Journal of Dual Diagnosis, 16(2), 2020, pp.191-207.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
Objective: Depression is the most common psychiatric comorbidity among people with opioid use disorders (OUDs). However, whether and how comorbid depression is associated with the outcomes of opioid agonist therapy (OAT) remains poorly understood. The objective of this review was to identify and describe the association between depression and main outcomes (opioid use and treatment retention)
(Edited publisher abstract)
Objective: Depression is the most common psychiatric comorbidity among people with opioid use disorders (OUDs). However, whether and how comorbid depression is associated with the outcomes of opioid agonist therapy (OAT) remains poorly understood. The objective of this review was to identify and describe the association between depression and main outcomes (opioid use and treatment retention) of methadone and buprenorphine treatment among people with OUDs. Methods: A literature review was conducted by searching five electronic databases (MEDLINE, PubMed, Embase, Evidence-Based Medicine Reviews [EBMR], and Cumulative Index of Nursing and Allied Health Literature [CINAHL] Complete) from January 1970 to April 2019. Two independent reviewers screened titles and abstracts of the identified records by using pre-established eligibility criteria. Next, full texts were reviewed and studies that met inclusion criteria were selected. Finally, a descriptive synthesis of extracted data was performed. Results: In total, 12,296 records were identified and 18 studies that met inclusion criteria were retained. Of these, six studies reported reduced opioid use and seven reported increased opioid use during methadone or buprenorphine treatment. In addition, three studies reported an increased retention rate and four documented a decreased retention rate during methadone or buprenorphine treatment. The remaining studies did not find any significant association between depression and opioid use or treatment retention. Overall, the evidence did not demonstrate a consistent association between depression and outcomes of methadone or buprenorphine treatment. Conclusions: Although the inconsistent nature of the current evidence prohibited us from drawing definitive conclusions, the authors posit that the presence of depression among OUDs patients may not always predict negative outcomes related to retention and drug use during the course of OAT. Particularly, the hypothesis that adequate treatment of depression can improve treatment retention is promising and is in line with the call for increased efforts to provide integrated care for comorbid mental health disorders and addiction. Future studies with rigorous methodology are essential to better characterize the complex interplay between depression, OAT, and OUDs.
(Edited publisher abstract)
Subject terms:
depression, drug misuse, therapy and treatment, literature reviews, comorbidity;
BERLIN Ivan, COVEY Lirio S., GLASSMAN Alexander H.
Journal article citation:
Journal of Dual Diagnosis, 5(2), April 2009, pp.149-158.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
This literature review, based on searches of PubMed for a ten year period, shows that depression (defined as depressive mood, major depressive disorder or negative affect) increases the risk of smoking, and vice versa. The relationship between depression and smoking cessation is less clear, with some clinical and epidemiological studies concluding that depression has an impact on the ability to quit and others showing no such association. Research has also strongly suggested that commonality in genetic and environmental factors underlies the co-morbidity of smoking and depression, although the specific mechanisms have yet to be identified. The authors conclude that the relationship between depression and smoking is firmly established and that reciprocal relationships between the two are strongly suggested although requiring further investigation.
This literature review, based on searches of PubMed for a ten year period, shows that depression (defined as depressive mood, major depressive disorder or negative affect) increases the risk of smoking, and vice versa. The relationship between depression and smoking cessation is less clear, with some clinical and epidemiological studies concluding that depression has an impact on the ability to quit and others showing no such association. Research has also strongly suggested that commonality in genetic and environmental factors underlies the co-morbidity of smoking and depression, although the specific mechanisms have yet to be identified. The authors conclude that the relationship between depression and smoking is firmly established and that reciprocal relationships between the two are strongly suggested although requiring further investigation.
Subject terms:
literature reviews, smoking, depression, dual diagnosis, comorbidity;
Journal of Aggression Maltreatment and Trauma, 30(8), 2021, pp.1093-1112.
Publisher:
Taylor and Francis
Recently published research has revealed that people with Autism Spectrum Disorder (ASD) are more likely to have multiple adverse childhood experiences (ACEs) than neurotypical peers. Little is known however about how such traumas and ASD are associated, the impact of ACEs on people with ASD and their families, and how such comorbidities are best treated. The purpose of the current review was to broadly summarize current literature across disciplines related to adverse childhood or traumatic experiences and ASD. Articles included in this review were: (a) published in peer-reviewed journals between 2008 and 2018, (b) available in English, and (c) included the terms, ACEs, adversity or trauma, and autism. Forty-five articles met search criteria and are presented by theme. Themes include; ACEs and ASD, Trauma and ASD, Trauma and ASD traits, Prenatal Risk, Caretaker Burden and Resilience, and Providing Services. Results indicate that trauma may have cumulative lifelong and intergenerational impacts on people with ASD and their families. Treatment recommendations and adaptations to evidence-based interventions for this population were largely speculative and need further development and rigorous evaluation. Clinical recommendations are cautiously presented, and focus on prevention of cumulative trauma in people with ASD and their families across the lifespan.
