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Aim: To assess the predictors of a significant decrease or cessation of substance use (SU) in a treated epidemiological cohort of first-episode psychosis (FEP) patients.
Method: Participants were FEP patients of the Early Psychosis Prevention and Intervention Centre in Australia. Patients' medical files were reviewed using a standardized file audit. Data on 432 patients with FEP and baseline co-morbid substance use disorder (SUD) were available for analysis. Predictors of reduction/cessation of SU at follow up were examined using logistic regression analyses.
Results: In univariate analyses, a reduction/cessation of SU was predicted by baseline measures reflecting higher education, employment, accommodation with others, cannabis use disorder (CUD) only (rather than poly-SUDs), better global functioning and better premorbid social and occupational functioning, later age at onset of psychosis, and a diagnosis of non-affective psychosis. In multivariate analysis, CUD alone and better premorbid social and occupational functioning remained significant predictors.
Conclusions: Addressing SUDs and social and occupational goals in people with FEP may offer opportunities to prevent SUDs becoming more severe or entrenched. Further longitudinal research on recovery from SU and FEP is needed to disentangle directions of influence and identify key targets for intervention.
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http://dx.doi.org/10.1111/eip.12067 | DOI Listing |
Transl Behav Med
January 2025
Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.
Background: Theories, models, and frameworks (TMFs) are central to the development and evaluation of implementation strategies supporting evidence-based practice (EBP). However, evidence on how and to what extent TMFs are used in implementation trials remains limited.
Purpose: This study aimed to examine the nature and extent of TMF use in implementation trials, identify which TMFs are most frequently employed, and explore temporal trends in their use.
J Safety Res
September 2025
Department of Human Resource Management & Employment Relations, King's Business School, King's College London, London WC2B 4BG, United Kingdom; Department of Medical Research, China Medical University Hospital, China Medical University, Taiwan 404 Taichung Taiwan.
Introduction: This study aims to develop and validate a job crafting scale designed specifically for occupational health and safety (OHS) professionals working in a crisis environment. Job crafting, defined as the proactive adjustment of job roles to better align with individual preferences and strengths, is recognized as a valuable strategy for enhancing job satisfaction, engagement, and performance in various occupational settings. However, existing job crafting scales primarily focus on general work contexts and cannot fully capture the unique dimensions of job crafting relevant to OHS professionals in a crisis response context.
View Article and Find Full Text PDFGerontologist
September 2025
Graduate Center for Gerontology, University of Kentucky, Lexington, KY, USA.
Aging populations in places around the globe face looming challenges from large-scale mega-trends. Gerontology needs to develop approaches for helping older people and their communities respond and share knowledge from those approaches. Based in the philosophy of pragmatism, we make a case for a 'melioristic gerontology' to focus gerontologists on those needs.
View Article and Find Full Text PDFPLoS One
September 2025
School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
Emergency response work has historically been performed by men and thus designed with them in mind; however, during the past few decades, increasing numbers of women are conducting this work. Despite growing participation, research suggests women first responders continue to face unsupportive workplace structures and cultures. This study explored the occupational experiences of women who work as firefighters, police officers, and paramedics from Southern Ontario, Canada.
View Article and Find Full Text PDFPLoS One
September 2025
Methodology and Analysis, Statistics Denmark, Copenhagen, Denmark.
Background: Previous studies have found paternal occupation, childhood intelligence, and educational attainment to be important predictors of socioeconomic status (SES) later in life. However, these factors only explain part of the variance in SES and thus, it is important to identify other predictors of SES and trajectories of influence from early childhood to adulthood.
Objectives: To analyze predictors of SES attainment during the life course from early childhood to midlife with special emphasis on identifying direct and indirect effects on midlife SES of early childhood, late childhood and young adult characteristics.