Multiple Substance Dependence and Course of Alcoholism among Alaska Native Men and Women

  title={Multiple Substance Dependence and Course of Alcoholism among Alaska Native Men and Women},
  author={Barris P. Malcolm and Michie N. Hesselbrock and Bernard Gerard Segal},
  journal={Substance Use \& Misuse},
  pages={729 - 741}
Alcohol dependence among Native Americans and Alaska Natives is twice that found in the general population. Alaska Natives are 7 times more likely to die of alcohol-related problems. This study investigated differences in the course and consequences of alcoholism and co-occurring polysubstance dependence in a sample of 582 alcohol-dependent Alaska Natives undergoing inpatient lifetime treatment in Anchorage between 1994 and 1999. Mean age was 33.9 years. Information on lifetime psychiatric… 

Concurrent use of addictive substances among alcohol drinkers: Prevalence and problems in a Swedish general population sample

  • M. Ramstedt
  • Medicine
    Nordisk alkohol- & narkotikatidskrift : NAT
  • 2019
A large group of drinkers in the Swedish general population have an accumulation of risks as a result of using both alcohol and other addictive substances, pointing at the importance of taking multiple substance-use patterns into account when combating drinking problems.

Factors Contributing to Substance Abuse Treatment Completion Among Alaska Natives

This quantitative study served the purpose of identifying factors that lead to the prediction of successful treatment discharges among Alaska Native clients who received treatment for substance abuse at a treatment center in Alaska and indicated that only gender was significantly connected to treatment outcomes.

Higher Impulsivity As a Distinctive Trait of Severe Cocaine Addiction among Individuals Treated for Cocaine or Alcohol Use Disorders

Cocaine- and alcohol-addicted patients who were grouped according to diagnosis of substance use disorders, psychiatric comorbidity, and impulsivity show different clinical and sociodemographic variables.

The clinical course of DSM-5 alcohol use disorders in young adult native and Mexican Americans.

NA had higher drinking levels and more alcohol problems at an earlier age than MA and a similar clinical course was seen based on gender and ethnicity in these young adults, but not based on diagnostic severity.

Telepsychiatry in an Alaska Native Residential Substance Abuse Treatment Program.

This study explores one telepsychiatry clinic's impact on a residential substance abuse treatment serving the Alaska Native community in Anchorage, Alaska and reinforces telePsychiatry's promise in serving other communities facing a high burden of addiction and mental illness yet facing barriers to high-quality, culturally competent services.

Concurrent and simultaneous polydrug use among young Swiss males: use patterns and associations of number of substances used with health issues

It is found that the number of concurrently used drugs can be a strong factor associated with mental and physical health, although their simultaneous use may not significantly contribute to this association.


It has been found that heroin and alcohol addicts in the communicative sphere are aggressive, deceitful, tend to dominate, although they retain the need to be accepted by others, which confirms the literature data about more aggressiveness of polynarcomania in the comparison with mononarchania.

The Relationship of Alcohol and Other Drug Use Typologies to Sex Risk Behaviors among Vulnerable Women in Cape Town, South Africa.

The fewer substances that women used seemed to serve as protective factors against engaging in AOD-impaired sex, as measured by measuring polydrug use among vulnerable women and its association with sexual risk taking.



Alcohol dependence among Alaska Natives entering alcoholism treatment: a gender comparison.

This sample of treatment-seeking Alaska Natives was found to have an early onset and severe form of DSM-III-R alcohol dependence, with few gender differences noted.

Gender and reported health problems in treated alcohol dependent Alaska natives.

Both men and women within this sample of inpatient alcohol-dependent Alaska Natives were found to have a similar early onset and rapid progression to DSM-III-R alcohol dependence, and to report a similar prevalence of alcohol-related psychological and physical problems.

Alcohol dependence and simultaneous cocaine and alcohol use in cocaine-dependent patients.

The present results confirm prior reports on the widespread prevalence of alcohol dependence among cocaine-dependent patients and extend them by providing new information on the prevalence and other characteristics of simultaneous cocaine and alcohol use.

Alcoholism in treatment-seeking cocaine abusers: clinical and prognostic significance.

Findings converge with recent evidence which suggests a particularly strong relationship between cocaine abuse and alcoholism that may differ from other types of alcohol-drug comorbidity and suggests that cocaine abuse may increase vulnerability to secondary alcoholism.

Gender comparison of antisocial personality disorder and depression in alcoholism.

Alcoholics also dependent on cocaine in treatment: do they differ from "pure" alcoholics?

Subject-collateral reports of drinking in inpatient alcoholics with comorbid cocaine dependence.

Overall, the results demonstrate that self-reports of individuals with alcohol and cocaine use disorders are generally valid, and subject-collateral discrepancy scores were positively related to the participants' severity of alcohol and drug dependence.

Psychopathology in hospitalized alcoholics.

Gender and the presence of specific psychopathology appeared to modify the course and symptom picture of alcoholism, and in general, alcoholic women showed a later onset of regular intoxication and a more rapid progression to alcohol abuse and dependence than alcoholic men.

Prevalence of Personality Disorders among Alcoholics and Drug Addicts: An Overview

Personality disorders (PDs) are considered to be potential predictors of outcome and potential matching variables. In this report the authors review the available epidemiological studies regarding

Ethnicity and psychiatric comorbidity among alcohol-dependent persons who receive inpatient treatment: African Americans, Alaska natives, Caucasians, and Hispanics.

Ethnic differences were found in relation to age of onset of alcohol and multiple substance dependence and psychiatric comorbidity among alcohol dependent men and women from four ethnic groups: Alaska Native, Caucasians, African Americans, and Hispanics.