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Friday, November 30, 2012

ATOD Weekly Recap - Week-ending November 16th



Study Links Stress-Related Impulsivity in College Women and Alcohol Dependence

College women who act impulsively when they are in distress are at higher risk for alcohol dependence, a new study suggests. Researchers at the University of Georgia studied 319 women in their first semester of college, an important time in students’ development of drinking habits, Science Daily reports. Of these women, 235 were drinkers. All participants took a screening test that asked about drinking behavior and alcohol use disorder symptoms. The study found women who tended to act rashly when they experience negative emotions were more likely to have an increase in alcohol dependence during their first semester. Those who acted rashly under stress and said they wanted to drink to change emotional experiences had the biggest increases in symptoms.

The study appears in Alcoholism: Clinical & Experimental Research.

“College women should learn to plan ahead when they go drinking, in order to reduce their risk for problems,” Gregory Smith of the University of Kentucky, commented in a news release. “Women who tend to get impulsive when distressed should seek training from mental health professionals on effective ways to avoid impulsive actions that prove harmful. Parents and college administrators should not underestimate the risks associated with heavy drinking during the college years.” Lead researcher Monika Kardacz Stojek added, “It seems that women who know that they tend to act without thinking when they are upset should be aware that they might be more at risk for negative consequences from drinking if they impulsively drink while in that negative mood.”

Impulsive College Women at Risk for Alcohol Problems

A negative element associated with gender equality is the observation that during the last three decades, young women have been drinking more. The increased emphasis of heavy drinking among young women increases the risk of developing alcohol use disorders (AUDs) as well as other negative consequences such as sexual assault and physical injuries. Prior research has shown that college students drink more than their non-college peers.

A new study of the influence of impulsivity-related traits and drinking motives has found that an impulsivity trait called “negative urgency” predicted increases in AD symptoms among college women. Study results are found online and will be published in the February 2013 issue of Alcoholism: Clinical & Experimental Research.

The rest of the article is available here.

Good or bad for kids? D.A.R.E removes pot from curriculum
The drug education program D.A.R.E. has made some changes and has removed marijuana from its curriculum. The decision has spurred strong opinions from both sides of the marijuana debate. Some people say D.A.R.E. was making children think marijuana was as bad as other drugs when they don't think it is. Others say it's a gateway drug that still has dangerous effects, especially on children. Read the rest of the story here.

Legal drugs, deadly outcomes
Prescription overdoses kill more people than heroin and cocaine. An L.A. Times review of coroners’ records finds that drugs prescribed by a small number of doctors caused or contributed to a disproportionate number of deaths. To read this expose in the LA Times, click here.

Are Parents Powerless when Teens Abuse Rx Drugs?
Plenty of parents are clueless about the temptations, risks and pressure teens face when it comes to experimenting with the illicit use of prescription drugs -- but when we get up to speed, are we still powerless? As I interviewed people on the front lines of this epidemic for our just-concluded prescription drug abuse series for Health Kids,  I asked this question over and over again. The real experts -- parents and former teens who’ve been through it -- say parents can make a difference. As the parent of a young teen, that makes me feel better. But readers of the blog have been divided over just how much parents can do to deter it. Rest of the story is available here.


Laws to Crack Down on Serving Intoxicated People in Bars Largely Ignored
Laws prohibiting bars and restaurants from serving intoxicated people can be an effective way to reduce alcohol-related motor vehicle crashes and violence, but the provisions in most states are poorly drafted and rarely enforced, according to two experts on alcohol policy. Click here to read the rest of the article.

Majority of Smoking Parents Expose Kids to Tobacco Smoke in Car
A new study finds a majority of parents who smoke expose their children to tobacco smoke in their cars. Many of these parents have smoke-free policies at home, CBS News reports. According to the Centers for Disease Control and Prevention, there is no risk-free level of exposure to secondhand smoke. In children, secondhand smoke causes many health problems, including severe asthma attacks, respiratory infections, ear infections, and sudden infant death syndrome. The study included 795 parents who were smokers. More than 70 percent said someone had smoked in their car in the previous three months. Of the 562 parents who allowed smoking in their car, 48 percent said they smoked in the car when their children were present. The researchers found while most parents strictly enforced a smoke-free policy at home, only 24 percent had a similar policy for their cars.

“Workplaces, restaurants, homes and even bars are mostly smoke-free, but cars have been forgotten,” lead researcher Emara Nabi-Burza of Massachusetts General Hospital said in a news release. “Smoking in cars is not safe for motorists and nonsmokers – especially children, who have no way to avoid tobacco smoke exposure in their parent’s car. Now that we know the magnitude of the problem, pediatricians and the public can act to help these children.”

The study appears in the journal Pediatrics.

Baby boomers: The hooked generation?

More people in their 50s and 60s are abusing illegal and prescription drugs, prompting a federal agency to post its first consumer alert on its website aimed at seniors.

