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A basis for discussion.
Segréus, Växjö: Växjö University Press2009, 69-87 s.
Kapitel i bok, del av antologi Övrigt vetenskapligt Many are addicted.
Yet many who are not treated recover.
Promoting Self-Change from Addictive Behaviors examines natural recovery as a clinical phenomenon, a field of inquiry, and a vital component of therapy.
It also brings clinicians and drinking and gambling age in australia to a new understanding of addiction and recovery.
One of the few books on the topic, this updated edition offers alternatives to disease models of addiction by exploring personal pathways to recovery.
Focusing on alcohol and drug problems, it provides a literature review of 40 years of studies on self-change with particular emphasis on the current decade and methodological issues starting with how much or how little treatment constitutes "treatment".
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Cunningham, John 2018 Ingår i: Drugs and Alcohol Today, ISSN 1745-9265, Vol.
Artikel i tidskrift Refereegranskat Purpose — Although the way in which, for example, substance use problems are conceived and reacted to by experts and treatment professionals but also by the environmentcan have vast consequences for those directly or indirectly concerned, there is little systematic knowledge about how various preferred approaches differ between types of problems and sociocultural settings.
In an ambition to at least partly mend this gap, this paper aims to compare how the general public in Sweden, Finland, and Canada appraise four generically different approaches to dealing with substance link problems, as these are applied to problem use of alcohol, cannabis, heroin, and cigarettes.
In addition, the popularity of different handling models is found to vary between countries, and with personal characteristics such as gender, age, and substance use experiences.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Palm, Jessica Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Storbjörk, Jessica Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat This article deals with the development of drug services in Stockholm, Sweden since the mid-1990s.
Initially, data were collected as part of a European Union comparative study of the development of drug services in six major European cities.
However, the present article uses these data to analyse to what extent the traditional 'Swedish model' of dealing with narcotic drugs can be said to have come to a crossroad.
The article describes and analyses changes in drug use, and in the structure, organization and utilization of social services based, as well as healthcare-based drug services in Stockholm during the past decade.
As pointed out in the article, the 'drug-free society' is still the ultimate goal of Swedish drug policy.
However, as the Stockholm example hints, when it comes to the care and treatment of individual drug problems, there seems to be an on-going shift, from in-patient treatment towards measures such as substitution treatment, outpatient care and housing.
The article discusses whether these changes signify a softening of Sweden's restrictive drug policy, or whether they rather point to a 're-medicalization' of drug services, and shift in focus from 'cure' and social re-integration towards a focus on 'care' and on attempts to avoid 'public nuisance'.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Gustafsson, Nina-Katri Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel, forskningsöversikt Refereegranskat This article reports the results of a purposive review of the different alcohol survey instruments currently used in survey research.
The review was conducted to support the development of a standardized comparative survey methodology for Europe.
It examines various types of instruments used to measure alcohol consumption, risky drinking, alcohol abuse and dependence, social consequences and third-party harm.
The review of literature provides several insights for a European comparative survey.
The beverage-specific quantity-frequency measure is recommended for use across countries.
A reference period of 1 year for alcohol consumption is considered important if one is to link associated problems with alcohol intake.
With regard to risky drinking, objective measures based on the quantity of approximately 60-70 g of ethanol per drinking occasion are preferable to subjective measures of drunkenness.
In choosing an instrument for measuring abuse and dependence, the key issue is to decide whether the instrument is to serve as a screening or diagnostic tool.
In the case of screening, the Alcohol Use Disorders Identification Test or the Rapid Alcohol Problem Screen-4 appears more appropriate.
Due to a lack of validated scales for social consequences and third-party harm, no recommendations are justified.
Gustafsson, Nina-Katri Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drinking and gambling age in australia SoRAD.
Gustafsson, Nina-Katri Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Objective: European Union travelers' allowances for alcohol import to Denmark, Sweden, and Finland were abolished in 2004.
In addition, excise taxes on alcohol were lowered in 2003 and 2005 in Denmark, and in 2004 in Finland.
Using northern Sweden as a control site, this study examines whether levels of reported alcohol problems have changed in Denmark, Finland, and southern Sweden as a consequence of these policy changes.
Method: Annual cross-sectional surveys were conducted in Denmark, Finland, and Sweden from 2003 to 2006.
