在阿片类药物使用障碍的成年人中,注意力缺陷多动性障碍诊断和药物治疗的趋势
Tae Woo Park1, Tithi D Baul1, Jake R Morgan1
1Department of Psychiatry, University of Pittsburgh, Pittsburgh (Park); Department of Psychiatry, Boston Medical Center, and Boston University School of Medicine, Boston (Baul, Yule); Boston University School of Public Health, Boston (Morgan); Department of Psychiatry, Massachusetts General Hospital, and Harvard Medical School, Boston (Wilens).
在患有阿片类药物使用障碍的患者中,注意力缺陷多动性障碍 (ADHD) 的诊断和治疗方法有所增加. 然而,很少有接受阿片类药物使用障碍药物的ADHD患者被处方兴奋剂.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 和注意力缺陷多动症障碍 (ADHD) 经常同时发生.
- 了解ADHD和OUD同时发生的治疗趋势对于患者护理至关重要.
研究的目的:
- 分析OUD患者ADHD诊断和药物治疗中的国家趋势.
- 确定影响患者服用阿片类药物使用障碍 (MOUD) 药物的兴奋剂药物使用的因素.
主要方法:
- 对13-64岁 (2007-2017) 商业保险患者的索赔数据库分析.
- 对387980名OUD患者进行横截面研究,以评估ADHD患病率和药物治疗.
- 对158,591名接受MOUD的患者进行了回顾性队列研究,以检查兴奋剂接收的预测因素.
主要成果:
- 在OUD患者中,ADHD诊断率从4.6%上升到15.1% (2007-2017年).
- 在OUD患者中,ADHD药疗率从42.6%增加到51.8%.
- 只有10.5%的MOUD患者接受了兴奋剂药物;女性性别和某些并发症与增加的可能性有关,而物质使用障碍与减少的可能性有关.
结论:
- 在OUD患者中观察到ADHD诊断和药物治疗的显著增加.
- 对于在MOUD上同时出现ADHD和OUD的患者,兴奋剂的处方仍然很低.
- 需要进一步研究ADHD药物治疗在这个人群中的疗效和安全性.
更多相关视频
10:02Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
Published on: March 12, 2020
12:20Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
Published on: June 10, 2013
相关概念视频
Drug Abuse and Addiction: Pharmacological Phenomena
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Prescription, Nonprescription and Orphan Drugs
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
Analgesia and Pain Management
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
