Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 8th International Conference on Addictive Disorders and Alcoholism Singapore.

Day 2 :

Keynote Forum

Xiu Liu

Professor & Associate Director of the Graduate Program in Pathology, University of Mississippi Medical Center, USA

Keynote: Effects of opioid receptor blockade on nicotine-taking and -seeking behavior in rats: Clinical implications for smoking cessation medication

Time : 09:00-09:45

Conference Series Addiction Summit 2018 International Conference Keynote Speaker Xiu Liu photo
Biography:

Dr. Xiu Liu got his MD & PhD in China and completed postdoctoral training at the Scripps Research Institute in USA. He is a professor and associate director of the Graduate Program in Pathology at the University of Mississippi Medical Center. He has a two-decade track record of studying drug addiction, particularly nicotine and alcohol addictive behavior in animal models. His research has been funded by USA National Institute of Health and Food and Drug Administration grants and the State of California Tobacco-Related Disease Research Program grants. He has published 60 research papers, 6 book chapters and more than 80 research abstracts. Dr. Liu has served as a member of grant review panel for international and national research funding agencies and an editorial board member of more than a dozen reputed journals.

Abstract:

Statement of the Problem: Brain opioidergic neurotransmission has been implicated in reinforcement-related processes for several drugs of abuse. However, it remains not fully understood whether activation of opioid receptors plays a role in the reinforcing/motivational effects of nicotine and its associated environmental cues. The present work examined effects of pharmacological antagonism of opioid receptors on nicotine primary reinforcement and conditioned motivation by nicotine cues.

Methodology & Theoretical Orientation: Male Sprague-Dawley rats were trained to press a lever for intravenous self-administration of nicotine (0.03 mg/kg/infusion, free base). Nicotine conditioned stimuli (cues) were established via pairing sensory stimuli with each nicotine injection. In subsequent extinction test sessions, lever responses produced neither nicotine injection nor its associated cues. In relapse test sessions performed after extinction, lever responses resulted in re-presentation of the cues without nicotine injection. Opioid antagonists were administered prior to the test sessions.

Findings: Pretreatment with the non-selective opioid antagonist naltrexone (0, 0.25, 1, 2 mg/kg) effectively attenuated lever responses supported by nicotine cues. In contrast, naltrexone (both acute and chronic treatment) did not change lever responses for nicotine self-administration. However, further tests revealed that pretreatment with antagonists selective for µ receptors (Naloxanazine: 0, 5, 15 mg/kg) but not δ-receptors (Naltrindole: 0, 0.5, 5 mg/kg), or κ receptors (GNTI: 0, 0.25, 1 mg/kg) suppressed nicotine self-administration.

Conclusions & Significance: These results suggest a clinical potential of the non-selective opioid antagonists for preventing cue-triggered tobacco craving. Moreover, the results indicate that the µ rather than δ or κ subtype of opioid receptors plays a role in mediating the primary reinforcement of nicotine, suggesting that opioid neurotransmission via the µ receptors would be a promising target for the development of opioid ligands for curbing nicotine intake and stopping tobacco smoking.

Keynote Forum

Wai Kwong Tang

Professor, Department of Psychiatry, the Chinese University of Hong Kong, Hong Kong

Keynote: Ice induced psychosis: A literature review

Time : 09:45-10:30

Conference Series Addiction Summit 2018 International Conference Keynote Speaker Wai Kwong Tang photo
Biography:

Wai Kwong Tang is a Professor in the Department of Psychiatry, the Chinese University of Hong Kong in 2011. His main research areas are addictions and neuropsychiatry in stroke. He has published over 100 papers in renowned journals and has also contributed to the peer review of 40 journals. He has secured over 20 major competitive research grants and has served the Editorial Boards of five scientific journals. He was also a Recipient of the Young Researcher Award in 2007, awarded by the Chinese University of Hong Kong.

Abstract:

Objective: To identify the risk factors, frequency, symptoms, pathomechanism and treatment of IIP through a comprehensive literature review.

Methodology: Systematic literature review. The author first screened the titles and abstracts of all 288 records; out of which 102 studies that do not meet the eligibility criteria; full-text version of the remaining 186 articles (151 original articles and 35 review articles) were then screened by the principal investigator. After this screening, 14 original articles and 3 review articles were excluded, leaving 169 articles (137 original articles and 32 review articles).

Result: Psychotic symptoms are common amongst ice users, the frequency of any psychotic symptoms ranged from 16% to 81%, with a median of 78%. The prevalence of IIP ranged from 24% to 76%, the median of prevalence of IIP is 42%. The most frequently reported symptoms of IIP are delusions of persecution and auditory hallucinations.

Conclusion: Long-term studies that track the ice users for a decade or more are necessary to collect sufficient evidence to understand the relationship between Ice use and the development of IIP.

Keynote Forum

Spencer D. Li

Professor and Associate Dean, Faculty of Social Sciences, University of Macau, China

Keynote: Understanding the links among alcohol use, aggression and violence among chinese adolescents

Time : 10:30-11:15

Conference Series Addiction Summit 2018 International Conference Keynote Speaker Spencer D. Li photo
Biography:

Spencer D Li is a Professor and Associate Dean in the Faculty of Social Sciences at University of Macau. His research interests include juvenile delinquency, substance abuse, child development and sociology of religion. He has served as a Principal Investigator on several publicly and privately funded projects related to juvenile delinquency, substance abuse and corrections, including grants from the US National Institutes of Health, US Administration for Children and Families and Social Welfare Bureau of Macao Special Administrative Region Government. His publications have appeared in several major academic journals, including Criminology, Journal of Research in Crime and Delinquency, Justice Quarterly, Evaluation Review and Journal of Early Adolescence.

Abstract:

Statement of the Problem: Past research has shown that alcohol use, aggression and violence are some of the most commonly observed delinquent activities among Chinese adolescents. Despite their high prevalence, the relationship among the three types of delinquent behavior in Chinese adolescent population has not been well understood. It is not known if alcohol use is similarly related to aggression and violence or if the relation varies by type of behavior and level of use. This study aims to answer these questions. This study first identifies the risk profiles of Chinese adolescents who used alcohol and perpetrated aggressive or violent acts. It then assesses the interrelationship among alcohol use, aggression and violence.

Spencer D Li is a Professor and Associate Dean in the Faculty of Social Sciences at University of Macau. His research interests include juvenile delinquency, substance abuse, child development and sociology of religion. He has served as a Principal Investigator on several publicly and privately funded projects related to juvenile delinquency, substance abuse and corrections, including grants from the US National Institutes of Health, US Administration for Children and Families and Social Welfare Bureau of Macao Special Administrative Region Government. His publications have appeared in several major academic journals, including Criminology, Journal of Research in Crime and Delinquency, Justice Quarterly, Evaluation Review and Journal of Early Adolescence.

Methodology & Theoretical Orientation: Survey data are collected from a multi-stage, stratified probability sample of 3,407 students who attended secondary schools in one of the largest metropolitan areas in China. Regression analyses are conducted to test the relationships among alcohol use, aggression and violence. It is posited that the impact of alcohol use on aggression and violence is resulted from an impaired capacity to attend to the instigative and inhibitory cues in situations conducive to aggression or violence.

Findings: Frequency of alcohol use is positively related to both aggressive and violent behavior although it is more strongly related to violence. Frequency of heavy drinking, which is the form of alcohol use known to reduce situational inhibition of violent impulses, predicts violence but not aggression.

Conclusion & Significance: Alcohol use appears to increase aggressive and violent behaviors among Chinese adolescents. Policy aimed at reducing adolescent involvement in aggression and violence should consider limiting underage drinking through promoting prevention programs and setting legal restrictions on adolescent alcohol use.

Conference Series Addiction Summit 2018 International Conference Keynote Speaker Ashley-Lynn Whyte photo
Biography:

Abstract:

Statement of the Problem: How do different generational and family systems/dynamics play into/contribute to the cycle of abuse often ongoing and repetitive within generational and family relationships. Does the Power and Control interpersonal characteristic of Abuse including domestic, physical, sexual, financial and emotional abuse hold a long lasting and negative impact on one’s overall Emotional Health and Personal Well-Being? Further, are the resources available: including programming, the cross intersection of social systems and counselling frameworks currently help or hinder? Are resources available to provide both intervention and prevention awareness and education, programs for individuals, couples, families, children, and youth to further prevent the abuse cycle from repeating itself within families and relationships? The ultimate Goal being to break the cycle of abuse and create long lasting healthy, happy, positive energy relationships that deeply fulfill and enrich the personal and professional lives of all parties involved. Looking at all types of Abuse from an Intersectionality framework including: Domestic, Sexual, Physical, Emotional and Financial Abuse/ Assaults, the Impact of Abuse and the Long Lasting Effects of growing up in/ living with Abuse and in Abusive Relationships has on an Individual's Emotional Health and Personal and Professional State of Well-Being.

