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Set Recovery Goals
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Addiction practitioners describe early remission as a period greater than 3 months but less than 12 months without meeting DSM-5 substance use disorders criteria other than craving. Recovering men and women develop skills and use resources to continue abstinence or harm reduction and prevent relapse. Relapse prevention is a very important early recovery goal. Today, many treatment programs use medications to help patients manage craving.
The Recovery Cycle
Published in Joi Andreoli, The Recovery Cycle, 2023
You will see that Triggers and Cravings are just to the left, as they were in the Addiction Cycle. Cravings may or may not go away for a while. Triggers will always be lurking here and there. It is safe to say with emphasis that: Triggers must be dealt with consciously throughout recovery. Dealing with triggers doesn’t have to be that big of a deal, though, because with support and some recovery, triggers lose a lot of power. It’s always good to remember, however, that a trigger’s job is to get you to use—to hook you back into the insane confinement of the merry-go-round Addiction Cycle. The good news is that you will have many tools in your simple recovery plan that will help you deal effectively with triggers so you can stay clean, sane, and—here’s the best part—even serene.
Health Coaching, Motivational Interviewing, and Behavior Change in Women's Health
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Mark D. Faries, Alyssa Abreu, Sarah-Ann Keyes, Tasnim El Mezain, Jessica A. Matthews
Pregnancy is a period in the lifespan presenting unique barriers to lifestyle changes and prescriptions. Generally, patients can experience major shifts in physiology and psychology inherent to carrying and bearing a child, alongside mother–child safety concerns, and perceived threats to the safety of the child with healthy lifestyles (e.g., exercising and dietary changes).34–36 A common theme in the literature is related to pregnancy-related symptoms, notably variant depending on the stage of pregnancy.37 Concerning physical activity, nausea and vomiting, injury risk, and fatigue as first, second, and third trimester barriers have been reported, respectively.34 Cravings, nausea, vomiting, and lack of knowledge have been cited as significant barriers to healthful dietary patterns during pregnancy.38 Knowledge-related issues also underpin another thematic barrier identified in the literature, especially with misconceptions about safety of the child with respect to physical activity.37,39 On the other hand, increased awareness of threats to mother and child health might be facilitators of lifestyle changes, and may provide an opportunity for ensuring a positive, flourishing self-regulatory experience. In line with autonomy support, additional conducive variables include support from family, partner, and friends, as well as increased knowledge.38
A recovery-informed critical interpretive synthesis of substance craving measures used in quantitative studies in the Journal of Substance Use, 2001-2020
Published in Journal of Substance Use, 2023
Substance use disorders (SUD) include a range of symptoms involving a person’s ongoing substance consumption despite negative consequences. Craving constitutes a criterion for addiction in the International Statistical Classification of Diseases and Related Health Problems (World Health Organization [WHO], 2021) as well as the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013). From an addiction context, craving can be operationally defined as an intense desire for the substance that is characterized by an urgent physiological yearning (Sinah, 2013). In a paper specific to the measurement of alcohol craving, Kavanagh et al. (2013) proposed that craving was a cognitive-emotional event and was characterized by frequency, duration, intensity, and salience.
Effect of holistic relapse prevention intervention among individuals with alcohol dependence: a prospective study at a mental health care setting in India
Published in Journal of Ethnicity in Substance Abuse, 2022
Sreevani Rentala, Siu-Man Ng, Cecilia L. W. Chan, Prasanth Bevoor, Raghavendra Bheemappa Nayak, Mahesh Desai
Participants in IBM group reported decrease in craving severity and number of drinking days at 2-month follow-up, lesser relapse rates and quantity of drinking at 3-month follow-up compared to TAU group. A decrease in craving severity is consistent with improved drinking outcomes (lesser relapse rates, quantity and frequency in drinking). One of the key agendas of the intervention was to help participants expand their self-awareness with regard to maladaptive behavior (alcohol consumption pattern), triggering factors and emotions by adopting I-BMS techniques (Mindful awareness of one’s own body, reflection on life events through therapeutic writing on craving triggers, mindful meditation etc.). Participants become aware of triggers for craving and choose alternate activities that might prevent craving and weaken the habitual process. With enhanced ability of being mindful to one’s behavior and emotional processes the participants are able to control drinking triggers and subsequent urges. These results are consistent with those of large randomized trials of behavioral and or pharmacological therapies for alcohol dependence at 12 or 16 week follow-up (Anton et al., 2006). Various studies suggested that increasing mindfulness may reduce craving for alcohol and other drug use (Davis et al., 2013; Himelstein et al., 2015; Sancho et al., 2018; Vinci et al., 2014).
Use and perceptions of menthol versus non-menthol cigarettes among pregnant women
Published in Journal of Addictive Diseases, 2022
Nancy C. Jao, Natasha A. Sokol, Chrystal Vergara-Lopez, Katelyn Borba, Lori A. J. Scott-Sheldon, Laura R. Stroud
Flavorings in tobacco products remain a regulatory target due to their widespread use among vulnerable populations – including those who disproportionately bear the burden of tobacco-related morbidity and mortality – and to their contribution to smoking initiation and persistence through sensory processes. Yet menthol had often previously been excluded from flavoring regulations. The current study found that even pregnant women who never smoked perceived MC as more appealing than NMC. Pregnant women may be uniquely susceptible to the appeal of flavorings in tobacco products due to the alterations in taste, cravings, and nausea during pregnancy.15,16 MC-preferring pregnant smokers have been shown to have a genetic predisposition for heighted bitter taste perceptions,17 which may strengthen the appeal of MC. Studies have suggested that not only are MC users are more likely to struggle with staying abstinent during pregnancy,6 prepartum MC use may also increase postpartum smoking relapse among those able to quit smoking.18 Together with prior findings by the authors regarding preference for mint/menthol flavorings in e-cigarettes and hookah tobacco,13,14 there remains a continued need to call attention to the high use and preference for menthol/mint flavorings in pregnant women across tobacco products.