(Edited publisher abstract)
Recently published research has revealed that people with Autism Spectrum Disorder (ASD) are more likely to have multiple adverse childhood experiences (ACEs) than neurotypical peers. Little is known however about how such traumas and ASD are associated, the impact of ACEs on people with ASD and their families, and how such comorbidities are best treated. The purpose of the current review was to broadly summarize current literature across disciplines related to adverse childhood or traumatic experiences and ASD. Articles included in this review were: (a) published in peer-reviewed journals between 2008 and 2018, (b) available in English, and (c) included the terms, ACEs, adversity or trauma, and autism. Forty-five articles met search criteria and are presented by theme. Themes include; ACEs and ASD, Trauma and ASD, Trauma and ASD traits, Prenatal Risk, Caretaker Burden and Resilience, and Providing Services. Results indicate that trauma may have cumulative lifelong and intergenerational impacts on people with ASD and their families. Treatment recommendations and adaptations to evidence-based interventions for this population were largely speculative and need further development and rigorous evaluation. Clinical recommendations are cautiously presented, and focus on prevention of cumulative trauma in people with ASD and their families across the lifespan.
(Edited publisher abstract)
Subject terms:
literature reviews, autism, traumas, adverse childhood experiences, comorbidity, treatment;
Mental Health Review Journal, 23(3), 2018, pp.165-184.
Publisher:
Emerald
Purpose: The purpose of this paper is to delineate the overall theoretical framework on the topic of internet addiction through the comprehensive narrative review to make readers aware of the conceptual growth and development in the respective field. The paper evolves theoretically from the historical foundation, phenomenology, clinical feature, etiological model to the treatment outcome of internet addiction. Multiple studies have been done in the field of mental health but dearth of work given head to toe theoretical overview for understanding of this trendsetter research area in mental health. Design/methodology/approach: Extensive review of literature has been carried out to make a systematic layout for conceptual paper. Findings: The internet has been a source of gratification for several behavioural addictions as well as psychiatric disorders. Mainly because of the lack of established diagnostic criteria and a dearth of large sample surveys, the prevalence of problematic internet use (PIU) in general population has not been established. Still, from all the consolidated data, PIU seems to have a male preponderance and manifests itself in late adulthood. Symptoms of PIU can easily be masked with signs of dependence, tolerance and withdrawal which is quite similar to the phenomenology of substance addiction. Psychiatric co-morbidities are more of a norm than the exception in case of PIU. Even though the clinical status of PIU is doubtful, still there is a significant demand for its treatment all over the world. Overall, the excessive use of internet has been strongly debated in literature from PIU to a positive addiction. Only time will tell how it affects our civilization as a phenomenon of evolutionary significance. Originality/value: The paper is providing a general conceptual framework for internet addiction/PIU to enable readers to know about the topic in depth from the evolution of the concept to the recent developments in the area.
(Edited publisher abstract)
Purpose: The purpose of this paper is to delineate the overall theoretical framework on the topic of internet addiction through the comprehensive narrative review to make readers aware of the conceptual growth and development in the respective field. The paper evolves theoretically from the historical foundation, phenomenology, clinical feature, etiological model to the treatment outcome of internet addiction. Multiple studies have been done in the field of mental health but dearth of work given head to toe theoretical overview for understanding of this trendsetter research area in mental health. Design/methodology/approach: Extensive review of literature has been carried out to make a systematic layout for conceptual paper. Findings: The internet has been a source of gratification for several behavioural addictions as well as psychiatric disorders. Mainly because of the lack of established diagnostic criteria and a dearth of large sample surveys, the prevalence of problematic internet use (PIU) in general population has not been established. Still, from all the consolidated data, PIU seems to have a male preponderance and manifests itself in late adulthood. Symptoms of PIU can easily be masked with signs of dependence, tolerance and withdrawal which is quite similar to the phenomenology of substance addiction. Psychiatric co-morbidities are more of a norm than the exception in case of PIU. Even though the clinical status of PIU is doubtful, still there is a significant demand for its treatment all over the world. Overall, the excessive use of internet has been strongly debated in literature from PIU to a positive addiction. Only time will tell how it affects our civilization as a phenomenon of evolutionary significance. Originality/value: The paper is providing a general conceptual framework for internet addiction/PIU to enable readers to know about the topic in depth from the evolution of the concept to the recent developments in the area.