Methodology & Theoretical Orientation: Looking deep into and understanding/ beginning to understand The Impacts , Negative Effects and Trauma of the Abuse Cycle and the long lasting effects ultimately on an individual’s, couples and families Emotional Health and Well-being using a Feminist Analysis, and Intersectionality Approach/Framework. Primary focus is placed on family systems as a whole unit and family dynamics including and acknowledging through information gathering the family history, children’s upbringing, and parenting styles. Then acknowledging and being able to recognize and accept how these roles and systems effect and have an impact (positive or negative) on children’s, youth, and adolescents relationship choices, intimate partner relationship patterns and relationships with others outside of intimate partner relationships: i.e.: friendships, coworker relationships, etc. 

Findings: All types of Abuse contribute to and have a significant impact on one’s individual Emotional Health and Personal state of Well Being. Family Systems, Family Dynamics, generational ‘baggage’ upbringing and deep rooted patterns of family knowledge, parenting styles, and learned vs inherited behaviour all play a huge role in both the intervention and prevention models of abuse and breaking the cycle of abuse within families and intimate partner relationships to further repeat the wheel of power and control behavioural traits when moving forward in new relationships and partnerships.   

Conclusion & Significance: From a Neural Network Therapy(how patterns in the brains are formed to create patterns of behaviour and relations with others- See Canadian Family Health Collective.com) Counselling Approach and Primarily Emotional Health based focus/standpoint, it is imperative to look at the family system as a whole and to acknowledge and recognize from a neuroscience field how patterns of behaviour are formed, created and ultimately and ‘stick’ within our brains unwanted or wanted create our relationships with others based on past life experiences and events (whether perceived by one as positive or negative experience). For an individual’s Emotional Health and Personal Well-being it is both imperative and crucial that an individual acknowledges, recognizes and becomes personally aware of the warning and danger signs of abuse. Including but not limited to abuse behaviours, characteristic traits of abusers, why people abuse/ put down/ control/ ‘need’ others and how patterns of abuse are formed within one's subconscious mind over the developmental human lifespan from infancy to child, to adolescent and teens years to adulthood through generational baggage, family history and upbringing. Abuse stems from deep rooted fears and insecurities within an abusers mindset and interpersonal traits often from learnt behaviour/ passed down behaviours of what is the ‘norm’/ accepted, expected within family systems and family relationship roles with others within the family system and family dynamics. All types of abuse are highly correlated/ intersected. However, each in their own way hold their own challenges, complexities, lasting effects within the mind and body and can create a Traumatic response ultimately negatively affecting ones individuals Emotional Health and Well Being. There are many Grey areas to abuse and each case should be treated with care, exceptions and on an individual basis with thorough knowledge, understanding, informative screening of the family history and background information leading up to the relationships and experiences of abuse and assault. ABCS of Behavioural Motivation: The Antecedent followed by the Behaviour followed by the Consequence- repeats itself depending if the consequence was positively or negatively reinforced or whether it was encouraged/ positively or negatively enabled by others. 

Next Steps: Design, Create and Implement Programming Moving Forward with a focus on preventive model framework instead of interventive based programming with the focus on young children, youth and school aged relationships: promoting positive, healthy energy, give and take reciprocal relationships. Programming focusing needs to be on young boys and young girls roughly before aged 12 in a fun, interactive way to prevent the cycle of abuse and domestic, sexual, physical and emotional abuse in relationships.

  • Workshop

Session Introduction

Colin La Galia

Abott, Singapore

Title: Drug of abuse testing for synthetic cannabinoids and psychoactive drugs

Time : 11:30-12:15

Speaker
Biography:

Colin LaGalia is the Regional Business Director, Toxicology for the Asia Pacific, China and Japan Region, based in Singapore. He has worked extensively across the Asia Pacific, North Asia, China and Japan regions in both Corporate Commercial and Consulting roles for the past 15 years with strong established business relationships. He is responsible for providing guidance and direction on all toxicology related matters within the region, including drug and alcohol testing, product knowledge, product training and sales and marketing support and key opinion leader advocacy. He has a passion developing people capability and advocates for the importance of drug and alcohol screening to ensure safety on our roads and in our workplaces to reduce accidents and save lives. He works with the APAC Country Leaders, Toxicology Leads and the Toxicology Global Business Community to identify and develop drug and alcohol testing policies and procedures at government, police and corporate levels.

Abstract:

This presentation provides an insight into synthetic cannabinoids; what they are, how they work and their mind altering impact on drug users. The presentation will take a look at the 7 major structural groups for synthetic cannabinoids and associated effects. The author will also discuss the new psychoactive substances and the evolution of these drugs in our society as well as address suitable drug testing techniques available for these products. The presentation takes a look at the features and benefits, analytical specificity, analytical selectivity and drug testing matrices. This presentation also shares which synthetic and psychoactive drugs we can currently test and provide a solution for to our stakeholders, employers and corporate customers.

Lissy Ann Puno

International Counselling & Psychology Centre, Singapore

Title: Affairs don’t just happen: A challenge to relationships and marriages

Time : 12:15-13:00

Speaker
Biography:

Lissy Ann Puno is the Co-Founder of the International Counseling & Psychology Centre in Singapore. With 27 years of extensive experience practicing in the region, her work started in the USA and has covered Thailand, Malaysia, the Philippines and now Singapore handling both the local and expatriate community. She offers counseling and psychotherapy across the developmental stages; child, adolescent, adult, couple and family counseling and psychotherapy, talks, trainings and workshops. Her special interest is in parenting, relationships and marital enhancements and midlife transitions. She has completed her Master’s degree in Counseling Psychology from Lesley University in Cambridge, Massachusetts, USA. She is an author of two books entitled Affairs Don’t Just Happen and Stay Connected.

Abstract:

Relationships and Marriages have increasingly been faced with challenges of boredom, disillusionment and infidelity.  Couples are finding themselves faced with the threat of ending the relationship sooner and find themselves at a loss on how to strengthen their relationships. Extra relational and extra marital affairs have been increasingly on the rise. Why has it gotten out of control? When is it out of control? Is addiction the culprit?

Several studies have seen parallel behaviors in one who is having an affair to one that is experiencing an addiction. What does this tell us about the relationship between infidelity and addictions? Because of this, can infidelity be solely attributed to sex addiction or influenced by other addictions?

An understanding of the stages of a love relationship is crucial. The theory of how the unconscious pull of attraction can eventually lead to disillusionment that creates vulnerability towards infidelity will be discussed.  This period of vulnerability can indirectly be setting up the stage for an affair amidst the current trend of relationships being disposable and replaceable.  Patterns of behavior amidst emotional turmoil will be identified as one may find themselves trapped in the web of intrigues, deception, shame and betrayal that comes with affair discovery. The pain, hopelessness and helplessness during this time may also lead to addictive behavior. Discover ways to nurture a relationship back into trust, safety and commitment through effective relational skills versus destructive and ineffective coping actions. Find ways to feel understood and valued through the years.  Stay connected with your spouse to feel cherished and deeply connected as they experience each other at different stages of life.

  • Workshop

Session Introduction

Anouk Prop

Psychologists and Yoga Therapists, Thailand

Title: Mindfulness based yoga in recovery

Time : 11:35-12:25

Speaker
Biography:

Anouk Prop is a Psychologist and registered Yoga Alliance (500RYT) Yoga Teacher and Trauma Therapist. With additional postgraduate education in trauma healing, she is an expert in addressing the roots of addiction, which are often nurtured by psychological stress, unresolved trauma and deep lack of self-love. She has a broad range of experience in the field, in clinical and rehabilitation settings in several countries, varying from working with children and adults with a history of abuse, addiction, anxiety disorders, depression, but also car-accidents and other traumatic events like war or natural disasters.

Abstract:

Nowadays there are many programs available to treat addiction and substance abuse. An increasing number is focusing on a more holistic approach, encompassing a variety of methods and tools to help achieve, maintain and enhance recovery. Yoga as a complementary health practice is increasingly being used in substance abuse treatment programs and throughout recovery to help prevent relapse, reduce withdrawal symptoms and cravings and provide a healthy outlet to cope with potential triggers and daily life stressors. Yoga has been used for thousands of years as a means of promoting physical, mental and spiritual health and is seen as a very beneficial coping tool in recovery. The physical benefits support increasing strength, flexibility and dealing with withdrawal pains. Breathing exercises, gentle motions and a mindfulness-based approach reduces stress, cravings and treats any psychological distress or trauma. The improved circulation lowers blood pressure and increases oxygen flow to the brain that has a mood altering effect on the accompanying depression in recovery. Self-awareness and self-discipline is enhanced through the practice of yoga and it is full on exposure therapy nature. Moreover, the origins of yoga are believed to have existed before many other belief systems were born, which provides a solid foundation for a connection with a higher power that has proven to be the crucial step in 12 step recovery programs. In addition, mindfulness based yoga focuses on the principles of acceptance and compassion that are key principles in recovery. In this session, best practices methods of mindfulness-based yoga as a tool in recovery are demonstrated in combination with an overview of its benefits and implications for practice.

