homes; however, adolescents may need more intensive interventions to address internalizing and externalizing symptoms.

  11. Roles of the ubiquitin proteasome system in the effects of drugs of abuse

    Directory of Open Access Journals (Sweden)

    Nicolas eMassaly

    2015-01-01

    Full Text Available Because of its ability to regulate the abundance of selected proteins the ubiquitin proteasome system (UPS plays an important role in neuronal and synaptic plasticity. As a result various stages of learning and memory depend on UPS activity. Drug addiction, another phenomenon that relies on neuroplasticity, shares molecular substrates with memory processes. However the necessity of proteasome-dependent protein degradation for the development of addiction has been poorly studied. Here we first review evidences from the literature that drugs of abuse regulate the expression and activity of the UPS system in the brain. We then provide a list of proteins which have been shown to be targeted to the proteasome following drug treatment and could thus be involved in neuronal adaptations underlying behaviors associated with drug use and abuse. Finally we describe the few studies that addressed the need for UPS-dependent protein degradation in animal models of addiction-related behaviors.

  12. The effect of practice on a sustained attention task in cocaine abusers

    OpenAIRE

    Goldstein, Rita Z.; Tomasi, Dardo; Alia-Klein, Nelly; Zhang, Lei; Telang, Frank; Volkow, Nora D.

    2007-01-01

    Habituation enables the organism to attend selectively to novel stimuli by diminishing no-longer necessary responses to repeated stimuli. Because the prefrontal cortex (PFC) has a core role in monitoring attention and behavioral control especially under novelty, neural habituation responses may be modified in drug addiction, a psychopathology that entails PFC abnormalities in both structure and function. Sixteen cocaine abusers and 12 gender-, race-, education-, and intelligence-matched healt...

  13. Effects of executive impairments on maladaptive explanatory styles in substance abusers: clinical implications.

    Science.gov (United States)

    García, Antonio Verdejo; Torrecillas, Francisca López; de Arcos, Francisco Aguilar; García, Miguel Pérez

    2005-01-01

    Our study examined the relation between neuropsychological impairment of executive functions and explanatory styles, according to the Abramson model of learned helplessness in humans, in a sample of substance abusers. Thirty-eight polysubstance abusers were assessed during an abstinence period using a selective neuropsychological battery for the evaluation of the executive functions, as well as the Attributional Style Questionnaire (ASQ) for the assessment of the three dimensions of explanatory style: Internality-Externality, Stability-Instability and Globality-Specificity. Multiple regression analyses showed significant relationships among performance on different neuropsychological tasks sensitive to executive functions and characteristic cognitive styles. The results showed the performance on cognitive flexibility and response inhibition tasks is directly related to making more internal attributions for positive situations, and inversely related to the appearance of more stable attributions for negative events. Likewise, adequate performance on working memory tasks was related to development of more global attributions for failures. These results are partially congruent with the learned helplessness model and particularly relevant for the clinical management of substance abusers and the success on the treatment and rehabilitation of these subjects. PMID:15620814

  14. Synthetic cathinone abuse

    Directory of Open Access Journals (Sweden)

    Capriola M

    2013-07-01

    Full Text Available Michael Capriola Thomasville Medical Center, Thomasville, NC, USA Abstract: The abuse of synthetic cathinones, widely known as bath salts, has been increasing since the mid-2000s. These substances are derivatives of the naturally occurring compound cathinone, which is the primary psychoactive component of khat. The toxicity of synthetic cathinones includes significant sympathomimetic effects, as well as psychosis, agitation, aggression, and sometimes violent and bizarre behavior. Mephedrone and methylenedioxypyrovalerone are currently the predominantly abused synthetic cathinones. Keywords: designer drugs/chemistry, street drugs/pharmacology, substance-related disorders/epidemiology, alkaloids/poisoning

  15. The Effects of Abuse History on Sexually Intrusive Behavior by Children: An Analysis of Child Justice Records

    Science.gov (United States)

    Hershkowitz, Irit

    2011-01-01

    Objectives: A commonly cited risk factor for sexually intrusive behavior (SIB) among children and adolescents is a history of abuse. Based on a large and non-clinical nationwide sample of children who were investigated as abuse victims and suspects of SIBs in Israel over a decade, the present study examines the rate of abuse history among child…

  16. Drug abuse in athletes

    Directory of Open Access Journals (Sweden)

    Reardon CL

    2014-08-01

    Full Text Available Claudia L Reardon, Shane Creado Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Abstract: Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with “advances” in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. Keywords: doping, athletes, steroids, drug abuse, mental illness

  17. ABUSE OF ANABOLIC ANDROGENIC STEROIDS

    Directory of Open Access Journals (Sweden)

    Abbas Yavari

    2009-09-01

    Full Text Available According to the International Olympic Committee, the abuse of anabolic androgenic steroids (AASS is found in over 50% of positive doping tests. AASS abuse is not restricted to the organized sports andwidespread use. It remains as an unsolved public-health problem.Lower black market price, easier access to AASS, bodybuilding clubs and internet advertising are factors of this increasingly misuse. There is not real data about the prevalence of AASS abuse in various populations or countries, because most of athletes or students, due to their prohibition or ethical aspects do not admit to AASS abuse. Often they are aware of the risks of their choice and yet, are eager to put themselves at risk without deeper consideration. The abusers use them to improve their physical fitness and appearance.Present article has been collected to elucidate the risks and adverse effects of AASS and explanation of mechanisms of these events.

  18. The relationship between child abuse and handicapping conditions.

    Science.gov (United States)

    Mullins, J B

    1986-04-01

    This article discusses the relationship of child abuse, including neglect and sexual abuse, to the presence of handicapping conditions, both physical and psychological. Child abuse can cause physical and psychological disabilities in children who otherwise would have been normal. Studies show that children who are handicapped, or otherwise perceived as different by potentially abusive parents, are at high risk for abuse. Evidence also indicates that the handicaps of some children who were diagnosed originally as disabled are exacerbated by abuse. While cause and effect are not easily determined in specific cases, researchers agree that a pervasive relationship exists between handicapping conditions and abuse. Abused children are overrepresented in special education classes and handicapped children are overrepresented in the abused population. Many abused children become abusers as adults. Several suggestions concerning the problem are offered for school personnel. PMID:2937963

  19. COMPARING WOMEN IN SUBSTANCE ABUSE TREATMENT WHO REPORT SEXUAL AND/OR PHYSICAL ABUSE WITH WOMEN WHO DO NOT REPORT ABUSE HISTORY

    OpenAIRE

    Boots, Sabine

    2004-01-01

    This descriptive study explored whether women in substance abuse treatment who report a history of sexual and/or physical abuse have different drug use profiles than women who do not report such abuse. The data originated from a NIDA (National Institute on Drug Abuse) study designed to evaluate the effects of different treatment modalities in inpatient substance abuse treatment for women. The study compared the drug profiles of women in four areas: drug of choice, frequency of use, problem ...

  20. On the Effectiveness of Group Dialectical Behavior Therapy in the Enhancement of Distress Tolerance and Emotional Regulation in Substance Abusers

    Directory of Open Access Journals (Sweden)

    mohsen nadimi

    2016-05-01

    Full Text Available Objective: The aim of this study was to investigate the effectiveness of group dialectical behavior therapy in the improvement of distress tolerance and emotion regulation among substance abusers. Method: A quasi-experimental study along with pretest-posttest and control group was used for the conduct of this study. The population of the study consisted of all addicts referring to addiction treatment center of Zahedshahr (Omid Center in summer 2012. From among this population, the number of 28 addicts was selected via convenience sampling as the participants of the study and was randomly assigned to two experimental and control groups. The participants responded to Difficulties in Emotion Regulation Scale and Distress Tolerance Scale as pretest, posttest, and follow-up test. The experimental group received group dialectical behavior therapy for 20 one-hour sessions whereas the control group received only Naltrexone drug. Results: The results showed that dialectical behavior therapy was effective in increasing distress tolerance and emotion regulation in substance abusers. Conclusion: Dialectical behavior therapy training can improve distress tolerance and emotion regulation, which could be the main reason for the continued use of drugs.

  1. The pillar of an effective integrated medicine

    Directory of Open Access Journals (Sweden)

    Maya S.P. Huijberts

    2012-08-01

    Full Text Available During the last decade, the need of an effective integrated medicine has been discussed because the patient is not simply a human body but possesses a cognitive capacity and, if appropriately stimulated, an intrinsic capacity of restoring health. The problem is that among several complementary medical approaches only two or three are qualified owing to an extensive biological and clinical experimentation. Conventional medicine has made remarkable progresses and although occasionally we have bad surprises as rofecoxib, it has a good quality of scientific effectiveness; but, as it will be discussed, at least for one complementary treatment, the claim that they represent “a new name for snake oil” is no longer acceptable. We would like to briefly present the outstanding biological and clinical progress of oxygen-ozonetherapy already used in many countries. Thanks mainly to our studies... [J Exp Integr Med 2012; 2(4: 281-282

  2. Physical Abuse of Children: A Look at Professional Intervention.

    Science.gov (United States)

    Finch, Joe M.

    The physical abuse of children is a serious and growing problem. In spite of increasing knowledge and skill in treating physical abuse, many professionals continue to be dissatisfied with the effectiveness of treatment. This study examined the myths and beliefs about abuse and abusers and the theoretical models of cause and treatment that are…

  3. Effects of posttraumatic stress disorder and child sexual abuse on self-efficacy development.

    Science.gov (United States)

    Diehl, Amy S; Prout, Maurice F

    2002-04-01

    The symptoms of child sexual abuse and posttraumatic stress disorder (PTSD) affect a child's self-efficacy. A child's self-efficacy beliefs impact the course and treatment of PTSD, because perceived self-efficacy plays a mediating role in children's ability to cope with trauma. Self-efficacy research indicates that emotional competence can be learned and may provide treatment for PTSD that provides symptom reduction as well as a means of substituting problem-solving coping skills for emotion-focused coping skills. PMID:15792065

  4. Effects of posttraumatic stress disorder and child sexual abuse on self-efficacy development.

    Science.gov (United States)

    Diehl, Amy S; Prout, Maurice F

    2002-04-01

    The symptoms of child sexual abuse and posttraumatic stress disorder (PTSD) affect a child's self-efficacy. A child's self-efficacy beliefs impact the course and treatment of PTSD, because perceived self-efficacy plays a mediating role in children's ability to cope with trauma. Self-efficacy research indicates that emotional competence can be learned and may provide treatment for PTSD that provides symptom reduction as well as a means of substituting problem-solving coping skills for emotion-focused coping skills.

  5. Stable genetic effects on symptoms of alcohol abuse and dependence from adolescence into early adulthood

    OpenAIRE

    van Beek, Jenny H. D. A.; Kendler, Kenneth S.; De Moor, Marleen H.M.; Geels, Lot M.; Bartels, Meike; Vink, Jacqueline M.; van den Berg, Stéphanie M.; Willemsen, Gonneke; Boomsma, Dorret I.

    2012-01-01

    Relatively little is known about how genetic influences on alcohol abuse and dependence (AAD) change with age. We examined the change in influence of genetic and environmental factors which explain symptoms of AAD from adolescence into early adulthood. Symptoms of AAD were assessed using the four AAD screening questions of the CAGE inventory. Data were obtained up to six times by self-report questionnaires for 8,398 twins from the Netherlands Twin Register aged between 15 and 32 years. Longit...

  6. Cannabis abuse in patients with schizophrenia pattern and effects on symptomatology

    International Nuclear Information System (INIS)

    To determine the relationship between cannabis abuse and its impact on the short-term outcome and severity of illness. ICD-10 criteria were used for diagnosis of schizophrenia. Severity and type of schizophrenic symptoms were assessed with the help of PANSS. Cases were identified as having problem with cannabis use with the help of section 12 of Schedule for Clinical Assessment in Neuropsychiatry (SCAN) W.H.O. 1994. Amount, duration and frequency of cannabis use was also noted. Patients with cannabis use were younger had shorter duration of illness and earlier age at onset of illness. They exhibited more positive symptoms. A total of 20% cases met ICD-10 criteria of harmful use of cannabinoid, 76% met ICD-10 criteria of cannabinoid dependence syndrome. Schizophrenic patients with comorbid cannabis abuse exhibited more positive symptoms and violent behavior, and may be more likely to lead to dependence in persons with schizophrenia. This has implication for service development to meet the perceived needs of this group. (author)

  7. Effect of gamma irrigation followed by moderate temperature abuse on the psychrotrophic and mesophilic microbial association of frozen chicken

    International Nuclear Information System (INIS)

    Commercially scalded, plucked and eviscerated broilers, aerobically packed into polyethylene bags were irradiated at - 18 deg C. A dose of 2.5 kilogay was effective in the elimination of salmonella spp. and staphylococcus aureus. Psychrotrophic and mesophilic aerobic colony counts of the non-irradiated chicken were of the order 10**4 and 10**5 gE-1, respectively. Radiation resulted in approximately two long cycles reduction in the count. The surviving microflora in frozen chicken after irradiation consisted mainly of lactobacillus spp. and micrococcus spp. which dominated the mesophilic flora. Moraxella spp. amounted to 70% of the total psychrotrophic flora. The microflora of frozen chicken after temperature abuse at 12 deg C were maily of the moraxella-acinetobacter group and to a lesser extent of Pseudomonas spp. The results demonstrated that the microflora after temperature abuse of irradiated chicken was similar to the microflora of non-irradiated chicken. This supports the view that irradiation of chicken does not entail a hazard, resulting from a shift in the micrflora in case frozen chicken are thawed and stored at increased temperatures

  8. Vertically Integrated Multiple Nanowire Field Effect Transistor.

    Science.gov (United States)

    Lee, Byung-Hyun; Kang, Min-Ho; Ahn, Dae-Chul; Park, Jun-Young; Bang, Tewook; Jeon, Seung-Bae; Hur, Jae; Lee, Dongil; Choi, Yang-Kyu

    2015-12-01

    A vertically integrated multiple channel-based field-effect transistor (FET) with the highest number of nanowires reported ever is demonstrated on a bulk silicon substrate without use of wet etching. The driving current is increased by 5-fold due to the inherent vertically stacked five-level nanowires, thus showing good feasibility of three-dimensional integration-based high performance transistor. The developed fabrication process, which is simple and reproducible, is used to create multiple stiction-free and uniformly sized nanowires with the aid of the one-route all-dry etching process (ORADEP). Furthermore, the proposed FET is revamped to create nonvolatile memory with the adoption of a charge trapping layer for enhanced practicality. Thus, this research suggests an ultimate design for the end-of-the-roadmap devices to overcome the limits of scaling. PMID:26544156

  9. Holding Abusers Accountable: An Elder Abuse Forensic Center Increases Criminal Prosecution of Financial Exploitation

    Science.gov (United States)

    Navarro, Adria E.; Gassoumis, Zachary D.; Wilber, Kathleen H.

    2013-01-01

    Purpose: Despite growing awareness of elder abuse, cases are rarely prosecuted. The aim of this study was to examine the effectiveness of an elder abuse forensic center compared with usual care to increase prosecution of elder financial abuse. Design and Methods: Using one-to-one propensity score matching, cases referred to the Los Angeles County…

  10. What is Elder Abuse?

    Science.gov (United States)

    ... to another, but broadly defined, abuse may be: Physical Abuse —inflicting physical pain or injury on a senior, ... abrasions, and burns may be an indication of physical abuse, neglect, or mistreatment. Unexplained withdrawal from normal activities, ...

  11. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  12. An In Vitro Study of the Neurotoxic Effects of N-Benzylpiperazine: A Designer Drug of Abuse.

    Science.gov (United States)

    Persona, Karolina; Polus, Anna; Góralska, Joanna; Gruca, Anna; Dembińska-Kieć, Aldona; Piekoszewski, Wojciech

    2016-05-01

    Recently, the number of new psychoactive substances has significantly increased. Despite the systematic introduction of prohibition in trade of medicinal products which mimic the effects of illegal drugs, the problem concerning this group of drugs is still important although knowledge about the mechanism of action of those types of substances is scarce. This study aimed to follow the neurotoxic effect of N-benzylpiperazine (BZP), the central nervous system psychostimulant, using the human cancer LN-18 cell model. The statistically significant elevation of LDH levels, increased mitochondrial membrane potential, decreased ATP and increased ROS production, increased levels of DNA damage marker (8-OHdG) and activation of caspases: -3 and -9 confirmed by Real-Time PCR imply the activation of mitochondrial proapoptotic pathways induced by BZP after 24 h incubation. This study is a novel, preliminary attempt to explain the toxicity of one of the most popular designer drug of abuse at the cellular level.

  13. Substance abuse treatment initiation among older adults in the GET SMART program: effects of depression and cognitive status

    OpenAIRE

    Satre, Derek; Knight, Bob G.; Dickson-Fuhrmann, Elizabeth; Jarvik, Lissy F.

    2004-01-01

    This study examines how individual patient characteristics predict substance abuse treatment initiation among older adults, in an investigation based on the behavioral health service use model. Analyses tested the impact of demographic factors, substance abuse symptoms, depression and cognitive status on subsequent treatment initiation. The sample included 250 older male veterans screened for substance abuse problems during inpatient medical treatment, who also participated in a clinical eval...

  14. The effect of gender in the perception of elder physical abuse in court.

    Science.gov (United States)

    Golding, Jonathan M; Yozwiak, John A; Kinstle, Terri L; Marsil, Dorothy F

    2005-10-01

    Two experiments investigated mock jurors' perceptions of elder abuse (EA) in a physical assault case. In Experiment 1, participants read a fictional criminal trial summary of a physical assault case in which the alleged victim was 66, 76, or 86 years old. In Experiment 2, the age of the alleged victim was 76 years old, but the gender of the alleged victim and the gender of the defendant were crossed. The results of the experiments showed that women believed the alleged victim more and rendered a guilty verdict more often than men. Overall, the alleged victim was believed more than the defendant regardless of the age of the alleged victim, and most verdicts were guilty. These results are discussed in terms of the factors that affect perceptions of alleged victims of EA in court. PMID:16254745

  15. The effects of childhood sexual abuse on cortisol trajectories in pregnancy are moderated by current family functioning.

    Science.gov (United States)

    Bublitz, Margaret H; Parade, Stephanie; Stroud, Laura R

    2014-12-01

    The goal of this study was to understand the roles of maternal history of childhood sexual abuse (CSA) and current family functioning on the cortisol awakening response (CAR) in pregnancy. Participants were 185 pregnant women (ages 18-40) who completed items from the Adverse Childhood Experiences scale to measure child maltreatment history and the Family Assessment Device to measure current family functioning. Participants provided saliva samples at wake-up and 30min after wake-up at 25, 29, and 35 weeks gestation to measure CAR. A moderation effect was found such that participants with more severe CSA histories and poorer perceived family functioning had increasing CAR in pregnancy compared to participants with less severe CSA histories and better family functioning. These findings highlight the importance of considering stress in both childhood and current environments in predicting maternal cortisol in pregnancy. PMID:25220484

  16. Effect of meat ingredients (sodium nitrite and erythorbate) and processing (vacuum storage and packaging atmosphere) on germination and outgrowth of Clostridium perfringens spores in ham during abusive cooling

    Science.gov (United States)

    The effect of nitrite and erythorbate on Clostridium perfringens spore germination and outgrowth in ham during abusive cooling (15 h) was evaluated. Ham was formulated with ground pork, NaNO2 (0, 50, 100, 150 or 200 ppm) and sodium erythorbate (0 or 547 ppm). Ten grams of meat (stored at 5C for 3 or...

  17. Effects of lactate on the growth of Listeria monocytogenes, Escherichia coli 0157:H7 and Salmonella SPP., in cooked ham at refrigeration and abuse temperatures

    Science.gov (United States)

    The objective of this study was to determine the effect of sodium lactate on the survival of Listeria monocytogenes, Escherichia coli O157:H7 and Salmonella spp. in cooked ham during storage at refrigeration and abuse temperatures. Cooked ham was added with 0-3% lactate, inoculated with a multiple...

  18. Assessing the Effectiveness of the NICHD Investigative Interview Protocol when Interviewing French-Speaking Alleged Victims of Child Sexual Abuse in Quebec

    Science.gov (United States)

    Cyr, Mireille; Lamb, Michael E.

    2009-01-01

    Objectives: The study was designed to assess the effectiveness of the flexibly structured NICHD Investigative Interview Protocol for child sexual abuse (CSA) investigative interviews by police officers and mental health workers in Quebec. The NICHD Protocol was designed to operationalize "best practice" guidelines and to help forensic interviewers…

  19. Longitudinal Study on the Effects of Child Abuse and Children's Exposure to Domestic Violence, Parent-Child Attachments, and Antisocial Behavior in Adolescence

    Science.gov (United States)

    Sousa, Cindy; Herrenkohl, Todd I.; Moylan, Carrie A.; Tajima, Emiko A.; Klika, J. Bart; Herrenkohl, Roy C.; Russo, M. Jean

    2011-01-01

    This study examined the unique and combined effects of child abuse and children's exposure to domestic violence on later attachment to parents and antisocial behavior during adolescence. Analyses also investigated whether the interaction of exposure and low attachment predicted youth outcomes. Findings suggest that, although youth dually exposed…

  20. CHILD ABUSE, FENOMENA DAN KEBIJAKAN DI INDONESIA

    OpenAIRE

    Suci Wulansari

    2012-01-01

    Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF) results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope...

  1. Drug abuse in athletes.

    Science.gov (United States)

    Reardon, Claudia L; Creado, Shane

    2014-01-01

    Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with "advances" in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. PMID:25187752

  2. Effects of acute substance use and pre-injury substance abuse on traumatic brain injury severity in adults admitted to a trauma centre

    Directory of Open Access Journals (Sweden)

    Schanke Anne-Kristine

    2010-05-01

    Full Text Available Abstract Background The aims of this study were to describe the occurrence of substance use at the time of injury and pre-injury substance abuse in patients with moderate-to-severe traumatic brain injury (TBI. Effects of acute substance use and pre-injury substance abuse on TBI severity were also investigated. Methods A prospective study of 111 patients, aged 16-55 years, injured from May 2005 to May 2007 and hospitalised at the Trauma Referral Centre in Eastern Norway with acute TBI (Glasgow Coma Scale 3-12. Based on structural brain damages shown on a computed tomography (CT scan, TBI severity was defined by modified Marshall classification as less severe (score Results Forty-seven percent of patients were positive for substance use on admission to hospital. Significant pre-injury substance abuse was reported by 26% of patients. Substance use at the time of injury was more frequent in the less severe group (p = 0.01. The frequency of pre-injury substance abuse was higher in the more severe group (30% vs. 23%. In a logistic regression model, acute substance use at time of injury tended to decrease the probability of more severe intracranial injury, but the effect was not statistically significant after adjusting for age, gender, education, cause of injury and substance abuse, OR = 0.39; 95% CI 0.11-1.35, p = 0.14. Patients with positive screens for pre-injury substance abuse (CAGE ≥2 were more likely to have more severe TBI in the adjusted regression analyses, OR = 4.05; 95% CI 1.10-15.64, p = 0.04. Conclusions Acute substance use was more frequent in patients with less severe TBI caused by low-energy events such as falls, violence and sport accidents. Pre-injury substance abuse increased the probability of more severe TBI caused by high-energy trauma such as motor vehicle accidents and falls from higher levels. Preventive efforts to reduce substance consumption and abuse in at-risk populations are needed.

  3. The Effect of Substance Abuse Treatment on High Risk Behaviors in the National Treatment Improvement Evaluation Study (NTIES).

    Science.gov (United States)

    Greenfield, Lawrence; Finkbiner, Richard; Bishop, Sharon

    Substance abusers are at particular risk for becoming infected with, and for spreading, a number of serious communicable diseases. The value of substance abuse treatment in helping to reduce the associated risk behaviors for these diseases is the focus of this technical report. This analysis examines the risk behaviors of injection drug use and…

  4. Paternal Alcoholism and Youth Substance Abuse: The Indirect Effects of Negative Affect, Conduct Problems, and Risk Taking

    OpenAIRE

    Ohannessian, Christine McCauley; Hesselbrock, Victor M.

    2008-01-01

    This longitudinal study followed 200 adolescents into early adulthood to explore the potential mediating roles that hostility, sadness, conduct problems, and risk taking play in the relationship between paternal alcoholism and substance abuse. Results indicated that paternal alcoholism predicted hostility; in turn, hostility predicted risk taking, which predicted substance abuse.

  5. Effect of Educational Program to Encourage Safe Sexual Behaviors Among Addicted Men Refered to Substance Abuse Treatment Centers in Hamadan, Western Iran: Applying the Theory of Planned Behavior

    Directory of Open Access Journals (Sweden)

    Babak Moeini

    2014-06-01

    Full Text Available Introduction: Unsafe sexual behaviors as important risky behaviors can expose individuals and society to dangerous infectious disease such as AIDS and viral hepatitis. Considering the high prevalence of unsafe sexual behaviors, this study aimed to determine the effect of educational programs to encourage safe sexual behaviors among substance abusers referred to substance abuse treatment centers in Hamadan, Western Iran by applying the theory of planned behavior. Materials & Methods: This quasi-experimental study was performed on 104 men substance abusers (52 participants in each of the control and intervention groups referred to substance abuse treatment centers in Hamadan. Data collection tool was a questionnaire containing demographic information and the theory of planned behavior constructs. Before the educational program, questionnaires were completed by both groups. After the pretest in both groups, participants in the intervention group participated in four educational sessions designed based on the theory of planned behavior. Two months after the end of program, posttest was performed. Data was analyzed using independent T-test, chi-square, fisher exact test, McNemar’s test and multiple linear regressions using SPSS-16. Results: After educational intervention, the mean scores of the theory constructs (attitude toward behavior, subjective norms, behavioral control, behavioral intention and behaviors, in the intervention group increased significantly (P<0.05, despite the fact, changes were not significant in the control group. Conclusion: Implementation of educational courses to encourage safe sexual behaviors based on the theory of planned behavior can be beneficial for substance abusers referred to substance abuse treatment centers.

