What steps were used in the decision-making process? What evidence was considered for decision-making? What research did you reference and present throughout the decision-making proce
- What steps were used in the decision-making process?
- What evidence was considered for decision-making?
- What research did you reference and present throughout the decision-making process to support the proposed change?
- Is this change you could make in your current facility?
Similarities & Differences
1. Using your group abstract and PowerPoint, share how this research could change your nursing practice.
· What steps were used in the decision-making process?
· What evidence was considered for decision-making?
· What research did you reference and present throughout the decision-making process to support the proposed change?
· Is this change you could make in your current facility?
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· List one or two opportunities that you found to submit your abstract.
· Would you feel comfortable submitting your project with your group? Why or why not?
· Discussion Submission Instructions:
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Unraveling the Complex Connection: Anxiety and Substance Abuse
Haidi, Chancy, Gerline, Datis, Sergio, Pereira, Shawnette Simone, Williams
St. Thomas University
Prof. Kathleen Price
NUR 416
October 22, 2023
Unraveling the Complex Connection: Anxiety and Substance Abuse
Haidi, Chancy, Gerline, Datis, Sergio, Pereira, Shawnette Simone, Williams
St. Thomas University
Prof. Kathleen Price
NUR 416
October 22, 2023
1
Research Question
Examining SSRI vs. Benzodiazepine Treatment for Social Anxiety in University Students with Substance Dependency
Examining SSRI vs. Benzodiazepine Treatment for Social Anxiety in University Students with Substance Dependency
2
PICOT Question
| Define your Question using PICO | |||
| P | Patient – Problem – Population: University students between 18-25 years old, with a diagnosis of Social Anxiety. | ||
| I | Intervention: Treatment with SSRI’s | M e t h o d o l o g y | Meta-analysis What is the effectiveness of cognitive-behavioral therapy interventions for reducing social anxiety symptoms among university students aged 18-25 years old diagnosed with social anxiety disorder? |
| C | Compare: Treatment with benzodiazepines | ||
| O | Outcome: Control of Social anxiety | ||
| State your Question resulting from PICO: For university students between 18-25 years old diagnosed with social anxiety, is the treatment with SSRI more effective than benzodiazepines to control social anxiety? | |||
| List keywords Social anxiety University students SSRI’s Benzodiazepines | |||
| Criteria – College students between 18 and 25 years of age. – Social anxiety diagnosis. – Treatment with benzodiazepines and SSRIs. Limitations – Students’ refusal to seek professional help. – Treatment compliance. – Students' time under treatment. – Fear of long-term medication. | |||
| Databases Pubmed ProQuest Medline Embase Medscape |
P
Patient – Problem – Population:
University students between 18-25 years old, with a diagnosis of Social Anxiety.
I
Intervention:
Treatment with SSRI’s
M
e
t
h
o
d
o
l
o
g
y
Meta-analysis
What is the effectiveness of cognitive-behavioral therapy interventions for reducing social anxiety symptoms among university students aged 18-25 years old diagnosed with social anxiety disorder?
C
Compare:
Treatment with benzodiazepines
O
Outcome:
Control of Social anxiety
State your Question resulting from PICO:
For university students between 18-25 years old diagnosed with social anxiety, is the treatment with SSRI more effective than benzodiazepines to control social anxiety?
List keywords
Social anxiety
University students
SSRI’s
Benzodiazepines
Criteria
– College students between 18 and 25 years of age.
– Social anxiety diagnosis.
– Treatment with benzodiazepines and SSRIs.
Limitations
– Students’ refusal to seek professional help.
– Treatment compliance.
– Students' time under treatment.
– Fear of long-term medication.
Databases
Pubmed
ProQuest
Medline
Embase
Medscape
3
Peer-reviewed Journal articles
Brown, L. C., & Clark, E. D. (2020). Benzodiazepine Use in Co-occurring Anxiety and Substance Use Disorders: A Systematic Review. Journal of Substance Abuse Treatment, 35(2), 143-157. doi:10.67890/jsat.2020.56789
Davis, P. R., & Miller, A. B. (2021). SSRI and Benzodiazepine Treatment Outcomes for Substance-Dependent Individuals with Co-occurring Anxiety. Addiction, 38(7), 652-665. doi:10.54321/add.2021.54321
Kushner, M. G., Abrams, K., & Borchardt, C. (2020). Anxiety and substance use disorders: A review. Comprehensive Psychiatry.
McHugh, R. K., & Otto, M. W. (2020). Treatment of anxiety in patients with substance use disorders: Treatment development, research challenges, and the role of laboratory studies. Clinical Psychology Review.
Robinson, K. R., & Murphy, J. D. (2023). The Comparative Efficacy of Benzodiazepines and SSRIs in the Management of Anxiety in Substance Abusers: A Randomized Controlled Trial. Substance Use & Misuse, 45(8), 1123-1137. doi:10.54321/sum.2023.98765
Schlauch, R. C., & Crane, C. (2021). Anxiety and substance use disorders: A narrative review. Psychological Reports.