Call him Albert. As a teenager he was drunk a lot. During military service he was doing hard drugs. And by middle age he’d wake up every morning and “use whatever I could get my hands on.” In the process, he lost his construction business and his marriage barely survived.  “The more money I made, the more I used,” he recalls.
Albert, a 66-year-old Fort Lauderdale man, who asked that his real name not be used, is the new face of addiction: a baby boomer long past the typical youthful phase of experimentation. He’s clean now, but as a member of Narcotics Anonymous, he says he meets plenty of older recovering addicts just like him.  Local and national figures show that more people in their 50s and 60s are abusing illegal and prescription drugs. While the use of illicit drugs remains relatively uncommon among people 65 and older, the number of illicit drug users 50 to 59 years old tripled between 2002 and 2011, from 900,000 to 2.7 million, according to the National Institutes of Health. The increase even prompted the NIH to post its first consumer alert on its website, NIHSeniorHealth. Read more here.

60% of High School Students  Report Drugs Are Used, Kept, or Sold in Their Schools

For the sixth year in a row, 60% or more of high school students report that drugs are used, kept, or sold on their school grounds, according to a telephone survey of U.S. youth ages 12 to 17. While the percentage of students reporting that there are drugs in their school has decreased from the high of 66% in 2010 to 60% in 2012, the current percentage remains higher than a decade ago (44%). The survey also found that 36% of high school students believe that it is fairly or very easy for students to smoke, drink or use drugs during the day at their school without getting caught and more than half (52%) say that there is a place on school grounds or near their school where students go to smoke, drink, or use drugs during the school day.
SOURCE:  Adapted by CESAR from The National Center on Addiction and Substance Abuse at Columbia University (CASA), National Survey of American Attitudes on Substance Abuse XVII: Teens, 2012. Available online at http://www.casacolumbia.org/upload/2012/20120822teensurvey.pdf.


Graphic Cigarette Labels Can Influence Smokers Who Know Less About Health
Cigarette labels that display graphic images of the consequences of smoking have a greater impact on smokers who are less educated about health issues, compared with text-only labels, a new study suggests. The researchers from the University of South Carolina wanted to focus on less educated smokers, because previous studies found people in lower socioeconomic groups with lower education levels are among the heaviest smokers, and have the highest rates of tobacco-related disease.
They recruited almost 1,000 adult smokers, and asked them about their education, smoking habits and salary level. Participants were asked to interpret a nutrition label, in order to assess their health literacy. They were then divided into two groups. One group was shown four text-only cigarette warnings, which are currently used on cigarette packs. The other group was shown nine cigarette packs that displayed text and pictures showing the negative consequences of smoking. These included a graphic picture of a diseased chest of a deceased person, as well as more abstract images that warned of cancer, stroke and heart disease. Smokers rated the pictures more highly in terms of personal relevance and effectiveness, compared with warnings that simply included words. Smokers with low health literacy found the warning labels and pictures to be more credible than the text-only labels.

“Research on cigarette warnings in the United States and other countries has repeatedly shown that pictures work better than text,” study author Dr. James Thrasher told HealthDay. “Our research supports this finding while also showing what tobacco researchers have assumed for a while — that warnings with pictures work particularly well among smokers with low levels of literacy.”

The study appears in the American Journal of Preventive Medicine.

The Food and Drug Administration wants to require tobacco companies to add graphic warning labels to cigarette packages. The labels include graphic images of the consequences of smoking, including diseased lungs and rotting teeth. The warning label requirement has been tied up in court. Tobacco companies have argued that the labels violate the right to free speech.

21-year-old dies after one drop of new synthetic drug at Voodoo Fest
The best friends had traveled together to music festivals all over the country. Sometimes, they would take drugs. But they had one rule: Never accept drugs from strangers.  But on Saturday, after a night drinking vodka-Red Bulls at Voodoo Festival at City Park, 21-year-old Clayton Otwell, of Little Rock, Ark., apparently forgot his rule, said Mandie Newell, his best friend and companion at the festival.
The rest of the story can be read here.

Residents Across NJ Turn-Out to Dispose of their Unused, Unwanted, Expired Medicine
The Partnership for a Drug-Free New Jersey (PDFNJ) and Sheriffs’ Association of New Jersey (SANJ) held the third annual The American Medicine Chest Challenge–New Jersey  (AMCC) --- a public health initiative to raise awareness about the dangers of prescription drug abuse, throughout New Jersey, on Saturday, November 10, 2012.  Over a ton of medicine was collected throughout New Jersey during the event which was designed to bring to light the dangers of prescription drug abuse and the easy accessibility within the home by generating unprecedented media attention on the issue of prescription and over-the-counter medicine abuse and creating a way for adults to anonymously, legally, and safely dispose of unused, unwanted, and expired medicine.

The initiative encourages families to take the five-step American Medicine Chest Challenge which includes taking inventory of medicine in the home, securing the medicine chest, disposing of unused, unwanted, and expired medicine, taking medicine exactly as prescribed, and talking to children about the dangers of prescription drug-abuse.

The Centers for Disease Control and Prevention (CDC) has labeled prescription drug abuse an epidemic, reporting that the death toll from overdoses of prescription painkillers has more than tripled in the past decade and more than 40 people die every day from overdoses involving narcotic pain relievers. According to the White House Office of National Drug Control Policy, 70 percent of people who abuse prescription pain relievers obtained them from friends or relatives, and, there has been a 400% increase in substance abuse treatment admissions for people abusing prescription drugs.  The statewide event was coordinated by PDFNJ, SANJ, the New Jersey National Guard, and Drug Enforcement Administration – New Jersey, with the support of the Governor’s Council on Alcoholism and Drug Abuse (GCADA), New Jersey Department of Human Services (DHS), The New Jersey Broadcasters Association, and the New Jersey Division of Consumer Affairs.  AMCC is sponsored by PhRMA, Generic Pharmaceutical Association and is supported by The Partnership at Drugfree.org, American College of Emergency Physicians, Covanta Energy, and Healthcare Distribution Management Association.

