drug addiction

药物成瘾
  • 文章类型: Journal Article
    背景:药物成瘾是一个重要的公共卫生问题,攻击性在有毒瘾的人中很常见。尽管越来越多的证据表明黑暗三合会是侵略的危险因素,这种关系背后的中介和调节机制鲜为人知.这项研究测试了自我控制在黑暗三合会与侵略之间的关系中的调解作用,以及这种调解是否受到体育锻炼的调节。
    方法:对南宁市两个强制戒毒所进行横断面研究,中国。564名戒毒者的便利样本完成了一份问卷,以评估他们的黑暗三合会,自我控制,侵略,和体育锻炼水平。在SPSS宏过程中进行了中介和适度分析。
    结果:自我控制部分介导了黑暗三联征与侵略之间的正相关。体育锻炼通过自我控制减轻了黑暗三合会对侵略的间接影响,效果随着体育锻炼水平的增加而降低。
    结论:这项研究为黑暗三合会与侵略之间的潜在中介和调节机制提供了新的见解。这些发现为未来的干预和预防计划提供了重要的实际意义,以解决戒毒者的侵略问题。这可以通过加强自我控制和体育锻炼来实现。
    BACKGROUND: Drug addiction is a significant public health concern, and aggression is common among people with drug addiction. Despite mounting evidence showing that the Dark Triad is a risk factor for aggression, the mediating and moderating mechanisms underlying this relationship are less known. This study tested the mediation effect of self-control in the association between the Dark Triad and aggression and whether this mediation was moderated by physical exercise.
    METHODS: A cross-sectional study was conducted in two compulsory drug rehabilitation centers in Nanning, China. A convenience sample of 564 drug abstainers completed a questionnaire to assess their Dark Triad, self-control, aggression, and physical exercise levels. Mediation and moderation analyses were carried out in SPSS macro-PROCESS.
    RESULTS: Self-control partially mediated the positive association between the Dark Triad and aggression. Physical exercise moderated the indirect effect of the Dark Triad on aggression via self-control, with the effect decreasing with the increase in physical exercise levels.
    CONCLUSIONS: This study offers fresh insights into the underlying mediating and moderating mechanisms between the Dark Triad and aggression. The findings provide important practical implications for future intervention and prevention programs to address aggression among drug abstainers, which may be realized through strengthening self-control and physical exercise.
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  • 文章类型: Journal Article
    作为吗啡成瘾的疾病的发作与患者体内针对阿片受体(ORs)的抗体的出现有关。一旦抗阿片受体抗体(抗OR抗体)出现在血液中,它们将倾向于与OR结合。这种结合将导致OR的生理功能的阻断。吗啡成瘾者将这种阻塞感觉为戒断综合征。为了摆脱这种有害的状况,吸毒者增加吗啡的剂量。这就是宽容表现出来的地方。吸毒者被迫不时增加吗啡的剂量,因为身体通过产生越来越多的抗OR抗体做出反应。吗啡成瘾的免疫学性质是人体对药物反应性终生变化的原因。如果吸毒者摆脱B和T记忆细胞,他就可以治愈,对OR有特殊反应。
    The onset of the disease as a morphine addiction is associated with the appearance in the patient\'s body of antibodies directed against opiate receptors (ORs). Once anti-opiate receptor antibodies (anti-OR antibodies) appear in the blood they will tend to bind to ORs. Such binding will cause blocking of physiological functions of OR. The blockage is felt by a morphine addict as withdrawal syndrome. To get rid of this harmful condition, the addict increases the dose of morphine taken. This is where tolerance manifests itself. The drug addict is forced to increase the dose of morphine from time to time because of the body responds by producing the more and more anti-OR antibodies. The immunological nature of morphine addiction is the reason for lifelong changes in the body\'s reactivity to the drug. An addict can be cured if he gets rid of B- and T-memory cells, which specifically react to ORs.