  6. The independent effects of child sexual abuse and impulsivity on lifetime suicide attempts among female patients.

    Science.gov (United States)

    Daray, Federico M; Rojas, Sasha M; Bridges, Ana J; Badour, Christal L; Grendas, Leandro; Rodante, Demián; Puppo, Soledad; Rebok, Federico

    2016-08-01

    Child sexual abuse (CSA) is a causal agent in many negative adulthood outcomes, including the risk for life-threatening behaviors such as suicide ideation and suicide attempts. Traumatic events such as CSA may pose risk in the healthy development of cognitive and emotional functioning during childhood. In fact, high impulsivity, a risk factor for suicidal behavior, is characteristic of CSA victims. The current study aims to understand the relations among CSA, impulsivity, and frequency of lifetime suicide attempts among a female patient sample admitted for suicidal behavior. Participants included 177 female patients between the ages of 18 and 63 years admitted at two hospitals in Buenos Aires, Argentina. Number of previous suicide attempts and CSA were assessed via structured interviews, while impulsivity was assessed with the Barratt Impulsiveness Scale (BIS-11). A model of structural equations was employed to evaluate the role of impulsivity in the relation between CSA and suicide attempts. CSA (β=.18, p.05). CSA and impulsivity are independently associated with lifetime suicide attempts among female patients with recent suicidal behavior. PMID:27352091

  7. Physical Child Abuse: What Are the External Factors?

    OpenAIRE

    Noremy M. A.; Zulkarnain A. H.; Kelvin F.; Adanan M. J.; Sarah W. M. H.

    2012-01-01

    Children are an integral asset for future development of a nation. In lieu with this notion, countries pay much attention to their development and well being. In recent times, child abuse has been rampant. This issue is constantly making headlines in national newspapers in Malaysia. The alarming effect of this phenomenon is its inevitable implication on the family institution and the nation’s aspiration to create a better tomorrow. This current study is an attempt to discover the contributory...

  8. The Effectiveness of Emotion Regulation Training and Cognitive Therapy on the Emotional and Addictional Problems of Substance Abusers

    Directory of Open Access Journals (Sweden)

    Mahmoud Golzari

    2010-06-01

    Full Text Available "n Objectives: The purpose of this study was to investigate the effectiveness of emotional regulation training group therapy, based on Dialectical Behavioral Therapy(DBT and Cognitive Therapy, on improving emotional regulation and distress tolerance skills and relapse prevention in addicts . "nMethod: In a quasiexperimental study, 39 patients with the diagnosis of opioid dependence based on DSM-IV criteria were randomly assigned in to two experimental and one control groups. The experimental groups took 10 ninety-minute sessions of group therapy. The subjects were evaluated using the Opiate Treatment Index (OPI, General Health Questionnaire-28 (GHQ-28, and Distress Tolerance and Difficulties in Emotion Regulation Scales prior to the start of treatment, and at the sixteenth session. The control group did not take group therapy and was merely treated with naltrexone. Data were analyzed using repeated measures ANOVA and ÷ 2 test . Results: Scheffe test showed that both emotion regulation training and cognitive therapy were more effective than naltrexone increasing distress tolerance, emotion regulation enhancement, and decreasing the amount of drug abuse, health improvement, social functioning, somatic symptoms, anxiety, social dysfunction and depression enhancement(P<0.05. In addition, emotion regulation training was more effective than cognitive therapy, increasing distress tolerance and emotional regulation enhancement (p<0.05. Conclusion: It seems that DBT skill training increase the effectiveness of pharmacotherapy and is more effective than cognitive therapy.

  9. Latino Mother/Daughter Dyadic Attachment as a Mediator for Substance Use Disorder and Emotional Abuse.

    Science.gov (United States)

    Kanamori, Mariano; Weissman, Jessica; De La Rosa, Mario; Trepka, Mary Jo; Rojas, Patria; Cano, Miguel Angel; Melton, James; Unterberger, Alayne

    2016-08-01

    To date, no studies have investigated emotional abuse of adult Latina women by their mothers despite evidence that emotional maternal abuse may significantly contribute to the emotional abuse experienced by Latina women in their lifetime. Cross-sectional data including 316 women was analyzed using mediation and logistic regression. Overall, 7.1 % of mothers and 24.1 % of daughters abused drugs; and, 19.5 % of daughters were emotionally abused by their mothers. Mother's attachment to her daughter mediated the association between mother's drug abuse and emotionally abusing her adult daughter (indirect effect: 0.863). Latina women can serve as perpetrators of emotional abuse of their adult children. Since drug-abusing daughters are more likely to be victims of emotional abuse by their mothers and drug-abusing mothers are more likely to abuse their daughters, drug-rehabilitation practitioners should incorporate a family abuse component into rehabilitation programs. PMID:26614091

  10. Effective launch package integration for electromagnetic guns

    Energy Technology Data Exchange (ETDEWEB)

    Hayden, T.E. [Kaman Sciences Corp., Colorado Springs, CO (United States); Dethlefsen, R. [Maxwell Labs., Inc., San Diego, CA (United States); Price, J.H. [Univ. of Texas, Austin, TX (United States). Center for Electromechanics

    1995-01-01

    Many engineering disciplines must be considered when designing launch packages for electromagnetic guns. These include electromechanics, plasma physics, fluid dynamics, structures, materials science, aerodynamics, thermodynamics, flight dynamics, and terminal effects. Often, the requirements of one discipline will be in direct conflict with the requirements of another. Each discipline can claim to be of overriding importance, but all aspects of launch package design must be considered if the gun system is to succeed in its mission. Choices must be made regarding launch package configuration. Base-pushing or mid-riding solutions are possible with solid, hybrid or plasma armatures. Fully optimized launch package designs must be used in comparisons to find the actual optimal design point. The most effective design for one gun system will not necessarily be the most effective for another. This paper discusses the interplay among the various engineering disciplines involved in launch package design. Successful testing of integrated projectile/armature/sabot configurations from 90 mm EM guns is reviewed.

  11. Virtual patients: an effective educational intervention to improve paediatric basic specialist trainee education in the management of suspected child abuse?

    LENUS (Irish Health Repository)

    McEvoy, M M

    2011-09-01

    Child abuse is a particularly difficult subject to teach at both undergraduate and postgraduate level. Most doctors are dissatisfied with their training in child abuse recognition and management. We developed an interactive video based Virtual Patient to provide formal training for paediatric Basic Specialist Trainees in the recognition of suspected child abuse. The Virtual Patient case revolves around the management of suspected physical abuse in a seven month old child, who initially presents to the Emergency Department with viral upper respiratory tract symptoms. This Virtual Patient was used to facilitate a case discussion with Basic Specialist Trainees. A questionnaire was developed to determine their perception of the value of the Virtual Patient as an educational tool. Twenty five Basic Specialist Trainees completed the questionnaire. Upon completion of the case, 23\\/25 (92%) participants reported greater self confidence in their ability to recognize cases of suspected child abuse and 24\\/25 (96%) of participants reported greater self confidence in their ability to report cases of suspected child abuse. Basic Specialist Trainees perceived the Virtual Patient to be a useful educational tool. Virtual Patients may have a role to play in enhancing postgraduate training in the recognition of suspected child abuse.

  12. The Effects of the Moms and Teens for Safe Dates Program on Dating Abuse: a Conditional Process Analysis.

    Science.gov (United States)

    Foshee, Vangie A; Benefield, Thad; Chen, May S; Reyes, Luz McNaughton; Dixon, Kimberly S; Ennett, Susan T; Moracco, Kathryn E; Bowling, J Michael

    2016-04-01

    Moms and Teens for Safe Dates (MTSD) is a dating abuse (DA) prevention program for teens exposed to domestic violence. In a randomized controlled trial (RCT), MTSD prevented certain types of DA victimization (psychological and physical) and perpetration (psychological and cyber) among teens with higher, but not lower, exposure to domestic violence. We built on these findings by using moderated mediation analysis to examine whether level of teen exposure to domestic violence conditioned the indirect effects of MTSD on these types of DA through targeted mediators. MTSD consisted of six mailed activity booklets. Mothers who had been former victims of domestic violence delivered the program to their teens. Mother and teen pairs were recruited into the RCT through community advertising and completed baseline and 6-month follow-up interviews (N = 277 pairs). As expected, MTSD had significant favorable effects for teens with higher but not lower exposure to domestic violence on several mediators that guided program content, including teen conflict management skills and mother-perceived severity of DA, self-efficacy for enacting DA prevention efforts, and comfort in communicating with her teen. MTSD had significant main effects on other mediators including teen feeling of family closeness and cohesion and mother-perceived susceptibility of her teen to DA. As expected, all significant indirect effects of MTSD on DA outcomes through mediators were for teens with higher exposure to domestic violence. Findings have implications for developing DA victimization and perpetration prevention programs for teens with high exposure to domestic violence. PMID:26494314

  13. Effect of sand production on casing integrity

    Energy Technology Data Exchange (ETDEWEB)

    Li, X.Q.; Zhu, T.G.; Fang, L.T. [Dongsheng Petroleum Development Stock Co. Ltd., Shengli Oilfield (China); Yuan, Y. [BitCan Geosciences and Engineering Inc., Calgary, AB (Canada)

    2006-07-01

    Well casings are exposed to potentially corrosive formation fluids and subject to in situ stresses, fluid pressure, and reservoir compaction and expansion. Casing integrity can be compromised by human errors such as poor cement placement and inappropriate perforations. This paper described the outcome of an engineering study examining the effects of unintended excessive sand production on casing integrity. Supports to casings can be impacted when excessive amounts of sand are produced from the near-wellbore region. Compromised casing supports can buckle under axial loading from reservoir compaction. A case study of a well in the NiuZhang oilfield that experienced significant casing deformation 11 years after its completion was presented. Workover tools and production tubings could not pass through the damaged interval due to dramatic multiple doglegs. A mathematical analysis of casing buckling and activation of weak planes in the overburden suggested that a combination of excessive sand production and reservoir compaction during the well washing was responsible for the casing damage. The rapid 35 MPa pressure drop during the well washing disturbed rock materials around the perforation interval. Injected waste water reduced the rock strength due to swelling of the clay fines upon exposure to the water, causing significant amounts of rock solids to be produced over time. The excessive sand production formed a large void behind the casing and depleted its lateral support. It was concluded that proper management of sand production is necessary. However, control of sand production increases operating costs and can compromise oil production rates. Preliminary field measures such as the use of inclined wells, and gentle pressure drop during well washing were recommended. 16 refs., 1 tab., 9 figs.

  14. Loperamide dependence and abuse.

    Science.gov (United States)

    MacDonald, Ryan; Heiner, Jason; Villarreal, Joshua; Strote, Jared

    2015-05-02

    Loperamide is a common over-the-counter antidiarrheal considered safe in a broad range of dosages and thought devoid of abuse potential. We describe the first case of a patient with loperamide dependence due to misuse of its opiate-like effects achieved by chronic massive oral ingestions. A 26-year-old man who was taking 800 mg of loperamide per day presented requesting detoxification referral. Loperamide has potential for euphoric effects and information on how to facilitate such effects is easily available. It is important for physicians to be aware of the potential for misuse of and dependence on loperamide, with symptoms mimicking opiate use.

  15. Enhancing Leadership Integrity Effectiveness Strategy Through The Institutionalization Of Anorganizational Management Integrity Capacity Systems

    Directory of Open Access Journals (Sweden)

    José G. Vargas-Hernández

    Full Text Available Aims / objectives: This paper aims to analyze organizational management integrity capacity system as an improvement concept for enhancing leadership integrity effectiveness in a university setting. It departs from the analysis of the current organizational culture, values, virtues, managerial capabilities and attitudes to assume any organizational task. This paper aims also to propose a strategic modelfor the institutionalization of an organizational management integrity system. Study design: Cross-sectional study. Place and Duration of Study: University Center for Economic and ManagerialSciences, University of Guadalajara. The study is conducted for one academic year during the term 2011-2012. Methodology: The research methods used are the analytical based in the literature review and interpretative of the main findings to provide a synthetic model.Results and conclusion: The outcomes of the research on the application of organizational management integrity capacity systems may demonstrate that the drama of leadership effectiveness is centered on dysfunctional organizational integrity culture and leadership. This chapter provides a sound strategies and institutionalization for organizational integrity capacity philosophy focused on leadership integrity effectiveness that empowers management professionals to act with integrity and supported by an organizational integrity culture. Implications: The results provide the basis to develop strategies for an organizational integrity leadership framed by an organizational integrity culture, sustained by a code of conduct, regulation policies and overall the development and institutionalization of an organizational integrity capacity system which can positively influence the behavior of key stakeholders and actors.

  16. Prescription drug abuse: problem, policies, and implications.

    Science.gov (United States)

    Phillips, Janice

    2013-01-01

    This article provides an overview on prescription drug abuse and highlights a number of related legislative bills introduced during the 112th Congress in response to this growing epidemic. Prescription drug abuse has emerged as the nation's fastest growing drug problem. Although prescription drugs have been used effectively and appropriately for decades, deaths from prescription pain medicine in particular have reached epidemic proportions. Bills related to prescription drug abuse introduced during the 112th Congress focus on strengthening provider and consumer education, tracking and monitoring prescription drug abuse, improving data collection on drug overdose fatalities, combating fraud and abuse in Medicare and Medicaid programs, reclassifying drugs to make them more difficult to prescribe and obtain, and enforcing stricter penalties for individuals who operate scam pain clinics and sell pain pills illegitimately. This article underscores the importance of a multifaceted approach to combating prescription drug abuse and concludes with implications for nursing. PMID:23245611

  17. Sibling Outcomes from a Randomized Trial of Evidence-Based Treatments with Substance Abusing Juvenile Offenders

    Science.gov (United States)

    Rowland, Melisa D.; Chapman, Jason E.; Henggeler, Scott W.

    2008-01-01

    This study examined the substance use and delinquency outcomes for the nearest age siblings of substance abusing and delinquent adolescents that participated in a randomized clinical trial evaluating the effectiveness of integrating evidence-based practices into juvenile drug court. The sample of 70 siblings averaged 14.4 years of age, 50% were…

  18. College Students and Alcohol Abuse: New Resources Can Help

    Science.gov (United States)

    ... page please turn Javascript on. College Students and Alcohol Abuse: New Resources Can Help Past Issues / Fall 2009 ... students, and their parents cope more effectively with alcohol abuse. Fast Facts About four out of five college ...

  19. Evaluation of Child Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    Selen Acehan

    2013-08-01

    Full Text Available Child abuse is an important public health problem that can cause serious injury, disability and even death, and have medical, legal, and social aspects. Prevention of repeated abuse at an early stage is necessary to limit long-term effects of abuse. Unfortunately, these children often do not receive the diagnosis in the emergency department, despite using emergency service. We aimed at the evaluation and management of child abuse and neglect which has a very important social dimension, in the light of the latest information. [Archives Medical Review Journal 2013; 22(4.000: 591-614

  20. Identifying the Causal Effect of Alcohol Abuse on the Perpetration of Intimate Partner Violence by Men Using a Natural Experiment

    OpenAIRE

    Averett, Susan L.; Wang, Yang

    2014-01-01

    Intimate partner violence (IPV) is widespread among women, with substantial and long-lasting negative consequences. Researchers have documented a strong positive correlation between alcohol abuse and IPV. Yet prior researchers have struggled with the problem of the potential endogeneity of alcohol abuse. In this paper, we deal with this problem by exploring a unique instrumental variable - the September 11 terrorist attack (9/11) - in Wave III of the National Longitudinal Study of Adolescent ...

  1. The Moderating Effect of Substance Abuse Service Accessibility on the Relationship between Child Maltreatment and Neighborhood Alcohol Availability

    OpenAIRE

    Morton, Cory M.

    2013-01-01

    This study investigates how the relationship between dense concentrations of alcohol retailers and high rates of child maltreatment may be moderated by the presence of substance abuse service facilities. Using a cross-sectional design, the study utilized data from Bergen County, New Jersey on child maltreatment reports, alcohol-selling retailers, substance abuse service facilities, and the United States Census. Findings indicate child maltreatment rates were higher in neighborhoods with lower...

  2. Delineating Selection and Mediation Effects among Childhood Personality and Environmental Risk Factors in the Development of Adolescent Substance Abuse

    OpenAIRE

    Hicks, Brian M.; Johnson, Wendy; Durbin, C. Emily; Blonigen, Daniel M.; Iacono, William G.; McGue, Matt

    2014-01-01

    Utilizing the large, longitudinal Minnesota Twin Family Study (N = 2510; 96% European American ancestry), we examined the influence of several person-environment transactions on adolescent substance abuse. We focused on the two childhood personality traits found to be most predictive of substance abuse in this sample—socialization (willingness to follow rules and endorse conventional values) and boldness (social engagement and assurance, stress resilience, thrill seeking)—and the environmenta...

  3. Childhood sexual abuse.

    OpenAIRE

    Evrim Aktepe

    1993-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  4. Childhood Sexual Abuse

    OpenAIRE

    Aktepe, Evrim

    2009-01-01

    Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually tow...

  5. The Life Skills Training and Preventive behaviors of Substances Abuse among University Students: a Longitudinal Study

    Directory of Open Access Journals (Sweden)

    Mehdi Moshki

    2013-09-01

    Full Text Available Background & Objective: Nowaday, substance abuse is one of the bitterest social damages. In the recent years, substance abuse has increased among students of schools and universities, therefore special attention it requires. This study aimed to study the effect of life skills training on the promotion of the preventive behaviors of Gonabad University medical school students’ abuse of substances. Materials & Methods: During the experimental research and field trail, 60 students were Selected through a quota random sampling method and were randomly assigned to the two case and control groups. A Questionnaire that involved demographic factors and Preventive behaviors, whichwere caused as the result of drug abuse, was used for data collection. The questionnaire’s reliability and validity was assessed before and after educational intervention, and as a follow-up, 4 years after educational intervention. The Data was analyzed using T-Test and Chi-square. Results: Comparison of the mean of the scores in scale Preventive behaviors caused by drug abuse in post-test of two case and control groups had a significant difference (p<0/01 that remained stable 4 years after the end of the intervention. There was a significant difference between some of the demographic factors and Preventive behaviors that had been caused by drug abuse (p<0/01. Conclusion: Life skills training are effective in strengthening Preventive behaviors of substance abuse in university students. Therefore, life skills training programs should be integrated into university courses in order to comprehensively and consistently the effect of drug abuse on the educational level of students

  6. Cough and Cold Medicine Abuse

    Science.gov (United States)

    ... and Cold Medicine Abuse DrugFacts: Cough and Cold Medicine Abuse Email Facebook Twitter Revised May 2014 Some ... diverted for abuse. How Are Cough and Cold Medicines Abused? Cough and cold medicines are usually consumed ...

  7. Tooth Decay in Alcohol Abusers Compared to Alcohol and Drug Abusers

    OpenAIRE

    Stanley Gelbier; Peters, Timothy J.; Derek J. Cooper; Saman Warnakulasuriya; Harris, Colin K.; Dasanayake, Ananda P.

    2010-01-01

    Alcohol and drug abuse are detrimental to general and oral health. Though we know the effects of these harmful habits on oral mucosa, their independent and combined effect on the dental caries experience is unknown and worthy of investigation. We compared 363 “alcohol only” abusers to 300 “alcohol and drug” abusers to test the hypothesis that various components of their dental caries experience are significantly different due to plausible sociobiological explanatio...

  8. CREATING EFFECTIVE MODELS OF VERTICAL INTEGRATED STRUCTURES IN UKRAINE

    Directory of Open Access Journals (Sweden)

    D. V. Koliesnikov

    2011-01-01

    Full Text Available The results of scientific research aimed at development of methodology-theoretical mechanisms of building the effective models of vertically-integrated structures are presented. A presence of vertically-integrated structures on natural-monopolistic markets at private and governmental sectors of economy and priority directions of integration are given.

  9. Skin manifestations of child abuse

    OpenAIRE

    Ermertcan Aylin; Ertan Pelin

    2010-01-01

    Child abuse is a major public health problem all over the world. There are four major types of abuse: physical abuse, sexual abuse, emotional abuse and neglect. The most common manifestations of child abuse are cutaneous and their recognition; and differential diagnosis is of great importance. Clinicians, especially dermatologists, should be alert about the skin lesions of child abuse. In the diagnosis and management of child abuse, a multidisciplinary approach with ethical and legal procedur...

  10. The effects of integrated care on professionals: a systematic review

    OpenAIRE

    Janse, B.; Fabbricotti, I.N.; Huijsman, R.

    2012-01-01

    Background and aim Traditional care is increasingly being replaced by integrated care models, which often implies changes for health professionals involved. However, although literature on integrated care is abundant, the primary focus is rarely on professionals. Consequently, it is not clear if and how they are affected by integrated care interventions. The aim of this study, therefore, is to provide a systematic review of the literature on the effect of integrated care on professionals. Met...

  11. Joint Effect of Childhood Abuse and Family History of Major Depressive Disorder on Rates of PTSD in People with Personality Disorders

    OpenAIRE

    Flory, Janine D.; Rachel Yehuda; Vincent Passarelli; Siever, Larry J.

    2012-01-01

    Objective. Childhood maltreatment and familial psychopathology both lead to an increased risk of the development of posttraumatic stress disorder (PTSD) in adulthood. While family history of psychopathology has traditionally been viewed as a proxy for genetic predisposition, such pathology can also contribute to a stress-laden environment for the child. Method. Analyses were conducted to evaluate the joint effect of childhood abuse and a family history of major depressive disorder (MDD) on di...

  12. Serotonin 2A Receptors Differentially Contribute to Abuse-Related Effects of Cocaine and Cocaine-Induced Nigrostriatal and Mesolimbic Dopamine Overflow in Nonhuman Primates

    OpenAIRE

    Murnane, Kevin S.; Winschel, Jake; Schmidt, Karl T.; Stewart, LaShaya M.; Rose, Samuel J.; Cheng, Kejun; Rice, Kenner C.; Howell, Leonard L.

    2013-01-01

    Two of the most commonly used procedures to study the abuse-related effects of drugs in laboratory animals are intravenous drug self-administration and reinstatement of extinguished behavior previously maintained by drug delivery. Intravenous self-administration is widely accepted to model ongoing drug-taking behavior, whereas reinstatement procedures are accepted to model relapse to drug taking following abstinence. Previous studies indicate that 5-HT2A receptor antagonists attenuate the rei...

  13. The effectiveness of educational programs to improve recognition and reporting of elder abuse and neglect: A systematic review of the literature

    OpenAIRE

    Alt, Kim L.; Nguyen, Annie L.; Meurer, Linda N.

    2011-01-01

    Health professionals often lack adequate protocols or knowledge to detect, manage and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals’ recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeting a variety of health and social service audiences. Most evaluations were...

  14. Early Intervention in Poor Families Confronted With Alcohol Abuse and Violence: Impact on Families' Social Integration and Parenting : impact of early intervention within alcoholic and poor families

    OpenAIRE

    Dumaret, Annick-Camille; Constantin-Kuntz, Marie; Titran, Maurice

    2009-01-01

    International audience To help families challenged by transgenerational problems, substance abuse, and violence, support strategies require professionals who understand their specific needs and inspire trust. Such support, provided by a group consisting of professionals, volunteers, and families, was assessed by a follow-up study. The outcome of 22 families was observed an average of 7 years after their participation in the group ended. Results show that most parents recovered a significan...

  15. Child abuse. Non-accidental head injury

    International Nuclear Information System (INIS)

    Knowledge of the radiological appearances that are the result of child abuse is an integral part of prevention of further, potentially life-threatening, injury. Radiologists must have un understanding of typical injury patterns of the skeletal system, visceral and intra-cranial structures, which should ideally be ordered chronologically. Necessary radiological investigations follow guidelines with specific criteria that are pointed out in this review. In equivocal cases of abuse, the opinion of a second (paediatric) radiologist should be sought. (orig.)

  16. School-Based Counseling of Abused Children

    Science.gov (United States)

    Brassard, Marla R.; Rivelis, Erin; Diaz, Vielka

    2009-01-01

    Abused children experience high rates of behavior, emotional, and learning problems but infrequently receive treatment. Most services provided to abused children and their families are not based on any clear evidence that they work. A number of evidence-based treatments (EBTs), demonstrated to be safe and effective in treating a range of…

  17. School-Based Child Abuse Prevention Programs

    Science.gov (United States)

    Brassard, Marla R.; Fiorvanti, Christina M.

    2015-01-01

    Child abuse is a leading cause of emotional, behavioral, and health problems across the lifespan. It is also preventable. School-based abuse prevention programs for early childhood and elementary school children have been found to be effective in increasing student knowledge and protective behaviors. The purpose of this article is to help school…

  18. Parent’s Addiction and Child Abuse

    Directory of Open Access Journals (Sweden)

    Alireza Jazayeri

    2002-10-01

    The aim of this study is review the theorical approches of child abuse and its prevalency, ethiology, prevention, assessment and treatment. Also, we try to difine the relationship between child abuse and parents addiction and their side effects in different areas of childs life .

  19. Abuse during Pregnancy

    Science.gov (United States)

    ... partner may try to hurt your body. This physical abuse can include hitting, slapping, kicking, choking, pushing or ... your unborn baby in grave danger. During pregnancy, physical abuse can lead to miscarriage and vaginal bleeding . It ...

  20. Prescription Drug Abuse

    Science.gov (United States)

    ... a drug abuser aggressive or paranoid. Although stimulant abuse might not lead to physical dependence and withdrawal, the feelings these drugs give people can cause them to use the drugs more and more ...

  1. Prescription Drug Abuse

    Science.gov (United States)

    ... what the doctor prescribed, it is called prescription drug abuse. It could be Taking a medicine that ... purpose, such as getting high Abusing some prescription drugs can lead to addiction. These include narcotic painkillers, ...