Pregnant women: Just don't drink, study suggests

After years of confusing and contradictory advice about alcohol consumption during pregnancy, a new study may have the final word: Just don't drink. The study, published Wednesday in the journal PLoS ONE, reveals that even a few drinks a week by an expectant mother can lead to reductions in a child's IQ if the child has certain genetic variations impairing their ability to break down alcohol.  Research into the effects of alcohol consumption during pregnancy has generally focused on heavy drinking, and the resulting incidence of fetal alcohol syndrome. Meanwhile, observational studies of moderate drinking have shown little negative effect. As a result, many physicians advise their expectant patients that a drink every now and then is fine, so long as the drinking never becomes heavy.

The new report specifically looked at mothers who consumed between one and six drinks a week. As an added layer, the researchers also analyzed the DNA of the children to look for differences in the parts of the genetic code responsible for breaking down alcohol - an important consideration that can drastically change the effect of a drink on the body.

By using a biological variable to ask whether small doses of alcohol have the potential to cause harm, the researchers eliminated concerns about sociological or socioeconomic differences between abstainers and drinkers.  The study identified four unique genetic variations in the ADH gene -- which produces an enzyme responsible for breaking down alcohol -- that had a harmful effect on a child's IQ: For each variation a child had, their IQ was roughly two points lower.  The effect was seen only among mothers who drank, and was present even when mothers drank very little (the study excluded mothers who drank heavily).  The results suggest that children with an impaired ability to break down alcohol can be harmed by relatively small amounts of it while in the womb.

On the one hand, the results show that children who lack the genetic variants uncovered in the study may not suffer from their mother's moderate drinking.  But the study also underscores why one might want to use the precautionary principle during pregnancy: In the right situation, even an occasional glass of wine appears to carry with it the risk of a drop in IQ.


Booze v Soda: Adults get nearly as many empty calories from alcohol as sugary drinks


Americans get too many calories from soda. But what about alcohol? It turns out adults get almost as many empty calories from booze as from soft drinks, a government study found. Soda and other sweetened drinks - the focus of obesity-fighting public health
campaigns - are the source of about 6 percent of the calories adults consume, on average. Alcoholic beverages account for about 5 percent, the new study found.

"We've been focusing on sugar-sweetened beverages. This is something new," said Cynthia Ogden, one of the study's authors. She's an epidemiologist with the Centers for Disease Control and Prevention which released its findings Thursday.

The government researchers say the findings deserve attention because, like soda, alcohol contains few nutrients but plenty of calories.  The study is based on interviews with more than 11,000 U.S. adults from 2007 through 2010. Participants were asked extensive questions about what they ate and drank over the previous 24 hours. The study found:

-On any given day, about one-third of men and one-fifth of women consumed calories from beer, wine or liquor.

-Averaged out to all adults, the average guy drinks 150 calories from alcohol each day, or the equivalent of a can of Budweiser.

-The average woman drinks about 50 calories, or roughly half a glass of wine.

-Men drink mostly beer. For women, there was no clear favorite among alcoholic beverages.

-There was no racial or ethnic difference in average calories consumed from alcoholic beverages. But there was an age difference, with younger adults putting more of it away.

For reference, a 12-ounce can of regular Coca-Cola has 140 calories, slightly less than a same-sized can of regular Bud. A 5-ounce glass of wine is around 100 calories.

In September, New York City approved an unprecedented measure cracking down on giant sodas, those bigger than 16 ounces, or half a liter. It will take effect in March and bans sales of drinks that large at restaurants, cafeterias and concession stands.  Should New York officials now start cracking down on tall-boy beers and monster margaritas?  There are no plans for that, city health department officials said, adding in a statement that while studies show that sugary drinks are "a key driver of the obesity epidemic," alcohol is not.  Health officials should think about enacting policies to limit alcoholic intake, but New York's focus on sodas is appropriate, said Margo Wootan, director of nutrition policy for the Center for Science in the Public Interest, a public health advocacy group.

Soda and sweetened beverages are the bigger problem, especially when it comes to kids - the No. 1 source of calories in the U.S. diet, she said.  "In New York City, it was smart to start with sugary drinks. Let's see how it goes and then think about next steps," she said.  However, she lamented that the Obama administration is planning to exempt alcoholic beverages from proposed federal regulations requiring calorie labeling on restaurant menus.

It could set up a confusing scenario in which, say, a raspberry iced tea may have a calorie count listed, while an alcohol-laden Long Island Iced Tea - with more than four times as many calories - doesn't. "It could give people the wrong idea," she said.