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  • 文章类型: English Abstract
    药物成瘾是严重损害成瘾者和一个人的关系的最严重的越轨行为之一。该药物使用被认为是不正常的,因为意味着使用来自非法律移交或用于非医疗目的的物质。然后是人的健康退化,一个人的定位变成对他们的身心依赖。随着时间的推移,个人对药物的依赖性变得更强。上瘾的人失去了从自然刺激中体验快乐的可能性,并且出现了控制药物使用的更多困难。使用毒品的人经常犯罪,以金钱来维持自己的依赖。因此,预防麻醉品和与药物成瘾作斗争的问题是新罗西斯克整个预防系统的基本问题。本文介绍了对新罗西斯克人口中与毒品成瘾作斗争的活动和采取的措施的分析。
    The drug addiction is one of most serious deviant behavior seriously harming both addict person and one\'s relationship. The drug using is considered as deviant because means using substances from non-legal turn-over or applied in non-medical purposes. Then follows degradation of health of person and one\'s positioning into physical and mental dependence on them. With time, personal dependence on drugs becomes stronger. The addicted person looses possibility to experience joy from natural stimuli and more difficulties in controlling drug using appear. Persons using drugs frequently commit crimes to have money to maintain one\'s dependence. Therefore, issues of prevention narcotism and struggle with drug addiction are fundamental ones for whole system of prevention in Novorossiysk. The article presents analysis of implemented activities and adopted measures of struggle with drug addiction in population of Novorossiysk.
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  • 文章类型: Case Reports
    世界各地娱乐性使用甲基苯丙胺的频率大大增加。像其他兴奋剂一样,甲基苯丙胺会导致多种健康后果,它们的成瘾性会导致精神疾病。自杀意念和企图在甲基苯丙胺使用者中很常见,并已成为仅次于偶然过量的主要死亡原因。在当前的报告中,我们回顾了一例甲基苯丙胺使用者跳桥自杀的案例。Further,我们回顾了最近有关甲基苯丙胺使用与自杀之间关系的文献,从而对这一案例进行了背景分析。
    Recreational use of methamphetamines has greatly increased in frequency across the world. Like other stimulants, methamphetamines can cause several health consequences, and their addictive nature can lead to psychiatric disorders. Suicidal ideation and attempts are common in methamphetamine users and have become a leading cause of death next to incidental overdoses. In the current report, we review a case of a methamphetamine user who attempted suicide by jumping off a bridge. Further, we contextualize this case by reviewing recent literature on the relationship between methamphetamine use and suicide.
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  • 文章类型: Journal Article
    建立在积极心理学的前提下,这项工作对设计的14期积极心理学干预(PPI)计划进行了一项试点研究,该计划基于使用毒品(PWUD)的人的性格优势和美德(CSV)来评估其有用性,交货细节,和影响。在菲律宾最大的药物滥用治疗和康复中心之一进行,该计划的工作人员随机选择了24名PWUD,以参与其试点运行,同时确保所有必要的道德准则和要求。通过受试者内的前测-后测实验设计,特别调整和开发的工具被用来评估残疾人的进展,因为他们得到了上述计划的促进。结果显着改善了PWUD的心理健康(M=1.29,SD=0.35;t(21)=9.30,P<.00001),生活满意度(M=1.82,SD=0.24;t(21)=9.89,P<.00001),心理功能(M=1.65,SD=0.19;t(21)=8.58,P<.00001)。此外,PWUD非常重视设计的PPI计划,并获得了积极的成果,尤其是他们的CSV。上述计划的进一步改进围绕适当的时间分配,参加课程的人数,每届会议适当的活动,包括特定的破冰游戏,需要的活动材料,以及每个会话的正确顺序。这些数据用于改进PPI程序结构和组件。得出了有关收集到的数据的相关结论,并因此提供了相关建议。
