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Substance Use, Disorders and Behavioral Disorders in Primary Care: Prevention, Screening, Care, Support and Coordination

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 6091

Special Issue Editors

Dr. Catherine Laporte

E-Mail Website
Guest Editor
Department of General Practice, Clermont Auvergne University, 63000 Clermont-Ferrand, France
Interests: primary care; addictions; research network
Prof. Dr. Georges Brousse

E-Mail Website
Co-Guest Editor
Psychiatry-Addictology, Clermont Univesitary Hospital, 63000 Clermont-Ferrand, France
Interests: addictions; dual disorders
Dr. Bruno Pereira

E-Mail Website
Co-Guest Editor
Biometry and Health Economics Unit, Biostatistics, Department of Clinical Research and Innovations, Clermont-Ferrand University Hospital, 63000 Clermont-Ferrand, France
Interests: biostatistics; primary care; clinical research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The process that leads from experimentation to a substance use disorder or a behavior disorder is multifactorial. Research on this topic is, therefore, at the crossroads between several health professionals: psychologists, psychiatrists, addictologists, general practitioners, nurses, medico-social partners, and justice professionals. Among this multiplicity, primary care professionals have a special position because of their privileged place at different times in the patient care pathway. The general practitioner has a key role in screening: it can carry out targeted and individual prevention identifying individual vulnerabilities, reinforcing defense mechanisms, screening first consumption, and then identifying disorder or dependence, organizing its assessment and its management. To do this, he needs identification and management tools validated in primary care patient populations. Its role of coordinating the course of care makes it essential to maintain relations with the other players in the care system. This identification and management concerns licit or illicit psychoactive substances, drug misuse but also behavioral disorders (addictions to screens and social networks).

Papers addressing these topics are invited for this Special Issue, especially those interesting emerging disorder, care organization, using qualitative and quantitative methods.

Dr. Catherine Laporte
Prof. Dr. Georges Brousse
Dr. Bruno Pereira
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • primary care
  • general practice
  • addictions
  • substance use
  • behavior disorder
  • screening

Published Papers (3 papers)