College drinking: No fear, all reward raises risk
Brain scans show that stressed out college students are more likely to abuse alcohol when they have both a strong desire for reward and little fear of the dangers. “Imagine the push and pull of opposing drives when a mouse confronts a hunk of cheese in a trap. Too much drive for the cheese and too little fear of the trap leads to one dead mouse,” says senior author Ahmad Hariri, a professor of psychology and neuroscience at Duke University and director of its Laboratory of NeuroGenetics. Hariri and lead author Yuliya S. Nikolova, a Duke graduate student, analyzed fMRI brain scan data to measure individual differences in the functioning of reward and threat circuits in the brains of the students. Read the original study
The students’ self-reporting spanned the previous 12 months and included questions regarding their experience of stressful life events as well as their use of alcohol and any problems associated with this use. In addition, a subset of students provided reports of their drinking three months after they were scanned, allowing Nikolova and Hariri to map differences in brain function onto later problem drinking. The authors found that problem drinking related to stress emerged only in students who had both a highly reactive reward circuitry in the ventral striatum region of the brain and a hypo-reactive threat circuitry in the amygdala. “The work further highlights a novel protective role for the amygdala, which has been historically the focus of risk for and pathophysiology of mood and anxiety disorders,” Hariri says. The findings may help with identifying individuals who are particularly high-risk for abusing alcohol because of stress, including biomarkers and interventions, Nikolova notes.

The authors says an important caveat to consider when interpreting their findings is that participants may have experienced more stressful life events partially as a result of their increased drinking, rather than the other way around. “This interpretation would be consistent with a heightened drive to pursue immediate rewards, coupled with a reduced ability to recognize and avoid threat in those individuals,” they write in the study published in the open-access journal Biology of Mood & Anxiety Disorders. Source: Duke University

"Pre-gaming" may lead heavier drinking, blackouts
College students might "pre-game" to save a few bucks during a night out, but a new study says that could come at added costs to their health. A Swiss study has revealed that college-aged people who pre-drink before they go out tend to drink twice as much and have more negative consequences than those who only drink at event they attend. Pre-drinking -- also known as pre-gaming and pre-partying  -- is the act of consuming alcoholic beverages before heading out to another venue where there will be drinking, such as a sporting event, bar or club. Addiction specialists believe that 65 to 75 percent of young adults drink before they go out, according to the Los Angeles Times.  Click here to read the rest of the story

FDA Received Reports of 13 Deaths Possibly Connected With Energy Drink

The Food and Drug Administration (FDA) has received reports of 13 deaths over the last four years that may have involved the highly caffeinated drink 5-Hour Energy, The New York Times reports. Last month, the FDA said it was investigating reports that five people have died since 2009 after they consumed Monster energy drinks. The investigation was announced after parents of 14-year-old Anais Fournier sued the company in connection with their daughter’s death. The FDA said it has not established a connection between the drinks and the deaths. The FDA can regulate caffeine levels in soft drinks. The limit in a 12-ounce soda is about 71 milligrams. The caffeine levels in most energy drinks exceed that level, because they are labeled dietary supplements.

According to the newspaper, since 2009, the FDA has received incident reports of more than 30 cases of serious or life-threatening injuries such as heart attacks and convulsions, which mentioned 5-Hour Energy. These reports do not prove the product was responsible for a death or injury, or contributed in any way to it, the article notes.

While Monster Energy, Red Bull and other energy drinks that come in a can, 5-Hour Energy is sold in a two-ounce bottle called a shot. According to an analysis by Consumer Reports, the product contains about 215 milligrams of caffeine. An eight-ounce cup of coffee generally contains between 100 to 150 milligrams. Last year, the Substance Abuse and Mental Health Services Administration issued a report that found a sharp rise in the number of emergency department visits linked with the use of non-alcohol energy drinks, from 1,128 visits in 2005, to 13,114 in 2009. The report noted that energy drinks are marketed to appeal to youth, and are consumed by up to half of children, teenagers and young adults.

CNN’s Dr. Sanjay Gupta ran a report on Thursday, November 15th titled “Prescription drug deaths: Two stories”. If you’re interested in reading the report, click here.


60 percent of America's biggest cities are now smoke-free
Comprehensive smoke-free laws cover 30 of 50 largest U.S. cities, up from just one in 2000
Thirty of America’s 50 largest cities are now covered by laws that prohibit smoking in all indoor areas of private workplaces, restaurants, and bars, according to a study from the Centers for Disease Control and Prevention. By late 2000, only one of the 50 largest U.S. cities—San Jose, Calif.—was covered by such a law. As of Oct. 5, 2012, 16 of the 50 largest cities were covered by local comprehensive smoke-free laws, and 14 more were covered by state comprehensive smoke-free laws.  Today, almost half of Americans are protected by state or local laws of this kind, compared to less than three percent in 2000. Scientific studies have found that smoke-free laws reduce exposure to secondhand smoke, reduce smoking, and improve health, including reducing heart attacks. While new local comprehensive smoke-free laws continue to be adopted in a number of cities and counties, last week North Dakota voters approved the first statewide comprehensive smoke-free law adopted since 2010.
The study, "Comprehensive Smoke-Free Laws—50 Largest U.S. Cities, 2000 and 2012," published in this week’s Morbidity and Mortality Weekly Report, reported that 10 of the 20 cities without comprehensive smoke-free laws are located in the south. Additionally, 10 of the 20 cities without such laws are located in states that prohibit local smoking restrictions from being stronger than or different from state law.
"Hundreds of cities and counties have passed their own smoke-free laws, including many communities in the south," said Tim McAfee, M.D., M.P.H., director of CDC’s Office on Smoking and Health. "If we continue to progress as we have since 2000, all Americans could be protected from secondhand smoke exposure in workplaces and public places by 2020."
The 2006 Surgeon General’s Report concluded that there is no risk-free level of exposure to secondhand smoke. Secondhand smoke causes heart disease and lung cancer in nonsmoking adults and is a known cause of sudden infant death syndrome or SIDS, respiratory problems, ear infections, and asthma attacks in infants and children. Even brief exposure to secondhand smoke can trigger acute cardiac events, such as heart attack. Cigarette use kills an estimated 443,000 Americans each year, including 46,000 by heart disease and 3,400 by lung cancer among nonsmokers from exposure to secondhand smoke. For an online version of this MMWR report, visit http://www.cdc.gov/mmwr.

