Self-Medication Hypothesis of Substance Use: Testing Khantzian's Updated Theory

@article{Hall2007SelfMedicationHO,
  title={Self-Medication Hypothesis of Substance Use: Testing Khantzian's Updated Theory},
  author={Danny H Hall and John E. Queener},
  journal={Journal of Psychoactive Drugs},
  year={2007},
  volume={39},
  pages={151 - 158}
}
Abstract Substance use research has been a salient focus for mental health professionals in recent years. Several organizations, including the American Psychological Association, have been pressing for more substance use research, particularly clinically relevant, theory-based investigations. However, there are few theories of substance use, and even fewer with scientific support. One theory is the Self Medication Hypothesis by Khantzian (1977, 1974), a theory with 30 years of research. However… 
Further evidence of self-medication: personality factors influencing drug choice in substance use disorders.
TLDR
This project tested the self-medication hypothesis in a treatment sample of treatment-seeking individuals with substance dependence, using more heterogeneous, personality-driven measures that are theory-congruent and partially support the SMH, particularly in its characterization of personality functioning in those addicted to depressants and opiates.
The Many Faces (and Potential Dangers) of Self-Medication as an Explanatory Concept for Substance Use
The self-medication hypothesis of addictive disorders maintains that individuals use substances to cope with dysphoric affect, and that painful emotional states are etiologically relevant to the
Psychological factors associated with substance use in adolescents
Gunnarsson, M. (2012). Psychological factors associated with substance use in adolescents. Department of Psychology, the University of Gothenburg, Sweden. This thesis examines possible factors
Motives for prescription opioid use: The role of alexithymia and distress tolerance.
TLDR
The findings indicate that distress tolerance mediated the association between alexithymia and PO use in negative situations, and provided novel information regarding emotional states that may contribute to PO use and are malleable intervention targets.
Heterogeneity in the Co-occurrence of Substance Use and Posttraumatic Stress Disorder: A Latent Class Analysis Approach
TLDR
Findings improve the understanding of heterogeneous PTSD-SU comorbidity patterns and highlight acknowledgment of such subtyping (subgrouping) in considering differential treatment options, treatment effectiveness, and resource allocation.
Low Dispositional Mindfulness Predicts Self-medication of Negative Emotion With Prescription Opioids
TLDR
Self-medication of negative emotions with opioids was prevalent in this sample and related to low dispositional mindfulness, which suggests that increasing mindfulness may decrease opioid self-medicated.
The Influence of Comorbid Negative Mood on Craving's Relationship to Post-Treatment Alcohol Use
TLDR
The aim of this thesis was to explore the performance of craving as a predictor of posttreatment alcohol use outcomes in the presence of comorbid depression, under the hypothesis that presence of negative affect would augment effects of craving, strengthening its predictive power and increasing vulnerability to post-treatment relapse.
Self-Medication and Avoidance Coping
TLDR
Coping strategies are examined, and how they play into the recovery narrative according to the results of the survey, interviews and focus groups, and self-medication is reviewed as dulling or deferring.
Momentary affective states predicting substance use events in depressed youth
The relationship between mood and substance use in depressed adolescents has been well established, but the precise mechanisms need elucidation. We sought to characterize 24-h momentary affective
Investigating Impacts of Incorporating an Adjuvant Mind–Body Intervention Method Into Treatment as Usual at a Community-Based Substance Abuse Treatment Facility
Treatment of substance use/misuse (SUM) continues to pose a difficult challenge. This exploratory pilot study evaluated whether a novel mind–body intervention program called “Mind–Body Bridging”
...
...

References

SHOWING 1-10 OF 34 REFERENCES
Consistency of self-administered and interview-based Addiction Severity Index composite scores.
TLDR
It is suggested that a self-administered questionnaire can be a feasible alternative to ASI interviews for monitoring substance abuse patients' treatment outcomes.
Science-based views of drug addiction and its treatment.
TLDR
Recent scientific advances have provided insights both into the nature of drug abuse and addiction and into the principles that characterize the most effective treatment approaches and programs that should make the primary care or nonaddiction specialty care physician’s tasks of screening and referral much easier.
Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness
TLDR
This ebooks is under topic such as cambridge university press 0521778506 disorders of alexithymia in ptsd publish mental state understanding in adult psychiatric disorders.
Heterogeneity of psychiatric diagnosis in treated opiate addicts.
TLDR
A survey evaluated current and lifetime rates of psychiatric disorders in 533 opiate addicts in treatment at a multimodality program, suggesting the importance of detecting and attending to psychopathology associated with opiate addiction.
Drug craving and addiction: integrating psychological and neuropsychopharmacological approaches
  • I. Franken
  • Psychology, Biology
    Progress in Neuro-Psychopharmacology and Biological Psychiatry
  • 2003
DSM-III psychiatric diagnosis of narcotic addicts. Recent findings.
TLDR
Heterogeneity of diagnosis is noted, depressions and personality disorders, often in combination, were most prominent in narcotic addicts diagnosed using DSM-III criteria.
Detection of illicit opioid and cocaine use in methadone maintenance treatment.
TLDR
Standard urine testing practices in MMT programs may result in underestimates of the prevalence of opioid and cocaine use, and more frequent testing should produce more accurate depictions of drug use prevalence and help indicate the direction of interventions.
Uppers, Downers, All Arounders: Physical and Mental Effects of Psychoactive Drugs
This edition incorporates the most current and comprehensive information on the physiology, neurochemistry and sociology of drugs in to one of the best William cohen do as federal state, and adopted
...
...