(Edited publisher abstract)
Subject terms:
addiction, internet, literature reviews, substance misuse, comorbidity, behaviour problems, mental health problems;
Journal of Dual Diagnosis, 11(3-4), 2015, pp.217-232.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
Objective: To review the current literature on continuity of care in the treatment of people with dual diagnosis. In particular, the review set out to clarify how continuity of care has been defined, applied, and assessed in treatment and to enhance its application in both research and clinical practice. Methods: To identify articles for review, the term “continuity” and combinations of “substance” and “treatment” were searched in electronic databases. The search was restricted to quantitative articles published in English after 1980. Papers were required to discuss “continuity” in treatment samples that included a proportion of patients with a dual diagnosis. Results: A total of 18 non-randomized studies met the inclusion criteria. Analysis revealed six core types of continuity in this treatment context: continuity of relationship with provider(s), continuity across services, continuity through transfer, continuity as regularity and intensity of care, continuity as responsive to changing patient need, and successful linkage of the patient. Patient age, ethnicity, medical status, living status, and the type of mental health and/or substance use disorder influenced the continuity of care experienced in treatment. Some evidence suggested that achieving continuity of care was associated with positive patient and treatment-related outcomes. Conclusions: This review summarises how continuity of care has been understood, applied, and assessed in the literature to date. Findings provide a platform for future researchers and service providers to implement and evaluate continuity of care in a consistent manner and to determine its significance in the treatment of people with a dual diagnosis.
(Edited publisher abstract)
Objective: To review the current literature on continuity of care in the treatment of people with dual diagnosis. In particular, the review set out to clarify how continuity of care has been defined, applied, and assessed in treatment and to enhance its application in both research and clinical practice. Methods: To identify articles for review, the term “continuity” and combinations of “substance” and “treatment” were searched in electronic databases. The search was restricted to quantitative articles published in English after 1980. Papers were required to discuss “continuity” in treatment samples that included a proportion of patients with a dual diagnosis. Results: A total of 18 non-randomized studies met the inclusion criteria. Analysis revealed six core types of continuity in this treatment context: continuity of relationship with provider(s), continuity across services, continuity through transfer, continuity as regularity and intensity of care, continuity as responsive to changing patient need, and successful linkage of the patient. Patient age, ethnicity, medical status, living status, and the type of mental health and/or substance use disorder influenced the continuity of care experienced in treatment. Some evidence suggested that achieving continuity of care was associated with positive patient and treatment-related outcomes. Conclusions: This review summarises how continuity of care has been understood, applied, and assessed in the literature to date. Findings provide a platform for future researchers and service providers to implement and evaluate continuity of care in a consistent manner and to determine its significance in the treatment of people with a dual diagnosis.
(Edited publisher abstract)
Subject terms:
literature reviews, continuity of care, dual diagnosis, treatment, mental health problems, substance misuse, comorbidity;
International Journal of Geriatric Psychiatry, 25(12), December 2010, pp.1230-1238.
Publisher:
Wiley
A selective review of English language literature focusing on the epidemiology of suicide among older people was conducted. Papers were selected for their ability to shed light on the potential for prevention and practice from public health perspectives. The study found that whilst the majority of older people who commit suicide have major depression, suicide seems to be due to a combination of personality factors and co-morbidities, including chronic pain and disablement. It also found that there is little information about the involvement of older people in risk reduction or about harm minimisation approaches at patient and public participation levels. The authors conclude that practitioners need to be aware of risk factors for suicide in later life, and that public health approaches combined with practitioners' experiences of older people at risk may help minimise the risks of suicide in later life.
A selective review of English language literature focusing on the epidemiology of suicide among older people was conducted. Papers were selected for their ability to shed light on the potential for prevention and practice from public health perspectives. The study found that whilst the majority of older people who commit suicide have major depression, suicide seems to be due to a combination of personality factors and co-morbidities, including chronic pain and disablement. It also found that there is little information about the involvement of older people in risk reduction or about harm minimisation approaches at patient and public participation levels. The authors conclude that practitioners need to be aware of risk factors for suicide in later life, and that public health approaches combined with practitioners' experiences of older people at risk may help minimise the risks of suicide in later life.