Speaker
Biography:

Paul Schulte has completed his BA and MA from The Catholic University of America (Washington DC) in Philosophy. He has obtained another MA from Tufts University in International Economics. He also has a degree in Alcohol and Drug Counseling from Loyola Marymount University in LA and he did his Internship at the UCLA School of Medicine. He has been active in LGBT drug addiction for 15 years and has established counseling groups for, among others, victims of sexual abuse and crystal meth users. He is the Founder and Editor of Schulte Research.

Abstract:

Many in the LGBT community seek drug-taking activity, particularly meth, in part because they have PTSD due to bullying, sexual abuse, rape, assault or homelessness. As with veterans, the problem is too big for a stretched mental health community. The LGBT community could use models that veterans employ to take care of their own who have PTSD. The absence of treatment of underlying issues like widespread PTSD makes continuous sobriety problematic. In my book- ‘Paths to Recovery for Gay and Bisexual Drug Addicts’, I examined methods used by the military veterans to help their brothers and sisters returning from battle to cope with PTSD. Military programs for soldiers with PTSD can be easily modified for the LGBT community. These include celebrations of life (with symbols and plays) as well as programs which offer mentors, leaders, values and moral compasses for the LGBT community. The mental health crisis in the LGBT community in Asian cities is deepening and needs urgent attention.

  • Addiction Therapy

Session Introduction

Stuart Fenton

The Cabin Addiction Services Group, Thailand

Title: Residential treatment for LGBTI clients at resort 12 in Thailand

Time : 13:55-14:25

Speaker
Biography:

Stuart Fenton is a Clinical Psychotherapist with over 12 years of experience working in the addiction treatment field. He has worked in residential long term and short-term rehabilitation settings, public and private sector rehabilitation, community health centers in addiction and family violence, outreach and GLBTI services whilst for the last ten years simultaneously building a private psychotherapy practice in Sydney and Melbourne. From 2011 to 2013, he facilitated two ongoing process groups in Sydney for gay men which were very popular. He is currently under training to become an IITAP certified Sex Addiction Therapist and regularly presents for AUSMED organization in Australia on the topics of resources and referral pathways, treatment approaches to crystal meth addiction and my own personal journey.

Abstract:

Recent studies have shown that LGBTI clients who were in treatment with a specialized program tailored had much higher rates of abstinence once they completed the program than those who were not in treatment for LGBTI individuals. In different research it was found that 57% of the gay and bisexual participants in their particular study said that they thought their sexual orientation had negatively affected their treatment experience. Gay and bisexual men were less likely to complete their treatment programs than heterosexual men and were more likely to have left treatment because their needs were not being met. This presentation guides the audience through the reasoning for a LGBTI specific treatment facility and the best clinical practice approaches we are integrating here to achieve successful outcomes from individuals struggling with addiction, alcoholism and other problematic conditions.

Manju E Madhusudhanan

PSNA Engineering College of Engineering and Technology, India

Title: Addictions and the family: A dual Diagnosis

Time : 16:30-17:00

Speaker
Biography:

Manju Madhusudhanan is currently working as an Assistant Professor in PSNA Engineering College of Engineering and Technology, India. She has 3 years of experience in bank as a Credit Manager and 8 years of experience in teaching. Currently, she is pursuing Doctorate research in service quality of rehabilitation centers for substance addiction.

Abstract:

Recovery from substance abuse is a supportive process; the support of family and friends often plays a large role in recovery from substance abuse. As a family member, spouse or friends, the supporting role can be crucial and confusable to help the loved ones focus on his or her health and recovery. The person addicted to any substance cannot be considered as cured as soon as they step out of a de-addiction or a rehabilitation center as recovery from substance abuse is just not quitting the substance, it is about the life style change of the affected person on a day to day basis which is impossible for him to do it alone. The role of family members in recovery from addiction has been discussed in several researches. This study tries to find out the effect of behavioral modification adopted by the family members to support the patient recovery after the treatment from de-addition and rehabilitation centers. For this research, suffering families were identified across Tamil Nadu state in India. Where, in few families were taught about BMT (Behavioral Modification Techniques) and reaming families could follow their own method of handling patient who had come out from the treatment centers. As a result, it has been observed from the study that families followed BMT were able to support their loved one’s recovery positively than with the families who didn’t follow the BMT.

 

  • Mental Health and Substance Abuse

Session Introduction

Jacqueline Hollows

Beyond Recovery CIC, United Kingdom

Title: Is addiction a state of mind issue rather than a disease issue?

Time : 13:50-14:20

Speaker
Biography:

Jacqueline is the founder of Beyond Recovery a social enterprise aiming to improve the health and wellbeing of prisoners in Europe through a pioneering new approach. Their social mission is to revolutionize the way we view and treat addictions and mental health. Jacqueline’s initial evaluation, whilst not perfect, is well designed and has led to interest and funding for further research based on this approach. Beyond Recovery has applied this approach in a number of settings and with different populations. The model used has been built using an iterative approach over the last 5 years of working in this sector. The approach is being adopted by schools and other institutions where this paradigm can be of significant benefit.

Abstract:

Statement of the Problem: Addiction is prolific in the UK Criminal Justice System with 64% of prisoners having used Class A drugs at some point in their life and 22% having drunk alcohol every day in the four weeks before they were admitted to custody. Substance misuse continues whilst people are residing in custody leading to increased violence, debt, family breakdowns and chaotic lifestyles. Mental health issues are closely linked to these problems and people classed as duel diagnosis can often find it difficult to obtain help as many interventions aim to assist one or the other rather than both.

Methodology & Theoretical Orientation: Using a new approach known as the Three Principles, Beyond Recovery designed a study comparing participants receiving the new approach to participants receiving all other interventions but not the new approach. This comprised of one 3-hour session per week for 10 weeks; six separate programs were run. 75 prisoners started and 53 completed the full course; the others dropped out, were transferred to other prisons or were released.

Findings: Prisoners who participated in the program had significant increases in all of the four key factors measured: Thought recognition, innate health via a clear mind, well-being; and purpose; significant decreases in three of the further tests measuring anxiety, anger and depression (with depression being the only one with no significant improvement). Dramatically improved behavior was also recorded by prison staff.

Conclusion & Significance: The conclusion of this study is that the approach used by Beyond Recovery is effective in a prison setting, resulting in improved well-being and behavior. Although this is not a perfect research study (very few are, particularly in prison) it is well-designed using impartial and well-respected psychological measures and supports the view that the Three Principles approach can be effective in prison settings.

  • Mindfulness

Session Introduction

Kathirasan K

Centre for Mindfulness, Singapore

Title: The role of mindfulness in treating addictive disorders and rehabilitation

Time : 14:20-14:50

Speaker
Biography:

Kathirasan K is the Founder and Director of Centre for Mindfulness, Singapore. He is also the author of the book Mindfulness in 8 Days. He is an established mindfulness teacher and practitioner, with a background in yoga, yoga philosophy, organizational development, leadership and education. He has been teaching contemplative practices and philosophy for more than a decade. He is currently a Doctoral candidate with the Hindu University of America researching in the subject of Yoga Philosophy and Meditation. He is also a certified Yoga Instructor. He has completed Master’s degree in Business Administration (MBA) from the University of Wolverhampton.

Abstract:

Statement of the Problem: Mindfulness was originally introduced as a participatory medicine and complementary therapy in hospital settings in the 1970s. Since then, countless research experiments on mindfulness practices have shown positive results in the areas of physical and cognitive challenges with a strong impact on the latter.

Methodology & Theoretical Orientation: The connection between rehabilitation in the areas of addiction and mindfulness has also become dominant discussion since the advent of mindfulness-based cognitive therapy (MBCT) and mindfulness- based relapse prevention (MBRP) which are variants of mindfulness practices. Research findings suggest positive effects on relapse prevention for addiction and other associated dysfunctions.

Findings: While the results from these research findings appear to suggest that Mindfulness can be favorable to positive change, it is important to: (1) Distinguish between the practices related to mindfulness and MBCT/ MBRP, (2) understand the uniqueness of this alternative treatment and relief and (3) review early results from trials and other studies.

Conclusion & Significance: Hence a review and discussion about both mindfulness and MBRP can provide significant insights into the uniqueness of mindfulness interventions in helping people with addiction. The different perspectives to addiction could also be examined according to mindfulness traditions. Without such discussions, the effectiveness of mindfulness in addictive disorders cannot be adequately appreciated in spite of its growing success.

  • Addiction

Session Introduction

Wan Kyeong Park

Chonbuk National University, South Korea

Title: SNS addiction, SNS fatigue and Depression in South Korea

Time : 14:25:14:55

Speaker
Biography:

Wan-Kyeong Park is a Certified Social Worker (level 1) and has been working in the internet and game addiction field. His main area of interest is behavioral addiction. In particular, he has been working to apply an advanced research method to this field. Currently he is working on the Korean government project.

Abstract:

Statement of the Problem: Social network service (SNS) is widely spread in Korean society; it has become part of everyday life. At the same time, fatigue or stress related to SNS over-commitment has become a social issue. The SNS fatigue cause SNS user’s behavioral reaction or change of satisfaction level. However, a little is empirically studied about SNS fatigue despite its seriousness.