  2. Who Owns Child Abuse?

    Directory of Open Access Journals (Sweden)

    Gerald Cradock

    2014-11-01

    Full Text Available Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguish child abusers from non-abusers, means knowledge is now spread across an array of disciplines and professions, which necessarily destabilizes the definition of child abuse. The increasing exposure of alternate care systems as potentially abusive has similarly destabilized the old common sense solution to neglected children—namely removal. Finally, as uncertainty increases, and definitions become more divergent, the question of what child abuse is, and what should be done about it, becomes increasingly politicized.

  3. Gender Abuse and Incident HIV/STI Among Transgender Women in New York City: Buffering Effect of Involvement in a Transgender Community.

    Science.gov (United States)

    Nuttbrock, Larry; Bockting, Walter; Rosenblum, Andrew; Hwahng, Sel; Mason, Mona; Macri, Monica; Becker, Jeffrey

    2015-08-01

    In a 3 year prospective study of 230 transgender women from the New York City Area, we further examined associations of gender-related abuse with HIV sexual risk behavior and incident HIV/STI, focusing here and the extent to which these associations are buffered by involvement in a transgender community. Largely consistent with the prior study, gender abuse was longitudinally associated with unprotected receptive anal intercourse (URAI) with casual and commercial sex partners, and the presumed biological outcome of this behavioral risk, new cases of HIV/STI. Both of these associations, gender abuse with URAI and HIV/STI, were significantly buffered by transgender community involvement (interaction effects). However, independent of these interaction effects, transgender community involvement was also positively associated with URAI and HIV/STI (direct effects). HIV prevention in this population should emphasize the benefits of interactions with transgender peers while also emphasizing the importance of resisting normative permission for HIV risk behavior from these same peers. PMID:25533923

  4. Medical marijuana users in substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Swartz Ronald

    2010-03-01

    Full Text Available Abstract Background The rise of authorized marijuana use in the U.S. means that many individuals are using cannabis as they concurrently engage in other forms of treatment, such as substance abuse counseling and psychotherapy. Clinical and legal decisions may be influenced by findings that suggest marijuana use during treatment serves as an obstacle to treatment success, compromises treatment integrity, or increases the prevalence or severity of relapse. In this paper, the author reviews the relationship between authorized marijuana use and substance abuse treatment utilizing data from a preliminary pilot study that, for the first time, uses a systematic methodology to collect data examining possible effects on treatment. Methods Data from the California Outcomes Measurement System (CalOMS were compared for medical (authorized marijuana users and non-marijuana users who were admitted to a public substance abuse treatment program in California. Behavioral and social treatment outcomes recorded by clinical staff at discharge and reported to the California Department of Alcohol and Drug Programs were assessed for both groups, which included a sample of 18 reported medical marijuana users. Results While the findings described here are preliminary and very limited due to the small sample size, the study demonstrates that questions about the relationship between medical marijuana use and involvement in drug treatment can be systematically evaluated. In this small sample, cannabis use did not seem to compromise substance abuse treatment amongst the medical marijuana using group, who (based on these preliminary data fared equal to or better than non-medical marijuana users in several important outcome categories (e.g., treatment completion, criminal justice involvement, medical concerns. Conclusions This exploratory study suggests that medical marijuana is consistent with participation in other forms of drug treatment and may not adversely affect

  5. Substance abuse and first-episode schizophrenia-spectrum disorders. The Danish OPUS trial

    DEFF Research Database (Denmark)

    Petersen, Lone; Jeppesen, Pia; Thorup, Anne;

    2007-01-01

    To evaluate whether integrated treatment (given by OPUS), in comparison with standard treatment, significantly reduced the number of patients with substance abuse and improved clinical and social outcome in the group of substance abusers after 2 years....

  6. The Mechanism and Effect of Abusive Supervision on the Voice Behavior%辱虐管理对建言行为影响及机制

    Institute of Scientific and Technical Information of China (English)

    严丹; 黄培伦

    2012-01-01

    尽管建言行为对于组织变革与发展的意义重大,然而现实中许多员工的建言行为通常并不尽如人意,管理者领导行为的辱虐方式应是非常重要的影响因素之一.本文旨在研究辱虐管理对员工建言行为的影响,并以社会认同理论和文化及价值观为基础,研究组织认同和组织自尊在以上关系所起的中介作用,员工权利距离感在其中的调节作用.研究以广州一家大型制造型企业中302名员工和78名管理者作为研究对象,采用层级回归分析对问卷调查所获得的匹配数据进行分析.结果表明:辱虐管理对员工的建言行为有显著的负向影响,员工的组织认同和组织自尊在其中起完全中介作用;员工的权力距离感越大,辱虐管理对员工的组织认同和组织自尊的负面影响越小.%The voice behavior is important for significant organizational change and development, but in reality many employees are often reluctant to make suggestions. Managers' abusive supervision is one of the most important factors accounting for the voice behavior of employees. This paper mainly explores the mechanism which can help understand how abusive supervision impact voice behavior, as well as proposes and verifies the mediating effect of organizational identification/organization-based self-esteem on the relationship between abusive supervision and employee voice behavior. The paper mainly answers three research questions; Does abusive supervision affect an employee's voice behavior? What is the mechanism influencing the relationship? What individual traits can affect the process of abusive supervision that can influence an employee's voice behavior? Our literature review leads to theoretical development, and clarifies connotation and extension of variables, division of dimensions, and existing research related to the logical relationships from abusive supervision to organizational identification/organization-based self

  7. Preventing Child Abuse

    Science.gov (United States)

    Alvy, Kerby T.

    1975-01-01

    Focuses on two major and general approaches to analyzing the problems of child abuse; briefly discusses the prevention implications; deals with the individual physical abuse of children, with particular emphasis on the relationship between theoretical formulations of the causes of individual physical abuse and preventative programs; and, finally,…

  8. Causes of Child Abuse

    OpenAIRE

    Deveci, S. Erhan; Açık, Yasemin

    2003-01-01

    Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors.

  9. Drug and Substance Abuse

    Science.gov (United States)

    ... are common in later life. The Most Common Types of Drug and Substance Abuse Prescription and Over-the-Counter Medications Abuse Among ... older population than in younger people. But, other types of substance abuse, such as inappropriate use of prescription and over- ...

  10. Screening for child abuse at emergency departments : a systematic review

    NARCIS (Netherlands)

    Louwers, Eveline C. F. M.; Affourtit, Marjo J.; Moll, Henriette A.; de Koning, Harry J.; Korfage, Ida J.

    2010-01-01

    Introduction Child abuse is a serious problem worldwide and can be difficult to detect. Although children who experience the consequences of abuse will probably be treated at an emergency department, detection rates of child abuse at emergency departments remain low. Objective To identify effective

  11. Hormone Abuse Prevention and What You Need to Know

    Science.gov (United States)

    ... Your Body in Balance › Diseases and Conditions › Hormone Abuse › Prevention Overview Hormonal Substances of Abuse Health Effects, Risks, ... may be able to see symptoms of steroid abuse in your child. Check out the section of this Web page ...

  12. Child Sexual Abuse Prevention: Evaluation of a Teacher Training Model.

    Science.gov (United States)

    Kleemeier, Carol; And Others

    1988-01-01

    The effectiveness of a six-hour teacher training workshop on child sexual abuse prevention was evaluated. Findings indicated that trained teachers demonstrated significant increases in knowledge about child sexual abuse and pro-intervention opinions. Trained teachers were better able to identify behavioral indicators of abuse and suggest…

  13. Joint Effect of Childhood Abuse and Family History of Major Depressive Disorder on Rates of PTSD in People with Personality Disorders

    Directory of Open Access Journals (Sweden)

    Janine D. Flory

    2012-01-01

    Full Text Available Objective. Childhood maltreatment and familial psychopathology both lead to an increased risk of the development of posttraumatic stress disorder (PTSD in adulthood. While family history of psychopathology has traditionally been viewed as a proxy for genetic predisposition, such pathology can also contribute to a stress-laden environment for the child. Method. Analyses were conducted to evaluate the joint effect of childhood abuse and a family history of major depressive disorder (MDD on diagnoses of PTSD and MDD in a sample of 225 adults with DSM-IV Axis II disorders. Results. Results showed that the rate of PTSD in the presence of both childhood abuse and MDD family history was almost six-fold (OR=5.89,  P=.001 higher relative to the absence of both factors. In contrast, the rate of MDD in the presence of both factors was associated with a nearly three-fold risk relative to the reference group (OR=2.75,  P=.01. Conclusions. The results from this observational study contribute to a growing understanding of predisposing factors for the development of PTSD and suggest that joint effects of family history of MDD and childhood abuse on PTSD are greater than either factor alone.

  14. Mono- versus polydrug abuse patterns among publicly funded clients

    Directory of Open Access Journals (Sweden)

    Relyea George

    2007-11-01

    Full Text Available Abstract To examine patterns of mono- versus polydrug abuse, data were obtained from intake records of 69,891 admissions to publicly funded treatment programs in Tennessee between 1998 and 2004. While descriptive statistics were employed to report frequency and patterns of mono- and polydrug abuse by demographic variables and by study years, bivariate logistic regression was applied to assess the probability of being a mono- or polydrug abuser for a number of demographic variables. The researchers found that during the study period 51.3% of admissions reported monodrug abuse and 48.7% reported polydrug abuse. Alcohol, cocaine, and marijuana were the most commonly abused substances, both alone and in combination. Odds ratio favored polydrug abuse for all but one drug category–other drugs. Gender did not affect drug abuse patterns; however, admissions for African Americans and those living in urban areas exhibited higher probabilities of polydrug abuse. Age group also appeared to affect drug abuse patterns, with higher odds of monodrug abuse among minors and adults over 45 years old. The discernable prevalence of polydrug abuse suggests a need for developing effective prevention strategies and treatment plans specific to polydrug abuse.

  15. Substance abuse and first-episode schizophrenia-spectrum disorders. The Danish OPUS trial

    DEFF Research Database (Denmark)

    Petersen, Lone; Jeppesen, Pia; Thorup, Anne;

    2007-01-01

    To evaluate whether integrated treatment (given by OPUS), in comparison with standard treatment, significantly reduced the number of patients with substance abuse and improved clinical and social outcome in the group of substance abusers after 2 years.......To evaluate whether integrated treatment (given by OPUS), in comparison with standard treatment, significantly reduced the number of patients with substance abuse and improved clinical and social outcome in the group of substance abusers after 2 years....

  16. Mental Health Consequences of Intimate Partner Abuse: A Multidimensional Assessment of Four Different Forms of Abuse

    OpenAIRE

    Mechanic, Mindy B.; Weaver, Terri L.; Resick, Patricia A.

    2008-01-01

    Battered women are exposed to multiple forms of intimate partner abuse. This article explores the independent contributions of physical violence, sexual coercion, psychological abuse, and stalking on symptoms of posttraumatic stress disorder (PTSD) and depression among a sample of 413 severely battered, help-seeking women. The authors test the unique effects of psychological abuse and stalking on mental health outcomes, after controlling for physical violence, injuries, and sexual coercion. M...

  17. Reviewing the Association between the History of Parental Substance Abuse and the Rate of Child Abuse

    OpenAIRE

    Yaghoubi-Doust, Mahmoud

    2013-01-01

    Background Substance abuse is a social, and health problem in Middle Eastern countries such as Iran. One of its most devastating effects is domestic violence against children. This study examined the association between the history of parental substance abuse, and rate of child abuse in Ahvaz, Iran. Methods This was a case-control study. The study population included all parents with high school children in Ahwaz within the academic year 2012-2013. The sample size was 384 people in two groups...

  18. Integrating Adult Learning and Technologies for Effective Education: Strategic Approaches

    Science.gov (United States)

    Wang, Victor C. X.

    2010-01-01

    As adult learners and educators pioneer the use of technology in the new century, attention has been focused on developing strategic approaches to effectively integrate adult learning and technology in different learning environments. "Integrating Adult Learning and Technologies for Effective Education: Strategic Approaches" provides innovative…

  19. Effects of Integrating Peace Education in the Nigeria Education System

    Science.gov (United States)

    Olowo, Oluwatoyin Olusegun

    2016-01-01

    This paper attempted to investigate the effects of integrating Peace Education into Nigeria educational system. Four research questions were designed for the study. The researcher designed an instrument tagged: Questionnaire on effect of Integrating Peace Education (QEIPE). The entire population of two hundred respondents spread across Secondary…

  20. The Comparative Effectiveness of Outpatient Treatment for Adolescent Substance Abuse: A Meta-Analysis

    OpenAIRE

    Tanner-Smith, Emily E; Wilson, Sandra Jo; Lipsey, Mark W.

    2012-01-01

    Meta-analysis was used to synthesize research on the effects of outpatient treatment on substance use outcomes for adolescents with substance use disorders. An extensive literature search located 45 eligible experimental or quasi-experimental studies reporting 73 treatment-comparison group pairs, with many of the comparison groups also receiving some treatment. The first analysis examined 250 effect sizes for the substance use outcomes of adolescents receiving different types of treatment rel...

  1. Integration of reliability and tolerance effect analysis

    NARCIS (Netherlands)

    Brombacher, A.C.; Boer, de H.A.; Loo, van 't J.

    1989-01-01

    The authors focus on the development of systems with online optimized reliability. They argue that in the case of online analysis, reliability analysis should have the same importance as functional analysis currently has, and that reliability should be integrated in a design. Further the function of

  2. Inhalant Abuse and Dextromethorphan.

    Science.gov (United States)

    Storck, Michael; Black, Laura; Liddell, Morgan

    2016-07-01

    Inhalant abuse is the intentional inhalation of a volatile substance for the purpose of achieving an altered mental state. As an important, yet underrecognized form of substance abuse, inhalant abuse crosses all demographic, ethnic, and socioeconomic boundaries, causing significant morbidity and mortality in school-aged and older children. This review presents current perspectives on epidemiology, detection, and clinical challenges of inhalant abuse and offers advice regarding the medical and mental health providers' roles in the prevention and management of this substance abuse problem. Also discussed is the misuse of a specific "over-the-counter" dissociative, dextromethorphan. PMID:27338970

  3. Child Abuse in India

    OpenAIRE

    Mohammad Reza Iravani

    2011-01-01

    Child abuse is harm to, or neglect of, a child by another person, whether adult or child. Child abuse happens in all cultural, ethnic, and income groups. Child abuse can be physical, emotional - verbal, sexual or through neglect. Abuse may cause serious injury to the child and may even result in death. A problem that is only beginning to come into light in India rape, sexual abuse, and sexual harassment are worldwide issues of gender violence. There is very little research done in this area i...

  4. MODUS OPERANDI OF SEXUAL ABUSERS AND THEIR GROOMING TECHNIQUES

    Directory of Open Access Journals (Sweden)

    Miraç Burak GÖNÜLTAŞ

    2016-04-01

    Full Text Available Child sexual abuse has detrimental effects on both psychological and sociological development of children. In recent years, attention of sexual abuse and abuser has increased because of missing and abducted children. According to literature, sexual abusers are more opportunist and agile than offenders of other crime types. Academic researches related to sexual absusers aim to understand how to sexual abusers groom children and their methods. Therefore these studies intend to prevent sexual abuse, because sexual abuse harms victim seriously and irreversibly. The present study is compilation in that the researches conducted in this field are gathered in context to modus operandi and sexual grooming. Thus, it aims to remark attention to this field and to present some proposal for the prevention of sexual abuse in our country

  5. A case of drug abuse

    Directory of Open Access Journals (Sweden)

    Matteo Pacini

    2008-09-01

    Full Text Available Methadone maintenance is one of the well-known harm reduction strategies for public health intervention in heroin addiction. The significance of methadone treatment in preventing needle sharing, which in turn reduces the risk of HIV and HCV transmission among injectors, has been demonstrated. Methadone maintenance is also considered gathering site where heroin addicts can effectively acquire knowledge on harm reduction and drug rehabilitation. We report a case of a 34-years-old patient with a history of heroin abuse. Therapy with methadone was essential for an adequate management of the case. The article describe difficulties and complexities of heroin abuse management and the therapeutic role of methadone.

  6. The Moderating Effects of Parenting Stress on Children's Adjustment in Woman-Abusing Families.

    Science.gov (United States)

    Levendosky, Alytia A.; Graham-Bermann, Sandra A.

    1998-01-01

    Utilizes sheltered battered women (n=60) and their 7- to 12-year-old children and nonsheltered women (n=61) and their children, to examine the potential moderating effects of maternal parenting stress on children's adjustment in homes with varying levels of domestic violence. Results indicate that children's adjustment was predicted by parenting…

  7. Persuader Sex Differences and Peer Pressure Effects on Attitudes Toward Drug Abuse.

    Science.gov (United States)

    Stone, Christopher I.; Shute, Robert E.

    This experiment was performed to assess the effects of the experimental confederates' sex and contrived group peer pressure on the drug attitudes of male college students. Subjects were exposed to all male or all female groups of experimental confederates (persuaders) who expressed either extremely pro-drug or anti-drug sentiments in a guided…

  8. Effect of Art Production on Negative Mood and Anxiety for Adults in Treatment for Substance Abuse

    Science.gov (United States)

    Laurer, Mattye; van der Vennet, Renée

    2015-01-01

    This study investigated whether art production or viewing and sorting art reproductions would be more effective in reducing negative mood and anxiety for 28 adults with substance use disorders. Participants were randomly assigned to one of two groups and completed pre- and posttest measures of negative mood and anxiety The hypothesis that art…

  9. Australian governments' spending on preventing and responding to drug abuse should target the main sources of drug-related harm and the most cost-effective interventions.

    Science.gov (United States)

    McDonald, David

    2011-01-01

    A notable feature of Australian drug policy is the limited public and professional attention given to the financial costs of drug abuse and to the levels and patterns of government expenditures incurred in preventing and responding to this. Since 1991, Collins and Lapsley have published scholarly reports documenting the social costs of drug abuse in Australia and their reports also contain estimates of governments' drug budgets: revenue and expenditures. They show that, in 2004-2005, Australian governments expended at least $5288 million on drug abuse, with 50% of the expenditure directed to preventing and dealing with alcohol-related problems, 45% to illicit drugs and just 5% to tobacco. Some 60% of the expenditure was directed at drug crime and 37% at health interventions. This pattern of resource allocation does not adequately reflect an evidence-informed policy orientation in that it largely fails to focus on the drug types that are the sources of the most harm (tobacco and alcohol rather than illicit drugs), and the sectors for which we have the strongest evidence of the cost-effectiveness of the available interventions (treatment and harm reduction rather than legislation and law enforcement). The 2010-2014 phase of Australia's National Drug Strategy should include incremental changes to the resource allocation mix, and not simply maintain the historical resource allocation formulae.

  10. Bidirectional reflection effects in practical integrating spheres.

    Science.gov (United States)

    Mahan, J R; Walker, J A; Stancil, M M

    2015-10-20

    Integrating spheres play a central role in radiometric instrument calibration, surface optical property measurement, and radiant source characterization. Our work involves a simulation, based on the Monte Carlo ray-trace (MCRT) of bidirectional reflections within a practical integrating sphere pierced with two viewing ports. We used data from the literature to create an empirical model for the bidirectional reflection distribution function (BRF) of Spectralon suitable for use in the MCRT environment. The ratio of power escaping through the two openings is shown to vary linearly with wall absorptivity for both diffuse and bidirectional reflections. The sensitivity of this ratio to absorptivity is shown to be less when reflections are weakly bidirectional. PMID:26560384

  11. Daily Stressor Sensitivity, Abuse Effects, And Cocaine Use In Cocaine Dependence

    OpenAIRE

    Waldrop, Angela E.; Back, Sudie E.; Brady, Kathleen T.; Upadhyaya, Himanshu P.; McRae, Aimee L.; Saladin, Michael E.

    2007-01-01

    This study highlights respondent sensitivity to daily hassles as it relates to situational cocaine use and perceived long-term effects of adverse events in childhood. Data were drawn from a larger study on stress reactivity in cocaine dependent individuals. Participants (n=104) were cocaine dependent men and women without comorbid posttraumatic stress disorder (PTSD). They completed the Early Trauma Inventory (ETI), the Daily Hassles Scale (DHS), the Inventory of Drug-Taking Situations (IDTS)...

  12. Novel collective effects in integrated photonics

    OpenAIRE

    Delanty, M.; Rebic, S.; Twamley, J.

    2012-01-01

    Superradiance, the enhanced collective emission of energy from a coherent ensemble of quantum systems, has been typically studied in atomic ensembles. In this work we study theoretically the enhanced emission of energy from coherent ensembles of harmonic oscillators. We show that it should be possible to observe harmonic oscillator superradiance for the first time in waveguide arrays in integrated photonics. Furthermore, we describe how pairwise correlations within the ensemble can be measure...

  13. Integration of reliability and tolerance effect analysis

    OpenAIRE

    Brombacher, A.C.; Boer; Loo, van 't, J.

    1989-01-01

    The authors focus on the development of systems with online optimized reliability. They argue that in the case of online analysis, reliability analysis should have the same importance as functional analysis currently has, and that reliability should be integrated in a design. Further the function of a quality assurance team is only to check this built-in reliability, not to make a functional correct design also reliable. Therefore the designer (or design team) should be able to perform reliab...

  14. Intergenerational Child Abuse and Coping

    Science.gov (United States)

    Robboy, Juliet; Anderson, Kristen G.

    2011-01-01

    Many studies have investigated the consequences of child sexual abuse (CSA) but few have examined the intergenerational effects of poly-victimization and maladaptive coping. The purpose of this investigation was to examine patterns of maltreatment and maladaptive coping among second-generation CSA survivors. It is hypothesized that: (a) maternal…

  15. Comorbid substance abuse in first-episode schizophrenia : Effects on cognition and psychopathology in the EUFEST study

    NARCIS (Netherlands)

    Wobrock, T.; Falkai, P.; Schneider-Axmann, T.; Hasan, A.; Galderisi, S.; Davidson, M.; Kahn, R. S.; Derks, E. M.; Boter, H.; Rybakowski, J. K.; Libiger, J.; Dollfus, S.; Lopez-Ibor, J. J.; Peuskens, J.; Hranov, L. G.; Gaebel, W.; Fleischhacker, W. W.

    2013-01-01

    Studies and meta-analyses investigating the influence of substance use disorder (SUD) (substance abuse or dependence) on psychopathology and neurocognitive function in schizophrenia patients have revealed controversial results. Most studies did only have small samples and did not focus exclusively o

  16. Sociological Factors to Drug Abuse and the Effects on Secondary School Students' Academic Performance in Ekiti and Ondo States, Nigeria

    Science.gov (United States)

    Abdu-Raheem, B. O.

    2013-01-01

    This study examined the influence of drug abuse on secondary school students in relation to their family background, family cohesion, peer group influence, and students' academic performance. Descriptive research design of the survey type and an inventory were used for the study. The population comprised all secondary school students in Ekiti and…

  17. Degrees Of Integration In International Portfolio Diversification: Effective Systemic Risk

    OpenAIRE

    El. Thalassinos; Th. Kiriazidis

    2003-01-01

    This paper focuses on measuring the degrees of market integration (or segmentation) providing a tool for country selection in international portfolio diversification. It develops methodology measuring effective systemic risk as a proxy of market integration (or segmentation) and therefore allows for appropriate country selection in the better-performing stock markets of the world. The empirical evidence is used to clarify the conclusions about internationally integrated versus segmented marke...

  18. Battered data--some clinical effects of the abuse of multiple regression methods: the NSD

    International Nuclear Information System (INIS)

    The NSD equation, D . 1850 x T0.11 x N0.24, is a celebrated transmogrification of Cohen's two well-known collations of data on response to clinical irradiations (3 degrees erythema and 0.90 ablation of skin cancer) in which the relation of D and T is fixed by the data selected by Cohen and the additional constraint that N correspond to a schedule of five treatments per week is imposed subsequently by Ellis. The present paper shows that the equation, if correct, would have little clinical significance because the proportion, P, in which the dose, D, elicits the 3 degree erythema is unspecified: D . D(P) . D(.). The paper shows that the NSD equation is also incorrect because the ad hoc method by which Ellis estimates the exponents is inconsistent with the constraints imposed by Cohen and Ellis upon the parameters of the multivariate frequency distribution of the data set. The paper shows that the method by which the correct LS estimates of the exponents were obtained from the Cohen-Ellis data is consistent with these constraints and, therefore, this equation is a correct graduation of any other set of treatment regimens which is also consistent with the Cohen and Ellis constraints. The paper further shows that for such data sets there are, in fact, only two independent continuous variables, either D and T or D and N, since the Ellis constraint requires that N and T be collinear. The two characteristic features of the Cohen (Ellis)-type data which impede the construction of useful estimates of the putative separate effects of N and T upon the response of tissues to irradiation are that (1) these data do not include specifications of either a tissue defect or its incidence, and (2) the variables N and T are collinear. Appendices I and II describe methods by which the effects of these features may be eliminated (I) or reduced

  19. Chinese Employees' Psychological Responses to Abusive Supervisors: The Roles of Gender and Self-Esteem.

    Science.gov (United States)

    Wang, Rong; Jiang, Jiang; Yang, Liuqin; Shing Chan, Darius Kwan

    2016-06-01

    Drawing on the conservation of resources theory, the relations between abusive supervision and emotional exhaustion and intent to leave were examined, as well as the gender differences in these relations. Moreover, the moderating effect of self-esteem was tested in an integrated model stipulating that the gender-moderating effect was mediated by the abusive supervision × self-esteem interaction. Data were collected from 264 employees (111 men; M age = 32.0 years; M tenure = 9.2 years). Results of regression analyses indicated that abusive supervision was positively correlated to emotional exhaustion and intent to leave. Women reported higher emotional exhaustion and intent to leave than men. The relations of interest were stronger among employees with higher self-esteem (emotional exhaustion: β = 0.44; intent to leave: β = 0.53). The interaction of abusive supervision × self-esteem mediated the gender-moderating effect. Women's stronger responses to abusive supervision may be related to their higher self-esteem, possibly because of the importance of employment to Chinese women. PMID:27091874

  20. Chinese Employees' Psychological Responses to Abusive Supervisors: The Roles of Gender and Self-Esteem.

    Science.gov (United States)

    Wang, Rong; Jiang, Jiang; Yang, Liuqin; Shing Chan, Darius Kwan

    2016-06-01

    Drawing on the conservation of resources theory, the relations between abusive supervision and emotional exhaustion and intent to leave were examined, as well as the gender differences in these relations. Moreover, the moderating effect of self-esteem was tested in an integrated model stipulating that the gender-moderating effect was mediated by the abusive supervision × self-esteem interaction. Data were collected from 264 employees (111 men; M age = 32.0 years; M tenure = 9.2 years). Results of regression analyses indicated that abusive supervision was positively correlated to emotional exhaustion and intent to leave. Women reported higher emotional exhaustion and intent to leave than men. The relations of interest were stronger among employees with higher self-esteem (emotional exhaustion: β = 0.44; intent to leave: β = 0.53). The interaction of abusive supervision × self-esteem mediated the gender-moderating effect. Women's stronger responses to abusive supervision may be related to their higher self-esteem, possibly because of the importance of employment to Chinese women.

