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A Review of the Prevention of Drug Addiction: Specific Interventions, Effectiveness, and Important Topics. 药物成瘾预防综述:具体干预措施、有效性和重要议题。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1348
Katerina Flora
{"title":"A Review of the Prevention of Drug Addiction: Specific Interventions, Effectiveness, and Important Topics.","authors":"Katerina Flora","doi":"10.34172/ahj.2022.1348","DOIUrl":"https://doi.org/10.34172/ahj.2022.1348","url":null,"abstract":"<p><strong>Background: </strong>This study was a narrative review on prevention of addictive behaviors with an effort to clarify the major concepts of prevention and its dimensions.</p><p><strong>Methods: </strong>The PsycInfo and MedInfo databases were used to identify prevention. Α total of 65 articles were found 46 of which were included in the review. Τhe data were analyzed using content analysis.</p><p><strong>Findings: </strong>For a better understanding of the results, it was deemed advisable to categorize them into: (a) the types of major interventions and the theoretical approaches on which they were based, (b) the results of the review articles according to (1) variables and factors concerning the prevention proved important through the review and (2) a number of more general important topics which arose in the prevention of addictive behaviors.</p><p><strong>Conclusion: </strong>The results highlighted the greater effectiveness of community-based programs, applied primarily in broader contexts but also secondarily in high-risk groups. Τhe results were discussed based on the combination of the emerged factors with each other and prevention experience.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"288-295"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/4f/ahj-14-288.PMC10408746.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Neurocognitive Functions Related to Parietal Lobe in Patients with Schizophrenia and Methamphetamine Induced Psychotic Disorder and Healthy Individuals: A Comparative Study. 精神分裂症和甲基苯丙胺所致精神障碍患者与健康个体的顶叶相关神经认知功能的比较研究
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1246
Navid Khalili, Shahrzad Mazhari, Nahid Mortazavi
{"title":"Neurocognitive Functions Related to Parietal Lobe in Patients with Schizophrenia and Methamphetamine Induced Psychotic Disorder and Healthy Individuals: A Comparative Study.","authors":"Navid Khalili,&nbsp;Shahrzad Mazhari,&nbsp;Nahid Mortazavi","doi":"10.34172/ahj.2022.1246","DOIUrl":"https://doi.org/10.34172/ahj.2022.1246","url":null,"abstract":"<p><strong>Background: </strong>There are some inconsistent findings about neurocognitive functions in schizophrenia and methamphetamine induced psychosis (MIP). This study aimed to compare these two disorders in terms of neurocognitive functions related to parietal lobe.</p><p><strong>Methods: </strong>This was a cross-sectional study in which 30 patients with schizophrenia, 30 patients with MIP, and 32 healthy individuals were compared. The two groups of patients were selected through convenience sampling from among patients hospitalized in Shahid Beheshti hospital in Kerman, Iran and healthy individuals were selected via convenience sampling from among the employees of Kerman University of Medical Sciences. The three groups were administered clock-drawing test (CDT), Rey-Osterrieth complex figure (ROCF) copying test, and interlocking finger test (IFT) and their demographic and clinical data were collected. The one-way analysis of variance (ANOVA) was used to investigate the differences between the groups. Multivariate analysis of covariance was also used to examine the effects of confounding factors. Besides, follow-up pairwise comparisons were performed after adjustment for multiple testing.</p><p><strong>Findings: </strong>The group with schizophrenia had significantly more impairment than the group with MIP with reference to the results of IFT and the ROCF test. However, the scores of patients with MIP on these two tests were not different from those of the normal controls. With regard to the CDT, the only significant difference was observed between the group with schizophrenia and controls.</p><p><strong>Conclusion: </strong>On the condition that the results are replicated in other studies, some parietal lobe neurocognitive tests might be used when it is difficult to differentially diagnose schizophrenia and MIP.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"244-249"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/dd/ahj-14-244.PMC10408750.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Evaluation of the Factors Related to Internet Gaming Disorder in Young Adults. 青少年网络游戏障碍相关因素的评估。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1381
