终身大麻使用障碍的治疗方法:系统性审查
Mohammad Ghafouri1, Sabrina Correa da Costa1, Ali Zare Dehnavi1
1Department of Psychiatry & Psychology, Mayo Clinic, 200 First St. SW, Rochester, MN 55901, USA.
Brain sciences
|March 28, 2024
概括
大麻使用障碍 (CUD) 的干预措施因年龄而异. 青少年从家庭的支持中受益,年轻人从技术中受益,老年人从药物治疗和咨询中受益. 为了获得最佳的CUD治疗,需要更多的研究.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
背景情况:
- 大麻使用障碍 (CUD) 是一个显著且日益增长的公共卫生挑战.
- CUD的流行影响着不同的年龄组,需要量身定制的干预措施.
- 现有的研究表明,需要基于证据的治疗策略,跨越生命周期.
研究的目的:
- 系统地审查CUD的药理和非药理干预措施.
- 检查不同年龄人群的干预有效性:青少年,年轻人和老年人.
- 确定有前途的治疗方法和CUD未来研究领域.
主要方法:
- 24个随机对照试验 (RCT) 的系统审查.
- 搜索集中在CUD的干预措施上,结果包括大麻使用,戒断,戒断和保留.
- 研究包括65岁以上的参与者,分为青少年,年轻人和老年人.
主要成果:
- 青少年CUD干预措施显示有前途,有条件奖励和家庭参与.
- 基于技术的平台和同行支持对患有CUD的年轻人来说是有益的.
- 患有CUD的老年人可能会从药理学辅助以及咨询中受益.
结论:
- 对CUD的干预应根据发展阶段和特定年龄的挑战量身定制.
- 虽然对于不同年龄组存在有希望的干预措施,但最佳治疗组合需要进一步研究.
- 比较有效性研究对于确定最有效的CUD治疗方法至关重要.
相关概念视频
Substance Use Disorders Affecting Sleep
166
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
166
Diagnostic and Statistical Manual of Mental Disorders (DSM)
55
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
55
Attention-Deficit/Hyperactivity Disorder
59
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
59
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
191
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
191
CNS Depressants: Alcohol and Nicotine
205
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
205
Treatment Strategies for Psychological Disorders
120
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
120


