与阿片类兴奋剂联合使用对增强和提示诱导的渴望的影响
Martin Hochheimer1, Justin C Strickland1, Jill A Rabinowitz1
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of psychiatric research
|June 10, 2023
概括
使用阿片类药物和甲基胺多重物质的个人报告更高的渴望. 这凸显了针对这一脆弱人群的有针对性的干预措施的必要性,以减少复发风险.
科学领域:
- 成 药物 药物 药物 药物
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物和兴奋剂的同时使用在药物使用障碍治疗中提出了复杂的挑战.
- 过量服用死亡人数不断增加,强调迫切需要了解多种物质使用模式的细微差别.
研究的目的:
- 研究主要使用阿片类药物,甲基胺或可卡因的个体中强化剂和提示诱导的渴望的差异.
- 为了评估阿片类兴奋剂多物质使用对渴望水平的影响.
主要方法:
- 一项涉及2021年美国55个住院治疗中心1974名个人的研究.
- 每周的调查采集了使用第三方结果跟踪系统收集有关强化剂和提示诱导的渴望的数据.
- 边际效应回归模型分析了主要物质使用,多物质使用和渴望之间的关系.
主要成果:
- 与初级阿片类药物使用相比,初级甲基胺和可卡因使用与较低的增强力渴望有关.
- 主要可卡因使用也显示出较低的暗示诱导的渴望比主要阿片类药物使用.
- 与阿片类药物-可卡因使用不同,阿片类药物-甲胺多重物质的使用显著增加了强化和提示诱导的渴望.
结论:
- 主要使用阿片类药物和次要使用甲基胺的个人表现出强烈的增强性和提示诱导的渴望.
- 这些发现表明,需要进行量身定制的干预措施,以解决阿片类药物-甲基胺多重物质使用者的渴望.
- 这种干预措施可以减轻复发风险,并改善这一群体的治疗结果.
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