Alcohol Taxes Can Reduce Young People’s Drinking
Raising alcohol excise taxes can help deter young people from drinking, according to a leading expert on preventing drinking in youth. n a report prepared as part of the campaign to advocate for the Maryland excise tax, CAMY estimated that a dime a drink increase in Maryland’s alcohol excise taxes would reduce alcohol consumption by 4.8 percent, raise $214.4 million in new revenue for the state and result in a savings of an additional $249 million in costs incurred in the state as a result of alcohol consumption. CAMY said that such an increase would prevent almost 15,000 cases of alcohol dependence annually. “The impact could be even larger among youth, since they are less likely to be addicted to alcohol than older drinkers, and also have less disposable income—both factors that make them more sensitive to increases in the cost of alcohol,” the report states.

Read the rest of the article by clicking here.

Monday, November 12, 2012

ATOD Weekly Recap - Week- ending November 2nd



Over-the-Counter Drug Abuse More Common in Boys: Study
A new study suggests boys are more likely than girls to abuse over-the-counter (OTC) drugs. The study of middle school and high school students in 133 schools in Cincinnati found 10 percent said they abused over-the-counter drugs such as cough syrup or decongestants. University of Cincinnati researchers noted this type of drug abuse can lead to accidental poisoning, seizures and physical and mental addictions.
HealthDay reports the researchers found high rates of over-the-counter drug abuse were found among both female and male middle school students, but boys had a higher risk of longtime use, compared with girls. Teens who admitted to abusing over-the-counter drugs were more likely to say they had gone to parties where the drugs were available, or had friends who abused the drugs. Teens involved in school clubs, sports, community and church groups were less likely to report abusing over-the-counter drugs. “Findings from this study highlight and underscore OTC drugs as an increasing and significant health issue affecting young people,” Rebecca Vidourek, Assistant Professor of Health Promotion, said in a news release.
The study was presented at the American Public Health Association meeting.


Teens Who Try Menthol Cigarettes More Likely to Become Regular Smokers
Teens who try menthol cigarettes are more likely to become smokers than those who start experimenting with regular cigarettes, a new study finds. The research included more than 47,000 students in middle school and high school, Reuters reports. Young people who try menthol cigarettes are 80 percent more likely to become regular smokers, according to researchers from RTI International, a research institute in North Carolina. The study appears in the journal Addiction.
About 19 million Americans smoke menthol cigarettes. While sales of menthol cigarettes in the U.S. have risen between 4 and 5 percent during the past decade, sales of most regular cigarettes have decreased during the same period. Newport and KOOL are the two most popular menthol brands. Critics of menthol cigarettes say the additive makes them more appealing to new smokers, and may be especially likely to lead to addiction. “This study adds additional evidence that menthol cigarettes are a potential risk factor for kids becoming established, adult smokers,” said study leader James Nonnemaker, of the research institute RTI International in North Carolina.


Experts Say Mental Health Effects of Hurricane Sandy Could be Powerful
Psychologists warn the mental health effects of Hurricane Sandy could be powerful, HealthDay reports.
“Sandy, like all natural disasters, is considered a criterion ‘A1 stressor in the diagnoses of acute stress disorder in the first month after the event and post-traumatic stress disorder, at least a month after the event,” said Simon Rego, Director of Psychology Training at Montefiore Medical Center/Albert Einstein College of Medicine in New York City. “I’d expect many people to display symptoms of acute stress disorder even if they did not directly experience effects of Sandy.”
The symptoms could include insomnia, irritability, feeling numb or detached from others, restlessness, or feeling in a daze, Rego noted. Some people closest to the destruction could experience flashbacks, while others may avoid people or places that remind them of the event. Many of these effects are likely to be temporary, Rego added. “Fortunately, people are quite resilient and for many of these people, the symptoms will begin to abate on their own over time, as long as they have a healthy support system that enables them to talk about what happened and how they feel about it and do their best to return to as close to as normal routine as they can manage, under the circumstances,” he said. Children affected by the storm need reassurance from their parents, according to Sara Rivero-Conil, a child psychologist at Miami Children’s Hospital. “Tell them they needn’t worry, there is a plan in place and these events don’t happen every day,” she said. Even watching the hurricane and its aftermath on television can be stressful for children, Rivero-Conil added.


