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Papers by Nady El-guebaly

Journal of Gambling Studies

The Canadian Journal of Addiction

The Canadian Journal of Addiction

Canadian Journal of Addiction

The Canadian Journal of Addiction

International Psychiatry

The delivery of health care in Canada is shaped by a number of variables – geography, legislation... more The delivery of health care in Canada is shaped by a number of variables – geography, legislation, federal structure, location and culture.

The Canadian Journal of Psychiatry

The Canadian Journal of Psychiatry

Substance abuse, Jan 18, 2017

Despite the high prevalence of substance use disorders, associated comorbidities and the evidence... more Despite the high prevalence of substance use disorders, associated comorbidities and the evidence-base upon which to base clinical practice, most health systems have not invested in standardised training of healthcare providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, we undertook this study to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. We interviewed 13 members of the International Society of Addiction Medicine (ISAM), from 12 different countries (37% response rate), over Skype, email survey or in-person - at the annual conference. We content-analysed the interview transcripts, using constant comparison methodology. We identified recommendations related to the core set of the addictio...

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, Mar 20, 2017

The Yale journal of biology and medicine, 2016

This perspective article focuses on the need for training and education for undergraduate medical... more This perspective article focuses on the need for training and education for undergraduate medical students on substance-related disorders, and describes initiatives undertaken in the United Kingdom (UK), Netherlands, United States (US), and Norway to develop the skills, knowledge, and attitudes needed by future doctors to treat patients adequately. In addition, we stress that in postgraduate training, further steps should be taken to develop Addiction Medicine as a specialized and transverse medical domain. Alcohol use disorder is a growing public health problem in the geriatric population, and one that is likely to continue to increase as the baby boomer generation ages. Prescription drug misuse is a major concern, and nicotine misuse remains problematic in a substantial minority. Thus, Addiction Medicine training should address the problems for this specific population. In recent years, several countries have started an Addiction Medicine specialty. Although addiction psychiatry h...

Addictive Disorders & Their Treatment, 2016

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2005

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1998

A review of the relevant research suggests a need to develop an appropriate, effective, and repli... more A review of the relevant research suggests a need to develop an appropriate, effective, and replicable treatment to help individuals with schizophrenia and substance abuse problems. This pilot study describes a biweekly group specifically designed to help the individual with both schizophrenia and substance abuse. The components of the group were support, psychoeducation, and skills training. Attention was also paid to the stage of recovery. Eighteen subjects attended the group and were assessed pregroup. Thirteen subjects completed a 1-year follow-up, and 5 subjects were assessed between 3 and 6 months. At the follow-up assessment, 8 subjects (44%) were abstinent. This type of treatment appears to be effective for reducing substance abuse in this population.

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1997

This paper represents the position of the Canadian Psychiatric Association on the ethical and sci... more This paper represents the position of the Canadian Psychiatric Association on the ethical and scientific issues related to the use of placebos in the evaluation of new psychotropic drugs. The position taken by the Association is that new psychotropic medications must be shown to be effective and must be weighed against the best current interventions. Placebo controls may be appropriate under certain circumstances, even when an established intervention is effective. These include situations in which placebo response rates are high, variable, or close to response rates for effective therapies. Placebo controls are also appropriate when established interventions carry a high risk of side effects or are effective against only certain symptoms of the disorder.

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2010

Textbook of Addiction Treatment: International Perspectives, 2014

Journal of Gambling Studies

The Canadian Journal of Addiction

The Canadian Journal of Addiction

Canadian Journal of Addiction

The Canadian Journal of Addiction

International Psychiatry

The delivery of health care in Canada is shaped by a number of variables – geography, legislation... more The delivery of health care in Canada is shaped by a number of variables – geography, legislation, federal structure, location and culture.

The Canadian Journal of Psychiatry

The Canadian Journal of Psychiatry

Substance abuse, Jan 18, 2017

Despite the high prevalence of substance use disorders, associated comorbidities and the evidence... more Despite the high prevalence of substance use disorders, associated comorbidities and the evidence-base upon which to base clinical practice, most health systems have not invested in standardised training of healthcare providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, we undertook this study to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. We interviewed 13 members of the International Society of Addiction Medicine (ISAM), from 12 different countries (37% response rate), over Skype, email survey or in-person - at the annual conference. We content-analysed the interview transcripts, using constant comparison methodology. We identified recommendations related to the core set of the addictio...

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, Mar 20, 2017

The Yale journal of biology and medicine, 2016

This perspective article focuses on the need for training and education for undergraduate medical... more This perspective article focuses on the need for training and education for undergraduate medical students on substance-related disorders, and describes initiatives undertaken in the United Kingdom (UK), Netherlands, United States (US), and Norway to develop the skills, knowledge, and attitudes needed by future doctors to treat patients adequately. In addition, we stress that in postgraduate training, further steps should be taken to develop Addiction Medicine as a specialized and transverse medical domain. Alcohol use disorder is a growing public health problem in the geriatric population, and one that is likely to continue to increase as the baby boomer generation ages. Prescription drug misuse is a major concern, and nicotine misuse remains problematic in a substantial minority. Thus, Addiction Medicine training should address the problems for this specific population. In recent years, several countries have started an Addiction Medicine specialty. Although addiction psychiatry h...

Addictive Disorders & Their Treatment, 2016

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2005

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1998

A review of the relevant research suggests a need to develop an appropriate, effective, and repli... more A review of the relevant research suggests a need to develop an appropriate, effective, and replicable treatment to help individuals with schizophrenia and substance abuse problems. This pilot study describes a biweekly group specifically designed to help the individual with both schizophrenia and substance abuse. The components of the group were support, psychoeducation, and skills training. Attention was also paid to the stage of recovery. Eighteen subjects attended the group and were assessed pregroup. Thirteen subjects completed a 1-year follow-up, and 5 subjects were assessed between 3 and 6 months. At the follow-up assessment, 8 subjects (44%) were abstinent. This type of treatment appears to be effective for reducing substance abuse in this population.

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1997

This paper represents the position of the Canadian Psychiatric Association on the ethical and sci... more This paper represents the position of the Canadian Psychiatric Association on the ethical and scientific issues related to the use of placebos in the evaluation of new psychotropic drugs. The position taken by the Association is that new psychotropic medications must be shown to be effective and must be weighed against the best current interventions. Placebo controls may be appropriate under certain circumstances, even when an established intervention is effective. These include situations in which placebo response rates are high, variable, or close to response rates for effective therapies. Placebo controls are also appropriate when established interventions carry a high risk of side effects or are effective against only certain symptoms of the disorder.

Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2010

Textbook of Addiction Treatment: International Perspectives, 2014