uu.seUppsala University Publications
Change search
Link to record
Permanent link

Direct link
BETA
Grönbladh, Leif
Publications (6 of 6) Show all publications
Nehlin, C. G., Grönbladh, L., Fredriksson, A. & Jansson, L. (2013). Alcohol and Drug Use, Smoking, and Gambling Among Psychiatric Outpatients: A 1-Year Prevalence Study. Substance Abuse, 34(2), 162-168
Open this publication in new window or tab >>Alcohol and Drug Use, Smoking, and Gambling Among Psychiatric Outpatients: A 1-Year Prevalence Study
2013 (English)In: Substance Abuse, ISSN 0889-7077, E-ISSN 1573-6733, Vol. 34, no 2, p. 162-168Article in journal (Refereed) Published
Abstract [en]

Background and Aims: Studies of alcohol habits in general psychiatric populations are scarce. The objective was to investigate alcohol and drug use, smoking, and gambling in a clinical sample of psychiatric outpatients. A further aim was to study age and gender differences in the rates of these habits. Methods: Data were collected among psychiatric outpatients with mainly mood (47%) and anxiety (35%) disorders. A questionnaire package was distributed, including AUDIT (Alcohol Use Disorders Identification Test), DUDIT (Drug Use Disorders Identification Test), tobacco items, and gambling items. Two major drinking categories were formed: Nonhazardous alcohol use (NH) and Alcohol use above hazardous levels (AH). Results: In total, 2160 patients (65% females) responded to the questionnaire package. The AH rate was high among psychiatric outpatients (28.4%), particularly among young females (46.6%). Young female patients also reported a high prevalence of problematic drug use (13.8%). Problematic drug use, daily smoking, and problematic gambling were frequent. The unhealthy habits were linked to AH. Conclusions: Alcohol and drug use, smoking, and gambling are all highly prevalent among psychiatric outpatients. Young females are in particular need of attention. Interventions should be tailored for co-occurring psychiatric disorders and applied within routine psychiatric care.

Keywords
Alcohol and drug use, smoking habits, gambling habits, psychiatric patients
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-200366 (URN)10.1080/08897077.2012.728991 (DOI)000317742700015 ()
Available from: 2013-05-27 Created: 2013-05-27 Last updated: 2017-12-06Bibliographically approved
Nehlin Gordh, C., Grönbladh, L., Fredriksson, A. & Jansson, L. (2012). Brief alcohol intervention in a psychiatric outpatient setting: A randomized controlled study. Addiction Science & Clinical Practice, 7(23)
Open this publication in new window or tab >>Brief alcohol intervention in a psychiatric outpatient setting: A randomized controlled study
2012 (English)In: Addiction Science & Clinical Practice, ISSN 1940-0640, Vol. 7, no 23Article in journal (Refereed) Published
Abstract [en]

Background:Although brief alcohol intervention (BI) is widely studied, studies from psychiatric outpatient settings are rare. The aim of this study was to investigate the effects of two variants of BI in psychiatric outpatients. By using clinical psychiatric staff to perform the interventions, we sought to collect information of the usefulness of BI in the clinical setting.

Methods: Psychiatric outpatients with Alcohol Use Disorders Identification Test (AUDIT) scores indicating hazardous or harmful drinking were invited to participate in the study. The outpatients were randomized to minimal (assessment, feedback, and an informational leaflet) or BI (personalized advice added). Measurements were performed at baseline and at six and 12 months after the intervention. The primary outcome was change in AUDIT score at the 12-month follow-up.

Results: In all, 150 patients were enrolled and received either a minimal intervention (n = 68) or BI (n = 82). At 12 months, there was a small reduction in AUDIT score in both groups, with no significant differences in outcome between groups. At 12-month follow-up, 21% of participants had improved from a hazardous AUDIT score level to a nonhazardous level, and 8% had improved from a harmful level to a hazardous level (8%).

Conclusions: Brief alcohol interventions may result in a reduction of AUDIT score to a small extent in psychiatric patients with hazardous or harmful alcohol use. Results suggest that BI may be of some value in the psychiatric outpatient setting. Still, more profound forms of alcohol interventions with risky-drinking psychiatric patients need elaboration.