Methodology & Theoretical Orientation: The main purpose of this study was to identify the relationship between SNS addiction, SNS fatigue and depression and to examine the moderated mediating effect of SNS usage intention among early middle aged adults. A total of 784 adults aged from 30-49 participated this study by using allocation standard sampling method.

Findings: The findings of this study are as follows: (1) SNS usage intention showed the moderated mediating effects on the relationship of SNS addiction, SNS fatigue and depression and (2) SNS usage intention divided into two groups: Interpersonal relationship intention group and information gathering and recreation intention group. There were significant differences the path from SNS addiction to SNS fatigue and the path from SNS addiction to depression. However, there were no significant differences the path from SNS fatigue to depression. So the SNS addiction to SNS fatigue in interpersonal relationship intention group showed higher prevalence than information gathering and recreation intention group. But the direct pathway from SNS addiction to depression showed higher prevalence in interpersonal relationship intention group.

Conclusion & Significance: Based on these findings, the research discussion reduced the high risk of SNS addiction among adults and suggested effective intervention programs for the mental health social worker.

Roop Chand Sidana

Prerna De-addiction and Rehabilitation Centre, Tek Chand Sidana Memorial Psychiatric Hospital and De-addiction Centre, India

Title: To study the prevalence of adult ADHD and its significance in substance abuse patients
Speaker
Biography:

Dr. Roop Sidana is currently clinical director of Tekchand sidana memorial hospital and Prerna deaddiction and rehabilitation centre in Sriganganagar, Rajasthan, INDIA. He did his post-graduation in psychiatry from PGIMER Chandigarh in 1982. He has been the recipient of Dr. Gehlot award, Kota awards and Dr shivgautam oration awards in the past. He is currently serving as a member election commission IPS since 2016. He has been past president of IPS North Zone and IPS Rajasthan state. Currently he is a member advisory board of IAPP. Along with his vast clinical experience in private practice he also has great interest in academics. He has organized various conferences and CMES and also conducted workshop on rtms in India and Abroad. His major areas of interest are addiction psychiatry, psychosexual disorders, rtms. Along with this, he has also been a part of Nishkam foundation providing treatment to homeless persons with mental illness.

Abstract:

Statement of the Problem: Attention–Deficit/Hyperactivity Disorder (ADHD) is a common childhood disorder, with an estimated worldwide incidence of 8%-12%, yet it is now known that ADHD often persists into adulthood. Adult (ADHD) often co-occurs with substance use disorders (SUD) and is associated with early onset and more severe development of SUD such as polysubstance use. They present with greater psychiatric co morbidity, such as antisocial personality disorder, borderline personality disorder, anxiety disorders, bipolar disorders and/or post-traumatic stress disorders. Despite being in treatment more often, adults with ¬ADHD-SUD co morbidity have more difficulties remaining abstinent and report a reduced quality of life with more professional, social and personal problems.

Methodology & Theoretical Orientation: To study the prevalence of Adult ADHD among Substance abuse patients and other psychiatric co morbidities in such patients. Study the patterns of sociodemographic profile of patients with SUD and comorbid adult ADHD. Written informed consent was taken from the participant subjects. Sample sizes were 100. All cases were assessed using semi-structured questionnaire for socio-demographic profile and substance use. A detailed history, physical and mental status examination was done. The Adult ADHD Self Report Scale (ASRS-VI.1).

Conclusion and Findings: Symptoms of ADHD were significantly associated with severity of addiction, onset of substance abuse, relapses, responding to therapy after treatment among substance abuse patients. Co morbid psychiatric illness among substance abuse patients was strongly associated with symptoms of ADHD. The prevalence of Adult ADHD in substance abuse was 22% and 4.0% in non-substance abuse subjects. Comorbidity of Psychiatric disorders and problems is significantly high in those with substance use disorder. Adult ADHD in substance abuse appears to increase the relapse rate and increase the chances of mood fluctuations even in absence of affective disorders. Thus a routine screening for ADHD in substance abuse would better conceptualize the complex disorder. Thus research focusing on managing ADHD in substance use is the need of the day.

  • Drug addiction
Speaker
Biography:

I am Carmelo, I am a drug advocate and I have the passion to create a drug-free community. I am living in a slum area where drug is rampant and it motivated me to take part to be a catalyst towards positive transformation in my beloved country, the Philippines. My country is renowned for its hospitable and joyful people, however when President Rodrido Duterte elected as the head of the state there was a huge change, there were plenty of unsolved cases of extra-judicial killings correlated to drug addiction. I am teaching in the Alternative Learning System for almost 7 years, which composed of the out-of-school youth and adult. I am empowered to influence my fellow youth. I am also serving in different jails teaching inmates and encouraging them that they too can still make a difference. 

Abstract:

The study sought to identify factors influencing the non-use of drugs among Filipino out-of-school youth in both the micro- and macro-level environments in terms of Personal Vulnerability, Family Structure, Peer Selection and Influence, Social Activity and Social Awareness. This study also explores the role of formal, informal and non-formal education in developing resilience to drugs. Five Filipino male out-of-school youth non-users ages 15-30 years old from Barangay Nangka in Marikina city were the participants for this study and data from questionnaire, life-story essay, unfinished statements, participant observation and social media post were triangulated to ensure objectivity. This study made use the modified grounded theory approach for it permitted the researcher to get immersed deeply within the data.  The study reveals five factors influencing non-use of drugs among Filipino male out-of-school youth and these are the following: strong spiritual foundation, close family ties, positive peer relationship, interest in recreational activities and active community involvement. The contribution of formal, informal and non-formal education to the non-use of drugs among male Filipino OSY was found to be strongly relevant as it helps them in developing life skills and values for a sound drug literacy. The researcher desire that this study will serve as stepping stone towards exploring other issues concerning drug use in the Philippines particularly those that can help provide evidence on the effectiveness of local drug prevention initiatives, as well as strengthening Values Education program by integrating it across learning areas in all grade levels in formal education and non-formal education, and incorporating spiritual education and development of sports and social support system under the Alternative Learning System curriculum.

Mafia Shahzadi

Cyberjaya University College of Medical Sciences, Malaysia

Title: Friends’ company affected my life

Time : 14:55-15:20

Speaker
Biography:

Mafia Shahzadi is a Clinical Psychologist in Pakistan and visiting supervisor at university of management technology Lahore, Pakistan. Mafia has worked as clinical psychologist at Punjab Institute of Mental Health Lahore Pakistan and Fountain House Lahore Pakistan (Pakistan) Apart from this, Mafia also has worked experience in various drug rehabilitation centers as an Addiction Counselor for more than 2 years (Pakistan). Nowadays, mafia is doing a Post Graduate Diploma in Addiction Sciences from Cyberjaya University College of Medical Sciences. (Malaysia).This Diploma is fully scholarship based and the duration for this diploma till September 2018.

Abstract:

Statement of the Problem: There is no doubt that a friend adds to the fullness of life. Friends become increasingly important to health and happiness in individual’s life. Some friends may even be closer when compared to some of the others and their company affects a lot on individual’s behavior. It is evidence based that humans are influenced by the people they spend their time with. In Pakistan, many adolescents start to take drugs due to the influence of their friends. Friend’s sway has a high impact on individual’s decision making and most of individuals learn how to use drugs. The use of substance leads toward substance dependence and addiction; therefore, drug addiction is a chronic and rapid spreading problem in Pakistan which is destroying the social velvet of the society.

Methodology & Theoretical Orientation: In this case study, the method which the researcher has used to identify the client’s problems deeply was subjective and objective components of assessment such as: Behavioral observation, clinical interview, mental status examination, subjective rating of the problems, trait anger and expression scale and addiction severity index. The researcher selected a client was case study which was admitted in a XYZ hospital of Lahore of Pakistan for substance use treatment and rehabilitation.

Finding: According to behavioral observation technique, this case study showed that client’s weight was below average as compare to his height. Client maintained eye contact most of the time during the session, but the speech content was not appropriate because of cocaine’s withdrawal symptoms. Moreover, the result of clinical interview revealed that the client was suffering from anger (8/10), fatigue (7/10), muscle pain (7/10) and disturbed sleep (6/10). Whereas, the result of trait anger and expression scale’ showed that the client was suffering high level of anger and expression as his score on this scale was 60. Lastly, addiction severity index highlighted that the client was suffering a high level of substance use dependence.

Implementation: In this case study, the client reported to researcher that the main cause of his taking drugs was his friends and due to this he could not sustain recovery. It is evidence based that no client can sustain recovery if the root cause of problem is not sorted. This study is very important in the field of addiction sciences as this case study will help to other researchers to identify root cause of addiction and will provide the psychological interventions e.g., counseling, cognitive behavior therapy and rehabilitation related to root cause of individual.

Conclusion: The result of this case study showed that only main reason of client’s problems was friends’ company and this company totally affects his life not only biological but also psychological and social perspective as well.