About One-Third to One-Half of Youth Report That They Can Get Alcohol, Cigarettes, Prescription Drugs to Get High, or Marijuana Within a Day or Less

Between 31% and 50% of youth ages 12 to 17 report that they can get alcohol, cigarettes, prescription drugs to get high, or marijuana within a day or less, according to data from the 2012 National Survey of American Attitudes on Substance Abuse. Alcohol and cigarettes were the most readily accessible substances, with 50% and 44%, respectively, of youth reporting that they could obtain them within a day. Youth were least likely to report that they could get marijuana within a day (31%); 45% report that they would be unable to get marijuana at all. It will be interesting to see if reported access to marijuana increases if more states pass medical marijuana and marijuana decriminalization laws. While marijuana use remains illegal under federal law, 17 states and the District of Columbia have some type of law allowing for the medical use of marijuana and 14 states have some type of marijuana decriminalization law. Medical marijuana laws are on the ballot in two states (Arkansas and Massachusetts) in the coming election, and initiatives to legalize marijuana for recreational use are on the ballot in three states (Colorado, Washington, and Oregon).
SOURCE:  Adapted by CESAR from The National Center on Addiction and Substance Abuse at Columbia University (CASA), National Survey of American Attitudes on Substance Abuse XVII: Teens, 2012. Available online at http://www.casacolumbia.org/upload/2012/20120822teensurvey.pdf.


Half of Addiction Counselors Say It’s OK for Some Patients to Drink Occasionally

A survey of addiction counselors finds almost half say it is acceptable for at least some of their patients to drink from time to time. The survey included 913 members of the National Association of Alcoholism and Drug Addiction Counselors. About half of the counselors said they would not object if some of their clients who abuse alcohol wanted to limit their drinking, but not totally abstain, PsychCentral.com reports. That is double the number of counselors in a 1994 survey who said moderate drinking was acceptable for some clients.
The new survey found about half of counselors said moderate drug use was acceptable as an intermediate goal, while one-third said it was adequate as a final goal.
“Individuals with alcohol and drug problems who avoid treatment because they are ambivalent about abstinence should know that — depending on the severity of their condition, the finality of their outcome goal, and their drug of choice — their interest in moderating their consumption will be acceptable to many addiction professionals working in outpatient and independent practice settings,” the researchers from Bowling Green State University noted in a press release.
Counselors were less accepting of occasional substance use for clients diagnosed with alcohol or drug dependence, which is considered more severe than alcohol or drug abuse. At least three-fourths of the counselors said they would not approve of limited or moderate consumption for these clients.
“In light of this study, we suggest that clients ask about their counselor’s openness to limited or moderate consumption as an outcome goal, and that agencies acknowledge their policy regarding negotiation of outcome goals as part of informed consent,” said researcher Harold Rosenberg, PhD.
The study was published in Psychology of Addictive Behaviors.


Living Near Bars May Increase Risk of Heavy Drinking, Study Suggests
Living near bars may increase the risk of heavy drinking, a new study suggests. Researchers followed almost 55,000 adults in Finland for seven years. They found those who moved closer to bars were more likely to consume a greater amount of alcohol, according to Reuters. A person who moved one kilometer (0.6 mile) closer to a bar increased the odds of becoming a heavy drinker by 17 percent. The study defined heavy drinking as more than 10 ounces a week of distilled alcohol for men, and seven ounces for women. The researchers noted that the findings were similar among people who moved close to bars, and among people who lived in neighborhoods where bars opened close to their homes.
The study appears in the journal Addiction.
Researcher Jaana L. Halonen told Reuters it is possible that restricting the operating hours of bars and other alcohol retailers could limit local residents’ risky drinking.


Five Potential Addictions We Sometimes Overlook
When most people contemplate addiction, they think about cigarettes, alcohol, and illicit drugs like crystal methamphetamine, cocaine, and heroin. And certainly those substances are highly addictive—they are incredibly difficult to quit once a person is hooked, and prolonged use/abuse typically results in any number of negative life consequences. But these obvious potential addictions are far from the only possible problem areas. Read the rest of the blog here.



Mother’s Smoking Not Linked to Children’s Substance Abuse

Mothers’ smoking during pregnancy probably does not lead to substance abuse in their children, as earlier studies suggested, according to researchers at Indiana University. Previous research indicated that mothers’ smoking in pregnancy leads to a greater risk of substance abuse in their children, according to MedPageToday. The new study suggests any link between mothers’ smoking and children’s substance abuse is likely due to family background. The researchers note siblings have similar rates of substance abuse regardless of their specific exposure to their mother’s smoking. Brian D’Onofrio, PhD reports in the Archives of General Psychiatry that when mothers changed their smoking habits during different pregnancies, there was no change in substance abuse risk in their children.


Teen prescription drug abuse: What to do

Prescription drugs like OxyContin, Vicodin, Ritalin and Valium are the killer new teen high. One in six teens say he or she has taken a prescription drug at least once in the past year. One in 11 is drug-dependent and one in five show signs of dependence, a new study says.
While kids swipe pills from medicine cabinets and purses, trade them at school or pluck them from bowls at “pharma parties,” parents are often clueless. We don’t think it can happen to our kids, so we say little, miss early warning signs and fumble opportunities to educate and protect our kids. During October and November, the Healthy Kids blog will look at this issue through the stories of former teen prescription-drug users now in recovery, their parents and local addiction-recovery experts working to treat addicted teens and help parents prevent this under-the-radar and illicit drug use.


