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Auteur G. BÜHRINGER
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Alcohol dependence treatment in the EU: A literature search and expert consultation about the availability and use of guidelines in all EU countries plus Iceland, Norway, and Switzerland / J. REHM ; M. X. REHM ; H. ALHO ; A. ALLAMANI ; H. J. AUBIN ; G. BÜHRINGER ; J. B. DAEPPEN ; U. FRICK ; A. GUAL ; N. HEATHER in International Journal of Alcohol and Drug Research, Vol.2, n°2 (2013)
in International Journal of Alcohol and Drug Research > Vol.2, n°2 (2013) . - 53-67
Titre : Alcohol dependence treatment in the EU: A literature search and expert consultation about the availability and use of guidelines in all EU countries plus Iceland, Norway, and Switzerland Type de document : Périodique Auteurs : J. REHM ; M. X. REHM ; H. ALHO ; A. ALLAMANI ; H. J. AUBIN ; G. BÜHRINGER ; J. B. DAEPPEN ; U. FRICK ; A. GUAL ; N. HEATHER Année de publication : 2013 Article en page(s) : 53-67 Langues : Anglais Mots-clés : Thésaurus Géographique
EUROPE ; UNION EUROPEENNE ; ISLANDE ; NORVEGE ; SUISSE
ALCOOL ; DEPENDANCE ; TRAITEMENT ; RECOMMANDATION ; COMPARAISON ; PRATIQUE PROFESSIONNELLE ; ENTRETIEN ; REDUCTION DE CONSOMMATION ; ABSTINENCE ; SEVRAGE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Alcool / Alcohol Résumé : Aim: To describe guidelines and common practices for alcohol dependence treatment in Europe.
Design: Systematic and qualitative review; for each country, guidelines were identified via systematic literature research, followed by interviews with treatment experts.
Setting: European Union (EU) countries plus Iceland, Norway, and Switzerland.
Participants: Experts in alcohol dependence treatments and treatment systems.
Measure: Semi-structured questionnaire for interviews.
Findings: While fewer than half of EU countries have formal national guidelines for alcohol dependence treatment, a majority of these countries have guidelines by professional organizations such as psychiatric or neuropsychopharmacologic societies, and several are currently developing such guidelines. Abstinence is the usual treatment goal, but the majority of countries accept reduction of drinking as an intermediate or secondary goal, in practice even more than in the guidelines. Psychotherapy, mainly cognitive-behavioral approaches, motivational interviewing, and family therapy, is the most common treatment for relapse prevention, in part accompanied by pharmacotherapy (disulfiram, acamprosate and naltrexone being used most often).
Conclusions: There are differences in treatment for alcohol dependence in Europe. The introduction of reduction of drinking as one treatment goal may attract more patients.
Sous-type de document : Revue de la littérature / Literature review Affiliation : Social and Epidemiological Research (SER) Department, Centre for Addiction and Mental Health, Toronto, Canada Lien : http://dx.doi.org/10.7895/ijadr.v2i2.89 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=73214[article]Allocating treatment options to patient profiles: clinical art or science? / G. BÜHRINGER
Titre : Allocating treatment options to patient profiles: clinical art or science? Titre traduit : (Déterminer des options de traitement en fonction du profil des patients : peut-on se fonder sur la science ou sur un art thérapeutique ?) Type de document : Périodique Auteurs : G. BÜHRINGER Année de publication : 2006 Importance : 646-656 Note générale : Addiction, 2006, 101, (5), 646-656 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
TRAITEMENT ; PRISE EN CHARGE ; PROGRAMME ; DEMANDE ; DIAGNOSTIC ; METHODE ; ORIENTATION ; EFFICACITE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Drogues illicites / Illicit drugs Résumé :
Background For many researchers, the disappointing results of Project MATCH were the death blow for any further activities in the field of patienttreatment interactions. On the other hand, we have an increased knowledge of patient heterogeneity and a greater variety of treatment options than before, and allocation guidelines for an ongoing process of patient-placement decisions are of high practical relevance. Aims To analyse deficits in the current research and to provide suggestions for future action. Findings It is argued that (1) certain major design aspects of Project MATCH and other research studiessuch as stringent patient exclusion criteria and low treatment 'dosage'minimize the chances of detecting possible patienttreatment interactions and (2) Project MATCH obscures our view of previous treatment-allocation research findings. Conclusions Several research strategies and specific research topics are suggested for (1) improving the theoretical and methodological basis for detecting possible patienttreatment interactions and (2) stimulating research on major treatment decision needs, such as site, setting, time in treatment (extensiveness and intensity), service components and specific treatment modules. More international research cooperation is needed to clarify the inconsistent findings. (Author' s abstract)