  • Depression & Anxiety Disorders
Speaker
Biography:

Girdhari Lal Gupta has received his MPharm degree in Pharmacology and PhD in Pharmaceutical Sciences in year 2005 and 2009, respectively. He is currently working as an Associate Professor, Department of Pharmacology at SPP School of Pharmacy and Technology Management, SVKM’s NMIMS University, Mumbai, India. He has published several scientific papers in peer-reviewed journals and presented his research work in conferences of national and international repute. He has also received Young Scientists Award, Travel grants, best oral presentation award, Government funded research projects from Science Engineering and Research Board, Indian Council of Medical Research. He is a Life Member of several professional bodies including Indian Pharmaceutical Association, Society for Ethnopharmacology, Indian Pharmacological Society, Association of Pharmaceutical Teachers of India and Indian Pharmacy Graduates’ Association. He has also been nominated as CPCSEA Member by Animal Welfare Division, Ministry of Environment, Forests and Climate Change, Government of India.

Abstract:

Statement of the Problem: Alcoholism is a serious public health problem that often results in medical, social (violent crimes and traffic accidents) and economic consequences throughout the world. There has been increasing thrust worldwide to opt for safer and effective plant-derived anti-addiction drugs mentioned in the traditional medical systems. Green tea (Camellia sinensis, family Theaceae) have huge medicinal uses and traditionally used for the treatment of alcohol disorders. Therefore, we evaluated the effect of Camellia sinensis in alcohol abstinence syndrome, developed following long-term voluntary alcohol intake in rats.

Methodology & Theoretical Orientation: The hydro-alcoholic extract of Camellia sinensis leaves (HECS) was first characterized for the presence of epigallocatechin gallate (15.73% w/w), and subsequently acute, sub-acute toxicity studies were also performed. For evaluation of the effects of HECS in ethanol abstinence syndrome, healthy Wistar rats were enabled to voluntary drinking of 9% v/v alcohol for 15 days. The behavior studies were conducted employing tail suspension test, forced swim test, light-dark model and elevated-plus maze test on day 16th, 17th and 18th and peak ethanol withdrawal syndrome were determined. HECS (50, 100 and 200 mg/kg) and standard drug diazepam were administered orally during withdrawal symptoms. Oxidative stress parameters, serum serotonin, expression of GABRA1, GABRA2, GABRA3, GABRA4, GABRA5 genes for GABAA receptor and GRIN1, GRIN2A, GRIN2B genes for NMDA-glutamate receptor in hippocampus of rats were also determined.

Findings: The results revealed that no observed adverse effect level was higher than 2000 mg/kg, orally. HECS exhibited significant protective effect at doses 100 and 200 mg/kg, but 50 mg/kg showed insignificant protection against alcohol abstinence syndrome like anxiety and depression. The increased expression of GRIN2A, GRIN2B and decreased expression of GABRA1, GABRA2, GABRA4 following ethanol abstinence were also reversed by HECS at doses 100 and 200 mg/kg.

Conclusion & Significance: Thus, HECS has remarkable protective effects in ethanol abstinence syndrome, which may be due to its antioxidant, serotonergic, GABAmimetic or anti-glutaminergic effect.

  • Alcoholism
Speaker
Biography:

Abstract:

Adolescent alcohol binge drinking constitutes a major vulnerability factor to develop cognitive disorders. However, the pathways of treatment or prevention against this susceptibility remain less explored. Argan oil (AO), commonly used in traditional Moroccan medicines, is rich in oleic and linoleic acids, polyphenols, sterols, and tocopherols. This composition gives it numerous beneficial pharmacological effects of mental health. In the current study, we evaluated the short-term and long-term AO effects on (i) memory and learning deficits induced by adolescent binge-like ethanol intoxication (ii) the oxidative status of the hippocampus and the prefrontal cortex (PFC) in Wistar rats. To model binge-like ethanol intoxication, every 2 days, rats received an ethanol injection (3.0 g/kg) for 2 consecutive days across 14 days either from postnatal day 30 (PND30) to 43 (early adolescence). Two weeks before the onset of ethanol intoxication (21PND), rats were daily administered by oral gavage with AO (1 ml/100 g/day), for 5 (PND 53) or 20 (PND 160) weeks. The Y-Maze, Object Recognition and Morris water maze tests were used to assess the working memory, recognition memory, spatial learning and memory performance in adolescent (PND53) or adult (PND160) animals. Also, the catalase and superoxide dismutase (SOD) activities, the lipid peroxidation and nitrite concentrations were measured using spectrophotometric methods. AO pretreatment increased the performance of working memory, recognition memory and spatial memory in rats previously intoxicated by ethanol, regardless of the age and sex of the animals. These behavioral improvements were accompanied by stress oxidative marked changes in hippocampus and CPF.  AO pretreatment produces significant decrease of the lipid peroxidation and nitrite levels. On the contrary, AO increased the catalase and SOD activities in adolescent and adult animals. For the first time, our results suggest that AO pretreatment is capable of attenuating cognitive impairments and oxidative stress in the hippocampus and CPF of Wistar rats. This indicates that AO may exhibit a neuroprotection against the toxicity of ethanol in brain adolescent rats. Further investigations are in progress to confirm this pharmacological property.

Keywords: Alcohol, Adolescence, Cognitive Impairments, Argan Oil, Neuroprotection, Wistar Rats

Speaker
Biography:

Abstract:

Background: Alcohol is a psychoactive substance with dependence-producing properties. Consumption of alcohol and the related problems vary widely around the world. The burden of disease and death associated to alcohol remains significant in most countries. Less is known and noted on alcohol misuse in Ethiopia. The main purpose of this study was to determine the magnitude and predictors of alcohol use in Ethiopia.

Method: The WHO stepwise approach to the surveillance of NCDs risk factors was used and, a community-based cross sectional study was carried out. Mix of stratified, three-stage cluster and simple random sampling were used to the study setting or clusters and households. Kish sampling method was used to identify the study participant from the selected households. The sampling frame was based on the population and housing census conducted for Ethiopia in 2007. Data were collected using WHO NCD STEPs questionnaire; alcohol misuse was taken as a dependent variable. Five hundred thirteen EAs as PSUs (404 rural and 109 urban) were selected with probability proportionate to size, followed by selection of households as a secondary sampling units (SSUs). A total of 10,260 households were selected from the 513 EAs (20 households per EA). Eligible individuals were selected from household using Kish method.   Descriptive statistics including frequency table, mean, median, interquartile range and standard deviations were computed. Binary logistic regression was used to analyze the independent predictors of Alcohol misuse.  An Estimator of 95% confidence interval was used both in computing frequencies and the predictors.

Result: A total of 9,800 participants were interviewed in the study. The majority, 5,823 (59.4%), of the study subjects were female and 3,959 (40.4%) were 15 - 29 years of age. The overall lifetime prevalence was 49.3% and among them 89.6% drinks alcohol in the 12-months preceding the survey. Among the lifetime drinkers, 92% are current alcohol user. Twenty nine percent (28.6) of life time alcohol user stopped drinking due to health reasons. In multivariate logistic regression,  factors independently  associated  with  alcohol misuse/binge alcohol use  after  adjusting for  other  characteristics  were  sex, residence type, marital status, and current smoking status.

Conclusion: Half of the Ethiopian population reported drinking alcohol at some point in their lives. The findings would be helpful to initiate effective alcohol prevention and control programs focusing on rural and would also serve as a stimulator to conduct further longitudinal studies on this topic in Ethiopia.

Key words: Alcohol misuse, NCD, Ethiopia

Ram Narain Dubey

Registered Clinical Counsellor, Accredited Mediator and Author of the book ‘From Drunken to Driven’

Title: Effects of camellia sinensis in alcohol abstinence anxiety, depression and gene expression analysis in hippocampus of rats

Time : 15:20-15:50

Speaker
Biography:

Ram Dubey is a Registered Clinical Counselor, Accredited Mediator and author of the book From Drunken to Driven. He provides individual and group counseling as well as mediation and training in private and institutional settings. Being a former Regional Director in a Banking Software House, he now engages in building social awareness about alcoholism and the harm it brings to people, families and communities. His aim is to encourage people to seek help early and get on the path to recovery. He has also been awarded the Abdeali Tayebali Family Trust Gold Medal by the Muslim Kidney Action Association in recognition of his social work and publication of his book to help the community.

Abstract:

Statement of the Problem: There is a lack of awareness about dangers of problem drinking as well as what to do if somebody has become addicted to it. Social acceptance, associated glamour, career and potential life success benefits often encourage indulgence. When the drinking goes overboard the reverse happens. By this time, addiction may have set in and people, family and friends are at a loss what to do.

Methodology & Theoretical Orientation: Review of books and research shows that ad hoc attempts to resolve the problem, by adopting a piece meal approach of seeking either medical, support group or counseling help often meets with limited recovery.

Findings: One needs to get sober and approach impacts of alcohol on them with honesty, openness, positivity and endurance. They need to take a holistic approach to recovery.

