Developing Pharmacotherapy for Cyberaddictions

S. Achab, Manuela Bertolini, L. Karila
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引用次数: 1

Abstract

When developing a new pharmacotherapy for a given indication one has to differentiate between de novo developments and drug repurposing. The practice of drug repurposing can be based on 2 core concepts: (1) the Known compound-new target and (2) the Known target-new indication approach. Concerning cyberaddictions, the known target- new indication approach becomes the most promising in consideration of different hypotheses classifying cyberaddiction within other well defined psychiatric disorders, for which efficacious pharmacotherapies have been corroborated. Supposing similar or identical neurobiological underpinnings, a common pharmacological target can be formulated as working hypothesis. Research on new pharmacotherapies for cyberaddiction can thus be conceptualized along different axes which follow the various current theorizations concerning the diagnosis categorization of cyberaddictions. As Internet addiction shares features which are in common with substance use disorders or obsessive-compulsive disorders, treatments found to be efficacious in these disorders may be promising development candidates for cyberaddiction. Also, cyberaddiction has been conceptualized to represent the corollary of other psychiatric disorders. Thus, currently mainly three research tracks can be distinguished: (a) the addictions track (b) the OCD track, and (c) the comorbidity track.
开发针对网络成瘾的药物疗法
当针对特定适应症开发新的药物治疗时,必须区分重新开发和药物再利用。药物再利用的实践可以基于两个核心概念:(1)已知化合物-新靶点和(2)已知靶点-新适应症方法。关于网络成瘾,考虑到将网络成瘾与其他明确定义的精神疾病分类的不同假设,有效的药物治疗已经得到证实,已知的靶点-新适应症方法成为最有希望的方法。假设相似或相同的神经生物学基础,一个共同的药理学靶点可以作为工作假设。因此,网络成瘾的新药物治疗研究可以沿着不同的轴进行概念化,这些轴遵循当前关于网络成瘾诊断分类的各种理论。由于网络成瘾与物质使用障碍或强迫症有共同的特征,对这些疾病有效的治疗方法可能是治疗网络成瘾的有希望的发展候选者。此外,网络成瘾已被概念化为代表其他精神疾病的必然结果。因此,目前主要可以区分出三个研究方向:(a)成瘾研究方向;(b)强迫症研究方向;(c)共病研究方向。
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