Subject terms:
literature reviews, older people, prevention, public health, risk, suicide, comorbidity;
This review examines the evidence for a causal association between substance abuse and schizophrenia, and to discuss possible underlying mechanisms. The search strategy included a keyword search using the following sources: Medline, Embase and Psychlit. Articles were selected on the basis of key words and hand search of the reference lists within these papers. The results found an undeniable association between abuse of certain drugs and schizophrenia. More particularly, studies indicate that use of psychostimulants such as amphetamines and cocaine, as well as cannabis, increase the likelihood of developing schizophrenia. Animal and human research indicates that repeated exposure to these drugs can lead to a sensitization of dopamine transmission similar to that observed in patients with schizophrenia.
This review examines the evidence for a causal association between substance abuse and schizophrenia, and to discuss possible underlying mechanisms. The search strategy included a keyword search using the following sources: Medline, Embase and Psychlit. Articles were selected on the basis of key words and hand search of the reference lists within these papers. The results found an undeniable association between abuse of certain drugs and schizophrenia. More particularly, studies indicate that use of psychostimulants such as amphetamines and cocaine, as well as cannabis, increase the likelihood of developing schizophrenia. Animal and human research indicates that repeated exposure to these drugs can lead to a sensitization of dopamine transmission similar to that observed in patients with schizophrenia.
Subject terms:
literature reviews, psychoses, schizophrenia, substance misuse, addiction, dual diagnosis, comorbidity;
Journal of Clinical Nursing, 29(9-10), 2020, pp.1457-1476.
Publisher:
John Wiley and Sons
Aim: To explore recent research on care coordination interventions for people living with multimorbidity, from the perspective of the person receiving care. Background: Care coordination interventions for people living with multimorbidity show some effectiveness in improving management of their health and reducing potentially preventable hospitalisations. The experience of people enrolled in care coordination interventions requires further exploration. Design: State‐of‐the‐art review. Methods: A review was guided by the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) checklist where five databases (The Cochrane Library, PsycINFO, Scopus, CINAHL and MEDLINE) were searched for qualitative sources published from January 2008–March 2019. Two additional databases focused on multimorbidity and integrated care were included in the search. Titles, abstracts and full texts were screened using inclusion criteria. Reference lists of the included articles were hand‐searched. Summary tables were developed for data extraction, and the data were mapped to the research question. Results: Eighteen primary research articles were included. Three themes of participant experience were identified: (a) relationships built on trust, (b), a sense of safety and security and (c) feeling cared for and respected. Conclusion: The contribution of qualitative approaches to evaluating the experiences of care for people living with multimorbidity is growing. Participants’ describe a focus on relationships formed with healthcare professionals during care coordination. Further research incorporating lived experiences of participants could illuminate these concepts further. Relevance to clinical practice: People living with multimorbidity who require assistance via care coordination value trusting relationships with healthcare professionals, who respect their needs and provide a sense of security. Understanding participant experiences is important to shape care coordination interventions that incorporate person‐centred approaches.
(Edited publisher abstract)
Aim: To explore recent research on care coordination interventions for people living with multimorbidity, from the perspective of the person receiving care. Background: Care coordination interventions for people living with multimorbidity show some effectiveness in improving management of their health and reducing potentially preventable hospitalisations. The experience of people enrolled in care coordination interventions requires further exploration. Design: State‐of‐the‐art review. Methods: A review was guided by the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) checklist where five databases (The Cochrane Library, PsycINFO, Scopus, CINAHL and MEDLINE) were searched for qualitative sources published from January 2008–March 2019. Two additional databases focused on multimorbidity and integrated care were included in the search. Titles, abstracts and full texts were screened using inclusion criteria. Reference lists of the included articles were hand‐searched. Summary tables were developed for data extraction, and the data were mapped to the research question. Results: Eighteen primary research articles were included. Three themes of participant experience were identified: (a) relationships built on trust, (b), a sense of safety and security and (c) feeling cared for and respected. Conclusion: The contribution of qualitative approaches to evaluating the experiences of care for people living with multimorbidity is growing. Participants’ describe a focus on relationships formed with healthcare professionals during care coordination. Further research incorporating lived experiences of participants could illuminate these concepts further. Relevance to clinical practice: People living with multimorbidity who require assistance via care coordination value trusting relationships with healthcare professionals, who respect their needs and provide a sense of security. Understanding participant experiences is important to shape care coordination interventions that incorporate person‐centred approaches.
