Addiction treatment providers’ perceptions of publicly-funded treatment services in the Western Cape,South Africa

This study explored addiction treatment implementation effectiveness of publicly-funded services in the Western Cape, South Africa, as perceived by service providers. Informants were six service providers from state-subsidised and public outpatient treatment services for substance use disorders (SUDs) (social workers = 4, registered counsellor = 1, psychologist = 1). Data were collected using semi-structured interviews and analysed by means of thematic analysis. The three themes that emerged from the analysis pertained to addiction treatment providers’ perceptions of the effectiveness of treatment services, lack of aftercare services, and service access and participation. Findings highlight sites for interventions to enhance the provision of publicly-funded evidence-based treatment services for SUDs in South Africa; enabling recipients to yield the well-established benefits of treatment.     

Tool use in neurodegenerative diseases: Planning or technical reasoning?

Recent works showed that tool use can be impaired in stroke patients because of either planning or technical reasoning deficits, but these two hypotheses have not yet been compared in the field of neurodegenerative diseases. The aim of this study was to address the relationships between real tool use, mechanical problem‐solving, and planning skills in patients with Alzheimer's disease (AD, n = 32), semantic dementia (SD, n = 16), and corticobasal syndrome (CBS, n = 9). Patients were asked to select and use ten common tools, to solve three mechanical problems, and to complete the Tower of London test. Motor function and episodic memory were controlled using the Purdue Pegboard Test and the BEC96 questionnaire, respectively. A data‐transformation method was applied to avoid ceiling effects, and single‐case analysis was performed based on raw scores and completion time. All groups demonstrated either impaired or slowed tool use. Planning deficits were found only in the AD group. Mechanical problem‐solving deficits were observed only in the AD and CBS groups. Performance in the Tower of London test was the best predictor of tool use skills in the AD group, suggesting these patients had general rather than mechanical problem‐solving deficits. Episodic memory seemed to play little role in performance. Motor dysfunction tended to be associated with tool use skills in CBS patients, while tool use disorders are interpreted as a consequence of the semantic loss in SD in line with previous works. These findings may encourage caregivers to set up disease‐centred interventions.     

Information and Communication Technology in the Work of Catholic Priests

ABSTRACT

This article presents data gathered in a doctoral study, the aim of which was to identify information needs and behavior patterns of Croatian Catholic priests for pastoral work. Results of the research focus only on the role of information and communication technology and using electronic sources by the priests in the liturgy and caregiving role. The research was conducted using quantitative and qualitative methodology (print questionnaires and semi-structured interviews). A total of 327 respondents took part in the quantitative study and twenty respondents were interviewed. Although research results showed that many respondents are not very familiar with the information and communication technology, most of them still occasionally use computers for making documents and consult the Internet for finding religious information in pastoral work. Computers and the Internet to a larger degree are used by younger and well-educated priests who have the least experience regarding management of the parishes in major locations. Since the results indicated that parish priests mostly seek religious and secular information on the Internet, it is recommended that the Catholic Church in Croatia offer them increased electronic resources for pastoral work.     

Posttraumatic stress severity is associated with coping motives for alcohol use among in-patient and community recruited adolescents

Background and Objectives: A growing body of work suggests individuals with more severe post-traumatic stress symptoms (PTSS) are at higher risk for developing problematic alcohol use outcomes. Extending work from the adult literature, the present study was the first to examine the extent to which PTSS is related to drinking motives for alcohol use in both clinical and non-clinical samples of adolescents.

Design: Hierarchical regression analyses were used to predict coping motives for alcohol use from PTSS, above and beyond demographic variables, alcohol use frequency, and other alcohol use motives.

Methods: Trauma-exposed adolescents before entering treatment (Sample 1 n?=?41) and recruited from the local community (Sample 2 n?=?55) self-reported on PTSS and alcohol use motives.

Results: PTSS positively predicted coping motives for alcohol use after controlling for age, gender, and alcohol use frequency.

Conclusions: The current study highlights the need to consider both PTSS severity, as well as underlying cognitive mechanisms (e.g., motives), to better understand the etiology of problematic alcohol use among trauma-exposed youth. Future work focused on clarifying the trajectory of alcohol use motives and problems as a function of PTSS is needed.     