Five dependency items and seven extrinsic alcohol-related problems were examined.
Differential change was also tested between each country and the control site, northern Sweden.
Results: Prevalence of alcohol problems decreased over the study period.
Only in selected subgroups did problems increase.
This mainly occurred in the samples for northern Sweden and Finland, and mostly among older age groups and men.
In relation to the control site, however, no increases in problem prevalence were found.
Conclusions: Our findings on a decline in reported alcohol problems largely agree with published reports on alcohol consumption over the same period in the study countries.
They do not agree, however, with findings on changes in health and social statistics in Finland and Denmark, where some significant increases in alcohol-related harm have been found.
Artikel i tidskrift Refereegranskat Objectives: To examine, on empirical data, whether drinking patterns, in addition to overall alcohol consumption, contribute to differences in rates of alcohol related problems between populations.
Design: Cross sectional survey.
Settings: One Russian, one Polish, and one Czech city.
Participants: 1118 men and 1125 women randomly selected from population registers.
Main outcome measures: Problem drinking; negative social consequences of drinking; alcohol consumption and drinking pattern.
Results: Rates of problem drinking and of negative consequences of drinking were much higher in Russian men 35% and 18%, respectively than in Czechs 19% and read more or Poles 14% and 8%.
This contrasts with substantially lower mean annual intake of alcohol reported by Russian men 4.
However, Russians consumed the highest dose of alcohol per drinking session means 71 g in Russians, 46 g in Czechs, and 45 g in Polesand had the highest prevalence of binge drinking.
In women, the levels of alcohol related problems and of drinking were low in all countries.
In ecological and individual level analyses, indicators of binge drinking explained a substantial part of differences in rates of problem drinking and negative consequences of drinking between the three countries.
Conclusions: These empirical data confirm high levels of alcohol related problems in Russia despite low volume of drinking.
The binge drinking pattern partly explains this paradoxical finding.
Overall alcohol consumption does not suffice as an estimate of alcohol related problems at the population level.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat OBJECTIVE: The aims of this study were to identify individual predictors of 12 months continuous abstinence and nonproblem drinking after Swedish inpatient Minnesota Model treatment and to evaluate the outcome variance explained by pretreatment, within-treatment, and posttreatment factors for each drinking and gambling age in australia, separately and in conjunction.
METHOD: One-hundred and twenty-nine men and 47 women were interviewed on admission to Swedish Minnesota Model treatment and after 12 months.
Two interviewers who were not involved in treatment delivery performed structured interviews.
Statistical analyses included bivariate and multivariate logistic regression models applied to pair-wise contrasts of three types of treatment outcome.
RESULTS: The final multivariate models for the three pair-wise contrasts explained 71% abstinence vs problem drinking44% nonproblem drinking vs problem drinkingand 25% abstinence vs.
Abstention and nonproblem drinking were both differentiated from problem drinking by the completion of aftercare, satisfaction with treatment, and number of public addiction care contacts.
When contrasted with nonproblem drinking, abstention was predicted by the endorsement of a baseline goal to stop drinking and a higher degree of posttreatment affiliation with mutual-help groups.
CONCLUSIONS: Results from this study support the fact that treatment is only one of many factors that contributes to an outcome and suggests issues that may need consideration in similar treatment settings.
Artikel i tidskrift Övrigt vetenskapligt Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Psychotropics and alcohol are psychoactive substances with different cultural meanings and opposing gender associations.
On the basis of these findings, it is arguedthat newspaper discourse on psychotropics and alcohol still relies quite heavily on gendered andheteronormative ideas.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat The dominant approach to gender in alcohol research still conceives of gender in terms of binary roles and looks for explanations for gender differences in drinking.
This paper challenges the binary approach, and instead analyzes the categorization of gender as created in Swedish newspaper stories about alcohol, published between 2000 and 2008.
The study shows that the Swedish media stories produce multiple ways of interpreting drinking.
Importantly, however, other stories reproduce the discourse of heteronormativity and gender binarism.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Drawing on a qualitative analysis of Swedish newspaper debates in 1979 and 1995, this articleexamines how Swedish newspapers refer to biological sex difference as central to drinking practices.
The study shows that women are a special category of concern in debate about gender and drinking in both 1979 and 1995.
