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Estimulación cerebral profunda: posibles aplicaciones en los trastornos adictivos 脑深部刺激:成瘾障碍的可能应用
Trastornos adictivos Pub Date : 2010-10-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70028-3
R. Pérez Egea
{"title":"Estimulación cerebral profunda: posibles aplicaciones en los trastornos adictivos","authors":"R. Pérez Egea","doi":"10.1016/S1575-0973(10)70028-3","DOIUrl":"10.1016/S1575-0973(10)70028-3","url":null,"abstract":"<div><p>Deep brain stimulation (DBS) is an invasive and reversible technique recently introduced in the treatment of neurological and psychiatric diseases. To date, there have been published different jobs in psychiatry with good results in OCD, MDD and GAD. In our centre, (Hospital de Sant Pau, in Barcelona), we have made a randomized, double-blind and crossover study in 8 patients with MDD resistant to multiple treatments, using bilateral DBS in the subgenual area or Cg25. We obtained after 1 year follow up encouraging results: 87 % response and 70 % of clinical remission, with unimportant side effects. Focusing on the use of ECP in addictions, there is very little published, and almost all studies are preclinical. We’ll give some data about some of them, as well as 2 of the articles that have been published in humans. This may open the door to future research on invasive techniques that affect the reward circuitry, and give the key to control craving in addictive disorders.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 4","pages":"Pages 144-147"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70028-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Trastornos adictivos Pub Date : 2010-10-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70030-1
{"title":"","authors":"","doi":"10.1016/S1575-0973(10)70030-1","DOIUrl":"https://doi.org/10.1016/S1575-0973(10)70030-1","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 4","pages":"Pages 151-152"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70030-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136845598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tratamiento de la adicción a la cocaína mediante terapia de incentivos 用激励疗法治疗可卡因成瘾
Trastornos adictivos Pub Date : 2010-10-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70026-X
G. García-Fernández , R. Secades-Villa , O. García-Rodríguez , E. Sánchez-Hervás , J.R. Fernández-Hermida , S. Fernández-Artamentdi
{"title":"Tratamiento de la adicción a la cocaína mediante terapia de incentivos","authors":"G. García-Fernández ,&nbsp;R. Secades-Villa ,&nbsp;O. García-Rodríguez ,&nbsp;E. Sánchez-Hervás ,&nbsp;J.R. Fernández-Hermida ,&nbsp;S. Fernández-Artamentdi","doi":"10.1016/S1575-0973(10)70026-X","DOIUrl":"10.1016/S1575-0973(10)70026-X","url":null,"abstract":"<div><p>The Community Reinforcement Approach (CRA) plus Vouchers program is a psychological treatment for cocaine addiction consisting of a program of skills training (CRA) and a contingency management procedure in which patients earn incentives for negative cocaine urinalysis. This program has demonstrated its efficacy, but most of clinical trials were conducted in experimental settings in USA. In recent years, several controlled trials have been conducted in order to assess the adaptability and efficacy of CRA + Vouchers program in community settings in Spain. The aim of this study is to describe main findings of CRA + Vouchers research in our country. These results support the implementation of CRA plus vouchers treatment for cocaine addiction in clinical settings in Spain due to its adaptability and efficacy. However, further follow-up studies with larger samples sizes are required.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 4","pages":"Pages 135-139"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70026-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Antecedentes traumáticos en mujeres drogodependientes: abuso sexual, físico y psicológico 吸毒妇女的创伤史:性虐待、身体和心理虐待
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70021-0
M.A. Santos Goñi , L. García Colmenero , A. Bernardo Carrasco , E. Quijano Arenas , L. Sánchez Pardo , el Grupo de trabajo sobre mujeres drogodependientes
{"title":"Antecedentes traumáticos en mujeres drogodependientes: abuso sexual, físico y psicológico","authors":"M.A. Santos Goñi ,&nbsp;L. García Colmenero ,&nbsp;A. Bernardo Carrasco ,&nbsp;E. Quijano Arenas ,&nbsp;L. Sánchez Pardo ,&nbsp;el Grupo de trabajo sobre mujeres drogodependientes","doi":"10.1016/S1575-0973(10)70021-0","DOIUrl":"10.1016/S1575-0973(10)70021-0","url":null,"abstract":"<div><h3>Aims</h3><p>To analyze the prevalence of lifetime traumatic events (physical, psychological and sexual abuses in childhood or adolescence) of women with drug addiction treatment in ambulatory or residential centres of Castile and Leon Assistance to Drugs Addicts Network. To detect the differences between women with and without this kind of background.</p></div><div><h3>Method</h3><p>Descriptive, cross-sectional and multi-centre study with 145 women of legal age, in treatment for their drug addiction in 2008. Selection was made by two-stage stratified sampling (treatment resource -outpatient and residential treatment- and principal drug), and random simple for each stratum. Collection data by self-administered questionnaire with information of lifetime traumatic events in childhood or adolescence. Statistical analyses were carried out by Test of Proportions (p &lt; 0.05).