Egemen Ünal, Mehmet Enes Gökler, Şenol Turan
{"title":"An Evaluation of the Factors Related to Internet Gaming Disorder in Young Adults.","authors":"Egemen Ünal,&nbsp;Mehmet Enes Gökler,&nbsp;Şenol Turan","doi":"10.34172/ahj.2022.1381","DOIUrl":"https://doi.org/10.34172/ahj.2022.1381","url":null,"abstract":"<p><strong>Background: </strong>Game addiction is a growing problem all over the world. The present study aimed to evaluate the prevalence and psychological, social, and behavioral effects of internet gaming disorder (IGD) on young adults.</p><p><strong>Methods: </strong>A preliminary study was conducted and the game types most commonly played on the internet were determined. Then, approximately 60 gaming site managers were contacted. After obtaining consent, the questionnaires were sent to gaming site members and they were asked to complete the questionnaires. Data were collected through a sociodemographic form, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Strengths and Difficulties Questionnaire (SDQ), and State-Trait Anxiety Inventory (STAI).</p><p><strong>Findings: </strong>The study was conducted with 613 participants. The age of the participants ranged from 15 to 30 years, with a mean age of 20.80±4.63 years. The prevalence of IGD was 10% (n=67). Those with low-income families and low academic performance were identified as more likely to develop IGD. Moreover, IGD was revealed to be more likely in individuals with fewer close friends, playing games from an early age, and those with a habit of devoting extensive time to watching online game videos on Twitch or YouTube. In addition, the risk of gaming disorder was approximately two times higher in individuals who preferred First Person Shooter (FPS) games and Massively Multiplayer Online Role-Playing Games (MMORPG).</p><p><strong>Conclusion: </strong>The results of this study could be useful for estimating the level of IGD and carrying out more comprehensive studies to possibly be able to control IGD.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"279-287"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/0b/ahj-14-279.PMC10408751.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Cognitive Functions in Patients with Schizophrenia and Methamphetamine-Induced Psychosis with Healthy Controls. 精神分裂症和甲基苯丙胺所致精神病患者与健康对照的认知功能比较
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1143
Mahin Eslami Shahrbabaki, Delaram Barfehie, Shahrzad Mazhari, Atefeh Ahmadi, Shahideh Shafiee
{"title":"Comparing Cognitive Functions in Patients with Schizophrenia and Methamphetamine-Induced Psychosis with Healthy Controls.","authors":"Mahin Eslami Shahrbabaki,&nbsp;Delaram Barfehie,&nbsp;Shahrzad Mazhari,&nbsp;Atefeh Ahmadi,&nbsp;Shahideh Shafiee","doi":"10.34172/ahj.2022.1143","DOIUrl":"https://doi.org/10.34172/ahj.2022.1143","url":null,"abstract":"<p><strong>Background: </strong>There are similar findings about the similarities and differences of cognitive dysfunctions in patients with schizophrenia and methamphetamine-induced psychosis (MIP). This study aimed to compare cognitive functioning in schizophrenia and MIP patients, using a performance-based cognitive assessment battery and an interview-based assessment of cognition.</p><p><strong>Methods: </strong>Three groups participated in this study including, (a) 30 patients with MIP, (b) 30 patients with schizophrenia, and (c) 30 healthy individuals. All participants received the Brief Assessment of Cognition in Schizophrenia (BACS), a standardized performance-based cognitive battery, the Schizophrenia Cognition Rating Scale (SCoRS), and the interview-based assessment of cognition.</p><p><strong>Findings: </strong>Both groups of patients with schizophrenia and MIP performed poorly on all the BACS cognitive domains compared with the healthy controls. The two patient groups were significantly different on the three BACS subscales including verbal fluency, verbal memory, and speed of information processing. Schizophrenia patients performed worse than the MIP group concerning these three subscales. However, the two patient groups were similar in executive function, working memory, and motor speed. Moreover, the SCoRS-informant, SCoRS-global, and PANSS-negative significantly differed between schizophrenia and MIP patients.</p><p><strong>Conclusion: </strong>Although cognitive dysfunctions are mostly similar in patients with MIP and schizophrenia, there are some differences especially in the functions related to prefrontal and temporal lobes.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"239-243"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/7d/ahj-14-239.PMC10408749.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency and Predictors of Opioid Use in Rheumatoid Arthritis and Seronegative Spondyloarthropathy Patients. 类风湿关节炎和血清阴性脊椎关节病患者阿片类药物使用的频率和预测因素。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1332