Conclusion & Significance: The SPERM model to overcoming alcoholism and leading fulfilling lives encourages people to get a new life away from alcohol. The acronym is to remind people that the new life should go beyond just seeking medical and counseling help and include rebuilding spiritual, physical, emotional, relational and mental health. The model has been put together from the reading of various books and research done in the addiction and alcoholism area. This is not a research book or paper. It is just an effort to demystify the help available for alcohol addiction and an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery.

  • Child & Adolescent Substance Abuse
Speaker
Biography:

Madubashini B A N is currently pursuing BSc in Health Promotion at Rajarata University of Sri Lanka. She works with the community for health promotional works for more than three years. She has studied about human resource management, informational technology and psychology. She has interests to work on control substance use and control non-communicable diseases of the rural community.

Abstract:

Statement of the Problem: Alcohol is the single most important cause of preventable illness and premature deaths worldwide. Behavior change and pharmacotherapy are the two key interventions to reduce alcohol consumption. Alcohol industry use diverse strategies to attract teenagers who are vulnerable and adventurous. Hence counter strategies such as improving knowledge on industry agenda and real harm of alcohol are needed to reduce alcohol use among teenage groups. This study reveals effectiveness of an intervention designed to generate collective actions through improving knowledge among schooling adolescents on real harm of alcohol and industry strategies. The study was conducted in a rural area where educational facilities are low and 140 schooling adolescents from the same area were recruited.

Methodology & Theoretical Orientation: A self-administrated questionnaire which focused on knowledge and attitudes on real harm and alcohol industry strategies were used to assess participants’ knowledge and as a part of intervention. Focus group discussions were also conducted for the same purpose. An interactive workshop was conducted by expert to discuss industry strategies used to attract them, myths spread though advertisements and promotions and privileges given to drunkards in the society. Changes of knowledge and attitude of participants were assessed using qualitative methods and structured observations during focus group discussions following the intervention.

Finding: Students showed improvements in knowledge on physical, economic and social harms of alcohol. They also have improved view on strategies used by alcohol industry. Number of participants took actions to reduce alcohol consumption of their fathers and started showing disagreement with alcohol use in public by criticizing behavior of alcohol users. Students can be inspired to initiate and take part in collective actions and make supportive environment to quit alcohol and substance use.

Conclusion & Significance: Similar health promotion intervention targeting alcohol can be used in similar setting targeting teenage groups or student groups as change makers.

Speaker
Biography:

Dilshani Kaarunarathne is currently pursuing BSc in Health Promotion and she is interested in working with community level empowering programs. She has worked in the field for more than two years. She tries to apply health promotion principles in action with different communities. She was the Secretary of Health Promotion Society. She is a certified Health Promotion Practitioner and presently studying further about prevention of alcohol and other substances.

Abstract:

Statement of the Problem: There are over 3.3 million deaths due to harmful use of alcohol around the world and this figure is 0.02 million in Sri Lanka. The percentage of alcohol users has increased to 26% from 37% in Sri Lanka by 2014. Hiding the real harm and boosting up the image of alcohol emphasize the habit as an ideal way for adulthood. This study was conducted in a rural area where vulnerability and school drop outs are high among adolescents. The aim of this study is to see the effectiveness of a health promotion intervention on improving the ability of identifying alcohol company strategies by adolescents in Mihintale.

Methodology & Theoretical Orientation: The sample size was 40 students who are from the same geographical area. This study is based on a health promotion intervention with qualitative and quantitative assessments. An interviewer administered questionnaire which is focused on students’ knowledge on identifying industrial strategies was used for the data collection. This questionnaire was expected to be part of the intervention as well. Focus group discussions were conducted with students on industrial strategies and about identifying the real harm of alcohol use. Responses of the participants assessed using semi-structured observations and analyzed using content analysis.

Findings: Positive attitudes of students on alcohol changed following the intervention. Students have gained skills of identifying alcohol industrial strategies and breaking down the heroic status given to alcohol users by criticizing them openly. They identify the real economic harm, physiological harm, dependency and social harm attribute to alcohol.

Conclusion & Significance: This health promotion intervention was effective in breaking down the norms of alcohol image and in identifying industry strategies among adolescents. The intervention inspired students, generated curiosity and led to a beneficial way to the community action.

  • Group Therapies
Speaker
Biography:

Dr. Eid Abo Hamza has a PhD in counseling from University of Arkansas 2011; he is a counselor (ACA member) and works as an Assistant professor at Qatar University. He received several grants and scholarships from CSSA (Open Society Foundation), Ford Foundation, and Fulbright Scholar at University of South Florida. He is interested in Addiction, Autism, Family therapy, Wellness, and Psychological Disorders. More specifically, his work examines the intervention of group counseling in different settings such as drug abuse, Anxiety, depression, and family relations.

Abstract:

Background and Amis: The study's purpose is to examine the effectiveness of Motivational Enhancement Therapy (MET) on motivation to change as measured by the University of Rhode Island Change Assessment (URICA) in a controlled environment.

Methods: The treatment program contains 10 sessions; 2 sessions every week in a group format. Participants were drawn from a convenience sample of 22 adolescent males (treatment group n=11; control group n=11) who were in a mandated residential adolescent substance abuse program and who held a formal diagnosis of substance abuse or dependence.

One-way repeated measures ANOVA utilized to examine the difference in the means of URICA among participants whose scores were recorded at three different times: before treatment, after treatment, and after a 5-weeks follow up.

Results: The overall results show that there is a statistical significance for the time effect. Additionally, there is a significant difference for the group time interaction effect, which indicates that the MET intervention is significant across time. Further, the simple main effects show no significant difference for the control group across times, but did find significant differences for the experimental group. Finally, tests on the group simple main effect indicated significant differences between control and experimental groups at the pre-assessment, but no significance difference were found between the control group and experimental group in either the post-assessment or follow-up assessments.

Conclusion: Implications of the study and suggestions for future research are explored further, the research recommend using EMT.

  • Addiction Therapy

Session Introduction

Suchi Deshpande

Happiness Strategist and Laughter Coach

Title: Using Laughter Therapy to beat stress

Time : 16:10-16:40

Speaker
Biography:

Suchi Deshpande is a Happiness Strategist and Laughter Coach who speaks trains and conducts workshops widely on stress management, laughter therapy and other mental health matters.

Abstract:

Stress has been shown to be a key risk factor in addiction initiation, maintenance and relapse. Stressful life events combined with poor coping skills often bring risk of substance abuse and addiction. Research and review of literature on stress management shows that while it may not be possible to eliminate stress, we can find healthy ways to manage it. Laughter is one such healthy coping mechanism. Laughter has been shown to boost immunity and improve quality of life. It is being shown to be non-invasive and a complementary and alternative therapy in helping people avoid stress and even addiction as well as help in recovery from various ailments. Laughter therapy provides a therapeutic way of dealing with stress. This session aims to share tips with participants on the use of laughter in our daily lives to alleviate stress and use it to get more resilient against addiction and other diseases.

  • Addiction Treatment and Rehabilitation

Session Introduction

Kristiana Siste Kurniasanti

Head of Department of Psychiatry Cipto Mangunkusumo Hospital – Universitas Indonesia

Title: Predictors of Retention in Methadone Maintenance Treatment (MMT): An Indonesian Perspective
Speaker
Biography:

Dr. Kristiana Siste graduated from University of Indonesia, subspecialized in addiction psychiatrist. As lecturer, she developed addiction module for undergraduate and trainee programs, and one-stop services for alcohol and behavioral addiction patients in Cipto Mangunkusomo Hospital, Jakarta. She researched on cannabis, HIV/AIDS and Internet addiction. She has been granted scholarship for addiction training in Japan, Adelaide, and Netherlands. In 2014, she received travel award for International Society Addiction Medicine (ISAM).

Abstract:

Statement of the Problem: In Indonesia, about 4 million people aged between 10 to 59 years old used illegal drugs in 2014 and around 15% of those were injecting drug users (IDUs) associated with the HIV/AIDS cases. Methadone maintenance treatment (MMT) was conducted in Indonesia as a harm reduction program focusing on IDUs. Despite its effectiveness and advantages, several drop outs were recorded. Predictor factors, such as program, patient and social characteristics, were needed to assess the treatment retention. This study aimed to evaluate the rate and to identify the predictors of MMT retention among patients with opioid dependence in Indonesia.

Methodology & Theoretical Orientation: This study was a quantitative research conducted on 264 subjects with opioid dependence who met the inclusion and exclusion criteria through consecutive sampling established in four community health centers in Jakarta. They were measured for independent variables using geographic data, SCL-90, ASI, and URICA, before started the MMT. On the third and sixth month, they were evaluated and measured for retention. The data were analysed using univariate Chi-square/ Mann-Whitney test and multivariate logistic regression test.

Findings: Among 264 subjects who enrolled in this study, 227 were male (86.0%) and 37 were female (14.0%), aged 29-37 years old and received 50.0-133.8 mg of methadone dose. There was no subject who lost to follow-up. The retention rate was 91.3% (n=241) after 6 months. Predictors of retention found in the study including (1) financial support (p=0.029); (2) history of psychiatric problem (p=0.031); (3) action motivation (p=0.004); and (4) contemplation motivation (p=0.016).