Keywords
Brief intervention, alcohol intervention, hazardous alcohol use, harmful alcohol use, psychiatric outpatients
National Category
Medical and Health Sciences
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-179328 (URN)10.1186/1940-0640-7-23 (DOI)
Available from: 2012-08-13 Created: 2012-08-13 Last updated: 2013-03-14Bibliographically approved
Öhlund, L. S. & Grönbladh, L. (2012). Letter to the Editor Regarding "Exiting Prostitution: An Integrated Model," by L. M. Baker, R. L. Dalla, & C. Williamson, Violence Against Women, 16, 579-600 [Letter to the editor]. Violence against Women, 18(3), 371-372
Open this publication in new window or tab >>Letter to the Editor Regarding "Exiting Prostitution: An Integrated Model," by L. M. Baker, R. L. Dalla, & C. Williamson, Violence Against Women, 16, 579-600
2012 (English)In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 18, no 3, p. 371-372Article in journal, Letter (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-177461 (URN)10.1177/1077801212442626 (DOI)000304703400008 ()
Available from: 2012-07-13 Created: 2012-07-13 Last updated: 2017-12-07Bibliographically approved
Nehlin, C., Fredriksson, A., Grönbladh, L. & Jansson, L. (2012). Three hours of training improve psychiatric staff’s self-perceived knowledge and attitudes toward problem-drinking patients. Drug and Alcohol Review, 31(4), 544-549
Open this publication in new window or tab >>Three hours of training improve psychiatric staff’s self-perceived knowledge and attitudes toward problem-drinking patients
2012 (English)In: Drug and Alcohol Review, ISSN 0959-5236, E-ISSN 1465-3362, Vol. 31, no 4, p. 544-549Article in journal (Refereed) Published
Abstract [en]

Introduction and aims

Staff attitudes are an important factor in the successful implementation of systematic alcohol strategies and policies.  The forms and extent of training needed to improve therapeutic attitude among psychiatric staff to problem drinking are unclear. The aim of the investigation was to study the knowledge and attitudes of psychiatric staff toward problem drinking patients. A further aim was to investigate whether a short three-hour training is sufficient to improve knowledge and therapeutic attitude toward problem drinking.

Design and methods

A tailored training model for psychiatric staff (non-physicians) was carried out at a medium size university clinic. Participants were medical (nurses and psychiatric aides) and non-medical staff (psychologists and social workers). The training consisted of a two-hour workshop and a one-hour follow-up session. Knowledge and attitudes were measured at baseline and follow-up by a questionnaire including vignettes assessment and the Short Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ).

Results

In total, 115 persons completed the questionnaire (follow-up rate 83.5 %). The distribution was even (50 % for the medical and 50 % for the non-medical staff). After training, the non-medical staff estimated vignette case severity higher than before. Both staff groups estimated their capacity to help a patient with complex problems higher after training. Role adequacy was higher in both subgroups after training.  Medical staff scored Work satisfaction higher after the training. 

Discussion and conclusions

Three hours of tailored training for psychiatric staff improve their knowledge and therapeutic attitude to problem drinking patients.

 

Keywords
training effect, staff attitude, psychiatric staff, alcohol training
National Category
Medical and Health Sciences
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-168846 (URN)10.1111/j.1465-3362.2011.00373.x (DOI)000304817800025 ()
Available from: 2012-02-16 Created: 2012-02-16 Last updated: 2017-12-07Bibliographically approved
Grönbladh, L. & Öhlund, L. S. (2011). Self-reported differences in side-effects for 110 heroin addicts during opioid addiction and during methadone treatment. Heroin addiction and related clinical problems, 13(4), 5-12
Open this publication in new window or tab >>Self-reported differences in side-effects for 110 heroin addicts during opioid addiction and during methadone treatment
2011 (English)In: Heroin addiction and related clinical problems, ISSN 1592-1638, Vol. 13, no 4, p. 5-12Article in journal (Refereed) Published
Abstract [en]

Although methadone maintenance treatment (MMT) has been shown to be effective, poor compliance is always a threat. It has often been pointed out that one variable that inevitably reduces adherence to treatment regimes is the negative side-effects of the treatment. This study examines seventeen known side-effects in a sample of 110 former opiate addicts consecutively admitted to methadone maintenance treatment. Self-reported side-effects were collected through a questionnaire. Despite the considerable increase, from 23 to 74% of the sample, in the proportion that reported individual side-effects between the period of opiate use and that of methadone treatment, the overall result was a significant decrease in eleven symptoms, no change in four and a substantial increase in only two. In some individuals a symptom that is liable to be problematic actually does become problematic, while the same symptom becomes less frequent in the group as a whole. Weight gain is the symptom that increases most in the whole group and needs to be constantly monitored. Other side-effects that remain high and need to be kept under review in clinical practice are nervousness, decreased libido, daytime drowsiness, constipation and perspiration.

Keywords
Methadone, Opioid use, Side-effects, Symptom complaints
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-172174 (URN)000301097000001 ()
Available from: 2012-04-03 Created: 2012-04-02 Last updated: 2012-04-03Bibliographically approved
Gunne, L., Grönbladh, L. & Öhlund, L. (2002). Treatment characteristics and retention in methadone maintenance: High and stable retention rates in a Swedish two-phase programme. Heroin Add & Rel Clin Probl, 4(1), 37-46
Open this publication in new window or tab >>Treatment characteristics and retention in methadone maintenance: High and stable retention rates in a Swedish two-phase programme
2002 (English)In: Heroin Add & Rel Clin Probl, Vol. 4, no 1, p. 37-46Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-72525 (URN)
Available from: 2006-09-27 Created: 2006-09-27 Last updated: 2011-01-13
Organisations

Search in DiVA

Show all publications