在越南,在维护甲治疗期间使用甲的人群中探索尼古丁依赖
Nguyen Truong Giang1, Nguyen Bich Diep1, Nguyen Thu Trang1
1Center for Training and Research on Substance Abuse and HIV, Hanoi Medical University, Vietnam.
Substance use : research and treatment
|June 26, 2025
概括
在接受甲治疗的甲胺使用者中,高尼古丁依赖是常见的. 管理戒断症状和提供戒烟支持可以改善这些人的戒烟结果.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 吸烟在有物质使用障碍的人群中非常普遍,特别是那些使用甲基胺的人群中.
- 尼古丁依赖可能会使戒烟的努力复杂化,特别是那些接受甲维持治疗 (MMT) 的人.
- 了解这些人群中与尼古丁依赖相关的因素对于开发有效干预措施至关重要.
研究的目的:
- 检查越南MMT中甲基胺使用者的尼古丁依赖水平.
- 在这个群体中确定与高尼古丁依赖相关的心理社会和行为因素.
主要方法:
- 从STAR-OM试验中667名参与者的基线数据进行横截面分析.
- 使用法格斯特罗姆尼古丁依赖测试 (FTND) 评估的尼古丁依赖.
- 后勤回归用于确定尼古丁依赖和共变量之间的关联.
主要成果:
- 96.7%的参与者是目前的吸烟者;38.3%的人有高尼古丁依赖 (FTND分数≥6).
- 甲基胺戒断症状的严重程度增加和抑郁/焦虑/压力的高风险与更高的尼古丁依赖率有关.
- 开始使用甲基的年龄较大与高尼古丁依赖的可能性较低有关.
结论:
- 在MMT中,甲基胺使用者中吸烟和尼古丁依赖的流行率很高.
- 建议综合性戒烟支持,以及对甲基胺戒烟的管理,以提高戒烟率.
相关概念视频
Drug Dependence
1.2K
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...
1.2K
Drugs Acting on Autonomic Ganglia: Stimulants
1.5K
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating...
1.5K
Drug Abuse and Addiction: Pharmacological Phenomena
663
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...
663
CNS Depressants: Alcohol and Nicotine
370
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...
370
Stimulants
331
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
331
Substance Use Disorders Affecting Sleep
225
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,...
225


