走向参与:自然地使用迷幻药的人与他们的医疗保健提供者之间的互动
Kevin F Boehnke1,2,3, Kasey Cox1, Cody Weston4
1Anesthesiology Department, University of Michigan Medical School, Ann Arbor, MI, United States.
Frontiers in psychiatry
|August 21, 2023
概括
自然主义的迷幻药的使用往往发生在没有临床支持的情况下,这引发了安全问题. 由于耻辱和缺乏知识,大多数用户并没有向医疗保健提供者披露使用情况,尽管他们希望得到支持.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 越来越多的公众对用于精神疾病的迷幻药物的兴趣.
- 美国对迷幻药物的法律限制造成了临床整合的障碍.
- 关于在自然主义迷幻药使用期间临床支持的程度的不确定性.
研究的目的:
- 为了评估在自然主义迷幻药使用期间的临床支持.
- 检查迷幻药使用者与医疗保健提供者之间的相互作用.
- 描述迷幻药的使用模式和相关的支持需求.
主要方法:
- 在线,匿名,对1221名成年迷幻药使用者进行横截面调查.
- 评估向精神病医疗保健提供者 (PsyCP) 和初级保健提供者 (PCP) 披露迷幻药物的使用情况.
- 评估对提供者支持的愿望和获取,并同时使用处方药.
主要成果:
- 只有22%的人透露使用PCP,而PsyCP的使用率为58%.
- 参与者对PCP整合迷幻药物的能力缺乏信心.
- 81%的人希望得到治疗师的支持,但只有15%的人得到了.
- 23%的人报告同时使用迷幻药和精神病药物.
结论:
- 迷幻药的使用在很大程度上与临床护理无关,造成安全风险.
- 不充分的查,缺乏支持和潜在的药物相互作用是关键问题.
- 需要加强临床教育和基于证据的药物政策.
相关概念视频
Hallucinogens and Psychedelics
208
Hallucinogens are psychoactive substances that profoundly alter perceptual experiences, generating unreal visual and sensory images. Often referred to as psychedelic drugs — a term derived from the Greek words "psyche" (mind) and "delos" (revealing) — these substances include marijuana and lysergic acid diethylamide (LSD), among others. These drugs vary in intensity and effects.
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
208
CNS Stimulants: Psychedelic Agents
182
Hallucinogens, also known as psychedelic drugs, are a class of substances known for their ability to alter perception, cognition, and emotions. Despite their profound effects on the mind, these drugs are non-addictive, setting them apart from many other abused substances. The mechanism of action of these drugs lies in their impact on the 5-HT2A receptor in the brain. Upon activation, this receptor couples to Gq-type G proteins, triggering a cascade that releases intracellular calcium. This...
182
Altered States of Awareness
235
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
235
An Overview of Psychoactive Drugs
258
Psychoactive drugs impact brain function, influencing perception, mood, consciousness, cognition, and behavior. These substances are grouped based on their effects and the mechanisms by which they act.
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
258
Healthcare Agencies II
724
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
724
Drug Therapy
68
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
68


