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Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

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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.
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CNS Depressants: Alcohol and Nicotine01:27

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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...
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Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists01:30

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Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
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Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
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Stress and Mental Health01:30

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Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
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Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
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Updated: May 29, 2025

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认知功能在严重物质使用的人群中.

Nina Auestad1,2,3, Stig Tore Bogstrand2,4, Odd Martin Vallersnes5,6

  • 1The Agency for Social and Welfare Services, City of Oslo, Oslo, Norway.

European addiction research
|February 3, 2025
PubMed
概括

大多数严重,持续使用物质的个人表现出认知障碍. 这项现实研究发现,功能障碍与特定物质使用模式之间没有联系,突出了需要量身定制的支持.

关键词:
认知功能 认知功能习惯性使用物质.高风险行为高风险行为使用毒品的人.使用物质使用物质.

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科学领域:

  • 神经科学是一个神经科学.
  • 成 药物 药物 药物 药物
  • 心理学 心理学 心理学

背景情况:

  • 使用毒品的人的认知障碍 (PWUD) 差异很大 (20-80%).
  • 现有的研究往往研究禁欲或机构化的PWUD.
  • 这项研究考察了在活跃,习惯性地使用人群中的认知功能.

研究的目的:

  • 评估持续严重使用物质的个体的认知功能.
  • 为这个人口群体提供对认知障碍的真实世界视角.
  • 在治疗环境之外,向服务提供者提供关于PWUD认知需求的信息.

主要方法:

  • 在挪威奥斯陆,对171名严重使用物质的参与者的横截面研究.
  • 使用蒙特利尔认知评估 (MoCA) 选的认知功能.
  • 收集了有关物质使用,人口统计和MoCA分数的数据 (减弱的截止值<26).

主要成果:

  • 74.9%的参与者得分低于MoCA截止值,表明可能存在认知障碍.
  • 认知障碍和物质使用变量 (类型,数量,过量史,注射使用,治疗史) 之间没有发现显著的关联.

结论:

  • 严重使用物质的人中有很大一部分经历了功能性认知障碍.
  • 结果具有很高的外部有效性,反映了现实世界的日常物质使用情况.
  • 结果对于在社区环境中为PWUD开发有针对性的支持服务至关重要.