Further, it shows that Swedish newspapers draw upon biology in different ways in the two years.
In 1979, debate about drinking during pregnancy and Fetal Alcohol Syndrome FAS is central and newspapers link biomedical research on FAS to the moral idea that mothers do anything to avoid harm to children.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Texts are language excerpts produced from specific points of view; they communicate specific worldviews and values.
This implies that social science research on power in texts can benefit from an analysis of the perspective from which a story is presented.
Nevertheless, discussion of concrete tools for doing this at the level of practical analysis is less common.
This article describes a set of tools for analyzing positioning at two different levels: the level of enunciation — which focuses on narrator and audience positions — and the level of utterance — which focuses on positions in stories.
Moreover, addressing readers less familiar with discourse analysis and students new to discourse analysis, the article argues that combining tools for analyzing positioning with more general tools for analyzing meaning is advantageous because this allows for more detailed analysis of social power in texts and for more detailed description of the analytical process.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat The media has a central role in communicating and constructing health knowledge, including communicating research findings related to alcohol consumption.
However, research on news reporting about alcohol is still a relatively small field; in particular, there are few studies of the reporting of biomedical alcohol and drug research, despite the assumed increasing popularity of biomedical perspectives in public discourse in general.
In general, the press discourse focuses on genetic factors related to alcohol problems, on the role of the brain and the reward system in addiction, and on medication for treating alcohol problems.
The study indicates that aspects of the Swedish press discourse of biomedical alcohol research invite reductionism, but that this result could be understood from the point of view of both the this web page organization of reporting and the intersection of reporting, science, and everyday understandings rather than from the point of view of the news articles only.
Moreover, some characteristics of the media portrayals leave room for interpretation, calling for research on the meanings ascribed to metaphors of addiction in everyday interaction.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Winter, Katarina Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Purpose - A growing body of social research analyzes how the biomedical interest in detailed molecular aspects of our bodies genes, biomarkers, DNA affect everyday notions of health, risk, and responsibility for health problems.
However, this research focus has been largely neglected in social alcohol research.
The purpose of this paper is to report on some early findings from a study of media portrayals of biomedical alcohol research and to present a rationale for studying biomedical alcohol research more broadly.
The motives for studying biomedical alcohol research more broadly are discussed in relation to existing research and theories of biomedicalization.
Findings - Firstly, we find that a large majority of the newspapers cite biomedical researchers to explain the mechanisms of addiction, and that biomedical research is often presented as revolutionary in scope.
However, journalists also act as storytellers who explain the biomedical research results to readers.
The reward system proved to be a central notion among the interviewees, who had their own, different and varying definitions of the concept.
Secondly, we suggest a framework for analyzing how biomedical knowledge is produced, communicated and utilized by three types of key actors.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Engdahl, Barbro Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Gustafsson, Nina-Katri Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Hradilova Selin, Klara Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Ramstedt, Mats Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Engdahl, Barbro Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Gustafsson, Nina-Katri Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Hradilova-Selin, Klara Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Ramstedt, Mats Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Hradilova Selin, Klara Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Ramstedt, Mats Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Svensson, Johan Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Teorell, Stockholm: Arbetslivsinstitutet2005, 63-111 s.
The most common mode of sustaining an alcohol-attributable injury is from a single occasion of acute alcohol consumption, but much of the injury literature employs usual consumption habits to assess risk instead.
An analysis of the click here dose-response relationship between alcohol and injury is warranted to generate single occasion- and dose-specific relative risks.
A systematic literature review and meta-analysis was conducted to fill this gap.
Linear and best-fit first-order model were used to model the data.
Usual tests of heterogeneity and publication bias were run.
Separate meta-analyses were run for motor vehicle and non-motor vehicle injuries, as well as case-control and case-crossover studies.
The risk of injury increases non-linearly with increasing alcohol consumption.
For motor vehicle accidents, the odds ratio increases by 1.
For non-motor vehicle injury, the OR increases by 1.
Case-crossover studies of non-MVA injury result in overall higher risks than case-control studies and the per-drink increase in odds of injury was highest for intentional injury, at 1.
Efforts to reduce drinking both on an individual level and a population level are important.