  1. Daily stressor sensitivity, abuse effects, and cocaine use in cocaine dependence.

    Science.gov (United States)

    Waldrop, Angela E; Back, Sudie E; Brady, Kathleen T; Upadhyaya, Himanshu P; McRae, Aimee L; Saladin, Michael E

    2007-12-01

    This study highlights respondent sensitivity to daily hassles as it relates to situational cocaine use and perceived long-term effects of adverse events in childhood. Data were drawn from a larger study on stress reactivity in cocaine dependent individuals. Participants (n=104) were cocaine dependent men and women without comorbid posttraumatic stress disorder (PTSD). They completed the Early Trauma Inventory (ETI), the Daily Hassles Scale (DHS), the Inventory of Drug-Taking Situations (IDTS), and the Time-Line Follow-Back (TLFB; for 90 days prior to interview). There were no gender differences in the amount or frequency of cocaine use, although the patterns of use differed between male and female users. Overall, there were some associations in the patterns of cocaine use and sensitivity to daily hassles, particularly the use in response to conflict with others. Early negative life events were positively related to response to daily hassles, but current triggers were more relevant. Reactivity to cocaine cues was related to daily hassle sensitivity among women only. Limitations and implications of the findings are discussed.

  2. Serotonin 2A Receptors Differentially Contribute to Abuse-Related Effects of Cocaine and Cocaine-Induced Nigrostriatal and Mesolimbic Dopamine Overflow in Nonhuman Primates

    Science.gov (United States)

    Murnane, Kevin S.; Winschel, Jake; Schmidt, Karl T.; Stewart, LaShaya M.; Rose, Samuel J.; Cheng, Kejun; Rice, Kenner C.

    2013-01-01

    Two of the most commonly used procedures to study the abuse-related effects of drugs in laboratory animals are intravenous drug self-administration and reinstatement of extinguished behavior previously maintained by drug delivery. Intravenous self-administration is widely accepted to model ongoing drug-taking behavior, whereas reinstatement procedures are accepted to model relapse to drug taking following abstinence. Previous studies indicate that 5-HT2A receptor antagonists attenuate the reinstatement of cocaine-maintained behavior but not cocaine self-administration in rodents. Although the abuse-related effects of cocaine have been closely linked to brain dopamine systems, no previous study has determined whether this dissociation is related to differential regulation of dopamine neurotransmission. To elucidate the neuropharmacological and neuroanatomical mechanisms underlying this phenomenon, we evaluated the effects of the selective 5-HT2A receptor antagonist M100907 on intravenous cocaine self-administration and drug- and cue-primed reinstatement in rhesus macaques (Macaca mulatta). In separate subjects, we evaluated the role of 5-HT2A receptors in cocaine-induced dopamine overflow in the nucleus accumbens (n = 4) and the caudate nucleus (n = 5) using in vivo microdialysis. Consistent with previous studies, M100907 (0.3 mg/kg, i.m.) significantly attenuated drug- and cue-induced reinstatement but had no significant effects on cocaine self-administration across a range of maintenance doses. Importantly, M100907 (0.3 mg/kg, i.m.) attenuated cocaine-induced (1.0 mg/kg, i.v.) dopamine overflow in the caudate nucleus but not in the nucleus accumbens. These data suggest that important abuse-related effects of cocaine are mediated by distinct striatal dopamine projection pathways. PMID:23946394

  3. Does Parent-Child Interaction Therapy Reduce Future Physical Abuse? A Meta-Analysis

    Science.gov (United States)

    Kennedy, Stephanie C.; Kim, Johnny S.; Tripodi, Stephen J.; Brown, Samantha M.; Gowdy, Grace

    2016-01-01

    Objective: To use meta-analytic techniques to evaluating the effectiveness of parent-child interaction therapy (PCIT) at reducing future physical abuse among physically abusive families. Methods: A systematic search identified six eligible studies. Outcomes of interest were physical abuse recurrence, child abuse potential, and parenting stress.…

  4. Outcome Evaluation of a Group Treatment of Sexually Abused and Reactive Children

    Science.gov (United States)

    Duffany, Adrienne; Panos, Patrick T.

    2009-01-01

    Objective: To determine the effectiveness of group therapy in treating sexually abused children to prevent recidivism (subsequently re-abused or becoming abusers themselves). Methods: Recidivism rates of 617 children were compared between sexually abused children who received group treatment with those whose parents refused treatment.…

  5. Sex differences in the effects of cocaine abuse across the life span.

    Science.gov (United States)

    Dow-Edwards, Diana

    2010-06-01

    Cocaine alters brain function from the early days of development throughout the entire life of an individual. Since the first preclinical research on cocaine sensitization was published, sex differences in response to the drug in adult rats have been noted. With the appearance of reports on "crack babies" during the 1980s, sex differences in response to prenatal (developmental) exposure have been identified in both clinical and preclinical reports. Cocaine administered during early development in the rat produces wide-spread alterations in function which depend on the timing of drug administration as well as the sex of the animal. In males, the response patterns following postnatal days (PND) 11-20 cocaine administration (equivalent to the late prenatal period in humans) are quite similar to those seen following prenatal exposure (equivalent to the first half of pregnancy in humans). There is a general decrease in dopaminergic (DA) markers and reactivity perhaps due to the uncoupling of the D1 receptor from its second messenger system. While similar changes in D1 uncoupling are seen in females, behavioral and metabolic responses to drug challenges generally show increases in DA responsivity (except adolescents) perhaps due to the activational effects of estrogen and/or decreases in serotonin (5-HT) mediated regulation of DA function. We have found that a significant factor in the hyper-responsivity of the female is the role of the testing environment and the responses to stress which can obscure underlying neurochemical dysregulation. Whether parallel factors are operational in adult males and females is currently under investigation. PMID:20045010

  6. Challenge of Effective Technology Integration into Teaching and Learning

    Science.gov (United States)

    Ramorola, M. Z.

    2013-01-01

    South African teachers are faced with challenges in integrating technology effectively into a coherent framework at school level. There seems to be little evidence of technology integration into classroom activities such as systematic planning and implementation of lessons that require learners to think critically, work collaboratively, and use…

  7. Speech-specificity of two audiovisual integration effects

    DEFF Research Database (Denmark)

    Eskelund, Kasper; Tuomainen, Jyrki; Andersen, Tobias

    2010-01-01

    Seeing the talker’s articulatory mouth movements can influence the auditory speech percept both in speech identification and detection tasks. Here we show that these audiovisual integration effects also occur for sine wave speech (SWS), which is an impoverished speech signal that naïve observers...... often fail to perceive as speech. While audiovisual integration in the identification task only occurred when observers were informed of the speech-like nature of SWS, integration occurred in the detection task both for informed and naïve observers. This shows that both speech-specific and general...... mechanisms underlie audiovisual integration of speech....

  8. Child Abuse in the Eyes of the Beholder: Lay Perceptions of Child Sexual and Physical Abuse

    Science.gov (United States)

    Bornstein, Brian H.; Kaplan, Debra L.; Perry, Andrea R.

    2007-01-01

    Objective: The purpose was to explore the effects of victim and perpetrator gender, type of abuse, and victim-perpetrator relationship on university students' and non-students' perceptions of different kinds of child abuse. Method: One hundred and ninety-nine participants (including university students and non-student adults) evaluated each of 24…

  9. Planning, Funding, and Implementing a Child Abuse Prevention Project.

    Science.gov (United States)

    Dorman, Rebekah L.; Moore, Douglas J.; Schaerfl, Caroline A.

    Preventing child abuse is an endeavor that requires equal parts of caring, optimism, and pragmatism. Drawing on the experiences of more than 100 child abuse prevention projects, this field-tested manual integrates the abstract principles of program development and prevention with the real world experiences and challenges faced by prevention…

  10. Study protocol: a randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment

    Directory of Open Access Journals (Sweden)

    Kelly Peter J

    2012-02-01

    Full Text Available Abstract Background A large proportion of people attending residential alcohol and other substance abuse treatment have a co-occurring mental illness. Empirical evidence suggests that it is important to treat both the substance abuse problem and co-occurring mental illness concurrently and in an integrated fashion. However, the majority of residential alcohol and other substance abuse services do not address mental illness in a systematic way. It is likely that computer delivered interventions could improve the ability of substance abuse services to address co-occurring mental illness. This protocol describes a study in which we will assess the effectiveness of adding a computer delivered depression and substance abuse intervention for people who are attending residential alcohol and other substance abuse treatment. Methods/Design Participants will be recruited from residential rehabilitation programs operated by the Australian Salvation Army. All participants who satisfy the diagnostic criteria for an alcohol or other substance dependence disorder will be asked to participate in the study. After completion of a baseline assessment, participants will be randomly assigned to either a computer delivered substance abuse and depression intervention (treatment condition or to a computer-delivered typing tutorial (active control condition. All participants will continue to complete The Salvation Army residential program, a predominantly 12-step based treatment facility. Randomisation will be stratified by gender (Male, Female, length of time the participant has been in the program at the commencement of the study (4 weeks or less, 4 weeks or more, and use of anti-depressant medication (currently prescribed medication, not prescribed medication. Participants in both conditions will complete computer sessions twice per week, over a five-week period. Research staff blind to treatment allocation will complete the assessments at baseline, and then 3, 6, 9

  11. National Institute on Alcohol Abuse and Alcoholism

    Science.gov (United States)

    Skip to main content National Institute on Alcohol Abuse and Alcoholism (NIAAA) Main Menu Search Search form Search Alcohol & Your Health Overview of Alcohol Consumption Alcohol's Effects on the Body Alcohol Use ...

  12. The First Lady Talks about Drug Abuse.

    Science.gov (United States)

    American Education, 1983

    1983-01-01

    Mrs. Reagan discusses effects of drug use among teenagers and offers suggestions to teachers, parents, and students for combating drug abuse. She stresses parent involvement and the formation of parent peer groups, as well as teachers' responsibilities. (NJ)

  13. Gene expression in human hippocampus from cocaine abusers identifies genes which regulate extracellular matrix remodeling.

    Directory of Open Access Journals (Sweden)

    Deborah C Mash

    Full Text Available The chronic effects of cocaine abuse on brain structure and function are blamed for the inability of most addicts to remain abstinent. Part of the difficulty in preventing relapse is the persisting memory of the intense euphoria or cocaine "rush". Most abused drugs and alcohol induce neuroplastic changes in brain pathways subserving emotion and cognition. Such changes may account for the consolidation and structural reconfiguration of synaptic connections with exposure to cocaine. Adaptive hippocampal plasticity could be related to specific patterns of gene expression with chronic cocaine abuse. Here, we compare gene expression profiles in the human hippocampus from cocaine addicts and age-matched drug-free control subjects. Cocaine abusers had 151 gene transcripts upregulated, while 91 gene transcripts were downregulated. Topping the list of cocaine-regulated transcripts was RECK in the human hippocampus (FC = 2.0; p<0.05. RECK is a membrane-anchored MMP inhibitor that is implicated in the coordinated regulation of extracellular matrix integrity and angiogenesis. In keeping with elevated RECK expression, active MMP9 protein levels were decreased in the hippocampus from cocaine abusers. Pathway analysis identified other genes regulated by cocaine that code for proteins involved in the remodeling of the cytomatrix and synaptic connections and the inhibition of blood vessel proliferation (PCDH8, LAMB1, ITGB6, CTGF and EphB4. The observed microarray phenotype in the human hippocampus identified RECK and other region-specific genes that may promote long-lasting structural changes with repeated cocaine abuse. Extracellular matrix remodeling in the hippocampus may be a persisting effect of chronic abuse that contributes to the compulsive and relapsing nature of cocaine addiction.

  14. Effects of spatial and selective attention on basic multisensory integration

    DEFF Research Database (Denmark)

    Gondan, Matthias; Blurton, Steven Paul; Hughes, F.;

    2011-01-01

    When participants respond to auditory and visual stimuli, responses to audiovisual stimuli are substantially faster than to unimodal stimuli (redundant signals effect, RSE). In such tasks, the RSE is usually higher than probability summation predicts, suggestive of specific integration mechanisms...

  15. Maltreated and abused children

    OpenAIRE

    HOUFOVÁ, Jana

    2011-01-01

    According to the statistics there are forty thousand of battered and abused children in the Czech Republic. Maltreatment and abuse are not revealed in most cases and thus they accompany the children during their whole childhood. The reason is that children cannot defend themselves. The maltreatment or the abuse of a child is revealed only if somebody from the child?s neighbourhood observes anything suspicious and decides to report it, which is both a moral and a legal obligation. A person, wh...

  16. Causes of Child Abuse

    OpenAIRE

    S. Erhan Deveci; Yasemin Acik

    2003-01-01

    Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors. [Archives Medical Review Journal 2003; 12(4.000): 396-405

  17. Causes of Child Abuse

    Directory of Open Access Journals (Sweden)

    S. Erhan Deveci

    2003-08-01

    Full Text Available Child abuse is an important public health problem that is present almost in every society and environment at different level and intensities. For implementation of child abuse protection measures it is necessary to investigate its causes. In this review, causes of child abuse was attempted to investigate with respects to the society and institution, family and individual and child related factors. [Archives Medical Review Journal 2003; 12(4.000: 396-405

  18. Who Owns Child Abuse?

    OpenAIRE

    Gerald Cradock

    2014-01-01

    Expectations of contemporary child protection apparatuses are strongly influenced by beliefs inherited from the nineteenth century child rescue movement. In particular, the belief that child abuse determination is obvious. However, this assumption fails to make a distinction between nineteenth century’s emphasis on impoverished environments and the twentieth century introduction of the pathological child abuser. Moreover, the proliferation of kinds of child abuse, and the need to distinguis...

  19. Contingency management of reliable attendance of chronically unemployed substance abusers in a therapeutic workplace.

    Science.gov (United States)

    Wong, Conrad J; Dillon, Erin M; Sylvest, Christine E; Silverman, Kenneth

    2004-02-01

    The Therapeutic Workplace is an effective drug abuse treatment that integrates abstinence reinforcement into a work setting by using a salary that drug abusers earn for work. Drug abuse patients are trained and hired to become data entry operators in a Therapeutic Workplace business. Despite the opportunity to earn a high wage, participants frequently arrive at work late and fail to work complete shifts. In the present study, a contingency management intervention to promote consistent and reliable attendance was evaluated in 4 participants. Participants were not allowed to work on days that they arrived late, and their pay was temporarily reduced each time they arrived late at work or failed to complete a work shift. A within-subject reversal design showed that the intervention increased the frequency with which participants arrived at work on time and completed work shifts.

  20. Effectiveness of integrated teaching module in pharmacology among medical undergraduates

    Science.gov (United States)

    Yadav, Preeti P; Chaudhary, Mayur; Patel, Jayshree; Shah, Aashal; Kantharia, ND

    2016-01-01

    Context: Over the years with advancement of science and technology, each subject has become highly specialized. Teaching of medical students has still remained separate in various departments with no scope of integration in majority of medical institutes in India. Study was planned to have an experience of integration in institute and sensitize faculty for integrated teaching–learning (TL) method. Aims: To prepare and test effectiveness of integrated teaching module for 2nd year MBBS student in pharmacology and to sensitize and motivate faculties toward advantages of implementing integrated module. Settings and Design: Education intervention project implemented 2nd year MBBS students of Government Medical College and New Civil Hospital, Surat. Subjects and Methods: Students of second MBBS were divided into two groups. One group was exposed to integrated teaching sessions and another to traditional method. Both the groups were assessed by pre- and post-test questionnaire, feedback and focus group discussions were conducted to know their experience about process. Results: A total of 165 students of the 2nd year MBBS were exposed to the integrated teaching module for two topics in two groups. One group was taught by traditional teaching, and another group was exposed to the integrated TL session. Both the groups have shown a significant improvement in posttest scores but increase in mean score was more in integrated group. During analysis of feedback forms, it was noted that students preferred integrated TL methods since they help in better understanding. Faculty feedback shows consensus over the adaptation of integrated TL methods. Conclusions: Integrated TL sessions were well-appreciated by students and faculties. To improve the critical reasoning skills and self-directed learning of students, integrated TL is highly recommended for must know areas of curriculum.

  1. Effectiveness of secondary prevention and treatment interventions for crack-cocaine abuse: a comprehensive narrative overview of English-language studies.

    Science.gov (United States)

    Fischer, Benedikt; Blanken, Peter; Da Silveira, Dartiu; Gallassi, Andrea; Goldner, Elliot M; Rehm, Jürgen; Tyndall, Mark; Wood, Evan

    2015-04-01

    There are an estimated several million crack-cocaine users globally; use is highest in the Americas. Most crack users are socio-economically marginalized (e.g., homeless), and feature elevated risks for morbidity (e.g., blood-borne viruses), mortality and crime/violence involvement, resulting in extensive burdens. No comprehensive reviews of evidence-based prevention and/or treatment interventions specifically for crack use exist. We conducted a comprehensive narrative overview of English-language studies on the efficacy of secondary prevention and treatment interventions for crack (cocaine) abuse/dependence. Literature searches (1990-2014) using pertinent keywords were conducted in main scientific databases. Titles/abstracts were reviewed for relevance, and full studies were included in the review if involving a primary prevention/treatment intervention study comprising a substantive crack user sample. Intervention outcomes considered included drug use, health risks/status (e.g., HIV or sexual risks) and select social outcome indicators. Targeted (e.g., behavioral/community-based) prevention measures show mixed and short-term effects on crack use/HIV risk outcomes. Material (e.g., safer crack use kit distribution) interventions also document modest efficacy in risk reduction; empirical assessments of environmental (e.g., drug consumption facilities) for crack smokers are not available. Diverse psycho-social treatment (including contingency management) interventions for crack abuse/dependence show some positive but also limited/short-term efficacy, yet likely constitute best currently available treatment options. Ancillary treatments show little effects but are understudied. Despite ample studies, pharmaco-therapeutic/immunotherapy treatment agents have not produced convincing evidence; select agents may hold potential combined with personalized approaches and/or psycho-social strategies. No comprehensively effective 'gold-standard' prevention

  2. Hall Effect Sensors Design, Integration and Behavior Analysis

    Directory of Open Access Journals (Sweden)

    Maher Kayal

    2013-02-01

    Full Text Available The present paper focuses on various aspects regarding Hall Effect sensors’ design, integration, and behavior analysis. In order to assess their performance, different Hall Effect geometries were tested for Hall voltage, sensitivity, offset, and temperature drift. The residual offset was measured both with an automated measurement setup and by manual switching of the individual phases. To predict Hall sensors performance prior to integration, three-dimensional physical simulations were performed.

  3. Hall Effect Sensors Design, Integration and Behavior Analysis

    OpenAIRE

    Maher Kayal; Maria-Alexandra Paun; Jean-Michel Sallese

    2013-01-01

    The present paper focuses on various aspects regarding Hall Effect sensors’ design, integration, and behavior analysis. In order to assess their performance, different Hall Effect geometries were tested for Hall voltage, sensitivity, offset, and temperature drift. The residual offset was measured both with an automated measurement setup and by manual switching of the individual phases. To predict Hall sensors performance prior to integration, three-dimensional physical simulations were perfor...

  4. The Effects of Maple Integrated Strategy on Engineering Technology Students' Understanding of Integral Calculus

    Science.gov (United States)

    Salleh, Tuan Salwani; Zakaria, Effandi

    2016-01-01

    The objective of this research is to investigate the effectiveness of a learning strategy using Maple in integral calculus. This research was conducted using a quasi-experimental nonequivalent control group design. One hundred engineering technology students at a technical university were chosen at random. The effectiveness of the learning…

  5. The effects of childhood sexual abuse on cortisol trajectories in pregnancy are moderated by current family functioning

    OpenAIRE

    Bublitz, Margaret H.; Parade, Stephanie; Stroud, Laura R.

    2014-01-01

    The goal of this study was to understand the roles of maternal history of childhood sexual abuse (CSA) and current family functioning on the cortisol awakening response (CAR) in pregnancy. Participants were 185 pregnant women (ages 18–40) who completed items from the Adverse Childhood Experiences scale to measure child maltreatment history and the Family Assessment Device to measure current family functioning. Participants provided saliva samples at wake-up and 30 minutes after wake-up at 25,...

  6. The Effect of Interpersonal Psychotherapy for Depression on Insomnia Symptoms in a Cohort of Women with Sexual Abuse Histories

    OpenAIRE

    Pigeon, Wilfred R.; May, Pamela E.; Perlis, Michael L.; Ward, Erin A.; Lu, Naiji; Talbot, Nancy L.

    2009-01-01

    Insomnia frequently occurs with trauma exposure and depression, but can ameliorate with improvements in depression. Insomnia was assessed by the insomnia subscale of the Hamilton Rating Scale for Depression in 106 women with childhood sexual abuse (CSA) and major depression receiving Interpersonal Psychotherapy in an uncontrolled pilot (n = 36) and an immediately subsequent randomized controlled trial (n = 70) comparing IPT to treatment as usual. Depression improved in each study and in both ...

  7. EFFECT OF JOB SKILLS TRAINING ON EMPLOYMENT AND JOB SEEKING BEHAVIORS IN AN AMERICAN INDIAN SUBSTANCE ABUSE TREATMENT SAMPLE

    OpenAIRE

    Foley, K.; Pallas, D; Forcehimes, A.A.; Houck, J. M.; Bogenschutz, M. P.; Keyser-Marcus, L.; Svikis, D

    2010-01-01

    Employment difficulties are common among American Indian individuals in substance abuse treatment. To address this problem, the Southwest Node of NIDA’s Clinical Trials Network conducted a single-site adaptation of its national Job Seekers Workshop study in an American Indian treatment program, Na’Nizhoozhi Center (NCI). 102 (80% men, 100% American Indian) participants who were in residential treatment and currently unemployed were randomized to (1) a three session, manualized program (Job se...

  8. Child Sexual Abuse

    OpenAIRE

    HROBAŘOVÁ, Petra

    2008-01-01

    My thesis deals with the problems of sexual abuse of children. It is divided into nine chapters, each of which has a subhead. In the first part, I focused on the term of child sexual abuse. In the second part, I focused on the problem of sexual abuse of children by family members. In the third part, I explained the term of commercial sexual violence committed against children. In the fourth part, I focused on the victims of sexual abuse and in the following part, I focused on the perpetrators...

  9. SUBSTANCE ABUSE IN INDIA

    Directory of Open Access Journals (Sweden)

    Bano Rubeena

    2009-12-01

    Full Text Available The epidemic of substance abuse in young generation has assumed alarming dimensions in India. Changing cultural values, increasing economic stress and dwindling supportive bonds are leading to initiation into substance use. Cannabis, heroin, and Indian-produced pharmaceutical drugs are the most frequently abused drugs in India. Drug use, misuse or abuse is also primarily due to the nature of the drug abused, the personality of the individual and the addict’s immediate environment. The processes of industrialization, urbanization and migration have led to loosening of the traditional methods of social control rendering an individual vulnerable to the stresses and strains of modern life.

  10. Elder Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    Muge Gulen

    2013-06-01

    Full Text Available Abuse and neglect are preventable societal problems that influence elderly individuals physically, spiritually and socially. Elder abuse is neglected for many years and is a growing problem all over the world. The aim of this article is to review the evaluation of elderly individuals who are exposed to abuse and neglect with systematic detailed history and physical examination and to describe individual, familial, and social measures that should be taken to prevent these abuses. [Archives Medical Review Journal 2013; 22(3.000: 393-407

  11. The Effectiveness of Educational Programs to Improve Recognition and Reporting of Elder Abuse and Neglect: A Systematic Review of the Literature.

    Science.gov (United States)

    Alt, Kim L; Nguyen, Annie L; Meurer, Linda N

    2011-07-01

    Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations. PMID:27119527

  12. Effects of sex and early maternal abuse on adrenocorticotropin hormone and cortisol responses to the corticotropin-releasing hormone challenge during the first 3 years of life in group-living rhesus monkeys.

    Science.gov (United States)

    Sanchez, Mar M; McCormack, Kai; Grand, Alison P; Fulks, Richelle; Graff, Anne; Maestripieri, Dario

    2010-01-01

    In this study we investigated the development of the hypothalamic-pituitary-adrenal (HPA) axis in 21 group-living rhesus monkeys infants that were physically abused by their mothers in the first few months of life and in 21 nonabused controls. Cortisol and adrenocorticotropin hormone (ACTH) responses to a corticotropin-releasing hormone (CRH) challenge were assessed at 6-month intervals during the subjects' first 3 years of life. Abused infants exhibited greater cortisol responses to CRH than controls across the 3 years. Abused infants also exhibited blunted ACTH secretion in response to CRH, especially at 6 months of age. Although there were no significant sex differences in abuse experienced early in life, females showed a greater cortisol response to CRH than males at all ages. There were no significant sex differences in the ACTH response to CRH, or significant interactions between sex and abuse in the ACTH or cortisol response. Our findings suggest that early parental maltreatment results in greater adrenocortical, and possibly also pituitary, responsiveness to challenges later in life. These long-term alterations in neuroendocrine function may be one the mechanisms through which infant abuse results in later psychopathologies. Our study also suggests that there are developmental sex differences in adrenal function that occur irrespective of early stressful experience. The results of this study can enhance our understanding of the long-term effects of child maltreatment as well as our knowledge of the development of the HPA axis in human and nonhuman primates.