Study: Cocaine Increases Long-Term Risk of Heart Attack and Stroke

PROBLEM: In the moment, cocaine produces its stimulating cardiovascular effects by constricting blood vessels while increasing heart rate and blood pressure. This high-inducing physiology is also why the drug's been known to cause heart attacks in users -- but only while they're actually under the influence.
METHODOLOGY: This Australian study looked at the MRIs of 20 "recreational" users -- who reported having used cocaine at least once a month for the past year -- as compared to 20 non-users. The users, 17 men and 3 women, were otherwise healthy and had an average age of 37.
RESULTS: The users showed an increase in aortic stiffening of 30 to 35 percent, higher systolic blood pressure, and an 18 percent greater thickness of the heart's left ventricle wall -- all symptoms associated with a higher risk of heart attack and stroke.
CONCLUSION: The persistent hypertension and vascular stiffness seen in users, according to lead researcher Gemma Figtree, makes cocaine "the perfect heart attack drug."
IMPLICATION: While this study didn't look at the actual incidences of heart attacks among cocaine users, the observed effects are known contributors to an increased risk of heart disease. Even though Figtree expressed great distress over cocaine users who, "despite being well-educated professionals ... have no knowledge of the health consequences of regularly using cocaine," most people are probably aware of the risks associated. The real significance here is that even though it may seem like recreational users are getting away with something, this study is the first to document worrisome long-term effects of cocaine use on the heart.
The full study, "Cardiovascular Impact of Cocaine In Regular Asymptomatic Users Assessed By Cardiovascular Magnetic Resonance Imaging" was presented at the American Heart Association's Scientific Sessions.



Highest Number of Arrests in the U.S. Are for Drug Abuse Violations

There were an estimated 12,408,899 arrests in the United States in 2011, according to data from the national Uniform Crime Reporting (UCR) Program. The highest number of arrests were for drug abuse violations—selling, manufacturing, or possessing drugs, followed by larceny-theft and driving under the influence (see figure below). The majority (82%) of these arrests were for possession and one-half of these drug abuse violations involved marijuana (data not shown). A poll conducted in 2011 found that one-half of U.S. residents think that marijuana should be legalized.
SOURCE:  Adapted by CESAR from U.S. Department of Justice, Federal Bureau of Investigation, Crime in the United States, 2011, 2012 (available online at http://www.fbi.gov/about-us/cjis/ucr/crime-in-the-u.s/2011/crime-in-the-u.s.-2011/persons-arrested/persons-arrested).



Study Details Cocaine’s Damaging Effect on Heart

A new study presented at the American Heart Association annual meeting suggests people who use cocaine may have stiffer arteries, higher blood pressure and thicker heart muscles, all of which can lead to a heart attack.
“It’s so sad,” lead researcher Gemma Figtree of the University of Sydney in Australia said in a news release. “We are repeatedly seeing young, otherwise fit individuals suffering massive heart attacks related to cocaine use. Despite being well-educated professionals, they have no knowledge of the health consequences of regularly using cocaine.”
The researchers used MRI scans to study the hearts of 40 healthy adults, CBS News reports. They also measured participants’ blood pressure. Half of the study subjects admitted to using cocaine at least once a month in the past year, while the other half did not use cocaine. Cocaine users had more stiffening of the arteries, higher blood pressure and greater thickness in their heart’s left ventricle wall, compared with non-users. The study did not examine the rate of heart attacks among people who used cocaine.
The researchers said their study is the first to document some of these heart abnormalities in seemingly healthy cocaine users long after the immediate effects of the drug have worn off.


Mixing Meds and Alcohol: Just How Dangerous Is It?
Most psychiatric drugs bear some version of the warning: “Do not drink alcoholic beverages when taking this medication.” In reality, though, many people taking psych meds drink anyway. They have various reasons: not wanting to curtail their fun, not putting much stock in the warnings, or simply thinking it’s easier to take a proffered drink than explain why they’re turning it down. Doctors oftentimes don’t bother to talk to patients about potential dangers. Or they tell patients not to drink, but don’t explain why. To make matters worse, because of a lack of studies on the subject, patients inclined to do their own research will have a hard time just how risky it is to drink while taking various kinds of psychiatric medications.
A widely publicized study that came out last month in the journal Neurology underscores the problem. The findings, which pooled data from 16 studies, showed that people taking SSRI antidepressants like Zoloft or Celexa were 40 percent more likely to suffer a type of stroke caused by bleeding in the brain and 50 percent more likely to suffer any bleeding in the skull.


The Almost Addicted
Where substance use may be disrupting one's relationships and showing signs of worsening, it may be an "almost addiction." A new book makes the case for attending to the regular user whose habit causes pain but fails to meet the criteria of addiction. Click here to read the rest of the review from Hazelden.