No level of consumption is safe when driving and less than 2 drinks per occasion should be encouraged to reduce the risk of injury.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
University of Melbourne, Australia; Turning Point Alcohol and Drug Centre, Australia.
Artikel i tidskrift Refereegranskat Aims: Although the relationship between the Y90 blood alcohol concentration, BAC and Y91 clinician intoxication assessment ICD-10 codes has received attention recently, the role of 10 signs of intoxication in the Y91-Y90 relationship has not been studied yet.
This work examines drinking and gambling age in australia signs in the estimation of alcohol intoxication levels of patients in medical settings.
Methods: Collected and analyzed were data on 1997 injured emergency room patients from 17 countries worldwide reporting drinking prior to injury or presenting with a non-zero BAC from 17 countries worldwide.
A model is estimated describing how the 10 signs inform the Y91, Y90 prediction with the goal of the use of observations on patients in place of a biological measure.
Results: Signs were consistent with a single underlying construct that strongly predicted Y91.
Smell of alcohol on breath predicted Y91 above its contribution through the construct and was stronger for those with tolerance to alcohol than for those without.
Controlling for Y91, no sign further contributed to prediction of Y90 indicating that Y91 incorporated all intoxication sign information in predicting Y90.
Conclusion: Intoxication assessments are well predicted by overall intoxication severity, which itself is well represented by intoxication signs along with differential emphasis on smell of alcohol on breath, especially for those with alcohol tolerance.
However, BAC levels remain largely unexplained by intoxication signs with a clinician's assessment serving as the primary predictive measure.
Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Wilson, Carlene 2018 Ingår i: Australian and New Zealand journal of public health, ISSN 1326-0200, E-ISSN 1753-6405, Vol.
Artikel i tidskrift Refereegranskat Objective: To examine self-reported alcohol consumption and relationships betweenconsumption, awareness of the 2009 NHMRC guidelines of no more than two standard drinksper day, drinking in excess of the guideline threshold and perceptions of alcohol as a risk factorfor cancer.
Methods: Questions were included in annual, cross-sectional surveys of about 2,700 SouthAustralians aged 18 years and over from 2004 to 2012.
Consumption data for 2011 and 2012were merged for the majority of analyses.
Results: In 2011 and 2012, 21.
A large minoritysaid they did not know the consumption threshold for women 39.
Important predictors ofexcess consumption for men were: higher household income; and not perceiving alcohol as animportant risk factor source cancer.
Predictors for women were similar but the role of householdincome was even more prominent.
Conclusions: Men were nearly three times as likely to drink in excess of the guidelines aswomen.
The majority of the population did not see an important link between alcoholand cancer.
Awareness of the latest NHMRC guidelines consumption threshold is still low,particularly for men.
Implications: A strategy to raise awareness of the NHMRC guidelines and the link betweenalcohol and cancer is warranted.
Kraus, Ludwig Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Artikel i tidskrift Refereegranskat Aim: Examination of pathological gamblers PG in outpatient services and analysis of the fit of clientele characteristics and healthcare situation.
Methods: From April 2009 to March 2011 a total of 461 patients at 36 outpatient addiction care facilities in Bavaria, Germany, was examined consecutively.
Data including sotio-demographic variables, psychological state i.
SCL-90, BDI and counselling were collected.
Results: The majority of patients were male 88.
A total of 93% fulfilled diagnostic criteria for PG and had a high severity of psychological strain 50.
About half of the patients 51.
Conclusions: Given the high psychosocial burden, these results indicate a gap between objective need and actual treatment characteristics, particularly regarding the diagnostic process, premature treatment termination and rare conduit to other services.
Possibilities of further development of outpatient health care structures are discussed.
Kraus, Ludwig Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
IFT Institut für Therapieforschung, Germany.
Artikel i tidskrift Refereegranskat Background and aims: As only a minority of pathological gamblers PGr presents for treatment, further knowledge about help-seeking behavior is required in order to enhance treatment utilization.
The present study investigated factors associated with treatment participation in gamblers in Germany.
As subclinical pathological gamblers SPGr, fulfilling one to four DSM-IV-criteria are target of early intervention due to high risk of transition to pathological gambling, they were subject of special interest.
A two-step weighting procedure was applied to ensure comparability of samples.
Investigated factors included socio-demographic variables, gambling behavior, symptoms of pathological gambling and substance use.