  13. Substance Abuse in the Military

    Science.gov (United States)

    ... DrugFacts » Substance Abuse in the Military DrugFacts: Substance Abuse in the Military Email Facebook Twitter Revised March ... alcohol and tobacco use, and especially prescription drug abuse, are much more prevalent and are on the ...

  14. Worldwide actions to combat abuse.

    Science.gov (United States)

    1998-01-01

    This paper reports several developments on the global efforts to combat abuse and violence against women and children. It is noted that in South Africa, Belem, Brazil, and Lesotho, protest actions were conducted against women and child abuse. Although the protests were made separately, the protests generally called for implementation of initiatives from the government to address the issue of child and women abuse. In the context of preventing abusive behaviors, a study by the University of Cape Town in South Africa on the appropriateness and feasibility of short-term community-based group therapy concluded that such an approach might be effective in treating delinquent behavior. In Indonesia, the Rifka Annisa Women's Crisis Centre is working to combat violence against women by providing services to victims; while in Israel, a media campaign is aiming to increase awareness and support for women's help centers. In addition, the government of Bangladesh has established a Cell Against Violence Against Women that provides legal counseling and assistance for civil and criminal cases related to violence against women. Furthermore, the WHO and the International Federation of Obstetricians and Gynecologists have collaborated to conduct a joint workshop to explore how violence against women can be eliminated. PMID:12348694

  15. Brain MR imaging in child abuse

    International Nuclear Information System (INIS)

    Intracranial injuries represent the most severe manifestation of child abuse. CT of the brain is the current standard for evaluation of these infants; however, MR imaging offers several potential advantages. MR imaging and CT were performed in ten infants who suffered intracranial trauma owing to child abuse. CT was slightly better at demonstrating subarachnoid hemorrhage and had definite advantages for defining fractures. MR imaging was superior in the demonstration of subacute extraaxial hemorrhage, deep brain injuries owing to shearing effects from shaking, and anoxic injuries. MR imaging has a definite complementary role in the evaluation of acute intracranial trauma in child abuse victims

  16. The Dilution Effect and Information Integration in Perceptual Decision Making.

    Directory of Open Access Journals (Sweden)

    Jared M Hotaling

    Full Text Available In cognitive science there is a seeming paradox: On the one hand, studies of human judgment and decision making have repeatedly shown that people systematically violate optimal behavior when integrating information from multiple sources. On the other hand, optimal models, often Bayesian, have been successful at accounting for information integration in fields such as categorization, memory, and perception. This apparent conflict could be due, in part, to different materials and designs that lead to differences in the nature of processing. Stimuli that require controlled integration of information, such as the quantitative or linguistic information (commonly found in judgment studies, may lead to suboptimal performance. In contrast, perceptual stimuli may lend themselves to automatic processing, resulting in integration that is closer to optimal. We tested this hypothesis with an experiment in which participants categorized faces based on resemblance to a family patriarch. The amount of evidence contained in the top and bottom halves of each test face was independently manipulated. These data allow us to investigate a canonical example of sub-optimal information integration from the judgment and decision making literature, the dilution effect. Splitting the top and bottom halves of a face, a manipulation meant to encourage controlled integration of information, produced farther from optimal behavior and larger dilution effects. The Multi-component Information Accumulation model, a hybrid optimal/averaging model of information integration, successfully accounts for key accuracy, response time, and dilution effects.

  17. The Dilution Effect and Information Integration in Perceptual Decision Making.

    Science.gov (United States)

    Hotaling, Jared M; Cohen, Andrew L; Shiffrin, Richard M; Busemeyer, Jerome R

    2015-01-01

    In cognitive science there is a seeming paradox: On the one hand, studies of human judgment and decision making have repeatedly shown that people systematically violate optimal behavior when integrating information from multiple sources. On the other hand, optimal models, often Bayesian, have been successful at accounting for information integration in fields such as categorization, memory, and perception. This apparent conflict could be due, in part, to different materials and designs that lead to differences in the nature of processing. Stimuli that require controlled integration of information, such as the quantitative or linguistic information (commonly found in judgment studies), may lead to suboptimal performance. In contrast, perceptual stimuli may lend themselves to automatic processing, resulting in integration that is closer to optimal. We tested this hypothesis with an experiment in which participants categorized faces based on resemblance to a family patriarch. The amount of evidence contained in the top and bottom halves of each test face was independently manipulated. These data allow us to investigate a canonical example of sub-optimal information integration from the judgment and decision making literature, the dilution effect. Splitting the top and bottom halves of a face, a manipulation meant to encourage controlled integration of information, produced farther from optimal behavior and larger dilution effects. The Multi-component Information Accumulation model, a hybrid optimal/averaging model of information integration, successfully accounts for key accuracy, response time, and dilution effects. PMID:26406323

  18. Laboratory approach for diagnosis of toluene-based inhalant abuse in a clinical setting

    OpenAIRE

    Raka Jain; Arpita Verma

    2016-01-01

    The steady increase of inhalant abuse is a great challenge for analytical toxicologists. This review describes an overview of inhalant abuse including the extent of the problem, types of products abused, modes of administration, pharmacology and effects of inhalants, the role of laboratory, interpretation of laboratory results and clinical considerations. Regular laboratory screening for inhalant abuse as well as other substance abuse and health risk behaviors must be a part of standard clini...

  19. Laboratory approach for diagnosis of toluene-based inhalant abuse in a clinical setting

    Directory of Open Access Journals (Sweden)

    Raka Jain

    2016-01-01

    Full Text Available The steady increase of inhalant abuse is a great challenge for analytical toxicologists. This review describes an overview of inhalant abuse including the extent of the problem, types of products abused, modes of administration, pharmacology and effects of inhalants, the role of laboratory, interpretation of laboratory results and clinical considerations. Regular laboratory screening for inhalant abuse as well as other substance abuse and health risk behaviors must be a part of standard clinical care.

  20. Routes of abuse of prescription opioid analgesics: a review and assessment of the potential impact of abuse-deterrent formulations.

    Science.gov (United States)

    Gasior, Maciej; Bond, Mary; Malamut, Richard

    2016-01-01

    Prescription opioid analgesics are an important treatment option for patients with chronic pain; however, misuse, abuse and diversion of these medications are a major global public health concern. Prescription opioid analgesics can be abused via intended and non-intended routes of administration, both intact or after manipulation of the original formulation to alter the drug-delivery characteristics. Available data indicate that ingestion (with or without manipulation of the prescribed formulation) is the most prevalent route of abuse, followed by inhalation (snorting, smoking and vaping) and injection. However, reported routes of abuse vary considerably between different formulations. A number of factors have been identified that appear to be associated with non-oral routes of abuse, including a longer duration of abuse, younger age, male sex and a rural or socially deprived location. The development of abuse-deterrent formulations of prescription opioid analgesics is an important step toward reducing abuse of these medications. Available abuse-deterrent formulations aim to hinder extraction of the active ingredient, prevent administration through alternative routes and/or make abuse of the manipulated product less attractive, less rewarding or even aversive. There are currently five opioid analgesics with a Food and Drug Administration abuse-deterrent label, and a number of other products are under review. A growing body of evidence suggests that introduction of abuse-deterrent opioid analgesics in the USA has been associated with decreased rates of abuse of these formulations. The availability of abuse-deterrent formulations therefore appears to represent an important step toward curbing the epidemic of abuse of prescription opioid analgesics, while ensuring the availability of effective pain medications for patients with legitimate medical need.

  1. Abuse and neglect of seniors in British Columbia: an empirical and theoretical analysis

    OpenAIRE

    McMullen, Jennifer Elizabeth

    2008-01-01

    This thesis provides a description of elder abuse in British Columbia by profiling the parties involved in elder abuse situations and empirically testing Gordon and Brill?s (2001) Integrated Theoretical Model of Elder Abuse as an explanation of the relevant risk factors. The data were collected from a purposive sample of cases reported to the British Columbia Coalition for the Elimination of Abuse to Seniors from January 1, 2000 to December 31, 2004. The sample (N=392) was comprised of cases ...

  2. Child Sexual Abuse

    Science.gov (United States)

    ... example, by a friend, neighbor, child care person, teacher, or stranger. When sexual abuse has occurred, a child can develop many distressing ... t tell children to 'always do everything the teacher or baby-sitter tells you to ... of guilt about the abuse, and begin the process of overcoming the trauma. ...

  3. Adolescent Substance Abuse.

    Science.gov (United States)

    Thorne, Craig R.; DeBlassie, Richard R.

    1985-01-01

    Cummings (1979), citing evidence from the National Institute of Drug Abuse, reports that one of every eleven adult Americans suffers from a severe addictive problem. Drug addiction is epidemic among teenagers; one of every six teenagers suffers from a severe addictive problem. This paper focuses on adolescent drug/substance abuse. (Author)

  4. Anxiety disorders and depression among high school adolescents and youths in Nigeria: Understanding differential effects of physical abuse at home and school.

    Science.gov (United States)

    Fakunmoju, Sunday B; Bammeke, Funmi O

    2015-07-01

    Despite the exposure of children to physical abuse in more than one setting in many regions of the world, little is known about the associations of physical abuse in different settings (e.g., at home and school) with anxiety disorders and depression among adolescents and youths. Using a convenience sample of 502 adolescents and youths ages 13-23 years from five public and three private senior secondary schools in Nigeria, the study examined associations of gender and physical abuse by parents with anxiety disorders as well as associations of physical abuse by parents and/or teachers with depression in the sample, 39.6% of whom had experienced physical abuse at home and in school. Findings suggest that physical abuse by parents was associated with anxiety disorders and depression than physical abuse by teachers. Being female was equally associated with anxiety disorders. Implications of findings for mental health, practice, research, and theory are discussed.

  5. Nurses' attitudes toward emotional, sexual, and physical abusers of children with disabilities.

    Science.gov (United States)

    Stanton, M P; Seidl, A; Pillitteri, A; Smith, C

    1994-01-01

    Some studies have linked birth defects, disability, and chronic illness with an increased incidence of child abuse. Nurses who are involved with disabled children face a challenge in preventing child abuse and intervening in cases in which abuse has occurred. Nurse must become aware of the risk factors and signs of abuse, understand the role of their personal attitudes toward abuse and abusers, and develop the skills to intervene effectively and deal with abusers. Thus, the authors of this article undertook a study to ascertain nurses' attitudes about emotional, sexual, and physical abuse of children with disabilities and to determine if nurses' anticipated level of comfort differed when dealing with abusers of children with disabilities in contrast to abusers of children without disabilities. PMID:7831522

  6. Accelerated nuclear quantum effects sampling with open path integrals

    CERN Document Server

    Mazzola, Guglielmo

    2016-01-01

    We numericaly demonstrate that, in double well models, the autocorrelation time of open path integral Monte Carlo simulations can be much smaller compared to standard ones using ring polymers. We also provide an intuitive explanation based on the role of instantons as transition states of the path integral pseudodynamics. Therefore we propose that, in all cases when the ground state approximation to the finite temperature partition function holds, open path integral simulations can be used to accelerate the sampling in realistic simulations aimed to explore nuclear quantum effects.

  7. Medication compliance and comorbid substance abuse in schizophrenia: impact on community survival 4 years after a relapse.

    Science.gov (United States)

    Hunt, Glenn E; Bergen, Jenny; Bashir, Marie

    2002-04-01

    This prospective study examined the effect of medication compliance and substance abuse on 4 year outcome in 99 patients following a relapse of schizophrenia. Univariate survival analysis revealed longer community tenure in patients if they were over the age of 35 years, not admitted 2 years prior to the index episode, remained medication compliant and did not abuse substances during the follow-up interval. Comparisons between patients grouped according to medication compliance and current substance abuse indicated that those patients who regularly took their medication but also abused substances were readmitted to hospital sooner (median survival, 10 months) compared to compliant patients who did not use substances (37 months). For noncompliant patients, time to first readmission was shorter for patients with a dual diagnosis (5 months) compared to patients with a singular diagnosis of schizophrenia (10 months). Over the 4 year period, noncompliant patients with a dual diagnosis (n=28) accounted for 57% of all hospital readmissions for the cohort and averaged 1.5 admissions per patient year. These data indicate that much of the benefit that antipsychotic medication has on increasing community survival is reduced by substance abuse. This interval is further reduced in patients who are both substance abusers and noncompliant with medication resulting in a revolving door situation of frequent hospital admissions. Integrated treatment programs which address these issues are likely to reduce the need for hospital readmission in patients with a dual diagnosis. PMID:11950550

  8. The Weekend Effect: A Trading Robot and Fractional Integration Analysis

    OpenAIRE

    Caporale, Guglielmo Maria; Gil-Alana, Luis; Plastun, Alex; Makarenko, Inna

    2014-01-01

    This paper provides some new empirical evidence on the weekend effect, one of the most recognized anomalies in financial markets. Two different methods are used: (i) a trading robot approach to examine whether or not there is such an anomaly giving rise to exploitable profit opportunities by replicating the actions of traders; (ii) a fractional integration technique for the estimation of the (fractional) integration parameter d. The results suggest that trading strategies aimed at exploiting ...

  9. The Effect of Birthright Citizenship on Parental Integration Outcomes

    OpenAIRE

    Avitabile,Ciro; Clots-Figueras, Irma; MASELLA, Paolo

    2010-01-01

    The integration of immigrants is the subject of ongoing public debate, and devising measures to enable the assimilation of newcomers ranks high on the political agendas of many countries. This paper focuses on the legal institution of citizenship and analyzes the consequences of birthright citizenship introduced in Germany. We use the exogenous variation provided by the 1999 reform of the German nationality law to study the effect of children's legal status on the integration of immigrant par...

  10. Substance abuse and cognitive functioning in schizophrenia.

    OpenAIRE

    Addington, J.; Addington, D

    1997-01-01

    Individuals with schizophrenia have an increased vulnerability to abuse drugs or alcohol. This vulnerability can interfere with the course and treatment of the disorder and may also have a detrimental effect on already compromised cognitive functioning. This study has a matched, cross-sectional design and compares the social and cognitive functioning and the symptoms of 33 schizophrenia subjects who abuse substances with 33 nonabusing schizophrenia subjects. Subjects were matched on sex, age,...

  11. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    International Nuclear Information System (INIS)

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform various integral effect tests for design, operation, and safety regulation of pressurized water reactors. During the first phase of this project (1997.8∼2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished: a full-height, 1/300-volume-scaled full pressure facility for APR1400, an evolutionary pressurized water reactor that was developed by Korean industry. Main objectives of the present phase (2002.4∼2005.2), was to optimize the facility design and to construct the experimental facility. We have performed following researches: 1) Optimization of the basic design of the thermal-hydraulic integral effect test facility for PWRs - ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) - Reduced height design for APR1400 (+ specific design features of KSNP safety injection systems) - Thermal-hydraulic scaling based on three-level scaling methodology by Ishii et al. 2) Construction of the ATLAS facility - Detailed design of the test facility - Manufacturing and procurement of components - Installation of the facility 3) Development of supporting technology for integral effect tests - Development and application of advanced instrumentation technology - Preliminary analysis of test scenarios - Development of experimental procedures - Establishment and implementation of QA system/procedure

  12. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    Energy Technology Data Exchange (ETDEWEB)

    Baek, W. P.; Song, C. H.; Kim, Y. S. and others

    2005-02-15

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform various integral effect tests for design, operation, and safety regulation of pressurized water reactors. During the first phase of this project (1997.8{approx}2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished: a full-height, 1/300-volume-scaled full pressure facility for APR1400, an evolutionary pressurized water reactor that was developed by Korean industry. Main objectives of the present phase (2002.4{approx}2005.2), was to optimize the facility design and to construct the experimental facility. We have performed following researches: 1) Optimization of the basic design of the thermal-hydraulic integral effect test facility for PWRs - ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) - Reduced height design for APR1400 (+ specific design features of KSNP safety injection systems) - Thermal-hydraulic scaling based on three-level scaling methodology by Ishii et al. 2) Construction of the ATLAS facility - Detailed design of the test facility - Manufacturing and procurement of components - Installation of the facility 3) Development of supporting technology for integral effect tests - Development and application of advanced instrumentation technology - Preliminary analysis of test scenarios - Development of experimental procedures - Establishment and implementation of QA system/procedure.

  13. The Effects of Family-Centered Problem-Solving Education on Relapse Rate, Self Efficacy and Self Esteem Among Substance Abusers

    Directory of Open Access Journals (Sweden)

    Habibi

    2016-03-01

    Full Text Available Background The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and non-pharmaceutical therapies but also self efficacy and self esteem promotion. Objectives The current study attempted to clarify the effects of Problem Solving Education (PSE on relapse rate, self efficacy and self esteem among drug abusers. Patients and Methods This non-controlled clinical trial (quasi-experimental assessed 60 opium and heroin abusers who were willing to quit and were referred to the Mehr Center of Addiction Treatment and Rehabilitation Facility. The patients were allocated to two groups of 30 (intervention and control groups. While both groups received the routine care of the clinic, the intervention group also attended eight 45-minute family-centered PSE sessions. The Coopersmith Self esteem Inventory and Quit Addiction Self efficacy Questionnaire were filled out for all subjects before and after the intervention. Drug relapse was investigated four times with two-week intervals. The two groups were compared using chi-square and Student’s-t tests. Logistic regression analysis was applied to determine factors affecting drug relapse. Results A total of 45 individuals (21 and 24 in the intervention and control groups, respectively completed the study. At baseline, the two groups had no significant difference regarding their mean scores of self esteem and self efficacy (P = 0.692 and 0.329, respectively. After the intervention, however, the mean changes of self esteem scores were 20.10 ± 3.75 for the intervention group and 4.50 for the control group (P < 0.001. The mean changes of self efficacy scores in the mentioned groups were 34 34.17 ± 5.19 and 9.03± 2.04, respectively (P < 0.001. Drug relapse after two weeks was correlated with age (OR = 1.216; P = 0.026; 95% CI: 1.024-1.445 and implementation of the intervention (OR = 0.036; P = 0.003; 95% CI: 0.004-0.322. Conclusions According to our findings

  14. Does child abuse cause crime?

    OpenAIRE

    Currie, Janet; Tekin, Erdal

    2006-01-01

    Child maltreatment, which includes both child abuse and child neglect, is a major social problem. This paper focuses on measuring the effects of child maltreatment on crime using data from the National Longitudinal Study of Adolescent Health (Add Health). We focus on crime because it is one of the most socially costly potential outcomes of maltreatment, and because the proposed mechanisms linking maltreatment and crime are relatively well elucidated in the literature. Our work addresses many ...

  15. Sexual abuse in Malawi: patterns of disclosure.

    Science.gov (United States)

    Mason, Carole; Kennedy, Neil

    2014-01-01

    Potential human immunodeficiency virus transmission makes prompt disclosure of child sexual abuse in Africa critical. The pattern of disclosure of 133 children presenting to the largest hospital in Malawi were analyzed. Eighty percent presented early enough for effective use of HIV postexposure prophylaxis. Seventy-five percent of children made a disclosure of child sexual abuse; 29% spontaneously and 47% after prompting. Disclosures were most commonly made to a parent, and age did not affect the pattern of disclosure. The number of children reporting child sexual abuse is increasing, possibly because of increasing awareness, availability of services, and fear of HIV. Although prompt disclosure rates were relatively high, facilitating easier disclosure of child sexual abuse by a free telephone help-line and better training of teachers may be helpful. PMID:24641596

  16. On the logistics effects of integrated product and package design

    DEFF Research Database (Denmark)

    Bramklev, Caroline; Hansen, Claus Thorp

    2007-01-01

    If engineering designers consciously design product and package in an integrated manner, there is a great potential for industrial global enterprises to develop and product mechanical products, such as exhaust extraction systems, car washer machines and fuel handling systems while simultaneously...... obtaining error-free deliveries, saving costs and avoiding quality problems. Thus, the authors of this paper see a challenge in developing the theory and methodology for Integrated Product and Package Design. In this paper we take a first step in this direction. Firstly, we have carried out a broad review...... of literature, which shows that there is a need for research into Integrated Product and Package Design. Secondly, we have analysed three cases from industrial practice, which show that a conscious and integrated design of product and package has positive logistics effects, whereas neglecting this issue might...

  17. Forensic child abuse evaluation: a review.

    Science.gov (United States)

    Laraque, Danielle; DeMattia, Amy; Low, Christine

    2006-12-01

    This review discusses the forensic medical and psychological assessments of children and adolescents suspected of being victims of sexual or physical abuse/neglect. Evaluation of the whole child and the need to minimize trauma during the investigative and assessment processes are stressed. The forensic medical examination is reviewed, including the specifics of the pediatric anogenital examination. The key components of the forensic medical examination in sexual assault cases are also reviewed, with particular attention to maintaining the integrity of the process. Special emphasis is placed on the forensic interview in child sexual abuse cases, the best evidence available and areas in need of further research.

  18. Invisible Abuse: Utah's Response to Emotional Child Abuse

    OpenAIRE

    Sirrine, Janae

    2010-01-01

    The very nature of emotional child abuse makes it difficult to detect and report. Nevertheless, scholars and professionals in the field of child welfare have identified emotional abuse as being equally detrimental to children as physical abuse and neglect. Many states, including Utah, have unclear definitions of emotional child abuse. The purpose of this study is to interpret how Utah has used its statute on emotional abuse in the court system and whether the current definition of emotional c...

  19. Emerging Issues in the Research on Child Sexual Abuse Prevention.

    Science.gov (United States)

    Miltenberger, Raymond G.; Roberts, Jennifer A.

    1999-01-01

    Identifies major issues in current research on child sexual-abuse prevention including the effectiveness of assessment methods, potential side-effects of prevention programs, the developmental appropriateness of programs, the differential effectiveness of presenters of prevention materials, parental involvement in sexual-abuse prevention efforts,…

  20. Child Abuse and Mandated Reporting

    Science.gov (United States)

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  1. When Caregivers Sexually Abuse Children.

    Science.gov (United States)

    Tully, Fred

    1998-01-01

    A veteran child therapist reflects on the distressing problem of adults who sexually violate children and youth in their care. Discusses changes in society that may be the cause of increased child sexual abuse. Offers three "truths" concerning child sexual abuse. Presents the account of an abuser and discusses what happens when an abuser is…

  2. Infantile abuse: Radiological diagnosis

    Directory of Open Access Journals (Sweden)

    Ana Teresa Araujo Reyes

    2006-08-01

    Full Text Available Infantile abuse is a frequent problem, that must be suspected to bediagnosed, the children victims of infantile abuse can present anytype of injury, nevertheless there are associated injuries common toan inferred trauma that constitute radiological patterns highly specific for abuse, among them are the metafisial injuries, posterior costal fractures and first costal arc fractures, fractures of the toracolumbar region, fractures without apparent explanation, fractures in different stage of evolution, subdural hematoma, subarachnoid hemorrhage, intraparenquimatose contusion and diffuse axonal injury, which combined with the history of the trauma, the age, the development of mental abilities, as well as the mechanism guides the injury diagnose.

  3. Design of a quasi-experiment on the effectiveness and cost-effectiveness of using the child-interview intervention during the investigation following a report of child abuse and/or neglect

    OpenAIRE

    Snoeren, Froukje; Hoefnagels, Cees; Lamers-Winkelman, Francien; Baeten, Paul; Evers, Silvia MAA

    2013-01-01

    Background In the Netherlands, suspected cases of child maltreatment can be reported to an advice and reporting center on child abuse and neglect (Advies- en Meldpunt Kindermishandeling or AMK). AMKs investigate these reports, screen for problems in the family and its surroundings and refer to child welfare. Over the last decades the focus of AMK investigations has changed from an adult-only approach to a more child-oriented approach using a Child-Interview intervention. The effects and cost-...

  4. Effects of dependency on compliance rates among elder abuse victims at the New York City Department for the aging, elderly crime victim's unit.

    Science.gov (United States)

    Powell, Mebane E; Berman, Jacquelin

    2006-01-01

    A study was conducted at the New York City Department for the Aging Elderly Crime Victim's Unit (ECVU) to examine the relationship between dependency and compliance rates. Dependency was defined by the total score for each case on the Victim Dependency Scale and Abuser Dependency Scale. Compliance was defined as the act of accepting a referral and compliance rates were determined by counting the total number of referrals the victim accepted. Findings indicated that the only factor associated with compliance rates was if the abuser had a mental illness/substance abuse problem. If the abuser did have this problem, the victim was significantly more likely to accept a referral for services as compared to victims whose abusers did not have a mental illness/substance abuse problem (t=-2.774, df=36.899, p<.01). The authors offer explanations as to why this research was important and the implications it has on future research. PMID:16803786

  5. Attribution retraining with sexually abused children: review of techniques.

    Science.gov (United States)

    Celano, Marianne; Hazzard, Ann; Campbell, Susan K; Lang, Claudia B

    2002-02-01

    Clinicians increasingly use empirically based cognitive-behavioral techniques in their treatment of child victims of sexual abuse. Attribution retraining is often a primary component of this work, and it involves various techniques aimed at decreasing abuse-related self-blame and encouraging the child to attribute responsibility for the abuse to the perpetrator This article reviews literature that highlights the complexity of self and other blame for sexually abused children in terms of developmental status, the multifaceted nature and interrelationships of abuse-specific attributions, and the psychological effects of self-blame and perpetrator blame. A review of written attribution retraining techniques developed by diverse authors for use with sexually abused children and their nonoffending parents is provided, including written and verbal techniques and techniques using games and the arts. The relative utility of different approaches with children of various stages of development is discussed, along with the need for empirical research regarding the effectiveness of these techniques.