Conclusion & Significance: From the study, we can conclude that financial support and history of psychiatric problem were positive predictors for MMT retention. Furthermore, motivation did contribute to the retention. While contemplation motivation was a positive predictor for retention, action motivation proven otherwise. Therefore, intervention program is needed for the patients who are prone to drop out.

Speaker
Biography:

Karen is a certified intervention professional, public speaker and the co-author of the acclaimed book Addicted Like Me, A Mother-Daughter Story of Substance Abuse and Recovery as featured on ABC World News Tonight with Diane Sawyer. In Addicted Like Me, Karen and her daughter share their personal story of the tragic effects of multi-generational addiction to provide inspiration and insight into the hope and healing that is possible when the cycle of addiction is broken through intervention and family recovery. Karen excels in working with Codependency & Family Systems affected by Addiction. Her own personal experience combined with her professional training and credentialing in the field, gives her a unique perspective in educating and guiding families through one of the most difficult challenges a family can experience. Karen is a "road warrior" often traveling nationwide and internationally to where the need is to help families break the cycle of addiction.

Abstract:

Statement of the Problem: Studies have confirmed the central role of family in addiction treatment positively impacts outcomes. Addiction recovery may appear to be a personal journey; however, it often actually ends up being a group effort. Family members have a role to play in every phase of addressing addiction – from the earliest stages of encouraging them to seek treatment on through the maintenance of ongoing recovery.

Methodology & Theoretical Orientation:  Intervention helps to change perspectives for many families giving them the first exposure to addiction as a disorder affecting the brain of the person struggling.  The family is educated on how their own denial and how enabling of the problem plays into the cycle that is addiction.  When the family stops contributing to the problem, there is the beginning of change to break the cycle.  Without education, the family continues in the cycle of dysfunction, chaos and distress.

Findings: A study at a treatment facility in India examined whether family members involvement in intervention and relapse prevention would improve the individual’s success in remaining sober. The study was conducted by Prasanthi Nattala, Kit Sang Leung, Nagarajaiah and Pratima Muthy.  The intervention group participants consistently showed better results than those in the non-intervention group on all of the outcomes, such as reduction in quantity of alcohol, drinking days, and number of days with dysfunction in family, occupational and financial dimensions. The study’s findings show the important of family “buy-in” when an individual enters treatment for alcohol use disorder. The involvement of a family member helps ensure that an individual will be successful in avoiding relapse.

Conclusion & Significance: On-going involvement in case management, family recovery coaching and after care planning by an intervention professional, helps the family to begin their own journey of recovery which in turn helps them to become stronger and more supportive in healthy behaviors.

  • Addiction

Session Introduction

Myeong Sook Yoon

Chonbuk National University, South Korea

Title: Depression, marital dissatisfaction and problem drinking among adults in South Korea

Time : 16:40-17:10

Speaker
Biography:

Myeong-Sook Yoon is the Founder of Korean Addiction Forum and now Co-President of the Korean Addiction Forum. She is also a Committee Member of Korean National Gambling Control Commission. She has been working in addiction field since 1987, as a pioneer in Korea and has worked for many national projects. She is a former President of the Korean Association of Social Work Practice and Research and Korean Academy of Mental Health Social Work, Korean Association for Psychosocial Rehabilitation. She is a certified Mental Health Social Worker (Level 1) and certified Drug and Alcohol Therapist, certified Addiction Supervisor and certified Addiction Social Worker (Level 1).

Abstract:

Statement of the Problem: This study is aimed to investigate the mediating effect of depression between marital dissatisfaction and problem drinking among married men and women in South Korea. People with alcohol problems report low confidence about resolving marital disagreements with their partner. High family conflict and low levels of family cohesion and support increase the likelihood of problem drinking and depression.

Methodology & Theoretical Orientation: The subjects of this study are 724 married men and women aged 20-49 years old. AUDIT-K, marital dissatisfaction scale, patient health questionnaire (PHQ-9) was used for assessment. Collected data was analyzed by AMOS 22.0.

Findings: Marital dissatisfaction had a significant relationship with depression, but marital dissatisfaction did not show a significant association with problem drinking and depression fully mediated the relationship between marital dissatisfaction and problem drinking.

Conclusion & Significance: Depression in married men and women was a significant variable for marital relationship status and problem drinking. The implications and limitations of these findings are discussed, and directions for future studies are proposed.

Mafia Shahzadi

University of Management and Technology, Pakistan

Title: Friends’ Company affected my Life
Speaker
Biography:

Mafia Shahzadi is a Clinical Psychologist in Pakistan and visiting supervisor at university of management technology Lahore, Pakistan. Mafia has worked as clinical psychologist at Punjab Institute of Mental Health Lahore Pakistan and Fountain House Lahore Pakistan (Pakistan) Apart from this, Mafia also has worked experience in various drug rehabilitation centers as an Addiction Counselor for more than 2 years (Pakistan). Nowadays, mafia is doing a Post Graduate Diploma in Addiction Sciences from Cyberjaya University College of Medical Sciences. (Malaysia).This Diploma is fully scholarship based and the duration for this diploma till September 2018.

Abstract:

Statement of the Problem: There’s no doubt that a friend adds to the fullness of life. Friends become increasingly important to health and happiness in individual’s life. Some friends may even be closer when compared to some of the others and their company affects a lot on individual’s behavior. It is evidence based that humans are influenced by the people they spend their time with. In Pakistan, many adolescents start to take drugs due to the influence of their friends. Friend’s sway has a high impact on individual’s decision making and most of individuals learn how to use drugs. The use of substance leads toward substance dependence and addiction, therefore, drug addiction is a chronic and rapid spreading problem in Pakistan which is destroying the social velvet of the society. 

Methodology & Theoretical Orientation: In this case study, the method which the researcher has used to identify the client’s problems deeply was Subjective and Objective components of assessment such as: behavioral observation, clinical interview, mental status examination, subjective rating of the problems, trait anger and expression scale and addiction severity index. The researcher selected a client was case study which was admitted in a XYZ hospital of Lahore of Pakistan for the purpose of substance use treatment and rehabilitation.

Findings: According to behavioral observation technique, this case study showed that client’s weight was below average as compare to his height. Client maintained eye contact most of the time during the session but the speech content was not appropriate because of cocaine’s withdrawal symptoms. Moreover, the result of clinical interview revealed that the client was suffering from anger (8/10), fatigue (7/10), muscle pain, (7/10) and disturbed sleep (6/10). Whereas, the result of ‘trait anger and expression scale’ showed that the client was suffering high level of anger and expression as his score on this scale was 60. Lastly, ‘addiction severity index’ highlighted that the client was suffering a high level of substance use dependence.

Implementation: In this case study, the client reported to researcher that the main cause of his taking drugs was his friends and due to this he could not sustain recovery. It is evidence based that no one client can sustain recovery if the root cause of problem is not sorted. This study is very important in the field of addiction sciences as this case study will help to other researchers to identify root cause of addiction and will provide the psychological interventions e.g counseling, cognitive behavior therapy and rehabilitation related to root cause of individual.

Conclusion: The result of this case study showed that only main reason of client’s problems was friends’ company and this company totally affects his life not only biological but also psychological and social perspective as well.

  • Behavioral Addiction
Speaker
Biography:

Hafsa Kamran have completed her MS in Community Health and Nutrition and working as Lecturer at University Institute of Diet and Nutritional Sciences (The University of Lahore) from last five years. She also working as Clinical Nutritionist at University of Lahore Teaching Hospital. She has great interest towards promotion of adolescent’s health and studying addictive behaviors.

Abstract:

Statement of the Problem: With increased use of internet in daily lives, its negative effects are also being observed on physical, psychological and social health of individuals. Internet addiction, an emerging mental health disorder from last two decades, is manifested by inability in the controlled use of internet leading to academics, social, physiological and/or psychological difficulties. The purpose of this study was to assess the levels of Internet Addiction (IA) among university students and to explore its effect on their dietary behavior and lifestyle.

Methodology & Theoretical Orientation: In this analytical cross-sectional study, the subjects were selected from four universities in Lahore, Pakistan through two-stage sampling (n = 500). Levels of Internet Addiction (IA) were assessed using Young Internet Addiction Test and demographics, dietary behavior and lifestyle factors using self-reported questionnaire.  Data was analyzed using SPSS (version 21).

Findings: Results showed that severe and moderate IA was present in 9.7% and 42.1% of population respectively. High prevalence was found among males, Private Sector University and engineering students. Frequent breakfast skipping, increased meal size and habit of snacking while using internet was found associated with IA. Internet Addicts were also used to eat less than recommended daily servings of dairy and fruit and more servings of meat group than their no internet addict counterparts (p < 0.05). Fast food and fried items were most consumed snacks, while carbonated beverages were most consumed beverages among internet addicts. . IA was found associated with lesser physically activity, shorter duration of physical activity, disorganized sleep pattern and less duration of sleep (p < 0.05).