(Edited publisher abstract)
Subject terms:
comorbidity, literature reviews, systematic reviews, intervention, complex needs, integrated care, user views, qualitative research, service brokerage, staff-user relationships;
Background: As the population is aging, the number of persons living with multiple chronic conditions (MCC) is expected to increase. This review seeks to answer two research questions from the perspectives of older adults with MCC, their caregivers and their health care providers (HCPs): 1) What are the health and social care needs of community-dwelling older adults with MCC and their caregivers? and 2) How do social and structural determinants of health impact these health and social care needs? Methods: We conducted a scoping review guided by a refinement of the Arksey & O’Malley framework. Articles were included if participants were 55 years or older and have at least two chronic conditions. We searched 7 electronic databases. The data were summarized using thematic analysis. Results: Thirty-six studies were included in this review: 28 studies included participants with MCC; 12 studies included HCPs; 5 studies included caregivers. The quality of the studies ranged from moderate to good. Five main areas of needs were identified: need for information; coordination of services and supports; preventive, maintenance and restorative strategies; training for older adults, caregivers and HCPs to help manage the older adults’ complex conditions; and the need for person-centred approaches. Structural and social determinants of health such as socioeconomic status, education and access influenced the needs of older adults with MCC. Conclusion: The review highlights that most of the needs of older adults with MCC focus on lack of access to information and coordination of care. The main structural and social determinants that influenced older adults’ needs were their level of education/health literacy and their socioeconomic status.
(Edited publisher abstract)
Background: As the population is aging, the number of persons living with multiple chronic conditions (MCC) is expected to increase. This review seeks to answer two research questions from the perspectives of older adults with MCC, their caregivers and their health care providers (HCPs): 1) What are the health and social care needs of community-dwelling older adults with MCC and their caregivers? and 2) How do social and structural determinants of health impact these health and social care needs? Methods: We conducted a scoping review guided by a refinement of the Arksey & O’Malley framework. Articles were included if participants were 55 years or older and have at least two chronic conditions. We searched 7 electronic databases. The data were summarized using thematic analysis. Results: Thirty-six studies were included in this review: 28 studies included participants with MCC; 12 studies included HCPs; 5 studies included caregivers. The quality of the studies ranged from moderate to good. Five main areas of needs were identified: need for information; coordination of services and supports; preventive, maintenance and restorative strategies; training for older adults, caregivers and HCPs to help manage the older adults’ complex conditions; and the need for person-centred approaches. Structural and social determinants of health such as socioeconomic status, education and access influenced the needs of older adults with MCC. Conclusion: The review highlights that most of the needs of older adults with MCC focus on lack of access to information and coordination of care. The main structural and social determinants that influenced older adults’ needs were their level of education/health literacy and their socioeconomic status.
(Edited publisher abstract)
Subject terms:
health needs, literature reviews, needs, long term conditions, older people, carers, comorbidity, access to information;
London School of Economics and Political Science. Personal Social Services Research Unit
Publication year:
2016
Pagination:
20
Place of publication:
London
Summarises evidence on the likely impact that an ageing population will have on end of life care costs and how this could influence future health and social care costs within the UK. Key findings from the review include: population ageing is likely to increase acute care expenditures moderately, and more strongly increase expenditures in long-term and social care; multi-morbidity and dementia are highly associated with increased health expenditure at end of life, and that prioritising medical innovations that improve quality of life and functioning at end of life, and assisting individuals to remain living at home, have the greatest potential to lead to cost savings. Following the evidence review, three end of life interventions are described which have the potential to reduce health expenditures and some of the rising costs of an ageing population. These are palliative care teams, advance care planning, and care integration for individuals with multi-morbidity. It concludes that the cost of population ageing at end of life would be a greater concern if the health and social care system failed to adapt to the needs of an older and more complex patient cohort.
(Edited publisher abstract)
Summarises evidence on the likely impact that an ageing population will have on end of life care costs and how this could influence future health and social care costs within the UK. Key findings from the review include: population ageing is likely to increase acute care expenditures moderately, and more strongly increase expenditures in long-term and social care; multi-morbidity and dementia are highly associated with increased health expenditure at end of life, and that prioritising medical innovations that improve quality of life and functioning at end of life, and assisting individuals to remain living at home, have the greatest potential to lead to cost savings. Following the evidence review, three end of life interventions are described which have the potential to reduce health expenditures and some of the rising costs of an ageing population. These are palliative care teams, advance care planning, and care integration for individuals with multi-morbidity. It concludes that the cost of population ageing at end of life would be a greater concern if the health and social care system failed to adapt to the needs of an older and more complex patient cohort.
(Edited publisher abstract)
Subject terms:
literature reviews, ageing, end of life care, costs, comorbidity, complex needs, older people, public expenditure;