Maryam Sahebari, Kourosh Ahmadi, Hassan Mehrad-Majd, Asieh Karimani, Masoumeh Salari
{"title":"Frequency and Predictors of Opioid Use in Rheumatoid Arthritis and Seronegative Spondyloarthropathy Patients.","authors":"Maryam Sahebari,&nbsp;Kourosh Ahmadi,&nbsp;Hassan Mehrad-Majd,&nbsp;Asieh Karimani,&nbsp;Masoumeh Salari","doi":"10.34172/ahj.2022.1332","DOIUrl":"https://doi.org/10.34172/ahj.2022.1332","url":null,"abstract":"<p><strong>Background: </strong>Pain is one of the most challenging symptoms in patients with rheumatoid arthritis (RA) and spondyloarthropathies (SpAs), and pain relief is one of the top priorities for improving health-related quality of life. When medication therapy does not significantly reduce pain, chronic opioid consumption becomes more prominent in such patients. This study aimed to evaluate the state of opioid use in RA and SpA patients.</p><p><strong>Methods: </strong>This cross-sectional study was performed on 316 patients with RA and spondyloarthropathies (SpAs) from January to March 2014. The convenience sampling method was used to select the participants, and by obtaining verbal consent, everyone was given 15 minutes to complete a checklist independently. Demographic and opioid use data were evaluated in terms of opioid use and its predictors. In this regard, univariate and multivariate logistic regressions were used to evaluate the predictors of opioid consumption in patients. All analyses were conducted using SPSS 21 and the significance level was set at <i>P</i><0.05.</p><p><strong>Findings: </strong>About 9.5% of all participants, including 8.8% of RA and 22.6% of SpA cases, were opioid abusers. In the first step of the analysis, it was observed that opioid abuse was significantly higher in men, married participants, urban residents, patients with no biological therapy, and patients with a negative family history of addiction. The most prevalent ways of drug abuse were smoking and ingestion. The results of univariate logistic regression analysis revealed SpA and other factors significantly increase the chance of opioid abuse. Furthermore, multivariate logistic regression analysis showed male gender (OR=10.4) and negative family history of addiction (OR=3.19) significantly affected addiction in RA and SpA patients with a 95% confidence interval.</p><p><strong>Conclusion: </strong>Lack of suitable responsiveness to medication therapy to relieve pain, inconsistent pain evaluation, and shame of asking direct questions about addiction in RA and SpA patients may lead to opioid consumption in some cases. Seronegative SpA may make patients more prone to addiction. However, in this study, male gender and no family history of addiction were related to opioid abuse.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"250-255"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/24/ahj-14-250.PMC10408752.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gastric Obstruction by Opium Packets: A Case Report. 鸦片致胃梗阻1例。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1336
Yeganeh Ramazani, Ahmad Nemati, Mohammad Moshiri, Mohammad Reza Motie, Hamid Jomehpour, Leila Etemad
{"title":"Gastric Obstruction by Opium Packets: A Case Report.","authors":"Yeganeh Ramazani,&nbsp;Ahmad Nemati,&nbsp;Mohammad Moshiri,&nbsp;Mohammad Reza Motie,&nbsp;Hamid Jomehpour,&nbsp;Leila Etemad","doi":"10.34172/ahj.2022.1336","DOIUrl":"https://doi.org/10.34172/ahj.2022.1336","url":null,"abstract":"<p><strong>Background: </strong>We reported a case of gastric obstruction in a body packer who swallowed a large number of opium packets.</p><p><strong>Case report: </strong>A 36-year-old man opium addict visited the emergency department with epigastric pain for three days. He swallowed nearly 90 packets of opium for smuggling purposes four days earlier. He self-administered laxatives. In contrast, many times vomiting, he defecated only four packets and vomited one packet. The abdominal X-rays showed some amounts of fluid-air levels and multiple cylindrical opacities with the double-condom sign, corresponding to the distended stomach. Due to the worsening of his abdominal symptoms, he underwent an urgent laparotomy and 84 packets (4-6 cm in size and 8-10 g/ packet of opium) with a total weight of 870 g. They were wrapped in some layers of plastic and tied at the ends. He was discharged in stable condition.</p><p><strong>Conclusion: </strong>A large number of ingested drug packets can induce gastrointestinal obstruction.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/e1/ahj-14-309.PMC10408747.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group. 美沙酮维持治疗个体、阿片类药物依赖者和对照组精神病理特征的比较