Conclusion & Significance: In conclusion, unhealthy dietary behavior and lifestyle habits were exhibited by internet addicts. University students should be educated regarding importance of balanced diet and healthy lifestyle for effectual primary prevention of numerous chronic diseases.

  • Alcoholism
Speaker
Biography:

Abstract:

Background: Alcohol is a psychoactive substance with dependence-producing properties. Consumption of alcohol and the related problems vary widely around the world. The burden of disease and death associated to alcohol remains significant in most countries. Less is known and noted on alcohol misuse in Ethiopia. The main purpose of this study was to determine the magnitude and predictors of alcohol use in Ethiopia. Method: The WHO stepwise approach to the surveillance of NCDs risk factors was used and, a community-based cross sectional study was carried out. Mix of stratified, three-stage cluster and simple random sampling were used to the study setting or clusters and households. Kish sampling method was used to identify the study participant from the selected households. The sampling frame was based on the population and housing census conducted for Ethiopia in 2007. Data were collected using WHO NCD STEPs questionnaire; alcohol misuse was taken as a dependent variable. Five hundred thirteen EAs as PSUs (404 rural and 109 urban) were selected with probability proportionate to size, followed by selection of households as a secondary sampling units (SSUs). A total of 10,260 households were selected from the 513 EAs (20 households per EA). Eligible individuals were selected from household using Kish method.   Descriptive statistics including frequency table, mean, median, interquartile range and standard deviations were computed. Binary logistic regression was used to analyze the independent predictors of Alcohol misuse.  An Estimator of 95% confidence interval was used both in computing frequencies and the predictors. Result: A total of 9,800 participants were interviewed in the study. The majority, 5,823 (59.4%), of the study subjects were female and 3,959 (40.4%) were 15 - 29 years of age. The overall lifetime prevalence was 49.3% and among them 89.6% drink alcohol in the 12-months preceding the survey. Among the lifetime drinkers, 92% are current alcohol user. Twenty nine percent (28.6) of life time alcohol user stopped drinking due to health reasons. In multivariate logistic regression,  factors independently  associated  with  alcohol misuse/binge alcohol use  after  adjusting for  other  characteristics  were  sex, residence type, marital status, and current smoking status.

Conclusion: Half of the Ethiopian population reported drinking alcohol at some point in their lives. The findings would be helpful to initiate effective alcohol prevention and control programs focusing on rural and would also serve as a stimulator to conduct further longitudinal studies on this topic in Ethiopia.

  • Rehabilitation Therapies

Session Introduction

Anouk Prop

Anouk Prop- Mind & Body Coaching, Thailand

Title: Mindfulness based yoga in recovery

Time : 00:00

Speaker
Biography:

Anouk Prop is a psychologist and registered Yoga Alliance (500RYT) yoga teacher and trauma therapist, originally from the Netherlands. With additional postgraduate education in trauma healing, she’s an expert in addressing the roots of addiction, which are often nurtured by psychological stress, unresolved trauma and deep lack of self-love. She combines psychology, trauma healing and yoga through their very compatible aspects and stresses on the non-medical methods in healing and offers a holistic approach as such. Anouk has a broad range of experience in the field, in clinical and rehabilitation settings in several countries, varying from working with children and adults with a history of abuse, addiction, anxiety disorders, depression, but also car-accidents and other traumatic events like war or natural disasters. She encounters people with deeply rooted tension, trauma or blockages on a level which goes beyond cognition and shows that addictive behavior can be replaced by more healthy habits to overcome obstacles in life. Her mindful approach is focused on empowerment and guiding people towards their own unique essence by gently inviting them to look in the beautiful, though sometimes confronting mirror life provides, taken by her hand of compassion, positivity and enthusiasm.

Abstract:

Nowadays there are many programs available to treat addiction and substance abuse. An increasing number is focusing on a more holistic approach, encompassing a variety of methods and tools to help achieve, maintain, and enhance recovery. Yoga as a complementary health practice is increasingly being used in substance abuse treatment programs and throughout recovery to help prevent relapse, reduce withdrawal symptoms and cravings, and provide a healthy outlet to cope with potential triggers and daily life stressors. Yoga has been used for thousands of years as a means of promoting physical, mental and spiritual health and is seen as a very beneficial coping tool in recovery. The physical benefits support increasing strength, flexibility and dealing with withdrawal pains. Breathing exercises, gentle motions and a mindfulness-based approach reduces stress, cravings and treats any psychological distress or trauma. The improved circulation lowers blood pressure and increases oxygen flow to the brain that has a mood altering effect on the accompanying depression in recovery. Self-awareness and self-discipline is enhanced through the practice of yoga and its full on exposure therapy nature. Moreover, the origins of yoga are believed to have existed before many other belief systems were born, which provides a solid foundation for a connection with a higher power that has proven to be the crucial step in 12 step recovery programs. In addition, mindfulness based yoga focuses on the principles of acceptance and compassion that are key principles in recovery.  In this session, best practices methods of mindfulness-based yoga as a tool in recovery are demonstrated in combination with an overview of its benefits and implications for practice.

  • Marijuana and Opioid addiction

Session Introduction

Dian-Jeng Li

Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan

Title: Factors affecting dose of methadone among patients receiving methadone maintenance therapy: a retrospective study in Taiwan

Time : 00:00

Speaker
Biography:

Dian-Jeng Li is graduated from china medical university with medical degree and completed his training course of residency and fellowship at Kaohsiung Municipal Kai-Syuan Psychiatric Hospital. Currently he works as the attending physician at department of addiction science.

Abstract:

Background: Methadone has been approved to be an effectively therapeutic strategy for opioid users. However, few studies had investigated association between dose of methadone maintenance treatment (MMT) and related factors. Our study aimed to investigate potential factors of them.

Methods: This retrospective study included newly patients with opioid dependence at outpatient department in the Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Taiwan. Primary outcome would be set as daily doses of methadone. The potential predictors, which were presented with categorical variables, included sex, employment status, present of sleep disorder, and marital status. Continuous variables as predictors included age, age at initial MMT, educational level, and attendance rates. The generalized estimating equations (GEEs) was used to analyze the effect of potential variables over time on primary outcome.

Results: Of the 1290 patients, 85.3% (n=1100) were male, and 36.4 % (n=469) of patients were comorbid with sleep disorder. Patients comorbid with sleep disorder had higher doses of daily methadone than those without sleep disorder (Estimate: 7.03, P<0.001). Younger age (Estimate: -1.22, P<0.001) and older age at initial MMT (Estimate: 0.44, P<0.001) significantly related to higher doses of MMT. Furthermore, lower educational level (Estimate: -0.90, P=0.003) and attendance rates (Estimate: -0.14, P=0.033) significantly associated with higher doses of daily methadone among patients undergoing MMT. For the remaining variables, all of them did not reached statistical significance.

Conclusions: We reported that several variables were associated with dose of MMT. Future studies will be necessary to replicate our findings and extend the universality.

  • Addiction Treatment and Rehabilitation
Speaker
Biography:

Naren Selvaratnam is a young Sri Lankan academic psychologist. Naren is a lecturer at the Colombo Institute of Research and Psychology, the country’s largest psychology education provider and one of the best in South Asia. Self-efficacy is his primary area of interest and he investigates the constructs ability to understand addictions, and obsessive and compulsive behaviors. Naren is an expert of research methodology, and teaches quantitative research methodology in both undergraduate and post-graduate levels.

Abstract:

Statement of the Problem: Alcohol and nicotine dependence has become one of the main concerns in the country. This is considered to be one of the determinants that debilitate the subjective well-being of many individuals in the country at present. Although cognitive behavior therapy and motivational interviewing are commonly used as recovery interventions through psychiatry, the importance of enhancing efficacy beliefs on self has never been considered separately in both psychiatry and psychology to address dependence. The principal researcher develops a therapeutic model (See figure 1) to investigate the applicability of the model to be used in the country’s blooming field of psychology.

Methodology & Theoretical Orientation: This is a multi-phased study currently been conducted. The current paper is dedicated for the first phase of the study, where the generalized self-efficacy scale (GSES) is culturally adapted and statistically validated on a randomly selected sample. Psychometric properties including reliability and validity were investigated. A second study was conducted to investigate self-efficacy’s ability to predict drug usage/dependence on a conveniently selected sample. A regression analysis was conducted to investigate the proposed hypothesis, and a one-way ANOVA analysis was conducted to investigate the mean self-efficacy scores for non-drug users, alcohol only users, and both alcohol and nicotine users.

Conclusion & Significance: The scale was successfully adapted and validated. GSES generated a reliability of alpha .858, and the 10-item scale demonstrated unidimensionality adhering to original authors findings. This was done through principal component analysis and principal axis factoring. The second study of phase I demonstrated a moderate negative relationship between self-efficacy and drug usage. The one-way ANOVA conducted demonstrated drug users to have a significantly lower score of efficacy compared to non-users. The two studies conducted provided the required empirical evidence to continue with the second phase of the study.

  • Marijuana and Opioid addiction