The Role of Functions of Aggression in Associations Between Behavioral Inhibition and Activation and Mental Health Outcomes

While the behavioral acitivation system (BAS) has been most consistently linked to externalizing behaviors, the behavioral inhibition system (BIS) has been more closely related to internalizing outcomes. Proactive and reactive aggression have demonstrated a similar pattern of association, with proactive aggression more closely linked to externalizing behavior and reactive aggression more consistently linked to internalizing symptoms. Despite theoretical links, few studies have examined associations between these constructs. Accordingly, the current study examined associations between the BAS and BIS and proactive and reactive aggression, and the role of proactive and reactive aggression in the link between the BAS and BIS and mental health outcomes. The BAS was associated with both proactive and reactive aggression, while the BIS was uniquely related to reactive aggression. Both proactive and reactive aggression appear to be playing a role in associations between the BAS and indicated mental health outcomes. Implications and future directions are discussed.     

Motives and Consequences of Alcohol Use in People With Social Anxiety Disorder: A Daily Diary Study

People with social anxiety disorder (SAD) are at increased risk for alcohol-related problems. Most research exploring social anxiety and alcohol use has examined negative drinking consequences, with less consideration of positive consequences—namely positive social experiences—that may reinforce alcohol use. In this daily diary study, we examined how adults diagnosed with SAD (N = 26) and a psychologically healthy control group (N = 28) experienced positive drinking consequences in naturally occurring drinking episodes during the study period. For 14 consecutive days, participants answered questions about alcohol use, motives for drinking, and positive consequences of drinking. On days when participants drank, those with SAD were more likely than healthy controls to perceive a reduction in anxiety, but the two groups did not differ in their likelihood of experiencing positive social drinking consequences. For both groups, on days when they were more motivated to drink to enhance social experiences (affiliation motives) or cope with distress (coping motives), they were more likely to obtain positive consequences from drinking. Compared to controls, participants with SAD endorsed stronger trait and daily coping motives (anxiety-coping, social anxiety-coping, and depression-coping). Results are discussed in the context of reinforcement mechanisms that may maintain social anxiety and alcohol use.     

药物成瘾者相关线索反应的自动化用药行为特征及其消退

采用ERP技术考察海洛因成瘾者相关线索下的用药行为的性质和神经机制, 在此基础上结合虚拟现实技术(VR)和途径偏向矫正训练(AAT), 探究基于“相关线索-习惯性用药”联结的自动化用药行为的动作消退、替代训练的有效性。研究发现, (1)相比对照线索, 成瘾者在相关线索下的反应时更长, N1波幅更小, N1潜伏期更短; 相比对照组被试, 成瘾者在相关线索下的行为任务的正确率更低, 反应时更长, N1波幅更小; N1波幅的组间组内差异和潜伏期的组内差异主要集中在中央区。(2)结合VR技术的途径偏向矫正训练后, 训练组被试的生理指标和途径偏向系数显著降低, 且显著低于对照组被试; 追踪测试中, 训练组被试的分数显著低于对照组。这表明相关线索下成瘾者的用药行为具有自动化、无意识的性质, 感觉运动区N1的异常活动是其神经机制之一。VR提取用药动作记忆-AAT消退替代训练, 可以有效削弱或消退成瘾者的成瘾动作倾向, 而且训练效果持续性较好, 可达到减少或停止现实情境中的用药和复吸行为的目的。     

Why people fail to bike the talk: Car dependence as a barrier to cycling

Antecedent conditions of cycling have been extensively studied, yet barriers that prevent individuals from choosing bicycle transportation are less known. The present study, conducted on a sample of individuals who were both cyclists and drivers (N = 280), investigated whether dependence on car transportation significantly reduces cycling frequency. It also assessed the predictive validity of a larger set of cycling determinants that included moral, objective environmental, demographic and car-related variables. Responses were analyzed using a structural equation modeling approach. Results show that moral considerations do little to predict cycling frequency and that car-related factors such as perceived behavioral control to reduce car use (β = 0.28) and car use habits (β = -0.27) have the strongest predictive power. Objective environmental factors such as temperature (β = -0.13) and altitude (β = -0.15) or demographic factors such as gender (β = 0.19) were also significant predictors of cycling frequency. The present study highlights a new perspective of understanding cycling behavior and pleads for the inclusion of car-related factors in its future conceptualizations and interventions to encourage it.