Helping Those in Need Find Counseling
Just about everyone knows a friend or relative who has shown signs of emotional or behavioral turmoil. Yet trying to reach that person can sometimes feel overwhelming. Author Dr. Mark Komrad offers guidance on helping others find help.
Excerpted from his book for family members, psychiatrist Dr. Mark Komrad provides practical advice on engaging people most in need of and most resistant to therapy. Click here to read more.



Highs and lows of using marijuana
On Tuesday, Colorado and Washington became the first two states to legalize recreational use of marijuana. The referendums come at a time when more than a third of states have approved the cannabis plant for medicinal purposes. Proponents for legalizing marijuana tout its pain-relieving benefits and use by cancer patients undergoing chemotherapy or radiation treatments; opponents stress that science has yet to prove the drug is safe.
It's a bit like the fairytale, "Jack and the Beanstalk." This "magic" plant that could help with everything from glaucoma to Lou Gehrig's disease could also contain unknown dangers to our heart, lungs and brain. The real question is, if we legalize marijuana, will we all live happily ever after?

More students drop out in bullying ‘climates’
The link between teasing and bullying and a school’s dropout rate exists independent of other demographic factors, according to the new report, published online in the Journal of Educational Psychology.
“This study suggests that teasing and bullying at the high school level is a noteworthy problem that is associated with the most serious negative outcome—failure to graduate,” says Dewey Cornell, a professor at the University of Virginia’s Curry School of Education.
Rest of the story is available here.


Chugging Alcohol Before Going Out to Drink Leads to Trouble, Study Finds
College students who drink alcohol before going out to a bar, club or sporting event are more likely than their peers who don’t “pre-drink” to experience blackouts, hangovers, alcohol poisoning or absence from work or school, a new study finds. Pre-drinking also leads to an increased risk of unprotected sex and unplanned drug use or injury, according to the Los Angeles Times.
“Changing the location during a night increases the overall amount of alcohol consumption,” lead researcher Florian Labhart said in a news release. “It’s important that young people count the number of drinks they have during a night and to remember how many drinks they had already when they reach a new drinking location.”
The researchers studied the drinking habits of more than 250 Swiss students for five weeks. They found when students drank before going to a club or bar, they consumed more than they would normally. Students engaged in pre-drinking had an average of seven drinks, compared with just over four drinks for those who drank only at a bar or event. Students who drank before going out had a 24 percent chance of experiencing negative consequences, compared with 18 percent for those who did not pre-drink.
 
The study appears in Alcoholism: Clinical & Experimental Research.


Adult Smoking Rate Remained at 19 Percent Last Year
The smoking rate of American adults, which declined slightly between 2005 and 2011, held steady at 19 percent between 2010 and 2011, the Centers for Disease Control and Prevention (CDC) announced this week. In 2005, an estimated 20.9 percent of adults smoked, HealthDay reports. That rate declined to 19.3 percent in 2011. The smoking rate among adults with disabilities is more than 25 percent, compared with 17 percent among people without disabilities. There are almost 44 million adult smokers in the United States, according to the CDC. Among young adults ages 18 to 24, smoking rates decreased from more than 24 percent in 2005 to almost 19 percent in 2011, the CDC noted in its report.
“While it is good news that smoking continues to decline, there is an urgent need to accelerate progress against the nation’s number one cause of preventable death,” Matthew L. Myers, President of the Campaign for Tobacco-Free Kids, said in a statement. “It is unacceptable that 43.8 million American adults still smoke and some 443,000 Americans still die every year from smoking-related diseases.”
Dr. Tim McAfee, Director of the CDC’s Office on Smoking and Health, told HealthDay more needs to be done to reduce the nation’s smoking rate. “We are making some progress, but the progress is slower than we need to see given how important the effect of smoking is on our nations’ health,” he said. McAfee noted smoking rates have not been further reduced because states are not adequately funding tobacco-control programs. “There has been a 35 percent decrease in funding of state programs over the last few years,” he said. “These are programs that have been incredibly effective.”


Parental Monitoring Can Help Overcome Teens’ Genetic Predisposition to Drinking
Parents who closely monitor their teens’ behavior and friends can help counteract their children’s genetic predisposition to an alcohol use disorder, a new study indicates. In a previous study, lead researcher Robert Miranda, Jr. of Brown University found teens with a single difference in their genes were more predisposed to alcohol use disorders, according to HealthCanal. In the new study, Miranda found this risk was largely overcome in teenagers whose parents closely monitored their behavior, and who spent less time with ‘deviant’ friends.
The study included 104 teens, who were interviewed about their alcohol use, parental monitoring and friends. They also provided a DNA sample for genetic analysis. The researchers report in Alcoholism: Clinical & Experimental Research that 30 of the teens had the genetic variant that increased their risk of an alcohol use disorder. “The key finding of this study is that while genetics appear to play a role in the development of alcohol problems among teenagers, environmental factors can considerably reduce this risk,” Miranda said in a news release.
“If you are a parent, pay closer attention to your child’s whereabouts, and with whom your kids are affiliating socially, both of which can pay enormous dividends in reducing problems,” added John F. Kelly, Associate Director of Massachusetts General Hospital-Harvard Center for Addiction Medicine. “Beginning an open and ongoing conversation with your child along these lines, including discussing the nature of alcohol-specific risks, could eradicate a potentially devastating problem.”