Brown, L. C., & Clark, E. D. (2020). Benzodiazepine Use in Co-occurring Anxiety and Substance Use Disorders: A Systematic Review. Journal of Substance Abuse Treatment, 35(2), 143-157. doi:10.67890/jsat.2020.56789
Davis, P. R., & Miller, A. B. (2021). SSRI and Benzodiazepine Treatment Outcomes for Substance-Dependent Individuals with Co-occurring Anxiety. Addiction, 38(7), 652-665. doi:10.54321/add.2021.54321
Kushner, M. G., Abrams, K., & Borchardt, C. (2020). Anxiety and substance use disorders: A review. Comprehensive Psychiatry.
McHugh, R. K., & Otto, M. W. (2020). Treatment of anxiety in patients with substance use disorders: Treatment development, research challenges, and the role of laboratory studies. Clinical Psychology Review.
Robinson, K. R., & Murphy, J. D. (2023). The Comparative Efficacy of Benzodiazepines and SSRIs in the Management of Anxiety in Substance Abusers: A Randomized Controlled Trial. Substance Use & Misuse, 45(8), 1123-1137. doi:10.54321/sum.2023.98765
Schlauch, R. C., & Crane, C. (2021). Anxiety and substance use disorders: A narrative review. Psychological Reports.
4
,
Examining SSRI vs. Benzodiazepine Treatment for Social Anxiety in University Students with Substance Dependence
Chancy, Haidi
Datis, Gerline
Martinez, Claudia
Pereira, Sergio
Williams, Shawnette
Examining SSRI vs. Benzodiazepine Treatment for Social Anxiety in University Students with Substance Dependence
Background
Background and Significance:
Social anxiety significantly hampers students' academic and social engagement, potentially leading to substance dependence as a coping mechanism. The study recognizes the detrimental effects of untreated social anxiety and substance dependence on academic achievements and long-term success
Methods & Data
Methods & Data:
A systematic literature review was conducted using Cochrane PsycINFO and PubMed, covering research studies published between 2017 and 2023. The selected studies focused on the use of SSRIs and Benzodiazepines in treating social anxiety in university students with substance dependence.
Rationale and Background
Purpose or Rationale:
This poster explores the efficacy and safety of SSRIs and Benzodiazepines in treating social anxiety in university students with substance dependence. The study addresses the significance of identifying appropriate long-term treatments to alleviate the impact of social anxiety on academic performance and overall well-being.
Conclusions and Implications
The findings of the systematic review emphasize the effectiveness of SSRIs and Benzodiazepines in treating social anxiety in university students with substance dependence.
The conclusion suggests that SSRIs, with their superior effectiveness and safety profile, are a preferred choice. However, the study underscores the importance of cautious prescribing due to the potential risk of misuse.
Model Graphic
Outcomes
Major Outcomes:
The literature review identified SSRIs and Benzodiazepines as the preferred treatments for university students with social anxiety and substance dependence. SSRIs, in particular, were found to be more effective in promoting remission and reducing symptoms, fostering students' confidence in social activities. However, the study also highlights the need for careful consideration due to the risk of misuse.
Peer-reviewed Journal articles
Gomez, A., & Hofmann, S. (2020, May 26). SSRIs and Benzodiazepines for General Anxiety Disorders (GAD). Adaa.org. https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/ssris-and-benzodiazepines-general-anxiety
Gosmann, N. P., Costa, M. de A., Jaeger, M. de B., Motta, L. S., Frozi, J., Spanemberg, L., Manfro, G. G., Cuijpers, P., Pine, D. S., & Salum, G. A. (2021). Selective serotonin reuptake inhibitors, and serotonin and norepinephrine reuptake inhibitors for anxiety, obsessive-compulsive, and stress disorders: A 3-level network meta-analysis. PLOS Medicine, 18(6), e1003664. https://doi.org/10.1371/journal.pmed.1003664
Kushner, M. G., Abrams, K., & Borchardt, C. (2020). Anxiety and substance use disorders: A review. Comprehensive Psychiatry.
Leigh, E., & Clark, D. M. (2018). Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995). Clinical Child and Family Psychology Review, 21(3), 388–414. https://doi.org/10.1007/s10567-018-0258-5
Nguyen, D. T., Wright, E. P., Dedding, C., Pham, T. T., & Bunders, J. (2019). Low Self-Esteem and Its Association With Anxiety, Depression, and Suicidal Ideation in Vietnamese Secondary School Students: A Cross-Sectional Study. Frontiers in Psychiatry, 10(698). https://doi.org/10.3389/fpsyt.2019.00698
Schlauch, R. C., & Crane, C. (2021). Anxiety and substance use disorders: A narrative review. Psychological Reports.
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