青少年的烟草/尼古丁使用以及基于应急管理的干预措施的潜在作用
Anaheed Shirazi1, Niloofar Radgoudarzi, Arthur L Brody
1From the Department of Psychiatry, University of California San Diego (UCSD), San Diego, CA (AS, NR, ALB); and Department of Research, VA San Diego Healthcare System, San Diego, CA (ALB).
Journal of addiction medicine
|January 10, 2024
概括
青少年的尼古丁和烟草使用是主要的公共卫生问题. 新的,以奖励为基础的治疗方法,如数字应急管理,可能会改善青少年成治疗的结果.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 药物成科学 药物成科学
背景情况:
- 年轻人中烟草/尼古丁的使用率很高,包括电子烟,在美国是一个重大的公共卫生挑战.
- 早期接触尼古丁/烟草会增加终身依赖和不良健康后果的风险.
- 对于青少年尼古丁/烟草使用障碍的现有治疗方法的疗效有限,需要新的方法.
研究的目的:
- 对青少年和年轻成年人尼古丁/烟草使用的当前治疗策略进行审查.
- 确定该群体未来治疗研究的未经探索的领域.
- 探索基于奖励的干预措施的潜力,考虑青少年神经生物学和与数字媒体的接触.
主要方法:
- 对目前青少年尼古丁/烟草使用的药理和非药理干预措施的文献综述.
- 对影响青少年物质使用和决策的神经生物学因素的分析.
- 探索治疗量身定制的应急管理和数字奖励系统.
主要成果:
- 目前没有FDA批准的药物用于青少年尼古丁/烟草使用障碍;非标签使用NRT,布洛和瓦雷尼克林发生.
- 应急管理显示,在年轻人中扩大使用的可能性很大.
- 青少年神经生物学,包括灵活的奖励系统,可能会提高基于奖励的治疗的有效性.
结论:
- 目前的心理社会和药物治疗有很高的不响应率,这表明需要创新的策略.
- 未来的研究应该将应急管理等干预措施根据青少年的独特特征进行调整,包括社会活动和数字参与.
- 数字媒体平台为提供奖励提供潜在途径,以提高青少年治疗效率.
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