  6. Alcohol abuse and postoperative morbidity

    DEFF Research Database (Denmark)

    Tønnesen, Hanne

    2003-01-01

    patients admitted to surgery should be offered a health promoting dialogue with the surgeon, anaesthesiologist, general practitioner, or other health professionals, which focuses on alcohol among other risk factors in relation to the operative treatment, diagnosis and prognosis. A beneficial effect......Patients who drink too much have more complications after surgery. The aim of this thesis was to evaluate the evidence, possible mechanisms, and prevention of the increased postoperative morbidity in alcohol abusers, defined by a consumption of at least five drinks per day. The literature could...... be criticised for several methodological flaws. Nevertheless, the results are in agreement showing moderate to strong evidence of increased postoperative morbidity after surgical procedures on alcohol abusers. There is weak to moderate evidence of increased postoperative mortality, hospital stay, and re...

  7. The Role of Domestic Abuse in Labor and Marriage Markets

    OpenAIRE

    Bowlus, Audra J.; Shannon N. Seitz

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force andmarital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our model, spousal abuse affects labor supply through decreases in utility from leisure as well as through reductions in productivity at work and hence the market wage. Inaddition, abuse is treated as a...

  8. Children, contact and domestic abuse

    OpenAIRE

    Morrison, Fiona

    2014-01-01

    In recent years the issue of children’s contact with non-resident parents has been increasingly debated. The policy gaze has focused on contested contact when there are allegations of domestic abuse. Some commentators argue that in circumstances of domestic abuse, contact with an abusive father may not be in the ‘best interests’ of the child. To support these claims they point to evidence that domestic abuse adversely affects children, and domestic abuse often continues followi...

  9. [Substance abuse in older adults].

    Science.gov (United States)

    Bitar, Raoul; Dürsteler, Kenneth M; Rösner, Susanne; Grosshans, Martin; Herdener, Marcus; Mutschler, Jochen

    2014-09-01

    In respect of demographic change, the number of older patients with substance abuse and addiction is on the raise. In this review we present important clinical and therapeutic aspects of substance abuse and addiction in the elderly and focus on alcohol, benzodiazepines and opioids. Daily and risky alcohol consumption is common among older people. They also have an increased risk getting alcohol-related complications. For early detection, laboratory parameters and questionnaires such as the AUDIT-C are suitable. Therapeutically brief interventions have been proved successful. Also, abuse of benzodiazepines, especially low-dose addiction, is widespread among older persons, although often overlooked, and patients often do not recognize their addiction. The physician has to know the correct indication, adequate dosage and pharmacological interactions. A slow-dose reduction is recommended in case of addiction. Thanks to opioid substitution therapy, patients with an opioidaddiction can reach a higher age. Age influences the effects of the substitute, which may require an adjustment of the dosage. Treatment of elderly patients should be based on their needs and resources and is usually very effective.

  10. The Effect of Pregnancy on the Physical and Sexual Abuse of Women That Presented to a State Hospital in Trabzon, Turkey

    OpenAIRE

    Topbaş, Murat; ÜNSAL, Mesut; ÇAN, Gamze; BACAK, Aynur; Özgün, Şükrü

    2008-01-01

    Aim: To investigate the prevalence of the physical and sexual abuse of women before and during pregnancy, and to determine whether pregnancy affected the abuse of women. Materials and Methods: This study was performed at a state hospital in the Turkish city of Trabzon and included 762 women that gave birth between July and September 2004. A questionnaire was administered during a face-to-face interview to collect data on sociodemographic factors, exposure to abuse before and during pregnanc...

  11. Effect of cocaine on Fas-associated protein with death domain in the rat brain: individual differences in a model of differential vulnerability to drug abuse.

    Science.gov (United States)

    García-Fuster, María-Julia; Clinton, Sarah M; Watson, Stanley J; Akil, Huda

    2009-04-01

    This study was designed to (1) assess the effects of cocaine on Fas-associated protein with death domain (FADD) system and its role in the activation of apoptotic vs nonapoptotic events and (2) ascertain whether animals selectively bred for their differential propensity to drug-seeking show differences in FADD levels or response to cocaine. Acute cocaine, through D(2) dopamine receptors, induced a dose-response increase in FADD protein in the cortex, with opposite effects over pFADD (Ser191/194), and no induction of apoptotic cell death (poly-(ADP-ribose) polymerase cleavage). FADD was increased by cocaine in cytosol (approximately 142%), membranes (approximately 23%) and nucleus (approximately 54%). The modulation of the FADD system showed tolerance of the acute effect over time, as well as a compensatory response on withdrawal that mirrored the acute effect--ie a transient FADD decrease on day 3 of withdrawal, both at mRNA and protein levels. In a second experiment, possible FADD differences were investigated in rats selectively bred for differential responsiveness to novelty, propensity for drug-seeking and cocaine sensitization. High-responders (HR), who were more prone to drug abuse, exhibited higher FADD and lower pFADD levels than low-responder (LR) rats. However, HR and LR rats showed similar rates of cocaine-induced apoptosis, and exhibited a parallel impact of cocaine over FADD within each phenotype. Thus, FADD is a signaling protein modulated by cocaine, regulating apoptosis/proliferative mechanisms in relation to its FADD/pFADD content. Interestingly, animals selectively bred for differential propensity to substance abuse show basal differences in the expression of this protein, suggesting FADD may also be a molecular correlate for the HR/LR phenotype. PMID:18580876

  12. Effects of reinforcer magnitude on data-entry productivity in chronically unemployed drug abusers participating in a Therapeutic Workplace.

    Science.gov (United States)

    Wong, Conrad J; Sheppard, Jeannie-Marie; Dallery, Jesse; Bedient, Guy; Robles, Elias; Svikis, Dace; Silverman, Kenneth

    2003-02-01

    The Therapeutic Workplace is a substance abuse treatment wherein patients are hired and paid to work in a job contingent on daily drug-free urine samples. The present study examined data-entry productivity of 6 unemployed methadone patients who demonstrated relatively variable and low data-entry response rates. A within-subject reversal design was used to determine whether increasing reinforcement magnitude tenfold could increase response rates. Four of the 6 participants showed the highest rates of responding in the high magnitude reinforcement condition. Two participants, who had the lowest overall response rates, showed less robust changes to the magnitude manipulation. The results suggest that reinforcement magnitude can be used to improve productivity in Therapeutic Workplace participants.

  13. Other Drugs of Abuse

    Science.gov (United States)

    ... Treatment Drug Treatment Facts Does Drug Treatment Work? Types of Drug Treatment What Is a Relapse? Find Treatment/Rehab Resources Friends and Family Can Help Prevent Drug Abuse Help Children and Teens Stay Drug-Free Talking ...

  14. An Integrated Model for Effective Knowledge Management in Chinese Organizations

    Science.gov (United States)

    An, Xiaomi; Deng, Hepu; Wang, Yiwen; Chao, Lemen

    2013-01-01

    Purpose: The purpose of this paper is to provide organizations in the Chinese cultural context with a conceptual model for an integrated adoption of existing knowledge management (KM) methods and to improve the effectiveness of their KM activities. Design/methodology/approaches: A comparative analysis is conducted between China and the western…

  15. Integrating Professional Development across the Curriculum: An Effectiveness Study

    Science.gov (United States)

    Ciarocco, Natalie J.; Dinella, Lisa M.; Hatchard, Christine J.; Valosin, Jayde

    2016-01-01

    The current study empirically tested the effectiveness of a modular approach to integrating professional development across an undergraduate psychology curriculum. Researchers conducted a two-group, between-subjects experiment on 269 undergraduate psychology students assessing perceptions of professional preparedness and learning. Analysis…

  16. Stimulant ADHD medication and risk for substance abuse

    OpenAIRE

    Chang, Z.(Texas A&M University, College Station, TX, 77843, USA); Lichtenstein, P.; Halldner, L; D'Onofrio, B; Serlachius, E.; Fazel, S.; Långström, N.; Larsson, H

    2013-01-01

    Background: There are persistent concerns of long-term effects of stimulant ADHD medication on the development of substance abuse. Methods: Using Swedish national registers, we studied all individuals born between 1960 and 1998 and diagnosed with ADHD (26,249 men and 12,504 women). We investigated the association between stimulant ADHD medication in 2006 and substance abuse during 2009. Substance abuse was indexed by substance-related death, crime, or hospital visits. Results: ADHD medication...

  17. The Use of Therapeutic Rituals in Substance Abuse Treatment

    OpenAIRE

    Thomas, Becky L.

    2001-01-01

    This study explored the use of rituals in substance abuse counseling. Data were obtained from a total of 25 mental health workers in the substance abuse field from the northern region of Utah. Four research questions were asked about rituals and their use in substance abuse counseling: (I) Are addictions therapists using rituals? (2) How did therapists determine when to use rituals? (3) What types of rituals do they use? and (4) How do therapists assess ritual effectiveness? Results indicated...

  18. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  19. Effects of a community intervention on HIV prevention behaviors among men who experienced childhood sexual or physical abuse in four African settings: findings from NIMH Project Accept (HPTN 043.

    Directory of Open Access Journals (Sweden)

    Joseph Daniels

    Full Text Available There is increased focus on HIV prevention with African men who report experiencing childhood sexual (CSA or physical abuse (CPA.To better understand the effects of a community-based intervention (Project Accept HPTN 043 on HIV prevention behaviors among men who report CSA or CPA experiences.Project Accept compared a community-based voluntary mobile counseling and testing (CBVCT intervention with standard VCT. The intervention employed individual HIV risk reduction planning with motivational interviewing in 34 African communities (16 communities at 2 sites in South Africa, 10 in Tanzania, and 8 in Zimbabwe. Communities were randomized unblinded in matched pairs to CBVCT or SVCT, delivered over 36 months. The post-intervention assessment was conducted using a single, cross-sectional random survey of 18-32 year-old community members (total N = 43,292. We analyzed the effect of the intervention on men with reported CSA or CPA across the African sites. Men were identified with a survey question asking about having experienced CSA or CPA across the lifespan. The effect of intervention on considered outcomes of the preventive behavior was statistically evaluated using the logistic regression models.Across the sites, the rates of CSA or CPA among men indicated that African men reflected the global prevalence (20% with a range of 13-24%. The statistically significant effect of the intervention among these men was seen in their increased effort to receive their HIV test results (OR 2.71; CI: (1.08, 6.82; P: 0.034. The intervention effect on the other designated HIV prevention behaviors was less pronounced.The effect of the intervention on these men showed increased motivation to receive their HIV test results. However, more research is needed to understand the effects of community-based interventions on this group, and such interventions need to integrate other keys predictors of HIV including trauma, coping strategies, and intimate partner violence.

  20. Drug abuse in athletes

    OpenAIRE

    Reardon CL; Creado S

    2014-01-01

    Claudia L Reardon, Shane Creado Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Abstract: Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines t...

  1. Detecting Medicare Abuse

    OpenAIRE

    David Becker; Daniel Kessler; Mark McClellan

    2004-01-01

    This paper identifies which types of patients and hospitals have abusive Medicare billings that are responsive to law enforcement. For a 20 percent random sample of elderly Medicare beneficiaries hospitalized from 1994-98 with one or more of six illnesses that are prone to abuse, we obtain longitudinal claims data linked with Social Security death records, hospital characteristics, and state/year-level anti-fraud enforcement efforts. We show that increased enforcement leads certain types of t...

  2. Abuse and HIV-related risk.

    Science.gov (United States)

    Benson, J D

    1995-04-01

    Research has been conducted on the effects of childhood abuse that may lead to HIV risk-taking behaviors in adolescence and adulthood. There is evidence of a higher incidence of childhood abuse among HIV-infected individuals and those at highest risk, but not enough evidence to confirm childhood abuse as a root cause of risk-taking. Research is beginning to show important connections between psychological trauma and risk, and to suggest therapeutic approaches. The trauma of childhood sexual abuse is retained by the victims, which can cause dissociative defenses and damaging feelings of self-efficacy which may affect safer sex practices. To identify sexual abuse as an issue in therapy, it is advised that counselors develop client histories regarding relationships, sexual expression and identity, substance use, suicidality, and other recurring self-destructive patterns of thought and behavior. The treatment goal is to assist the patient in understanding how abuse has affected feelings, thoughts, and relationship styles, and to recognize patterns that lead directly to HIV-related risk or that set the stage for risky activities. The critical aspect of treatment is to accurately assess the patient's coping skills when determining the course of treatment. ¿¿¿¿¿¿¿ PMID:11362459

  3. Negative emotion does not modulate rapid feature integration effects

    Directory of Open Access Journals (Sweden)

    Darinka eTruebutschek

    2012-04-01

    Full Text Available Emotional arousal at encoding is known to facilitate later memory recall. In the present study, we asked whether this emotion-modulation of episodic memory is also evident at very short time scales, as measured by feature integration effects, the moment-by-moment binding of relevant stimulus and response features in episodic memory. This question was motivated by recent findings that negative emotion appears to potentiate 1st-order trial sequence effects in classic conflict tasks, which has been attributed to emotion-modulation of conflict-driven cognitive control processes. However, these effects could equally well have been carried by emotion-modulation of mnemonic feature binding processes, which were perfectly confounded with putative control processes in these studies. In the present experiments, we tried to shed light on this question by testing explicitly whether feature integration processes, assessed in isolation of conflict-control, are in fact susceptible to negative emotion-modulation. For this purpose, we adopted a standard protocol for assessing the rapid binding of stimulus and response features in episodic memory (Experiment 1 and paired it with the presentation of either neutral or fearful background face stimuli, shown either at encoding only (Experiment 2, or at both encoding and retrieval (Experiment 3. Whereas reliable feature integration effects were observed in all three experiments, no evidence for emotion-modulation of these effects was detected, in spite of significant effects of emotion on response times. These findings suggest that rapid feature integration of foreground stimulus and response features is not subject to modulation by negative emotional background stimuli and further suggest that previous reports of emotion-modulated trial-transition effects are likely attributable to the effects of emotion on cognitive control processes.

  4. Impact of Childhood Abuse History on Psychological Symptoms among Male and Female Soldiers in the U.S. Army.

    Science.gov (United States)

    Rosen, Leora N.; Martin, Lee

    1996-01-01

    The psychological effects of physical-emotional abuse, sexual abuse, emotional neglect, and physical neglect were examined among 1,072 male and 305 female soldiers. Results found the females were three times more likely to have been sexually or both physically and sexually abused and that physical-emotional abuse contributed to most of the…

  5. Path Integrals and Alternative Effective Dynamics in Loop Quantum Cosmology

    Institute of Scientific and Technical Information of China (English)

    秦立; 邓果; 马永革

    2012-01-01

    The alternative dynamics of loop quantum cosmology is examined by the path integral formulation. We consider the spatially flat FRW models with a massless scalar field, where the alternative quantizations inherit more features from full loop quantum gravity. The path integrals can be formulated in both timeless and deparameterized frameworks. It turns out that the effective Hamiltonians derived from the two different viewpoints are equivalent to each other. Moreover, the first-order modified Friedmann equations are derived and predict quantum bounces for contracting universe, which coincide with those obtained in canonical theory.

  6. Organizational effectiveness: toward an integrated model for schools of nursing.

    Science.gov (United States)

    Baker, C M; Reising, D L; Johnson, D R; Stewart, R L; Baker, S D

    1997-01-01

    Assessing the quality of academic institutions involves much more than the opinions of peers or experts. Examination of the organizational effectiveness of schools of nursing has been neglected. Current emphasis on assessing educational outcomes has diverted attention from the construct, organizational effectiveness, and more comprehensive theory-driven approaches to evaluation. This review of the organizational effectiveness literature focuses on the major assessment models: goal attainment, human relations, open systems, internal processes, culture, and life cycle. Attention is given to the influence of organizational maturation on an integrated model of organizational effectiveness. Selected macrolevel studies of schools of nursing are examined, and an agenda for nursing research is proposed.

  7. The Small Scale Integrated Sachs-Wolfe Effect

    CERN Document Server

    Hu, W; Hu, Wayne; Sugiyama, Naoshi

    1994-01-01

    The integrated Sachs-Wolfe effect (ISW) can be an important factor in the generation of Cosmic Microwave Background anisotropies on all scales, especially in a reionized curvature or lambda dominated universe. We present an analytic treatment of the ISW effect, which is analogous to thick last scattering surface techniques for the Doppler effect, that compares quite well with the full numerical calculations. The power spectrum of temperature fluctuations due to the small scale ISW effect has wave number dependence k^{-5} times that of the matter power spectrum.

  8. The Role of Domestic Abuse in Labor and Marriage Markets

    NARCIS (Netherlands)

    Bowlus, Audra J.; Seitz, Shannon N.

    1998-01-01

    In this paper we study the effects of abusive behavior on the labor force andmarital status decisions of women. Using a unique Canadian data set on domestic violence, we estimate the effects of abuse on the marital history as well as current employment using a sequential, multi-state model. In our

  9. Evaluation of an Innovative Tool for Child Sexual Abuse Education

    Science.gov (United States)

    Davis, Deborah Winders; Pressley-McGruder, Gloria; Jones, V. Faye; Potter, Deborah; Rowland, Michael; Currie, Melissa; Gale, Bruce

    2013-01-01

    Child sexual abuse poses a serious threat to public health and is often unreported, unrecognized, and untreated. Prevention, early recognition, and treatment are critically important to reduce long-term effects. Little data are available on effective methods of preventing child sexual abuse. The current research demonstrates a unique approach to…

  10. Childhood abuse related to nicotine, illicit and prescription drug use by women: pilot study.

    Science.gov (United States)

    Pederson, Cathy L; Vanhorn, Daniel R; Wilson, Josephine F; Martorano, Lisa M; Venema, Jana M; Kennedy, Sarah M

    2008-10-01

    A sample of 811 women ages 18 to 59 (M=26.0, SD=6.5) responded to an advertisement by telephone. Inquiries were made about childhood abuse status and adult use of alcohol, nicotine, and prescription and illicit drugs. Significant associations were noted for reported sexual, physical, and emotional childhood abuse with use of nicotine, marijuana, and antidepressants in adulthood. Reported childhood physical and emotional abuses were also significantly associated with use of cocaine and anxiolytics, and sexual abuse with antipsychotic use in adulthood. Only childhood emotional abuse was associated with the use of sleeping pills. Number of types of abuse was significantly related with use of nicotine, marijuana, cocaine, antidepressants, antipsychotics, and anxiolytics. Alcohol use was not related to any type of abuse. The long-term effects of childhood emotional abuse may be just as severe as physical or sexual abuse. PMID:19102471

  11. Linking child maltreatment history with child abuse potential: Relative roles of maltreatment types

    Directory of Open Access Journals (Sweden)

    Mitkovic-Voncina Marija

    2014-01-01

    Full Text Available The independent roles of each childhood maltreatment type on child abuse potential in adults have been insufficiently explored and are inconsistent, with dissociation as one of the possible suggested mediators of intergenerational child abuse. We investigated these effects among 164 non-clinical adult parents, who filled in general questionnaires: Childhood Trauma Questionnaire (CTQ, Child Abuse Potential Inventory (CAPI and Dissociative Experience Scale (DES. Among all maltreatment types (emotional, physical and sexual abuse, emotional and physical neglect, emotional abuse was the only independent predictor in the regression model of child abuse potential. The relationship between emotional abuse history and child abuse potential was partially mediated by dissociation. The findings could speak in favor of the potentially unique detrimental role of emotional abuse in intergenerational maltreatment, with dissociation as one of the possible mechanisms.

  12. Verbal abuse, like physical and sexual abuse, in childhood is associated with an earlier onset and more difficult course of bipolar disorder

    NARCIS (Netherlands)

    Post, Robert M.; Altshuler, Lori L.; Kupka, Ralph; McElroy, Susan L.; Frye, Mark A.; Rowe, Michael; Leverich, Gabriele S.; Grunze, Heinz; Suppes, Trisha; Keck, Paul E.; Nolen, Willem A.

    2015-01-01

    ObjectivesPhysical or sexual abuse in childhood is known to have an adverse effect on the course of bipolar disorder, but the impact of verbal abuse has not been well elucidated. MethodsWe examined the occurrence and frequency (never to frequently) of each type of abuse in childhood in 634 US adult

  13. Orbital flux integrations: Parameter values for effective computer time reductions

    Science.gov (United States)

    Stassinopoulos, E. G.

    1974-01-01

    To improve computer utilization and to reduce the cost of orbital flux integrations, the effects of integration parameters 'duration' (T) and 'stepsize' (delta t) on integration results were investigated. Over given ranges of T and delta t, and within specified acceptable accuracy restraints, optimal values of these parameters were established for circular subsynchronous trajectories, in terms of the variables altitude (H) and inclination (i). It is shown that (1) above a certain statistically important value, duration is independent of both h and i; (2) stepsize has a relative altitude dependence; and (3) stepsize is not a function of inclination. The substantial savings in computer time are discussed along with the possibility of greater savings by relaxing accuracy restrictions while not exceeding the minimum model-associated uncertainty factors of the environments.

  14. Health and Educational Effects of Marijuana on Youth. Hearing Before the Subcommittee on Alcoholism and Drug Abuse of the Committee on Labor and Human Resources. United States Senate, Ninety-Seventh Congress, First Session (October 21, 1981).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    These proceedings of a hearing before the Alcohol and Drug Abuse Subcommittee include testimony about the health and educational effects of marijuana on young people. The materials describe recent findings on the extent of drug use among youth, recent changes in drug use trends, and the consequences of marijuana use on health and intellectual…

  15. Substance abuse interventions for parents involved in the child welfare system: evidence and implications.

    Science.gov (United States)

    Osterling, Kathy Lemon; Austin, Michael J

    2008-01-01

    As child welfare systems across the country face the problem of parental substance abuse, there is an increasing need to understand the types of treatment approaches that are most effective for substance-abusing parents in the child welfare system-the majority of whom are mothers. This structured review of the literature focuses on evidence related to two areas: (1) individual-level interventions designed to assist mothers and women in addressing their substance abuse problems, and (2) system-level interventions designed to improve collaboration and coordination between the child welfare system and the alcohol and other drug system. Overall, research suggests the following program components may be effective with substance-abusing women with children: (1) Women-centered treatment that involves children, (2) Specialized health and mental health services, (3) Home visitation services, (4) Concrete assistance, (5) Short-term targeted interventions, and (6) Comprehensive programs that integrate many of these components. Research also suggests that promising collaborative models between the child welfare system (CWS) and the alcohol and other drug (AOD) system typically include the following core elements: (1) Out-stationing AOD workers in child welfare offices, (2) Joint case planning, (3) Using official committees to guide collaborative efforts, (4) Training and cross-training, (5) Using protocols for sharing confidential information, and (6) Using dependency drug courts. Although more rigorous research is needed on both individual-level and system-level substance abuse interventions for parents involved in the child welfare system, the integration of individual-level interventions and system-level approaches is a potentially useful practice approach with this vulnerable population.

  16. Creating New Meaning Through Dialogue: A case story of chronic pain and sexual abuse

    OpenAIRE

    Radomsky, Nellie A.

    1992-01-01

    Patients with chronic physical and psychiatric problems often have a history of sexual or physical abuse. This case illustrates the long-term effects of sexual abuse and the challenge physicians face in understanding complex clinical stories.

  17. 78 FR 38353 - National Institute on Alcohol Abuse and Alcoholism; Notice of Closed Meeting

    Science.gov (United States)

    2013-06-26

    ... HUMAN SERVICES National Institutes of Health National Institute on Alcohol Abuse and Alcoholism; Notice... personal privacy. Name of Committee: National Institute on Alcohol Abuse and Alcoholism Special Emphasis Panel; Review of Applications on HIV- AIDS/Alcohol Comparative Effectiveness & Implementation...

  18. Carisoprodol: abuse potential and withdrawal syndrome.

    Science.gov (United States)

    Reeves, Roy R; Burke, Randy S

    2010-03-01

    Carisoprodol (N-isopropyl-2 methyl-2-propyl-1,3-propanediol dicarbamate; N-isopropylmeprobamate) is a centrally acting skeletal muscle relaxant whose primary active metabolite is meprobamate, a substance with well established abuse potential similar to that of benzodiazepines. A number of reports show that carisoprodol has been abused for its sedative and relaxant effects, to augment or alter the effects of other drugs, and by the intentional combination of carisoprodol and other noncontrolled medications because of the relative ease (as compared to controlled substances) of obtaining prescriptions. The diversion and abuse of carisoprodol and its adverse health effects appear to have dramatically increased over the last several years. Clinicians have begun to see a withdrawal syndrome consisting of insomnia, vomiting, tremors, muscle twitching, anxiety, and ataxia in patients who abruptly cease intake of large doses of carisoprodol. Hallucinations and delusions may also occur. The withdrawal symptoms are very similar to those previously described for meprobamate withdrawal, suggesting that what may actually be occurring is withdrawal from meprobamate accumulated as a result of intake of excessive amounts of carisoprodol. However carisoprodol itself is capable of modulating GABA(A) function, and this may contribute both to the drugs abuse potential and to the occurrence of a withdrawal syndrome with abrupt cessation of intake. Carisoprodol has been classified as a controlled substance in several states in the US and restrictions on the use of the drug have been imposed in some European countries. Carisoprodol is metabolized to a controlled substance, has clear evidence of abuse potential and increasing incidence of abuse, and has shown evidence of a withdrawal syndrome with abrupt cessation from intake. This article will discuss the abuse potential of carisoprodol and the associated withdrawal syndrome, and consider implications for future use of the drug. PMID

  19. Tooth decay in alcohol and tobacco abusers

    Directory of Open Access Journals (Sweden)

    Thavarajah Rooban

    2011-01-01

    Full Text Available Background : Alcohol and tobacco abuse are detrimental to general and oral health. Though the effects of these harmful habits on oral mucosa had been demonstrated, their independent and combined effect on the dental caries experience is unknown and worthy of investigation. Materials and Methods : We compared 268 alcohol-only abusers with 2426 alcohol and tobacco abusers in chewing and smoking forms to test the hypothesis that various components of their dental caries experience are significantly different due to plausible sociobiological explanations. Clinical examination, Decay, Missing, Filled Teeth (DMFT Index and Oral Hygiene Index - Simplified were measured in a predetermined format. Descriptive statistics, Chi-square test and one-way ANOVA analysis were done using SPSS Version 16.0. Result : The mean DMFT were 3.31, 3.24, 4.09, 2.89 for alcohol-only abusers, alcohol and chewing tobacco abusers, smoking tobacco and alcohol abusers, and those who abused tobacco in smoke and smokeless forms respectively. There was no significant difference between the oral hygiene care measures between the study groups. Presence of attrition among chewers and those with extrinsic stains experienced less caries than others. Discussion and conclusion : The entire study population exhibited a higher incidence of caries experience. Use of tobacco in any form appears to substantially increase the risk for dental caries. Attrition with use of chewing tobacco and presence of extrinsic stains with tobacco use appear to provide a protective effect from caries. The changes in oral micro-flora owing to tobacco use and alcohol may play a critical role in the initiation and progression of dental caries.

