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Revisiting Preaddiction.

Shannon C Miller1, Sharon Levy, Andrew J Saxon

  • 1From the Mental Health Service, VA Medical Center, Dayton/Middletown, OH (SCM); Departments of Psychiatry & Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, Dayton, OH (SCM); Division of Addiction Medicine, Boston Children's Hospital, Boston, MA (SL); Department of Pediatrics, Harvard Medical School, Boston, MA (SL); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA (AJS); Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care System, Seattle, WA (AJS); Program in Addiction Medicine, Yale School of Medicine, New Haven, CT (JMT); Division of Addiction Psychiatry, Department of Psychiatry and Behavioral Health, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY (RNR); Department of Medicine, Harvard Medical School, Boston, MA (SW); Program in Substance Use and Addiction Services, Massachusetts General Hospital, Boston, MA (SW); and Friends Research Institute, Baltimore, MD (FV).

Journal of Addiction Medicine
|October 2, 2024
PubMed
Summary
This summary is machine-generated.

Early intervention for harmful substance use is crucial. Researchers suggest "unhealthy substance use" is a better term than "preaddiction" for identifying individuals needing support, but barriers exist.

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Area of Science:

  • Addiction Medicine
  • Public Health
  • Substance Use Disorders

Background:

  • National Institute on Drug Abuse and National Institute on Alcohol Abuse and Alcoholism propose earlier identification and intervention for harmful substance use.
  • The term "preaddiction" has been suggested as a diagnostic label for early intervention targets.

Purpose of the Study:

  • To evaluate the proposed term "preaddiction" for early intervention in substance use.
  • To propose "unhealthy substance use" as a more suitable descriptor.
  • To identify potential barriers to implementing this new intervention paradigm.

Main Methods:

  • Commentary and review of proposed terminology and intervention strategies.
  • Analysis of the implications of diagnostic labels for early intervention.

Main Results:

  • "Unhealthy substance use" is proposed as a more appropriate descriptor than "preaddiction".
  • Several potential barriers that could hinder the impact of this new paradigm were identified.

Conclusions:

  • Adoption of "unhealthy substance use" may facilitate earlier and more effective interventions.
  • Addressing identified barriers is essential for the successful implementation of early intervention strategies for harmful substance use.