    Building on the premises of Positive Psychology, this undertaking conducted a pilot study of the designed 14-session Positive Psychology Intervention (PPI) program established based on the character strengths and virtues (CSV) of persons who use drugs (PWUDs) to assess its usefulness, delivery details, and impacts. Conducted in one of the biggest Drug Abuse Treatment and Rehabilitation Center in the Philippines, 24 PWUDs were randomly selected by the program staff to participate in its pilot run while securing all necessary ethical guidelines and requirements. Via within-subjects pretest-posttest experimental design, the especially adapted and developed tools were used to assess the PWUDs\' progress as they were facilitated by the said program. Results yielded significant improvements in the PWUDs\' mental wellbeing (M = 1.29, SD = 0.35; t(21) = 9.30, P < .00001), life satisfaction (M = 1.82, SD = 0.24; t(21) = 9.89, P < .00001), and psychological functioning (M = 1.65, SD = 0.19; t(21) = 8.58, P < .00001). Moreover, the PWUDs regarded the designed PPI program very highly and experienced it with positive outcomes, especially for their CSVs. Further improvement of the said program centers around proper time allotment, number of participants in the program sessions, appropriate activities per session, including specific ice breaker games, activity materials needed, and the proper sequencing of each session. These data are used to improve the PPI program structures and components. Pertinent conclusions about the gathered data were drawn, and relevant recommendations were also thereby provided.
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  • 文章类型: Systematic Review
    缺乏对啮齿动物药物(自我)给药的功能神经影像学研究的系统评价。这里,我们总结了各类药物的急性或慢性给药对脑功能的影响,并确定了与人类文献的一致性。我们进行了系统的文献检索,并确定了125项关于体内啮齿动物静息态功能磁共振成像(n=84)或正电子发射断层扫描(n=41)的研究,涉及抑制剂(n=27)。阿片类药物(n=23),兴奋剂(n=72),和大麻(n=3)。结果主要显示纹状体的改变,与人类文学一致。前扣带回皮层和(非特异性)前额叶皮层也经常被牵连。在较短的给药后最常见的是上调,而在长期长期给药后,特别是在纹状体。重要的是,研究设计的结果是一致的,管理模型,成像方法,动物国家。结果提供了在给药后啮齿动物的静息状态脑功能改变的证据。暗示大脑的奖励网络类似于人类研究。然而,改变比以前已知的更动态,动态适应取决于药物给药的时间长短。
    A systematic review of functional neuroimaging studies on drug (self-) administration in rodents is lacking. Here, we summarized effects of acute or chronic drug administration of various classes of drugs on brain function and determined consistency with human literature. We performed a systematic literature search and identified 125 studies on in vivo rodent resting-state functional magnetic resonance imaging (n = 84) or positron emission tomography (n = 41) spanning depressants (n = 27), opioids (n = 23), stimulants (n = 72), and cannabis (n = 3). Results primarily showed alterations in the striatum, consistent with the human literature. The anterior cingulate cortex and (nonspecific) prefrontal cortex were also frequently implicated. Upregulation was most often found after shorter administration and downregulation after long chronic administration, particularly in the striatum. Importantly, results were consistent across study design, administration models, imaging method, and animal states. Results provide evidence of altered resting-state brain function in rodents upon drug administration, implicating the brain\'s reward network analogous to human studies. However, alterations were more dynamic than previously known, with dynamic adaptation depending on the length of drug administration.
