药物使用障碍风险评估:第一次使用和药物使用障碍风险的积极情绪体验
Karen E Arscott1, Donna M Eget2, Maria C Marcos1
1Geisinger Commonwealth School of Medicine, Geisinger Health System, Scranton, PA, United States.
Frontiers in psychiatry
|October 7, 2024
概括
在第一次使用酒精或阿片类药物时,早期的积极感受可能预测未来的物质使用障碍 (SUD). 这一发现可以为新的酒精使用障碍 (AUD) 和SUD的预防查工具提供信息.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 目前的药物使用障碍 (SUD) 查工具在使用开始后识别使用,突出需要采取预防措施.
- 药物过量死亡人数的增加强调了SUD预防策略的紧迫性.
- 这项研究的目的是开发一个预测查工具,用于酒精使用障碍 (AUD) 和SUD在成开始之前.
研究的目的:
- 调查是否对酒精和阿片类药物的初始情绪反应与未来的SUD诊断相关.
- 探索早期情感体验作为SUD风险预测标记物的潜力.
- 开发一种简单的查工具,用于早期识别易患AUD/SUD的个体.
主要方法:
- 在2021年春季的一个月中,采用了横截面调查设计.
- 参与者 (N=259) 来自药物治疗成 (MAT) 诊所 (SUD组) 和急诊诊所 (比较组).
- 调查包括人口统计,风险因素,第一次酒精/阿片类药物体验的细节,以及寻求治疗的因素,将情绪分类为积极,中性或消极.
主要成果:
- 与比较组相比,SUD组在初次使用酒精和阿片类药物时报告了显著更多的积极感觉 (例如,高兴,自信) (p<.001).
- 具体来说,55.3%的SUD组在第一次饮酒时感到自信,而对比组的这一比例为29.7% (p<.001).
- 第一次使用阿片类药物的SUD组中,63.7%的人报告了快乐,而对照组中只有9.8% (p<.001).
结论:
- 对物质的初始情感反应,特别是积极的感受,可能成为未来SUD的预测因素.
- 这些发现表明,询问关于酒精/阿片类药物的积极初始体验可能是SUD预防的可行,简单的查工具.
- 这种方法可以帮助在有问题的使用模式出现之前识别有风险的个体,解决SUD护理中的关键差距.
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