在美国成年人中,大麻使用障碍和物质使用治疗
Namkee G Choi1, John Moore2, Bryan Y Choi3
1Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA.
Journal of substance use and addiction treatment
|August 16, 2024
概括
大麻使用障碍 (CUD) 在美国成年人中越来越普遍,较高的CUD严重程度与接受物质使用治疗的几率更高有关. 然而,对CUD的整体治疗率仍然相当低.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 流行病学 流行病学
背景情况:
- 大麻合法化正在扩大,需要更新关于大麻使用和大麻使用障碍 (CUD) 的研究.
- 了解CUD严重程度与获得物质使用治疗之间的关系对于公共卫生至关重要.
- 安德森的医疗保健使用行为模型为分析治疗利用模式提供了一个框架.
研究的目的:
- 为了确定过去一年大麻使用的患病率,CUD,以及美国成年人的CUD严重程度.
- 检查CUD严重程度与接受物质使用治疗之间的关联.
- 为了比较不同CUD严重程度的个体的特征.
主要方法:
- 利用了2022年国家药物使用和健康调查 (NSDUH) 的数据,采用了47100名成年人 (18岁以上) 的样本.
- 描述了大麻使用的患病率,CUD,CUD严重程度,其他物质使用障碍以及治疗收到情况.
- 采用后勤回归模型来分析CUD严重程度和物质使用治疗之间的关系.
主要成果:
- 23.0%的美国成年人报告去年使用大麻,7.0%患有CUD (1.2%严重).
- 在大麻使用者中,30.3%患有CUD,9.6%接受治疗.
- 中度和严重的CUD与药物使用治疗的几率增加有关,特别是在没有其他物质使用障碍的人群中严重的CUD.
结论:
- 在美国成年人中观察到大麻使用和CUD的增加.
- CUD的严重程度与接受物质使用治疗的可能性更高有关,但整体治疗率较低.
- 医疗保健提供者应该教育用户CUD风险,并实施降低伤害的策略.
相关概念视频
Substance Use Disorders Affecting Sleep
163
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,...
163
Drug Abuse and Addiction: Pharmacological Phenomena
455
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
455
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
170
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...
170
Diagnostic and Statistical Manual of Mental Disorders (DSM)
50
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...
50
Drug Dependence
991
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
991
CNS Depressants: Alcohol and Nicotine
185
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...
185