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Research

13 pages, 370 KiB  
Article
Experience of Cannabis Use from Adolescence to Adulthood in France: An Interpretative Phenomenological Analysis
by Selma Faten Rezag Bara, Murielle Mary-Krause, Solène Wallez and Jean-Sébastien Cadwallader
Int. J. Environ. Res. Public Health 2023, 20(5), 4462; https://doi.org/10.3390/ijerph20054462 - 2 Mar 2023
Cited by 1 | Viewed by 1910
Abstract
Levels of cannabis use are high during adolescence, but the proportion of cannabis users among adults is also progressing, often for medical reasons. This study describes the reasons and motivations for using medical cannabis among adults over 30 years old in France. This [...] Read more.
Levels of cannabis use are high during adolescence, but the proportion of cannabis users among adults is also progressing, often for medical reasons. This study describes the reasons and motivations for using medical cannabis among adults over 30 years old in France. This qualitative study was performed using an interpretative phenomenological analysis. People with a history of cannabis use or current cannabis users were recruited from the TEMPO cohort. Homogeneous purposive sampling was applied among those using medical cannabis. Twelve participants, among thirty-six who reported using cannabis for medical reasons, were selected and interviewed. Five superordinate themes were identified in the analysis: 1—soothing a traumatic experience through cannabis use; 2—an ambivalent relationship with the user and cannabis and with the user and close relatives; 3—cannabis, a known soft drug comparable to alcohol or tobacco, leading to an illogical demonization; 4—recreational use in the context of experimentation; and 5—a paradoxical desire for exemplary parenting. In this first recent study to describe the reasons and views adults have in order to continue using cannabis after 30 years of age, we identified ways to explain this consumption. The internal appeasement provoked by cannabis stems from a struggle to appease a violent external situation. Full article
(This article belongs to the Special Issue Substance Use, Disorders and Behavioral Disorders in Primary Care: Prevention, Screening, Care, Support and Coordination)
14 pages, 397 KiB  
Article
Impulsivity as a Risk Factor for Addictive Disorder Severity during the COVID-19 Lockdown: Results from a Mixed Quantitative and Qualitative Study
by Maxime Pautrat, Antoine Le Guen, Servane Barrault, Aurélien Ribadier, Nicolas Ballon, Jean-Pierre Lebeau and Paul Brunault
Int. J. Environ. Res. Public Health 2023, 20(1), 705; https://doi.org/10.3390/ijerph20010705 - 30 Dec 2022
Cited by 4 | Viewed by 1546
Abstract
Interindividual differences in personality traits, especially impulsivity traits, are robust risk factors for addictive disorders. However, their impact on addictive disorders during the COVID-19 lockdown remains unknown. This study assessed patients being followed for addictive disorders before the lockdown. We aimed to determine [...] Read more.
Interindividual differences in personality traits, especially impulsivity traits, are robust risk factors for addictive disorders. However, their impact on addictive disorders during the COVID-19 lockdown remains unknown. This study assessed patients being followed for addictive disorders before the lockdown. We aimed to determine whether impulsivity traits (i.e., negative- and positive urgency) were associated with addictive disorders severity during the lockdowns. We also explored the patients’ subjective experiences, focusing on high versus low impulsivity. The quantitative study assessed 44 outpatients consulting for addictive disorders, for impulsivity, emotion regulation, anxiety/depression, and their addictive disorder characteristics, using self-administered questionnaires. In the qualitative study, six patients from the quantitative study were assessed using guided interviews. We observed that higher negative and positive urgencies were associated with addictive disorder severity. The subjective experiences of patients during the lockdowns differed according to their emotion-related impulsivity: high versus low. Low impulsive patients used online technologies more effectively to maintain follow-up, with more positive reappraisal. In contrast, highly impulsive patients reverted more frequently to self-medication with substances and/or behaviors, more social isolation, and found coping with negative emotions more challenging. Overall, the patient’s ability to cope with stressful events, like the COVID-19 lockdown, depended on their emotion-related impulsivity. Full article
(This article belongs to the Special Issue Substance Use, Disorders and Behavioral Disorders in Primary Care: Prevention, Screening, Care, Support and Coordination)
19 pages, 1562 KiB  
Article
“Intervention Program Based on Self”: A Proposal for Improving the Addiction Prevention Program “Unplugged” through Self-Concept
by Cédrine Bourduge, Georges Brousse, Florence Morel, Bruno Pereira, Céline Lambert, Marie Izaute and Frédérique Teissedre
Int. J. Environ. Res. Public Health 2022, 19(15), 8994; https://doi.org/10.3390/ijerph19158994 - 24 Jul 2022
Cited by 2 | Viewed by 2029
Abstract
The “Intervention Program based on Self” (IPSELF) project was created to address the gap between the acquisition of life skills during prevention programs and their application with a session for developing one’s self-concept included in the European program “Unplugged”. The present study evaluated [...] Read more.
The “Intervention Program based on Self” (IPSELF) project was created to address the gap between the acquisition of life skills during prevention programs and their application with a session for developing one’s self-concept included in the European program “Unplugged”. The present study evaluated its effectiveness. A total of 157 middle school students (94 girls, 63 boys, MAGE= 12.89, SD = 0.45) from three schools in France participated in this study. The participants attended one of two programs (Unplugged/IPSELF). The effectiveness of the IPSELF add-on session was measured with the Self-Concept Clarity Scale, and the differences between the two programs was measured with the prototype willingness model. Adolescents in IPSELF rated the typical nonsmoker and cannabis nonsmoker more favorably, and the typical drinker less favorably. They felt more different from the typical smoker and drinker after participation in IPSELF. More alcohol experimenters were observed in Unplugged. The knowledge gained in IPSELF appeared to help adolescents more than that gained in Unplugged to change their smoking behavior. Furthermore, IPSELF had a more beneficial effect for girls, who felt that they had gained more control over their alcohol and cannabis use than boys, whereas Unplugged had a more positive effect on boys, who gained better control over their consumption. Moreover, the girls felt that they had gained more knowledge about the substances discussed in IPSELF than in Unplugged. We therefore recommend the use of IPSELF especially with female audiences. Full article
(This article belongs to the Special Issue Substance Use, Disorders and Behavioral Disorders in Primary Care: Prevention, Screening, Care, Support and Coordination)
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