  20. A Summary and Synthesis of Contemporary Empirical Evidence regarding the Effects of the Drug Abuse Resistance Education Program (D.A.R.E.)

    Science.gov (United States)

    Singh, Renee D.; Jimerson, Shane R.; Renshaw, Tyler; Saeki, Elina; Hart, Shelley R.; Earhart, James; Stewart, Kaitlyn

    2011-01-01

    The prevention of drug abuse is an especially salient topic for school psychologists and other educational professionals. Schools are the primary setting for providing education and information aimed at the prevention of drug abuse. Previous meta-analyses (Ennett, et al., 1994; West & O'Neal, 2004) indicate that one of the nation's most popular…

  1. The effects of early prevention programs for families with young children at risk for physical child abuse and neglect : A meta-analysis

    NARCIS (Netherlands)

    Geeraert, L; Van den Noortgate, W; Grietens, H; Onghena, P

    2004-01-01

    In this article, a meta-analysis is presented on 40 evaluation studies of early prevention programs for families with young children at risk for physical child abuse and neglect with mostly nonrandomized designs. The main aim of all programs was to prevent physical child abuse and neglect by providi

  2. Domestic Violence and Sexual Abuse of Children: A Review of Research in the Eighties.

    Science.gov (United States)

    Gelles, Richard J.; Conte, Jon R.

    1990-01-01

    Reviews research on family violence and sexual abuse of children in the 1980s. Examines family violence rates, intergenerational transmission of violence, effects of violence on children and women, and effectiveness of interventions. Review of child sexual abuse examines defining sexual abuse, its prevalence, research on sexual offenders and risk…

  3. Erythropoietin use and abuse

    Directory of Open Access Journals (Sweden)

    M Joseph John

    2012-01-01

    Full Text Available Recombinant human erythropoietin (rhEPO is arguably the most successful therapeutic application of recombinant DNA technology till date. It was isolated in 1977 and the gene decoded in 1985. Since then, it has found varied applications, especially in stimulating erythropoiesis in anemia due to chronic conditions like renal failure, myelodysplasia, infections like HIV, in prematurity, and in reducing peri-operative blood transfusions. The discovery of erythropoietin receptor (EPO-R and its presence in non-erythroid cells has led to several areas of research. Various types of rhEPO are commercially available today with different dosage schedules and modes of delivery. Their efficacy in stimulating erythropoiesis is dose dependent and differs according to the patient′s disease and nutritional status. EPO should be used carefully according to guidelines as unsolicited use can result in serious adverse effects. Because of its capacity to improve oxygenation, it has been abused by athletes participating in endurance sports and detecting this has proved to be a challenge.

  4. Erythropoietin use and abuse.

    Science.gov (United States)

    John, M Joseph; Jaison, Vineeth; Jain, Kunal; Kakkar, Naveen; Jacob, Jubbin J

    2012-03-01

    Recombinant human erythropoietin (rhEPO) is arguably the most successful therapeutic application of recombinant DNA technology till date. It was isolated in 1977 and the gene decoded in 1985. Since then, it has found varied applications, especially in stimulating erythropoiesis in anemia due to chronic conditions like renal failure, myelodysplasia, infections like HIV, in prematurity, and in reducing peri-operative blood transfusions. The discovery of erythropoietin receptor (EPO-R) and its presence in non-erythroid cells has led to several areas of research. Various types of rhEPO are commercially available today with different dosage schedules and modes of delivery. Their efficacy in stimulating erythropoiesis is dose dependent and differs according to the patient's disease and nutritional status. EPO should be used carefully according to guidelines as unsolicited use can result in serious adverse effects. Because of its capacity to improve oxygenation, it has been abused by athletes participating in endurance sports and detecting this has proved to be a challenge. PMID:22470858

  5. Body mass index and anxiety/depression as mediators of the effects of child sexual and physical abuse on physical health disorders in women.

    Science.gov (United States)

    McCarthy-Jones, Simon; McCarthy-Jones, Roseline

    2014-12-01

    The relation between childhood sexual abuse (CSA) and physical health disorders in adulthood, and what factors may serve as mediators, remains poorly understood. Using data from the 2007 Adult Psychiatric Morbidity Survey (N=3,486), we tested whether CSA was associated with physical health disorders in adult women and if mediated effects via body mass index (BMI), anxiety/depression, alcohol dependence, and smoking were present. Compared to women with no CSA, women who had experienced CSA involving intercourse had more than twice the odds of being obese, more than 3 times the odds of experiencing mental health disorders, more than 4 times the odds of being alcohol dependent, more than 5 times the odds of being drug dependent, and more than 6 times the odds of attempting suicide. Those experiencing both CSA and child physical abuse (CPA) were on average over 11kg heavier than those with neither CSA nor CPA. After controlling for demographics, CPA, and childhood bullying, CSA was associated with the majority of physical health disorders studied (typically 50-100% increases in odds). Evidence was found consistent with mediation by BMI (typically accounting for 5-20% increases in odds) and anxiety/depression (typically accounting for 8-40% increases in odds), in a dose-response manner, for the majority of physical health disorders. Bidirectional relations among these mediators and physical health disorders, and residual confounding, may have led to overestimation of mediation through BMI and anxiety/depression and underestimation of mediation through alcohol/smoking. Relations between both CPA and childhood bullying and physical health disorders in adulthood were also found. Longitudinal studies employing more sensitive measures of potential mediators are now required.

  6. SERBIAN AND ROMANIAN DAILY NEWSPAPERS ABOUT CHILD ABUSE PROBLEM

    Directory of Open Access Journals (Sweden)

    Laura Spariosu

    2012-12-01

    Full Text Available The aim of this paper is to research the way that Serbian and Romanian daily newspapers inform about child abuse problem. The main corpus will consist in articles published in the Serbian daily newspaper Blic and in Romanian daily newspaper Adevărul, from Janary 1st 2011 to January 31st 2012. Child abuse is a phenomenon that integrates all activities, events, situations, conditions or behaviour that hurt child`s integrity and harm its development. Child abuse involves: physical abuse, sexual abuse, emotional abuse and neglecting and child exploitation Having all that in mind, it is the intention of the author to analyse texts about this issue according to the Codex that reffers to text length, journalistic genre, authorship, cause of reporting, visual presentation, location, topic, subject, object, value context, text title, in order to research how the selected media present the event and what is similar and what is different in the topic that is being researched. Although in Romanian daily newspaper Adevărul more texts about child abuse problem were published than in Blic (40:25, according to the results it could be said that there were detected similarities, but also dissimilarities. Similar in both media are results related to journalistic genre, cause of reporting, visual presentation, topic, value context and text title; dissimilarities could be detected related to text lenght, authorship and location.

  7. Effect of irradiation and modified atmosphere packaging on the microbiological safety of minced pork stored under temperature abuse conditions

    International Nuclear Information System (INIS)

    The safety of irradiated pork packed in 25% CO2:75% N2 and stored at abuse temperature (10 or 15°C) was assessed by inoculation studies involving Salmonella typhimurium, Listeria monocytogenes, Escherichia coli, Yersinia enterocolitica and Clostridium perfringens. Irradiation to a dose of 1.75 kGy reduced pathogen numbers to below the detection limit of 102 cells g-1. When higher inoculum levels were used (106 cells g-1) irradiation at 1.75 kGy reduced pathogen numbers by 1 –>5 log10 cycles depending on strain. Clostridium perfringens was the most resistant, and Y. enterocolitica the most sensitive of the pathogens studied. In all cases when high numbers (106 to 107g-1) of spoilage and/or pathogenic bacteria were present initially on the pork the meat appeared spoiled, and although irradiation reduced the number of microorganisms, the meat was still unacceptable from a sensory viewpoint after treatment. It was concluded that the microbiological safety of irradiated, modified atmosphere packaged (MAP) pork is better than that of unirradiated MAP pork

  8. Thermal Hydraulic Integral Effect Tests for Pressurized Water Reactors

    International Nuclear Information System (INIS)

    The objectives of the project are to construct a thermal-hydraulic integral effect test facility and to perform the tests for design, operation, and safety regulation of pressurized water reactors. In the first phase of this project (1997.8∼2002.3), the basic technology for thermal-hydraulic integral effect tests was established and the basic design of the test facility was accomplished. In the second phase (2002.4∼2005.2), an optimized design of the ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation) was established and the construction of the facility was almost completed. In the third phase (2005.3∼2007.2), the construction and commission tests of the ATLAS are to be completed and some first-phase tests are to be conducted

  9. The complexities of elder abuse.

    Science.gov (United States)

    Roberto, Karen A

    2016-01-01

    Elder abuse is a growing societal concern, affecting at least 1 in 10 older Americans. Researchers and practitioners alike consistently assert that a dramatic discrepancy exists between the prevalence rates of elder abuse and the number of elder abuse cases reported. As a field of study, recognition and understanding of elder abuse is still emerging. Comparing findings of a small, but growing, body of literature on perceived and substantiated cases of elder abuse is challenging because there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates. This article summarizes current understanding of elder abuse, including what constitutes elder abuse, risk factors for elder abuse, perpetrators of elder abuse, and outcomes of elder abuse. Issues associated with the detection of elder abuse and intervention strategies for victims of abuse are addressed. In the final section, potential roles and contributions of psychologists for advancing elder abuse research, professional practice, and policy development are highlighted. (PsycINFO Database Record

  10. Integrating Individual-Based Indices of Contaminant Effects

    Directory of Open Access Journals (Sweden)

    Christopher L. Rowe

    2001-01-01

    Full Text Available Habitat contamination can alter numerous biological processes in individual organisms. Examining multiple individual-level responses in an integrative fashion is necessary to understand how individual health or fitness reflects environmental contamination. Here we provide an example of such an integrated perspective based upon recent studies of an amphibian (the bullfrog, Rana catesbeiana that experiences several, disparate changes when larval development occurs in a trace element�contaminated habitat. First, we present an overview of studies focused on specific responses of individuals collected from, or transplanted into, a habitat contaminated by coal combustion residues (CCR. These studies have reported morphological, behavioral, and physiological modifications to individuals chronically interacting with sediments in the CCR-contaminated site. Morphological abnormalities in the oral and tail regions in contaminant-exposed individuals influenced other properties such as grazing, growth, and swimming performance. Behavioral changes in swimming activities and responses to stimuli appear to influence predation risk in the contaminant-exposed population. Significant changes in bioenergetics in the contaminated habitat, evident as abnormally high energetic expenditures for survival (maintenance costs, may ultimately influence production pathways (growth, energy storage in individuals. We then present a conceptual model to examine how interactions among the affected systems (morphological, behavioral, physiological may ultimately bring about more severe effects than would be predicted if the responses were considered in isolation. A complex interplay among simultaneously occurring biological changes emerges in which multiple, sublethal effects ultimately can translate into reductions in larval or juvenile survival, and thus reduced recruitment of juveniles into the population. In systems where individuals are exposed to low concentrations of

  11. EFFECT OF INTEGRATED YOGA ON AGREEABLENESS AND PERFORMANCE OF EMPLOYEES

    OpenAIRE

    Chokkalingam; Sony Kumari; K.B. Akhilesh and H.R. Nagendra

    2015-01-01

    The personality of employees determine the performance of employee. Agreeableness is one of the Big Five Personality traits which affects the performance of employee. An empirical study is made to assess the effect of practicing Integrated Yoga on personality traits,including agreeableness of employee. 51 employees are given Yoga Intervention for four months and another 51 employees are not given any intervention. Using Big Five Personality Inventory, data is collected before, in the middle, ...

  12. Effectiveness of Two Water Conservation Policies: An Integrated Modeling Approach

    OpenAIRE

    Das, Biswa R.; Willis, David B.; Johnson, Jeffrey W.

    2010-01-01

    Agriculture in the Texas High Plains depends entirely on the Ogallala Aquifer. Texas enacted water conservation legislation to address declining reserves in the aquifer. We developed an integrated regional water policy model that links a hydrology model with an economic optimization model to estimate policy impacts with respect to economic cost and water conservation. Testing the effectiveness of two policies, a groundwater extraction tax and extraction quotas, we observe that neither signifi...

  13. Advances in organic field-effect transistors and integrated circuits

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Organic field-effect transistors (OFETs) have received significant research interest because of their promising applications in low cast, lager area, plastic circuits, and tremendous progress has been made in materials, device performance, OFETs based circuits in recent years. In this article we introduce the advances in organic semiconductor materials, OFETs based integrating techniques, and in particular highlight the recent progress. Finally, the prospects and problems of OFETs are discussed.

  14. Advances in organic field-effect transistors and integrated circuits

    Institute of Scientific and Technical Information of China (English)

    WANG Hong; JI ZhuoYu; LIU Ming; SHANG LiWei; LIU Ge; LIU XingHua; LIU Jiang; PENG YingQuan

    2009-01-01

    Organic field-effect transistors (OFETs) have received significant research interest because of their promising applications in low cast, lager area, plastic circuits, and tremendous progress has been made in materials, device performance, OFETs based circuits in recent years.In this article we intro-duce the advances in organic semiconductor materials, OFETs based integrating techniques, and in particular highlight the recent progress.Finally, the prospects and problems of OFETs are discussed.

  15. Harm Reduction as "Continuum Care" in Alcohol Abuse Disorder.

    Science.gov (United States)

    Maremmani, Icro; Cibin, Mauro; Pani, Pier Paolo; Rossi, Alessandro; Turchetti, Giuseppe

    2015-11-19

    Alcohol abuse is one of the most important risk factors for health and is a major cause of death and morbidity. Despite this, only about one-tenth of individuals with alcohol abuse disorders receive therapeutic intervention and specific rehabilitation. Among the various dichotomies that limit an effective approach to the problem of alcohol use disorder treatment, one of the most prominent is integrated treatment versus harm reduction. For years, these two divergent strategies have been considered to be opposite poles of different philosophies of intervention. One is bound to the search for methods that aim to lead the subject to complete abstinence; the other prioritizes a progressive decline in substance use, with maximum reduction in the damage that is correlated with curtailing that use. Reduction of alcohol intake does not require any particular setting, but does require close collaboration between the general practitioner, specialized services for addiction, alcohology services and psychiatry. In patients who reach that target, significant savings in terms of health and social costs can be achieved. Harm reduction is a desirable target, even from an economic point of view. At the present state of neuroscientific knowledge, it is possible to go one step further in the logic that led to the integration of psychosocial and pharmacological approaches, by attempting to remove the shadows of social judgment that, at present, are aiming for a course of treatment that is directed towards absolute abstention.

  16. The impact of sexual abuse in patients undergoing colonoscopy.

    Directory of Open Access Journals (Sweden)

    Melianthe P J Nicolai

    Full Text Available BACKGROUND: Sexual abuse has been linked to strong effects on gastrointestinal health. Colonoscopy can provoke intense emotional reactions in patients with a sexual abuse history and may lead to avoidance of endoscopic procedures. OBJECTIVE: To determine whether care around colonoscopy needs adjustment for patients with sexual abuse experience, thereby exploring targets for the improvement of care around colonoscopic procedures. METHODS: Questionnaires were mailed to patients (n = 1419 from two centers within 11 months after colonoscopy. Differences in experience of the colonoscopy between patients with and without a sexual abuse history were assessed and patients' views regarding physicians' inquiry about sexual abuse and care around endoscopic procedures were obtained. RESULTS: A total of 768 questionnaires were analyzed. The prevalence of sexual abuse was 3.9% in male and 9.5% in female patients. Patients born in a non-western country reported more sexual abuse (14.9% than those born in a western country (6.3%; p = 0.008. Discomfort during colonoscopy was indicated on a scale from 0 to 10, mean distress score of patients with sexual abuse was 4.8(± 3.47 compared to 3.5(± 3.11 in patients without a sexual abuse history (p = 0.007. Abdominal pain was a predictor for higher distress during colonoscopy (β = -0.019 (SE = 0.008; p = 0.02, as well as the number of complaints indicated as reason for colonoscopy (β = 0.738 (SE = 0.276; p = 0.008. Of patients with sexual abuse experience, 53.8% believed gastroenterologists should ask about it, 43.4% said deeper sedation during colonoscopy would diminish the distress. CONCLUSIONS: Sexual abuse is prevalent in patients presenting for colonoscopy. Patients with a sexual abuse history experience more distress during the procedure and indicate that extra attention around and during colonoscopy may diminish this distress.

  17. Identification and Evaluation of Abused Children at Imam Hossein Hospital

    Directory of Open Access Journals (Sweden)

    Arabghol

    2016-02-01

    Full Text Available Background Child abuse is a phenomenon that confronts the child, family, and society with irretrievable physical and mental injuries, and its negative effects continue until adulthood. Objectives The present study was conducted to identify and evaluate cases of abused children at a medical center. Patients and Methods This is a descriptive-analytic study. The subjects were all children and adolescents who were referred to Imam Hussein hospital within 6 months due to physical or psychiatric reasons and were diagnosed with child abuse and neglect by a child and adolescent psychiatrist. The number of these children was 73. Children and their parents were assessed by schedule for affective disorders and schizophrenia (SADS, Kiddie-SADS, and child abuse and demographic questionnaires. The statistical methods of mean and standard deviation were used to analyze the data. Results 56 cases (76% were physically abused, 53 cases (72.6% were emotionally abused, and 3 cases (12.3% were neglected. The most common psychiatric disorder in abused children was ADHD (65.8%. The next most common were oppositional defiant disorder, obsessive compulsive disorder, general anxiety disorder, and enuresis. About 80% of the abused children had at least one psychiatric disorder. The most common psychiatric disorders in mothers were general anxiety disorder (34.8% and depression (33.3%, and in fathers, it was substance abuse (19.7%. Conclusions Child abuse is a common phenomenon that relates to psychiatric disorders in the abused child or abuser parents. It seems that on-time identification and appropriate interventions can prevent further negative consequences for the child, family, and society.

  18. Measurement of the thermo-optical effect of integrated waveguides

    Science.gov (United States)

    Kremmel, Johannes; Lamprecht, Tobias; Michler, Markus

    2016-05-01

    Thermo-optical switches are widely used in integrated optics and various types of integrated optical structures have been reported in literature. These structures include, but are not limited to Mach-Zehnder-Interferometer (MZI) switches and digital optical switches. The thermo-optical effect depends on the refractive index, the polarizability and the density of a material. The polarizability effect can often be neglected and the change of refractive index is dominated by a density change due to the thermal expansion of the material. We report herein a new method to measure the thermo-optical effect of waveguides directly, using integrated MZIs fabricated in polymer waveguide technology. Common methods rely on macroscopic samples, but the properties can differ significantly for micro-structured waveguides. Using a floodlight halogen rod lamp and metal-shields, we realized a radiation heater with a trapezoidal-shaped heating pattern. While the heating occurred from the bottom side, a thermocouple was placed on top of the sample. By dynamically measuring the temperature and the corresponding output-power of the MZI, the temperature difference between constructive and destructive interference can be determined. Multiple measurements of different sample MZIs exhibit an average thermo-optical coefficient (TOC) of 1.6 ∗ 10-4 1/K .

  19. Major Achievements and Prospect of the ATLAS Integral Effect Tests

    Directory of Open Access Journals (Sweden)

    Ki-Yong Choi

    2012-01-01

    Full Text Available A large-scale thermal-hydraulic integral effect test facility, ATLAS (Advanced Thermal-hydraulic Test Loop for Accident Simulation, has been operated by KAERI. The reference plant of ATLAS is the APR1400 (Advanced Power Reactor, 1400 MWe. Since 2007, an extensive series of experimental works were successfully carried out, including large break loss of coolant accident tests, small break loss of coolant accident tests at various break locations, steam generator tube rupture tests, feed line break tests, and steam line break tests. These tests contributed toward an understanding of the unique thermal-hydraulic behavior, resolving the safety-related concerns and providing validation data for evaluation of the safety analysis codes and methodology for the advanced pressurized water reactor, APR1400. Major discoveries and lessons found in the past integral effect tests are summarized in this paper. As the demand for integral effect tests is on the rise due to the active national nuclear R&D program in Korea, the future prospects of the application of the ATLAS facility are also discussed.

  20. An Effective Family Skills-based Intervention for the Prevention of Health Problems in Children of Alcohol and Drug-Abusing Parents

    Directory of Open Access Journals (Sweden)

    Karol l. Kumpfer

    2013-01-01

    Full Text Available Introduction. There is a need forwide-scale dissemination of effective family-focused skills trainingprograms for the prevention of multiple developmental problems and later substance misuse amonghigh-risk children. Independent reviews have found the author’s Strengthening Families Program (SFP tobe the most effective substance abuse prevention intervention. Cultural adaptations have resulted in successful SFP outcomes in many countries, including in Spain as detailed in the Orte article. This article reviews 30 year history of implementation and outcomes of SFP in different cultures with cultural adaptations. Methods: The SEM-tested Social Ecology Model (Kumpfer, Alvarado, &Whiteside, 2003 is presented and reveals that family factors (bonding, supervision, and communication are the most protective of later substanceuse.Hence, this causal theory served as the etiological theory behind the design of the 14-session SFP.Social cognitive behavior theory (Bandura, 1989 is the intervention theory. The Strengthening Families Program(SFP was the first family skills training program developed and found effective in a randomized control trial (RCT to improve outcomes for children of dug abusers.Many countries requested to replicate SFP; hence, staff training systems were developed and a cultural adaptation process. Results: Eight RCTs, four conducted by independent research teams, and hundreds of quasi-experimental studies in different countrieshave demonstrated SFP’s effectiveness in reducing substance use in adolescents with up to 10-yearfollow-ups. Comparative effectiveness reviews including ones using statistical meta-analysis by theOxford University Cochrane Collaboration Reviews, found SFP to be the most effective alcohol and drug prevention program (Foxcroft, et al., 2003. A cost-benefit analysis by Miller and Hendrie (2008 found SFP prevented the highest percentage of youth from using alcohol and drugs. Cultural adaptation is a mandated

  1. Effect of modified atmosphere and temperature abuse on the growth from spores and cereulide production of Bacillus weihenstephanensis in a cooked chilled meat sausage.

    Science.gov (United States)

    Thorsen, Line; Budde, Birgitte Bjørn; Koch, Anette Granly; Klingberg, Trine Danø

    2009-04-15

    The effect of modified atmosphere packaging (MAP) on the germination and growth of toxin producing psychrotolerant Bacillus spp is not well described. A model agar system mimicking a cooked meat product was used in initial experiments. Incubation at refrigeration temperature of 8 degrees C for 5 weeks of 26 Bacillus weihenstephanensis including two emetic toxin (cereulide) producing strains showed that B. weihenstephanensis is sensitive to MAP containing CO2. The sensitivity to 20% CO2 was dependent on strain and oxygen level, being increased when oxygen was excluded from the MAP. Growth from spores was observed at the earliest within 2 weeks when 20% CO2 was combined with 2% O2 and in 3 weeks when combined with "0"% O2 (the remaining atmosphere was made up from N2). Results were validated in a cooked meat sausage model for two non-emetic and one emetic B. weihenstephanensis strain. The packaging film oxygen transfer rates (OTR) were 1.3 and 40 ml/m(2)/24 h and the atmospheres were 2% O2/20% CO2 and "0"% O2/20% CO2. Oxygen availability had a large impact on the growth from spores in the MAP meat sausage, only the most oxygen restricted condition (OTR of 1.3 ml/m(2)/24 h and "0"% O2/20 % CO2 inhibited growth of the three strains during 4 weeks storage at 8 degrees C. Cereulide production was undetectable during storage at 8 degrees C irrespective of choice of the MAP (quantified by liquid chromatography mass spectrometry/mass spectrometry). MAP storage at 8 degrees C for 1 and 3 weeks followed by opening of packages and temperature abuse for 1.5 h daily at 20 degrees C during 1 week resulted in increased cell counts and variable cereulide production in the meat sausage. A pre-history at 8 degrees C for 1 week in MAP with OTR of 1.3 or 40 ml/m(2)/24 h and 2% O2 resulted in cereulide concentrations of 0.816-1.353 microg/g meat sausage, while a pre-history under the most oxygen restricted condition (OTR of 1.3 ml/m(2)/24 h, "0"% O2/20 % CO2 resulted in minimal

  2. Child Sexual Abuse, Links to Later Sexual Exploitation/High-Risk Sexual Behavior, and Prevention/Treatment Programs

    OpenAIRE

    Lalor, Kevin; McElvaney, Rosaleen

    2010-01-01

    This paper reviews the literature on the nature and incidence of child sexual abuse, explores the link between child sexual abuse and later sexual exploitation, and reviews the literature on prevention strategies and effective interventions in child sexual abuse services. Our understanding of the international epidemiology of child sexual abuse is considerably greater than it was just 10 years ago, and studies from around the world are examined. Childhood sexual abuse can involve a wide numbe...

