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The genetics of substance abuse
1Department of Nursing, University of Delaware, Newark, DE 19716, USA. Thardie@udel.edu
AACN Clinical Issues
|December 11, 2002
Summary
Substance abuse, a common psychiatric disorder in males, stems from genetic and environmental factors. Nurses can improve treatment outcomes and prevent future generations from substance abuse through education and genetic counseling.
Area of Science:
- Psychiatry
- Genetics
- Public Health
Background:
- Substance abuse is a prevalent psychiatric disorder, particularly in males, contributing to significant morbidity and mortality.
- In 1995, substance use disorders led to 500,000 emergency room visits, over half due to drug overdoses.
- The development of substance abuse and dependency involves a complex interplay between genetic predispositions and environmental influences.
Purpose of the Study:
- To highlight the significant impact of substance abuse on healthcare, particularly within nursing practice.
- To underscore the genetic and environmental factors contributing to substance abuse disorders.
- To emphasize the role of nurses in substance abuse treatment and prevention through education and genetic counseling.
Main Methods:
- Review of existing literature on substance abuse, genetics, and nursing interventions.
- Analysis of the complex interaction between genetic polymorphisms and environmental factors in substance abuse.
- Exploration of effective treatment modalities for substance abuse.
Main Results:
- Genetic polymorphisms can confer either protective effects or increased risk for substance abuse.
- Substance abuse is a chronic disease with effective treatments available.
- Nurses play a crucial role in patient education and intervention for substance abuse.
Conclusions:
- Substance abuse is a complex, multifactorial disorder requiring comprehensive treatment strategies.
- Targeted nursing interventions and genetic counseling principles can improve treatment outcomes and prevent intergenerational transmission.
- Effective management of substance abuse reduces drug use, crime, and associated psychosocial problems.