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1334
Hamid Jomehpour, Mohammad Amin Pouriran, Aazam Sadat Heydari Yazdi, Mehri Baghban Haghighi, Masume Sadat Dastgheib, Sahar Omidvar-Tehrani, Ali Talaei
{"title":"Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group.","authors":"Hamid Jomehpour,&nbsp;Mohammad Amin Pouriran,&nbsp;Aazam Sadat Heydari Yazdi,&nbsp;Mehri Baghban Haghighi,&nbsp;Masume Sadat Dastgheib,&nbsp;Sahar Omidvar-Tehrani,&nbsp;Ali Talaei","doi":"10.34172/ahj.2022.1334","DOIUrl":"https://doi.org/10.34172/ahj.2022.1334","url":null,"abstract":"<p><strong>Background: </strong>Methadone maintenance treatment (MMT) can theoretically reduce the psychosocial harms of opioid dependency. The increasing number of MMT clinics in Iran during the last two decades was not accompanied by a reduction in addiction rates. Therefore, this study was conducted to compare the psychopathological characteristics of individuals on MMT, opioid dependents, and a control group in the Iranian population.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Mashhad to evaluate the psychopathological profile of 99 participants (33 opioid-dependent individuals [ODI], 33 MMT clients, and 33 controls) using the Symptom Checklist-90-Revised (SCL-90-R) questionnaire and demographic form. Parametric and non-parametric tests were used to compare the mean score of symptoms between the three groups. The Spearman correlation test was used to test the correlation of psychological features with age and dependency duration.</p><p><strong>Findings: </strong>There was no significant difference between MMT clients and ODI regarding the Global Severity Index (GSI) and nine items of the SCL-90-R questionnaire. However, a significant difference was found between the controls and two other groups (<i>P</i><0.001). Paranoid ideation in the ODI was more frequent compared to MMT clients significantly (<i>P</i>=0.015). Psychological characteristics had a direct correlation with dependency duration and an inverse correlation with age (<i>P</i><0.05).</p><p><strong>Conclusion: </strong>Psychopathologic features observed in the dependent patients and MMT clients were significantly higher than in the control group. It seems that the psychopathology profile in MMT clients was not better than dependent individuals in Iran.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"256-262"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/99/ahj-14-256.PMC10408755.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing the Effectiveness of Cognitive-Behavioral Therapy and Brief Intervention on Relapse Prevention among Drug Users. 认知行为疗法与短暂干预预防吸毒人员复吸的效果比较。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1342
Reza Davasaz Irani, Reza Ahmadi, Shahin Norouzi, Ahmad Ghazanfari
{"title":"Comparing the Effectiveness of Cognitive-Behavioral Therapy and Brief Intervention on Relapse Prevention among Drug Users.","authors":"Reza Davasaz Irani,&nbsp;Reza Ahmadi,&nbsp;Shahin Norouzi,&nbsp;Ahmad Ghazanfari","doi":"10.34172/ahj.2022.1342","DOIUrl":"https://doi.org/10.34172/ahj.2022.1342","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the effectiveness and stability of group cognitive-behavioral therapy (CBT) and brief intervention (BI) for relapse prevention (RP) among drug users of drop-in-centers (DICs) in Ahvaz, Iran.</p><p><strong>Methods: </strong>The present study was a quasi-experimental one with a pretest-posttest design, a follow-up phase, and a control group. The statistical population included all drug users of drop- in-centers of Ahvaz in 2021. The sample of the study included 78 drug users selected randomly and assigned to two experimental groups and one control group (each 26 members). A morphine test (special kits) that detects the presence of morphine in urine was used to check the relapse. Data were analyzed using repeated measures ANOVA with SPSS (version 24).</p><p><strong>Findings: </strong>The results showed BI and CBT had a significant effect on reducing RP in drug users (<i>P</i><0.001). The BI was more effective than CBT for RP.</p><p><strong>Conclusion: </strong>It can be concluded that both BI and CBT can be effective in reducing the likelihood of relapse among drug users but BI is more effective than CBT for RP.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/e4/ahj-14-263.PMC10408754.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Waterpipe Is Like a Wife": Qualitative Assessment of Perspectives on Waterpipe Smoking Dependence. “水烟如妻”:对水烟依赖观点的定性评价。
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1377
Satish Kedia, Nikhil Ahuja, Fadi Hammal, Taghrid Asfar, Thomas Eissenberg, Wasim Maziak, Kenneth D Ward