  3. Market, Country and World Effects on Regional Equity Market Integration

    Directory of Open Access Journals (Sweden)

    Chee Wooi Hooy

    2014-08-01

    Full Text Available This study explores the fundamental driving forces of regional equity market integration in a trading bloc. The determinant factors are categorized into market attribute, economic fundamentals and world information. Our sample consists of 26 equity markets of ive regional trading blocs, namely AFTA, CER, EFTA, EU and NAFTA over the period of January 1999 to  August  2005.  We  measure  market  integration  based  on  pricing  errors  as  proposed  by Korajczyk (1996 and Levine and Zervos (1998. Using panel regressions, our results show that  equity  integration  in  these  trading  blocs  is  driven  internally,  where  only  individual-market  volatility  and  economic  fundamentals  play  a  signiicant  role  in  the  process.  Intra-bloc  trade  is  found  to  enhance  regional  equity  market  integration,  supporting  the  notion that  regional  convergence  extends  beyond  the  trade  sector  that  is  promoted  in  the  trade agreements.  We  also  document  regime  shifting  effects  during  stock  market  crises,  where most  of  these  markets  became  strongly  integrated  after  a  regional  crisis,  but  integration was signiicantly weakened during a crisis that affected the world markets. Also, the level of equity market integration differs across trading blocs, where the blocs with a smaller number of country members are relatively more integrated. ";} // -->activate javascript

  4. Alienation and Domestic Abuse: How Abused Women Cope with Loneliness

    Science.gov (United States)

    Arokach, Ami

    2006-01-01

    This study explored the manner in which abused women cope with loneliness. Eighty women, victims of domestic abuse, were compared to 84 women from the general population who have had no history of abusive relationships. A 34-item yes/no loneliness questionnaire was utilized in order to compare the "beneficial" ways of coping with loneliness in the…

  5. Echocardiographic Finding in Anabolic Steroids Abuser Athletics

    Directory of Open Access Journals (Sweden)

    B. Haji Moradi

    2006-01-01

    Full Text Available Introduction & Objective: Abuse of anabolic steroids in body builders and competitive sports (doping is common and prevalent in our country. Due to disagreement about cardiovascular side effects of these drugs and existing controversy in published articles, this study was designed to evaluate the echocardiographic finding in athletics who are current user of these drugs. Materials & Methods: Body builders with continues sport for preceding year and at least twice weekly selected and divided into steroid abuser and not abuser and compared with age and BMI matched non athletic healthy volunteers .Results: There was not significant difference in age, body mass index, ejection fraction, ventricular compliance and valve function between three groups. But diastolic size of septum and free wall is significantly thicker in both of athletics in comparison with non athletic volunteer but observed differences were only significant (Pvalue = 0.05 between first and third group. The difference between the above mentioned index was not significant between two groups of athleticConclusion: Observed differences in diastolic size of septum and free wall between first and third group and also absence of difference between two athletic groups is in favor of that long term abuse of anabolic steroid (more than one year results in augmentation of physiologic hypertrophy due to isometric exercise. Furthermore long term abuse and supra pharmacologic dose does not have significant effect in size and left ventricular function.

  6. Sexual abuse predicts functional somatic symptoms : An adolescent population study

    NARCIS (Netherlands)

    Bonvanie, Irma J.; van Gils, Anne; Janssens, Karin A. M.; Rosmalen, Judith G. M.

    2015-01-01

    The main aim of this study was to investigate the effect of childhood sexual abuse on medically not well explained or functional somatic symptoms (FSSs) in adolescents. We hypothesized that sexual abuse predicts higher levels of FSSs and that anxiety and depression contribute to this relationship. I

  7. A School Counselor's Guide to Reporting Child Abuse and Neglect

    Science.gov (United States)

    Sikes, April

    2008-01-01

    The process of reporting abuse can be challenging, traumatic, and at times, overwhelming. In order for school counselors to be effective helpers for children, it is essential that they know how to recognize and prevent child abuse and neglect. The purpose of this article is to provide professional school counselors with information they can use to…

  8. Solution-Focused Group Therapy for Level 1 Substance Abusers

    Science.gov (United States)

    Smock, Sara A.; Trepper, Terry S.; Wetchler, Joseph L.; McCollum, Eric E.; Ray, Rose; Pierce, Kent

    2008-01-01

    The present study compared solution-focused group therapy (SFGT) with a traditional problem-focused treatment for level 1 substance abusers. Outcome research on the effectiveness of solution-focused group therapy is minimal, especially in treating substance abusers. In the present study, clients were measured before and after treatment to…

  9. Project Iris - Caring for a sexually abused foster child.

    NARCIS (Netherlands)

    Wubs, Dorijn; Grietens, Hans; Batstra, Laura

    2014-01-01

    The traumatizing effects of child sexual abuse are generally acknowledged. Successfully fostering a child with a history of sexual abuse requires specific skills and knowledge. What expertise do foster families caring for these vulnerable children have? What do they need to succeed? What do foster c

  10. Abusive supervision and subordinates' organizational citizenship behavior.

    Science.gov (United States)

    Zellars, Kelly L; Tepper, Bennett J; Duffy, Michelle K

    2002-12-01

    The relationship between subordinates' perceptions of abusive supervision and supervisors' evaluations of subordinates' organizational citizenship behavior (OCB) was explored among a sample of 373 Air National Guard members and their military supervisors. As predicted, the relationship between abusive supervision and subordinates' OCB was stronger among subordinates who defined OCB as extra-role behavior (compared with those defining OCB as in-role behavior), and this effect was fully mediated by the interactive effect of procedural justice and OCB role definitions. The study's implications for theory and research are discussed, its limitations are identified, and directions for future research are suggested. PMID:12558214

  11. Child neglect and psychological abuse

    Science.gov (United States)

    ... or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ... can/identifying/. Accessed November 21, 2014. Read More Child abuse - physical Update Date 11/20/2014 Updated by: ...

  12. Child Abuse: The Hidden Bruises

    Science.gov (United States)

    ... AACAP Facts for Families Guide Skip breadcrumb navigation Child Abuse - The Hidden Bruises Quick Links Facts For Families ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ...

  13. Adolescent Relationship Abuse (ARA) Toolkit

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Adolescent Relationship Abuse (ARA) Toolkit provides information and strategies on how to: incorporate abuse prevention into programming; conduct staff...

  14. Substance Abuse Treatment Facilities Locator

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Substance Abuse and Mental Health Services Administration (SAMHSA) provides on-line resource for locating drug and alcohol abuse treatment programs. The...

  15. Childhood Sexual Abuse and Suicide

    Science.gov (United States)

    ... abused and controlling for other adversities. 1 o Victims of child sexual abuse were more likely to report having a psychiatric disorder in the last 12 months, which puts victims at a higher risk of a suicide attempt ...

  16. Substance Abuse and Mental Health

    Science.gov (United States)

    ... More Drugs and Alcohol Tobacco Learn More Substance Abuse and Mental Health Drugs and Alcohol Did you ... related topics from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Free Resources for parents and ...

  17. Substance abuse in later life.

    OpenAIRE

    D'Archangelo, E.

    1993-01-01

    Substance abuse affects an appreciable portion of the elderly population. Elderly people have characteristics that could hinder identification, diagnosis, intervention, and treatment of substance abuse. If physicians use strategies specific to the elderly, management is often successful.

  18. Work as An Effective Intervention Strategy and Rehabilitation Treatment Program for People Who Abuse Drugs And Alcohol%工作作为药物及酒精滥用者有效的干预策略和治疗方法

    Institute of Scientific and Technical Information of China (English)

    Lucy Wong-Hernandez; Daniel W. Wong; G. Ben Selby

    2006-01-01

    Despite years of interventions in the United States, substance abuse continues to be a major national problem in our society. For individuals affected, it can constitute a major disability and a decrease in quality of life. Current American societal expectations are that individuals who identify they are involved in substance abuse will go to treatment, eventually recover, get off public assistance straightaway, and return to work. Most rehabilitation professionals also maintain the same expectations. The reality is that efforts of prevention do not appear to diminish the number of people with substance abuse. Traditional treatment appears to have minimal, if any, influence upon the cessation of substance abuse, and traditional vocational rehabilitation practices appear unsuited for the unique problems and types of symptoms experienced by substance abusers. Creative, yet sound, alternatives that combine effective treatment strategies and non-traditional vocational rehabilitation methods need to be explored and tested for effectiveness, and applied.

  19. Testing cosmological models with the Integrated Sachs-Wolfe effect

    Energy Technology Data Exchange (ETDEWEB)

    Raccanelli, Alvise, E-mail: alvise.raccanelli@port.ac.uk [Institute of Cosmology and Gravitation, University of Portsmouth, Dennis Sciama Building, Portsmouth, PO1 3FX (United Kingdom)

    2011-02-01

    The cross correlation between the Cosmic Microwave Background and the Large Scale Structure of the Universe is a powerful probe to test our cosmological models. This correlation can be used to detect the Integrated Sachs-Wolfe effect, and it depends on both the geometry of the Universe and the properties of the clustering and evolution of structures; for this reason it can be used to test and constrain cosmological models and parameters as well as theories of gravity. In this proceeding we briefly introduce the ISW effect and present some of the recent cosmological tests done using it.

  20. Paradoxical neurobehavioral rescue by memories of early-life abuse: the safety signal value of odors learned during abusive attachment.

    Science.gov (United States)

    Raineki, Charlis; Sarro, Emma; Rincón-Cortés, Millie; Perry, Rosemarie; Boggs, Joy; Holman, Colin J; Wilson, Donald A; Sullivan, Regina M

    2015-03-01

    Caregiver-associated cues, including those learned in abusive attachment, provide a sense of safety and security to the child. Here, we explore how cues associated with abusive attachment, such as maternal odor, can modify the enduring neurobehavioral effects of early-life abuse. Two early-life abuse models were used: a naturalistic paradigm, where rat pups were reared by an abusive mother; and a more controlled paradigm, where pups underwent peppermint odor-shock conditioning that produces an artificial maternal odor through engagement of the attachment circuit. Animals were tested for maternal odor preference in infancy, forced swim test (FST), social behavior, and sexual motivation in adulthood-in the presence or absence of maternal odors (natural or peppermint). Amygdala odor-evoked local field potentials (LFPs) via wireless electrodes were also examined in response to the maternal odors in adulthood. Both early-life abuse models induced preference for the maternal odors in infancy. In adulthood, these early-life abuse models produced FST deficits and decreased social behavior, but did not change sexual motivation. Presentation of the maternal odors rescued FST and social behavior deficits induced by early-life abuse and enhanced sexual motivation in all animals. In addition, amygdala LFPs from both abuse animal models showed unique activation within the gamma frequency (70-90 Hz) bands in response to the specific maternal odor present during early-life abuse. These results suggest that attachment-related cues learned during infancy have a profound ability to rescue neurobehavioral dysregulation caused by early-life abuse. Paradoxically, abuse-associated cues seem to acquire powerful and enduring antidepressive properties and alter amygdala modulation.

  1. Effects of Persisting Emotional Impact from Child Abuse and Norepinephrine Transporter Genetic Variation on Antidepressant Efficacy in Major Depression: A Pilot Study

    Science.gov (United States)

    Singh, Ajeet Bhagat; Bousman, Chad A.; Ng, Chee Hong; Byron, Keith; Berk, Michael

    2015-01-01

    Objective Previous studies suggest child abuse and serotonergic polymorphism influence depression susceptibility and anti-depressant efficacy. Polymorphisms of the norepinephrine transporter (NET) may also be involved. Research in the area is possibly clouded by under reporting of abuse in researcher trials. Methods Adults (n=51) with major depressive disorder has 8 weeks treatment with escitalopram or venlafaxine. Abuse history was obtained, the ongoing emotional impact of which was measured with the 15-item impact of event scale (IES-15). The 17-item Hamilton Depression Rating Scale (HDRS) was applied serially. Two NET polymorphisms (rs2242446 and rs5569) were assayed, blinded to HDRS ratings and abuse history. Results No subjects reporting abuse with high impact in adulthood (IES-15 ≥26, n=12) remitted; whereas 77% reporting low impact (IES-15 <26; n=26) remitted (p<0.001). Subjects reporting high impact abuse (n=12) had a 50-fold (95% confidence interval=4.85–514.6) greater odds of carrying rs2242446-TT genotype, but the small sample size leaves this finding vulnerable to type I error. Conclusion The level of persisting impact of child abuse appears relevant to antidepressant efficacy, with susceptibility to such possibly being influence by NET rs2242446 polymorphism. Larger studies may be merited to expand on this pilot level finding given potential for biomarker utility. PMID:25912538

  2. Becoming Heroes: Teachers Can Help Abused Children.

    Science.gov (United States)

    Bancroft, Sharon

    1997-01-01

    Teachers can provide an effective counterbalance to the effects of an abusive home. They should not allow their skeptical attitudes, fear of liability, defensiveness about discipline, or religious and political affiliations to cloud their perceptions. Teachers can help hurting children by attending to their basic needs for warmth and security,…

  3. FISCAL EFFECTIVENESS UNDER REGIONAL ECONOMIC INTEGRATION: INDONESIAN AGRICULTURAL PERFORMANCE CASE

    Directory of Open Access Journals (Sweden)

    Nasrudin Nasrudin

    2013-04-01

    Full Text Available AbstractThis paper investigates the effectiveness of fiscal policy in boosting agricultural sector performance and seeks the most effective policy in the presence of regional economic integration. It predicts the effectiveness of fiscal policy on the agricultural sector performance in four periods; the new order regime, the economic crisis, and pre and post China Free Trade Area (CAFTA. It also predicts the impact of fiscal policy on agricultural sector performance when CAFTA is fully implemented. It finds that fiscal policy is more effective in the optimum allocation of expenditures. It also finds that the agricultural sector can grow faster when the portion of capital expenditure increases.Keywords: Fiscal effectiveness, economic integration, agricultureJEL Classification Numbers: E62, F15, Q17AbstrakMakalah ini menyelidiki efektivitas kebijakan fiskal dalam mendorong kinerja sektor pertanian dan mencari kebijakan yang paling efektif dengan adanya integrasi ekonomi regional. Makalah ini memprediksi efektivitas kebijakan fiskal dalam meningkatkan kinerja sektor pertanian dalam empat periode; rezim orde baru, krisis ekonomi, sebelum pelaksanaan China Free Trade Area (CAFTA, dan setelah pelaksanaan CAFTA. Makalah ini juga memprediksi dampak kebijakan fiskal terhadap kinerja sektor pertanian saat CAFTA sepenuhnya dilaksanakan. Hasil analisis menemukan bahwa kebijakan fiskal lebih efektif dalam alokasi optimal dari pengeluaran. Analisis juga menemukan bahwa sektor pertanian dapat tumbuh lebih cepat ketika porsi peningkatan belanja modal meningkat.Keywords: Efektivitas fiskal, integrasi ekonomi, pertanianJEL Classification Numbers: E62, F15, Q17

  4. Maximizing Effectiveness Trials in PTSD and SUD Through Secondary Analysis: Benefits and Limitations Using the National Institute on Drug Abuse Clinical Trials Network "Women and Trauma" Study as a Case Example.

    Science.gov (United States)

    Hien, Denise A; Campbell, Aimee N C; Ruglass, Lesia M; Saavedra, Lissette; Mathews, Abigail G; Kiriakos, Grace; Morgan-Lopez, Antonio

    2015-09-01

    Recent federal legislation and a renewed focus on integrative care models underscore the need for economical, effective, and science-based behavioral health care treatment. As such, maximizing the impact and reach of treatment research is of great concern. Behavioral health issues, including the frequent co-occurrence of substance use disorders (SUD) and posttraumatic stress disorder (PTSD), are often complex, with a myriad of factors contributing to the success of interventions. Although treatment guides for comorbid SUD/PTSD exist, most patients continue to suffer symptoms following the prescribed treatment course. Further, the study of efficacious treatments has been hampered by methodological challenges (e.g., overreliance on "superiority" designs (i.e., designs structured to test whether or not one treatment statistically surpasses another in terms of effect sizes) and short term interventions). Secondary analyses of randomized controlled clinical trials offer potential benefits to enhance understanding of findings and increase the personalization of treatment. This paper offers a description of the limits of randomized controlled trials as related to SUD/PTSD populations, highlights the benefits and potential pitfalls of secondary analytic techniques, and uses a case example of one of the largest effectiveness trials of behavioral treatment for co-occurring SUD/PTSD conducted within the National Drug Abuse Treatment Clinical Trials Network (NIDA CTN) and producing 19 publications. The paper concludes with implications of this secondary analytic approach to improve addiction researchers' ability to identify best practices for community-based treatment of these disorders. Innovative methods are needed to maximize the benefits of clinical studies and better support SUD/PTSD treatment options for both specialty and non-specialty healthcare settings. Moving forward, planning for and description of secondary analyses in randomized trials should be given equal

  5. 'Racist abuse ruined my life'.

    Science.gov (United States)

    Purves, Rosie

    Rosie Purves, a black nurse who was prevented from looking after a white baby, won a racial discrimination claim against her employer in May this year. Ms Purves was awarded pounds sterling 20,000--the highest payout possible for her type of claim--after an employment tribunal ruled that Southampton University Hospitals NHS Trust was 'effectively silent and complicit' in the racist demands made by a woman who did not want her baby treated by black staff. Here Ms Purves tells Nursing Times her harrowing story of how for seven years she suffered this abuse in silence.

  6. Interpreting the Computer Fraud and Abuse Act

    OpenAIRE

    Lee Goldman

    2012-01-01

    Computers play an integral role in today’s society.  While computers provide many benefits, they are increasingly used as tools for wrongdoing, causing estimated losses of billions of dollars each year. Computer hackers can, among other things, fraudulently alter accounts, steal business or personal information, and corrupt or disable computer systems.  Congress enacted and has repeatedly amended the Computer Fraud and Abuse Act (“CFAA”) to combat the increasing proliferation of computer crim...

  7. PET IMAGING STUDIES IN DRUG ABUSE RESEARCH.

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, J.S.; Volkow, N.D.; Ding, Y.S.; Logan, J.; Wang, G.J.

    2001-01-29

    There is overwhelming evidence that addiction is a disease of the brain (Leshner, 1997). Yet public perception that addiction is a reflection of moral weakness or a lack of willpower persists. The insidious consequence of this perception is that we lose sight of the fact that there are enormous medical consequences of addiction including the fact that a large fraction of the total deaths from cancer and heart disease are caused by smoking addiction. Ironically the medical school that educates physicians in addiction medicine and the cancer hospital that has a smoking cessation clinic are vanishingly rare and efforts at harm reduction are frequently met with a public indignation. Meanwhile the number of people addicted to substances is enormous and increasing particularly the addictions to cigarettes and alcohol. It is particularly tragic that addiction usually begins in adolescence and becomes a chronic relapsing problem and there are basically no completely effective treatments. Clearly we need to understand how drugs of abuse affect the brain and we need to be creative in using this information to develop effective treatments. Imaging technologies have played a major role in the conceptualization of addiction as a disease of the brain (Fowler et al., 1998a; Fowler et al., 1999a). New knowledge has been driven by advances in radiotracer design and chemistry and positron emission tomography (PET) instrumentation and the integration of these scientific tools with the tools of biochemistry, pharmacology and medicine. This topic cuts across the medical specialties of neurology, psychiatry, cancer and heart disease because of the high medical, social and economic toll that drugs of abuse, including and especially the legal drugs, cigarettes and alcohol, take on society. In this chapter we will begin by highlighting the important role that chemistry has played in making it possible to quantitatively image the movement of drugs as well as their effects on the human brain

  8. Substance abuse and criminal behavior.

    Science.gov (United States)

    Bradford, J M; Greenberg, D M; Motayne, G G

    1992-09-01

    As forensic psychiatry develops as a clinical subspecialty, clinical skill in understanding, treating, and predicting violent behavior will become more important. This article addresses the importance of understanding the relationship between substance abuse and violent behavior. This article also discusses morbidity and mortality in substance abuse, the demographics of substance abuse and criminality, and the clinical aspects of the forensic psychiatric evaluation.

  9. Geriatric Alcoholism and Drug Abuse

    Science.gov (United States)

    Schuckit, Marc A.

    1977-01-01

    This paper reviews the literature and presents new data on alcohol and drug problems in older individuals. Drug abusers include users of opiates, inadvertent misusers, and deliberate abusers of nonopiates. Two to 10 percent of the elderly are alcoholic, and these are usually individuals beginning alcohol abuse after age 40. (Author)

  10. Israeli Perspectives on Elder Abuse

    Science.gov (United States)

    Rabi, Keren

    2006-01-01

    Despite the prevailing agreement among researchers that the increasing rate of elder abuse in Israel is relatively understudied, not sufficiently identified, and not appropriately addressed, literature on elderly abuse in the Israeli society remains limited. The common discourse on aging, eldercare, and elder abuse and neglect, mainly revolves…

  11. Commentary: Gender, Disability, and Abuse.

    Science.gov (United States)

    Goldson, Edward J.

    1997-01-01

    This commentary discusses the research article "Gender Differences in Abused Children with and without Disabilities" (Sobsey and others) that follows, which found that children with disabilities are at greater risk for being maltreated, that boys are more frequently abused, and that boys with disabilities are sexually abused more frequently than…

  12. Cognitive and Emotional Differences between Abusive and Non-Abusive Fathers

    Science.gov (United States)

    Francis, Karen J.; Wolfe, David A.

    2008-01-01

    Objective: Abusive fathers perpetrate a substantial portion of child physical abuse. Despite this, little is known about how they differ from non-abusive fathers. This study compared a broad range of cognitive and affective factors between physically abusive and non-abusive fathers. Methods: Abusive (n = 24) and non-abusive (n = 25) fathers…

  13. On the interaction between drugs of abuse and adolescent social behavior

    NARCIS (Netherlands)

    Trezza, V.; Baarendse, P.J.J.; Vanderschuren, L.J.M.J.

    2014-01-01

    Rationale Social factors influence drug abuse. Conversely, drugs of abuse alter social behavior. This is especially pertinent during post-weaning development, when there are profound changes in the social repertoire, and the sensitivity to the positive and negative effects of drugs of abuse is alter

  14. Childhood abuse, the BDNF-Val66Met polymorphism and adult psychotic-like experiences

    OpenAIRE

    Alemany, Silvia; Arias Sampériz, Bárbara; Aguilera, Mari; Villa Martín, Elena; Moya Higueras, Jorge; Ibáñez Ribes, Manuel Ignacio; Vossen, Helen; Gastó, Cristóbal; Ortet i Fabregat, Generós; Fañanás Saura, Lourdes

    2011-01-01

    Individuals exposed to childhood abuse are more likely to report positive psychotic-like experiences. Met carriers reported more positive psychotic-like experiences when exposed to childhood abuse than did individuals carrying the Val/Val genotype. Therefore, the observed gene–environment interaction effect may be partially responsible for individual variation in response to childhood abuse.

  15. Keeping Kids Safe: A Child Sexual Abuse Prevention Manual. Second Edition.

    Science.gov (United States)

    Tobin, Pnina; Kessner, Sue Levinson

    The material in this book is intended to provide a review of information regarding child abuse prevention. It is divided into two sections. Part 1, The Facilitator's Guide, contains background information on child sexual abuse, with a particular emphasis on the dynamics of incest and other sexual abuse and their effects on the child. It presents a…

  16. Parenting in Females Exposed to Intimate Partner Violence and Childhood Sexual Abuse

    Science.gov (United States)

    Jaffe, Anna E.; Cranston, Christopher C.; Shadlow, Joanna O.

    2012-01-01

    Child sexual abuse and intimate partner violence may have a significant impact on parenting. The current study expands on existing research by examining the effects of child sexual abuse and intimate partner violence on parenting styles and parenting self-efficacy. In women from a parenting intervention program (n = 20), child sexual abuse was…

  17. Linking child maltreatment history with child abuse potential: Relative roles of maltreatment types

    OpenAIRE

    Mitkovic-Voncina Marija; Lecic-Tosevski Dusica; Pejovic-Milovancevic Milica; Popovic-Deusic Smiljka

    2014-01-01

    The independent roles of each childhood maltreatment type on child abuse potential in adults have been insufficiently explored and are inconsistent, with dissociation as one of the possible suggested mediators of intergenerational child abuse. We investigated these effects among 164 non-clinical adult parents, who filled in general questionnaires: Childhood Trauma Questionnaire (CTQ), Child Abuse Potential Inventory (CAPI) and Dissociative Experience Scale ...

  18. Animal abuse and exposure to interparental violence in Italy: assessing the cycle of violence in youngsters

    NARCIS (Netherlands)

    Baldry, A.C.

    2004-01-01

    Abuse against animals is an indicator of children’s maladjustment associated with domestic violence. This study empirically assesses the effects of exposure to interparental violence on animal abuse in 1,392 Italian youth aged 9 to 17. Results indicate that half of all youth ever abused animals, wit

  19. Animal abuse and exposure to interparental violence in Italy: assessing the cycle of Violence in youngsters.

    NARCIS (Netherlands)

    Baldry, A.C.

    2003-01-01

    Abuse against animals is an indicator of children’s maladjustment associated with domestic violence. This study empirically assesses the effects of exposure to interparental violence on animal abuse in 1,392 Italian youth aged 9 to 17. Results indicate that half of all youth ever abused animals, wit

  20. The Prevention of Sexual Abuse: An Evaluation of "Talking about Touching."

    Science.gov (United States)

    Madak, Paul R.; Berg, Dale H.

    1992-01-01

    Evaluated "Talking about Touching" program (designed to increase children's knowledge about sexual abuse, ways to resist abuse, and where to get help) in five elementary schools. Found that children made statistically significant gains in knowledge about sexual abuse, teachers felt the program was needed and had few negative side effects, and…