Refs biblio. : 49 Affiliation : Technische Univ. Dresden, Klinische Psychologie und Psychotherapie, Addiction Research Unit. Chemnitzer Str. 46, D-01187 Dresden. Email : buehringerpsychologie.tu-dresden.de Allemagne. Germany. Numéro Toxibase : 208809 Centre Emetteur : 02 Coordonnateur Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=14719CANDIS treatment program for cannabis use disorders: Findings from a randomized multi-site translational trial / E. HOCH ; G. BÜHRINGER ; A. PIXA ; K. DITTMER ; J. HENKER ; A. SEIFERT ; H. U. WITTCHEN in Drug and Alcohol Dependence, Vol.134 (January 2014)
in Drug and Alcohol Dependence > Vol.134 (January 2014) . - 185-193
Titre : CANDIS treatment program for cannabis use disorders: Findings from a randomized multi-site translational trial Type de document : Périodique Auteurs : E. HOCH ; G. BÜHRINGER ; A. PIXA ; K. DITTMER ; J. HENKER ; A. SEIFERT ; H. U. WITTCHEN Année de publication : 2014 Article en page(s) : 185-193 Langues : Anglais Mots-clés : Thésaurus Géographique
CANNABIS ; TRAITEMENT ; PROGRAMME ; ETUDE RANDOMISEE ; MOTIVATION ; THERAPIE COGNITIVO-COMPORTEMENTALE ; PSYCHOTHERAPIE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Drogues illicites / Illicit drugs Résumé : Background: In a recent paper, we reported the efficacy of a modular cognitive-behavioral intervention for treating adolescents and adults with cannabis use disorders (CUD). In this study, we examine the outcome of this intervention after translating it into clinical practice.
Methods: A multi-site, randomized controlled trial of 279 treatment seekers with ICD-10 cannabis use disorders aged 16-63 years was conducted in 11 outpatient addiction treatment centers in Germany. Patients were randomly assigned to an Active Treatment (AT, n = 149) or Delayed Treatment Control (DTC, n = 130). Treatment consisted of 10 sessions of fully manualized individual psychotherapy that combined Cognitive-Behavioral Therapy, Motivational Enhancement Therapy and problem-solving training. Assessments were conducted at baseline, during each therapy session, at post-treatment and at three and six month follow-ups.
Results: At post assessment 53.3% of AT patients reported abstinence (46.3% negative urine screenings) compared to 22% of DTC patients (17.7% negative drug screenings) (p < 0.001, Intention-to-treat analysis). AT patients improved in the frequency of cannabis use, number of cannabis dependence criteria, severity of dependence, as well as number and severity of cannabis-related problems. Effect sizes were moderate to high. While abstinence rates in the AT group decreased over the 3-month (negative urine screenings: 32.4%) and 6-month (negative urine screenings: 35.7%) follow-up periods, the effects in secondary outcomes were maintained.
Conclusions: The intervention can successfully be translated to and applied in clinical practice. It has the potential to improve access to evidence-based care for chronic CUD patients.
Affiliation : Institute of Clinical Psychology and Psychotherapy, Technische Universitaet Dresden, Dresden, Germany Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=73688[article]Comparative analysis of research into illicit drugs in the European Union. Full report / G. BÜHRINGER
Titre : Comparative analysis of research into illicit drugs in the European Union. Full report Type de document : Rapport Auteurs : G. BÜHRINGER ; M. FARRELL ; L. KRAUS ; J. MARSDEN ; T. PFEIFFER-GERSCHEL ; D. PIONTEK ; K. KARACHALIOU ; J. KUNZEL ; G. STILLWELL Année de publication : 2009 Editeur : Bruxelles : Commission Européenne / European Commission Importance : 507 p. ISBN/ISSN/EAN : 978-92-79-13383-1 Note générale : Rapport faisant partie de la documentation de référence pour la conférence de la Commission Européenne "Bridging the research gap in the field of illicit drugs in the EU", Bruxelles, 25 et 25 sept. 2009. Langues : Anglais Mots-clés : Thésaurus TOXIBASE
COMPARAISON ; RECHERCHE ; PRODUIT ILLICITE ; MODELE ; EVALUATION ; PARTENARIAT ; FINANCEMENT
Discipline : SAN Santé publique / Public health Domaine : Drogues illicites / Illicit drugs Résumé : The study was commissioned by the European Commissions Directorate-General for Justice, Freedom and Security (Justice-Liberté-Sécurité; DG JLS) with the following six objectives:
(1) To map the key research areas, research disciplines and recent research trends, covering both drug demand and drug supply reduction, taking into account any important interrelations with related thematic areas (i.e. mental health and addiction, licit substance abuse, etc.).
(2) To map and analyse the capacity, infrastructure and model of coordination of drug-related research in the member states (MS). An analysis of the participation of the national research communities in EU programmes should also be conducted.
(3) To map and analyse the capacity, infrastructure and coordination of illicit drug-related research at European and international level, taking into account the drug-related research activities of the Pompidou Group of the Council of Europe and the World Health Organisation as well as the activities of significant private or semi-private research bodies.