{"title":"\"Waterpipe Is Like a Wife\": Qualitative Assessment of Perspectives on Waterpipe Smoking Dependence.","authors":"Satish Kedia,&nbsp;Nikhil Ahuja,&nbsp;Fadi Hammal,&nbsp;Taghrid Asfar,&nbsp;Thomas Eissenberg,&nbsp;Wasim Maziak,&nbsp;Kenneth D Ward","doi":"10.34172/ahj.2022.1377","DOIUrl":"https://doi.org/10.34172/ahj.2022.1377","url":null,"abstract":"<p><strong>Background: </strong>Waterpipe (WP) smoking has become a global public health problem in recent decades and growing evidence indicates that it can cause nicotine dependence. Most evidence on WP dependence to date has been derived from survey- or laboratory-based studies. This study employed qualitative methods to explore WP users' perceptions of dependence in Aleppo, Syria.</p><p><strong>Methods: </strong>A total of 15 focus groups were conducted with 64 adult WP smokers (51 males and 13 females) using a semi-structured interview. All focus group discussions were audiotaped, transcribed, and coded using directed content analysis.</p><p><strong>Findings: </strong>Several WP dependence features were consistent with those commonly reported by cigarette smokers. These included positively reinforced features, such as smoking's association with social gatherings and cultural connectedness, and negatively reinforced features including relief of withdrawal symptoms, stress, and boredom. Although interest in quitting was low, many users perceived quitting WP to be difficult and an indicator of loss of control over smoking, a common marker of dependence. Several observed dependence features were specific to WP, including transitioning from social smoking to smoking alone, and adapting one's behavior to the considerable effort normally required to engage in WP smoking despite inconvenience or cost, and often at the expense of other reinforcers such as social interaction.</p><p><strong>Conclusion: </strong>The general and specific features of WP dependence need to be considered in developing instruments to measure WP dependence, in clinical assessment of WP dependence, and in developing cessation programs.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"268-278"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/5c/ahj-14-268.PMC10408748.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in Substance Use and Abuse During COVID-19 Among the General Population. 2019冠状病毒病期间普通人群药物使用和滥用趋势
Addiction and Health Pub Date : 2022-10-01 DOI: 10.34172/ahj.2022.1274
Rajashree Shankar, Vandana Bhattacharya
{"title":"Trends in Substance Use and Abuse During COVID-19 Among the General Population.","authors":"Rajashree Shankar,&nbsp;Vandana Bhattacharya","doi":"10.34172/ahj.2022.1274","DOIUrl":"https://doi.org/10.34172/ahj.2022.1274","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic has brought many public health issues, including substance use and abuse. Individuals abusing substances are vulnerable to severe infections caused by SARS-CoV-2 virus as well as impairment of the immune system, mental health, and physical health. Despite considerable efforts to minimize and prevent substance use, the use of tobacco, alcohol, and illicit substances is ever increasing resulting in morbidity and mortality which significantly leads to socio-economic costs.</p><p><strong>Methods: </strong>A quantitative review of the literature searched in PubMed and Google Scholar databases yielded a total of 1416 studies among which 27 cross-sectional studies, conducted on the general population of 15 and above years of age, were selected based on the eligibility criteria.</p><p><strong>Findings: </strong>A sample of 1,021,118 individuals were investigated in this study. The most commonly used substances were marijuana (100%), methadone (69.86%), and large cigar (60%). A total of 26 substances were reported to have been used during pandemic, 13 of which showed trends in usage (increased/decreased/no change). Of the total sample, 45.89% were males, 54.14% females, and 1.28% others.</p><p><strong>Conclusion: </strong>Everyone and anyone is susceptible to alcohol, tobacco, and other substance use and abuse at different stages of their lives. Therefore, the need for effective preventive strategies is critical in community efforts to combat substance abuse. Combined efforts from local and global stakeholders will lead to curbing the issue of substance use and abuse worldwide.</p>","PeriodicalId":33943,"journal":{"name":"Addiction and Health","volume":"14 4","pages":"296-308"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/d9/ahj-14-296.PMC10408753.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9975716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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