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  • 文章类型: Journal Article
    侵略,因此,基于性别的暴力,可能是冲动或强迫行为,取决于酒精和/或药物的消耗。在欧洲,基于性别的暴力的患病率为16%至23%。这一流行现象表明,在处理侵害妇女行为方面需要取得进一步进展。定性技术使我们能够通过分析犯罪的人所说的话来全面理解感知和归因,他们为什么这么说,怎么说。
    要探索伴侣的身体和言语攻击的经历,取决于是否存在酒精和药物使用,在监狱人口中。
    使用了混合方法(结合了定性和定量技术)。样本由140名男性组成,分为两个焦点组[有酒精和/或药物消费(SAD)和没有酒精和/或药物消费(NSAD)],他们完成了人口统计,监狱机构中的犯罪和行为访谈;性别暴力问卷(均为本研究开发)和MultiCAGECAD-4问卷。采用专题分析法对定性数据进行分析,采用列联表获得定量数据。
    发现SAD组织将犯罪归因于酒精和/或毒品消费,而NSAD小组将其归因于嫉妒和他们的伴侣。SAD小组透露,身体侵害的后果是从伴侣那里得到他们想要的东西,而言语侵害的后果是后悔,不像NSAD集团没有从侵略中得到任何东西。SAD小组认识到,为了避免未来的侵略,他们必须避免饮酒和/或吸毒,而NSAD小组提到他们必须避免与伴侣接触。
    在评估犯有基于性别的暴力犯罪的个人时,强调需要包括观念和归因以及酒精和/或药物的使用。
    UNASSIGNED: Aggression, and therefore gender-based violence, can be an impulsive or compulsive behavior, depending on the consumption of alcohol and/or drugs. In Europe, the prevalence of gender-based violence is 16 to 23%. This prevalence shows that there is a need to make further progress in the treatment of aggression against women. Qualitative techniques allow us to understand perceptions and attributions holistically by analyzing what people who commit the crime say, why they say it and how they say it.
    UNASSIGNED: To explore the experience of physical and verbal aggression by a partner, dependent on the presence or absence of alcohol and drug use, in the prison population.
    UNASSIGNED: A mixed methodology was used (combining qualitative and quantitative techniques). The sample was made up of 140 men divided into two focus groups [with alcohol and/or drug consumption (SAD) and without alcohol and/or drug consumption (NSAD)] who completed the Demographic, Criminal and Behavioral Interview in Penitentiary Institutions; the Gender Violence Questionnaire (both developed for this study) and the MultiCAGE CAD-4 Questionnaire. Qualitative data were analyzed using thematic analysis and quantitative data were obtained using contingency tables.
    UNASSIGNED: It was found that the SAD group attributed the crime committed to alcohol and/or drug consumption, while the NSAD group attributed it to jealousy and to their partner. The SAD group revealed that the consequence of the physical aggressions was to get what they were looking for from their partner and the consequences of the verbal aggressions was regret, unlike the NSAD group that did not get anything from the aggressions. The SAD group recognized that to avoid future aggressions they would have to avoid alcohol and/or drug use, while the NSAD group mentioned that they would have to avoid contact with their partner.
    UNASSIGNED: The need to include perceptions and attributions as well as the use of alcohol and/or drugs is emphasized when assessing individuals who commit the crime of gender-based violence.
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  • 文章类型: Journal Article
    目的:处方药和非处方药的滥用已成为全球严重的公共卫生问题。这项研究通过检查韩国成年人的药物滥用状况并评估他们的知识,探讨了导致韩国药物滥用的因素。态度,以及对药物滥用的意图。
    方法:数据来自2020年5月20日至6月1日19岁或以上的参与者(n=1,020)。调查包括人口统计学问题,对药物风险的看法,吸毒的动机,以及对药物成瘾治疗的态度。使用主成分和多元逻辑回归分析来探索导致药物滥用感知的因素。
    结果:在多元回归分析中,在处理药物使用方面的过度自信,接受成瘾性物质,公众对药物滥用的支持的肯定与阿片类药物滥用有关(NagelkerkeR2=0.486),此外,确认合法使用大麻和使用减肥药的动机与减肥药滥用相关(NagelkerkeR2=0.569).
    结论:这项研究的结果表明,韩国成年人药物滥用的实际情况增加了对药物滥用的认识和态度。
    OBJECTIVE: The abuse of prescription drugs and over-the-counter medicines has been a major issue addressed as a serious public health problem worldwide. This study explored factors contributing to substance abuse in Korea by examining the status of substance abuse among Korean adults and evaluating their knowledge, attitudes, and intentions toward substance abuse.