(4) To briefly describe for comparative purposes - the drug-related research trends, capacity, infrastructure and model of coordination in the US, Canada and Australia as well as major research collaborations in the drug field with EU partners.
5) To identify strengths and weaknesses in EU drug-related research as well as gaps in the knowledge infrastructure in this field, always bearing in mind that the focus of this study covers both supply and demand of illicit drugs.
(6) To assess options for strengthening if necessary the drug-related research infrastructure in EU. (Extract of the publication)
Affiliation : Germany Centre Emetteur : 13 OFDT Cote : E00894 Lien : http://www.emcdda.europa.eu/attachements.cfm/att_118348_EN_report-EN.pdf Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=51632Differences in pathological gambling prevalence estimates: facts or artefacts? / M. SASSEN ; L. KRAUS ; G. BÜHRINGER in International Journal of Methods in Psychiatric Research, Vol.20, n°4 (December 2011)
in International Journal of Methods in Psychiatric Research > Vol.20, n°4 (December 2011) . - e83-e99
Titre : Differences in pathological gambling prevalence estimates: facts or artefacts? Type de document : Périodique Auteurs : M. SASSEN ; L. KRAUS ; G. BÜHRINGER Année de publication : 2011 Article en page(s) : e83-e99 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
JEU PATHOLOGIQUE ; PREVALENCE ; COMPARAISON ; METHODE ; ENQUETE ; DSM (III,IV,5) ; QUESTIONNAIRE
Mots-clés : SOGS Discipline : EPI Epidémiologie / Epidemiology Domaine : Addictions sans produit / Addictions without drug Résumé : The paper aims at investigating whether survey methodology has recently converged to justify the common practice of comparing prevalence estimates and interpreting differences within and between countries. To this end, prevalence studies of problem (PrG) and pathological gambling (PG) published in peer-reviewed journals between 2000 and 2010 were critically reviewed. A systematic computer-based literature search was conducted within various databases and major gambling journals. In a two-step search process, a total of 39 studies reporting current prevalence data of non-clinical national samples from different countries were identified. Analyses revealed wide ranges in estimated PrG/PG rates for adults, adolescents, and college students, whereas similar estimates were reported in two studies on PrG/PG in seniors. Despite the discussion on methodological consistency in the field of gambling research, comparability of the reported estimates was found to be still highly limited by major variation between studies with regard to survey description, administration format, exclusion criteria, assessment instrument, cut-off scores, sample frame, and reference period. The interpretation of differences in PrG and PG prevalence estimates within and between countries may be improved by using valid and reliable instruments and by applying comparable survey methodology in well-defined populations. Copyright © 2011 John Wiley & Sons, Ltd. Sous-type de document : Revue de la littérature / Literature review Affiliation : IFT Institut für Therapieforschung, Munich, Germany Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=73134[article]Drug addiction treatment research, German and American perspectives / G. BÜHRINGERPermalinkDrug use and HIV-infection : the care of drug users and the treatment system / OMS / WHO ; OMS / WHO Regional Office for Europe ; G. BÜHRINGER ; J. GREENWOOD ; GSELLHOFER B. ; J. KUNZEL ; M. TORRENSPermalinkEfficacy of a targeted cognitive-behavioral treatment program for cannabis use disorders (CANDIS) / E. HOCH ; R. NOACK ; J. HENKER ; A. PIXA ; M. HÖFLER ; S. BEHRENDT ; G. BÜHRINGER ; H. U. WITTCHEN in European Neuropsychopharmacology, Vol.22, n°4 (April 2012)PermalinkEvaluation of a drug-free outpatient treatment program for drug addicts / SPIES G.PermalinkForderungen an die Suchtkrankenhilfe aus der Sicht der Wissenschaft / G. BÜHRINGERPermalinkHas gambling changed after major amendments of gambling regulations in Germany? A propensity score analysis / M. LUDWIG ; L. KRAUS ; S. MÜLLER ; B. BRAUN ; G. BÜHRINGER in Journal of Behavioral Addictions, Vol.1, n°4 (December 2012)PermalinkMonitoring risk in young people - Young people and risk in Italy and Europe / G. BÜHRINGERPermalinkNon-medical use of prescription opioids and prescription opioid-related harms: why so markedly higher in North America compared to the rest of the world? [For debate] / B. FISCHER ; A. KEATES ; G. BÜHRINGER ; J. REIMER ; J. REHM in Addiction, Vol.109, n°2 (February 2014)PermalinkPrädiktion des Drogenkonsums und der Suchtentwicklung durch Faktoren in der Kindheit : Grundlagen und Ergebnisse einer empirischen Studie / KÜFNER H.PermalinkReframing addiction: policies, processes and pressures / P. ANDERSON ; G. BÜHRINGER ; J. COLOMPermalink