Results: In PGr, regular employment and non-German nationality were positively associated with being in treatment while gambling on the Internet and gaming machines and fulfilling more DSM-IV-criteria lowered the odds.
In SPGr, treatment attendance was negatively associated with married status and alcohol consumption and positively associated with older age, higher stakes, more fulfilled DSM-IV criteria and regular smoking.
There are groups with lower chances of being in treatment: women, ethnic minorities, and SPGr.
Wennberg, Peter Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Schult, Marie-Louise Birgitta 2012 Ingår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol.
Artikel i tidskrift Refereegranskat This prospective study aimed to describe alcohol habits in patients with chronic pain compared with those in a matched control group from the general Swedish population.
In total, 100 consecutive patients enrolled were matched against 100 individuals in a control group on the basis of age and sex.
Alcohol habits were measured using the Alcohol Use Disorders Identification Test in both groups.
The patients were recruited if they underwent a biopsychosocial pain analysis for possible participation in pain rehabilitation.
The patients with chronic pain drank alcohol significantly less, less often, in smaller quantities, and how do you win bingo on intoxicated less than the control group did.
The study was rather small and at a single site, but its strengths were the comprehensive and simple design and the possibility to describe the sample's representativeness compared with other clinics on the basis of data from a national quality register.
Kraus, Ludwig Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- drinking and gambling age in australia drogforskning SoRAD.
Roehrig, Jeanette 2018 Ingår i: BMC Psychiatry, ISSN 1471-244X, Vol.
Artikel i tidskrift Refereegranskat Background: Despite considerable research on substance-abuse placement matching, evidence is still inconclusive.
The aims of this exploratory trial are to evaluate a the effects of following matching guidelines on health-care costs and heavy drinking, and b factors affecting the implementation of matching guidelines in the treatment of alcohol-dependent patients.
Methods: A total of 286 alcohol-dependent patients entering one of four participating detoxification units and having no arrangements for further treatment will be recruited.
During the first week of treatment, all patients will be administered Measurements in the Addictions for Triage and Evaluation MATEEuropean Quality of Life-Five Dimensions health status questionnaire EQ-5Dand the Client Socio-Demographic and Service Receipt Inventory-European Version CSSRI-EU.
Patients who are randomly allocated to the intervention group will receive feedback regarding their assessment results, including clear recommendations for subsequent treatment.
Patients of the control group will receive treatment as usual and, if requested, global feedback regarding their assessment results, but no recommendations for subsequent treatment.
At discharge, treatment outcome and referral decisions will be recorded.
Six months after discharge, patients will be administered MATE-Outcome, EQ-5D, and CSSRI-EU during a telephone interview.
Discussion: This trial will provide evidence on the effects and costs of using placement-matching guidelines based on a standardized assessment with structured feedback in the treatment of alcohol-dependent patients.
A process evaluation will be conducted to facilitate better understanding of the relationship between the use of guidelines, outcomes, and potential mediating variables.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Room, Robin Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för socialvetenskaplig alkohol- och drogforskning SoRAD.
Centre for Alcohol Policy Research, Australia; Monash University, Australia.
Artikel i tidskrift Refereegranskat Background: Harms from alcohol experienced by someone other than the drinker have received increasing attention of late, but have not been compared to harms from others' drug use.
The aim of the current study is to compare the reported harms that are attributable to the alcohol use of others to those attributable to drugs, distinguishing between different types of harm in order to highlight how reported harms may be influenced by perception and social standing of use of the substance.
Results: For both drug and alcohol related harms, reports of harms loaded into two groups drinking and gambling age in australia multiple correspondence analysis: tangible harms such as assault, and amenity impacts such as being annoyed by people under the influence.
Amenity impacts attributed to alcohol were more likely to be experienced by those who reported drug use and vice versa, while the tangible impacts were more likely to be reported by those who used both drugs and alcohol.
Conclusions: Reports of amenity impacts from others appear to be influenced by the perception of the drug in question more than tangible impacts such as assault.
Particularly for amenity impacts, the greater stigma attached to drug use may make respondents more likely to consider themselves harmed by drugs than they would when compared to alcohol, something that needs to be taken into account when assessing harms by either alcohol or drugs.

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