    METHODS: Data were collected online from a sample of participants 19 years old or older from May 20 to June 1, 2020 (n=1,020). The survey consisted of questions on demographics, perceptions of drug risk, motives for drug use, and attitudes toward drug addiction treatment. Principal component and multiple logistic regression analyses were used to explore the factors contributing to the perception of drug abuse.
    RESULTS: In the multivariate regression analysis, overconfidence in handling drug usage, acceptance of addictive substances, and affirmation of public support for drug abuse were associated with opioid abuse (Nagelkerke R2=0.486), and additionally affirmation of legal cannabis usage and motivation to use diet pills were associated with diet pill abuse (Nagelkerke R2=0.569).
    CONCLUSIONS: The findings of this study suggest that the actual situation of substance abuse among Korean adults increases awareness of and attitudes toward drug use related to substance abuse.
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  • 文章类型: Journal Article
    介绍我们的研究旨在将冥想和基于同情心的团体治疗与饮食失调患者的护理标准进行比较,毒瘾,酒精成瘾,和抑郁症,关于接受,正念意识,自我同情,和心理困扰。方法采用设计对照研究,将冥想和以同情心为中心的团体疗法与单独的护理标准进行比较,饮食失调患者,毒瘾,酒精成瘾,和情绪障碍。进行了四份经过验证的问卷:接受和行动问卷-II(AAQ-II),评估与当前时刻完全接触的能力;正念注意意识量表(MAAS),它评估有意识地体验当下正在发生的事情的能力;自我同情量表(SCS),评估自我同情的特征,包括爱心;和症状清单-90(SCL-90),衡量心理困扰(焦虑,抑郁症,精神病行为,等。).结果共有75名受试者,其中48人代表实验组,和27代表对照组。受试者的总体平均年龄为44.8±13.2岁。实验组有统计学上的显着增加(基线与研究结束)用于AAQ-II,MAAS,和SCS分数,SCL-90评分有统计学意义的下降。在对照组中,SCL-90评分有统计学上的显著下降,但其他测量没有显著差异。在研究结束时,两组之间的比较如下:AAQ-II:0.7(-5.74至7.15),p=0.827;MAAS:4.78(-3.19至12.75),p=0.233;SCS:5.89(-3.18至14.96),p=0.199;SCL-90:-0.26(-0.62至0.1),p=0.157。结论实验组内,所有量表均有统计学显著改善。在研究结束时,两组之间的四个量表没有统计学上的显着差异。组间比较受数据可用性的限制。
    Introduction Our study aimed to compare meditation and compassion-based group therapy with the standard of care in patients with eating disorders, drug addiction, alcohol addiction, and depression, concerning acceptance, mindfulness awareness, self-compassion, and psychological distress. Methods A controlled designed study was performed, comparing meditation and compassion-focused group therapy added to the standard of care with the standard of care alone, on patients with eating disorders, drug addiction, alcohol addiction, and mood disorders. Four validated questionnaires were administered: the Acceptance and Action Questionnaire-II (AAQ-II), which assesses the ability to be fully in touch with the present moment; the Mindful Attention Awareness Scale (MAAS), which assesses the ability to experience consciously what is happening in the present moment; the Self-Compassion Scale (SCS), which assesses self-compassion characteristics, including loving-kindness; and the Symptom Checklist-90 (SCL-90), which measures psychological distress (anxiety, depression, psychotic behavior, etc.). Results There was a total of 75 subjects, out of which 48 represented the experimental group, and 27 represented the control group. The overall mean age of the subjects was 44.8 ± 13.2 years. There were statistically significant increases in the experimental group (baseline vs. end of study) for the AAQ-II, MAAS, and SCS scores, and a statistically significant decrease in the SCL-90 score. In the control group, there was a statistically significant decrease in the SCL-90 score, but no significant differences for other measurements. The comparisons between the two groups at the end of the study were as follows: AAQ-II: 0.7 (-5.74 to 7.15), p = 0.827; MAAS: 4.78 (-3.19 to 12.75), p = 0.233; SCS: 5.89 (-3.18 to 14.96), p = 0.199; SCL-90: -0.26 (-0.62 to 0.1), p = 0.157. Conclusion Within the experimental group, all scales improved statistically significantly. There were no statistically significant differences at the end of the study concerning the four scales between the groups. The comparison between groups was limited by data availability.
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  • 文章类型: Journal Article
    先前的研究发现,腹侧被盖区(VTA)的电刺激涉及药物依赖性行为,并在寻求奖励中起作用。然而,机制仍然未知,特别是电刺激对这个区域的影响。因此,本研究旨在探讨电刺激和VTA暂时失活对雄性大鼠吗啡依赖行为的影响。
    用氯胺酮和赛拉嗪麻醉成年Wistar雄性大鼠。将刺激电极(单侧)和显微注射套管(双侧)植入VTA中,立体定位。然后,大鼠接受皮下注射吗啡(0.5或5mg/kg)重复调节三天,在有条件的地方偏好装置中,接下来是四天的强制禁欲,在第9天改变了他们对吗啡(0.5mg/kg)引发剂量的调理反应。在那一天,在VTA中给予大鼠高强度或低强度电刺激或利多卡因(0.5μL/位点)可逆灭活。
    结果表明,以高强度(150μA/大鼠)电刺激VTA,在用高剂量(5mg/kg)吗啡治疗的大鼠中,对吗啡诱导的位置调节的表达影响最小。然而,利多卡因对VTA的可逆性失活大大增加了低剂量(0.5mg/kg)吗啡治疗大鼠的位置偏好。此外,在VTA中输注利多卡因后,观察到0.5mg/kg吗啡治疗的大鼠恢复.
    这些结果表明,VTA电刺激抑制神经元激活,但是引发剂量会导致恢复。VTA可能是基于深部脑刺激治疗由药物滥用引起的顽固性疾病的潜在靶标。
    UNASSIGNED: Previous research has found that the electrical stimulation of the ventral tegmental area (VTA) is involved in drug-dependent behaviors and plays a role in reward-seeking. However, the mechanisms remain unknown, especially the effect of electrical stimulation on this area. Therefore, this study aimed to investigate how the electrical stimulation and the temporary inactivation of VTA affect the morphine- dependent behavior in male rats.
    UNASSIGNED: The adult Wistar male rats were anesthetized with ketamine and xylazine. The stimulation electrode (unilaterally) and the microinjection cannula (bilaterally) were implanted into the VTA, stereotaxically. Then, the rats underwent three-day of repeated conditioning with subcutaneous morphine (0.5 or 5 mg/kg) injections, in the conditioned place preference apparatus, followed by four-day forced abstinence, which altered their conditioning response to a morphine (0.5 mg/kg) priming dose on the ninth day. On that day, rats were given high- or low-intensity electrical stimulation or reversible inactivation with lidocaine (0.5 pL/site) in the VTA.
    UNASSIGNED: Results showed that the electrical stimulation of the VTA with the high intensity (150 μA/rat), had a minimal effect on the expression of morphine-induced place conditioning in rats treated with a high dose (5 mg/kg) of morphine. However, the reversible inactivation of the VTA with lidocaine greatly increased place preference in rats treated with a low dose (0.5 mg/kg) of morphine. Additionally, the reinstatement of 0.5 mg/kg morphine-treated rats was observed after lidocaine infusion into the VTA.
    UNASSIGNED: These results suggest that VTA electrical stimulation suppresses neuronal activation, but the priming dose causes reinstatement. The VTA may be a potential target for deep brain stimulation-based treatment of intractable disorders induced by substance abuse.
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