</p></div><div><h3>Results</h3><p>The prevalence of total traumatic events was of a 63 %. In the group of women with traumatic antecedents there is a higher presence of young women (18–29 years old), an earlier consumption of the principal drug (before 18 years old), opiate addiction had more prevalence, as well as previous treatment and residential treatment. Traumatic antecedents in the familiar context were present in a 30.6 % (physical abuse); a 44.9 % (psychological abuse); a 18.4 % (sexual abuse) and outside of family context a 21.8 % of the studied women.</p></div><div><h3>Conclusions</h3><p>Traumatic antecedents were present in more of a 50 % of the studied women, detecting a more complex profile on their addiction. This situation determines the need to incorporate an initial evaluation of this type of antecedents and to intensify psychological treatments of support for this pathology.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Pages 109-117"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70021-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tabaquismo en pacientes en tratamiento de mantenimiento con metadona 美沙酮维持治疗患者的吸烟情况
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70020-9
N. Domeque Valiente , P. Prieto Andrés , I. Nerín de la Puerta , C. Conca Moreno
{"title":"Tabaquismo en pacientes en tratamiento de mantenimiento con metadona","authors":"N. Domeque Valiente ,&nbsp;P. Prieto Andrés ,&nbsp;I. Nerín de la Puerta ,&nbsp;C. Conca Moreno","doi":"10.1016/S1575-0973(10)70020-9","DOIUrl":"10.1016/S1575-0973(10)70020-9","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the prevalence of tobacco use, the degree of dependence and motivation to quit smoking, and previous attempts to stop smoking and acceptance of future interventions for smoking cessation in patients on methadone maintenance treatment (MMT).</p></div><div><h3>Methods</h3><p>Descriptive study using a questionnaire administered to 78 patients and completed by the physician at the time of consultation. We analysed both qualitative and quantitative variables on personal characteristics, some variables related to smoking and others related to MMT.</p></div><div><h3>Results</h3><p>The prevalence of smokers at the time of the study was 84.6 % (confidence interval [IC] 95 %: 77–93 %), lower than observed at the start of MMT which was 96.2 % (χ<sup>2</sup> = 12,18; df 4, p = 0.16). More than half of smokers (52 %) had made some attempt to quit with an average of 2 attempts (standardd deviation [SD] 1.8). Most of them (82.9 %) did not use any treatment at all. Fifty percent were motivated to quit smoking and 59 % would be interested in receiving some help.</p></div><div><h3>Conclusions</h3><p>Assesment of tobacco use, advice in smoking cessation and offering suitable and specific treatment to stop smoking in order to reduce both morbidity an mortality linked to tobacco use, should be made not only in general population, but in MMT patients, too.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Pages 102-108"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70020-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevenir hoy para no curar mañana: la adolescencia, ventana abierta al trabajo preventivo del Proyecto Malva 今天预防，明天不能治愈:青少年，Malva项目预防工作的窗口
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70018-0
B. Santos
{"title":"Prevenir hoy para no curar mañana: la adolescencia, ventana abierta al trabajo preventivo del Proyecto Malva","authors":"B. Santos","doi":"10.1016/S1575-0973(10)70018-0","DOIUrl":"10.1016/S1575-0973(10)70018-0","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Page 97"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70018-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70022-2
{"title":"","authors":"","doi":"10.1016/S1575-0973(10)70022-2","DOIUrl":"https://doi.org/10.1016/S1575-0973(10)70022-2","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Pages 118-120"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70022-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91957711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Actitud ante lesiones destructivas mediofaciales en pacientes que esnifan cocaína 吸食可卡因患者对中面破坏性损伤的态度
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70019-2
J.L. Sánchez-Jara , M.I. Martiño , J. Granell , J. Gavilanes , M.J. Lavilla , T. Collazo , G. Martín
{"title":"Actitud ante lesiones destructivas mediofaciales en pacientes que esnifan cocaína","authors":"J.L. Sánchez-Jara ,&nbsp;M.I. Martiño ,&nbsp;J. Granell ,&nbsp;J. Gavilanes ,&nbsp;M.J. Lavilla ,&nbsp;T. Collazo ,&nbsp;G. Martín","doi":"10.1016/S1575-0973(10)70019-2","DOIUrl":"10.1016/S1575-0973(10)70019-2","url":null,"abstract":"<div><p>Chronic inhalation of cocaine can damage nasal septum with destruction of mucosa, cartilage and even bone. When we see a patient with midline nasal necrosis, we have to do a differencial diagnosis with systemic, neoplastic and infectious process. The treatment will be conservative at the beginning. The most important is to stop of using the drug. Surgery can be consider after some time of absence.</p></div>","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Pages 98-101"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70019-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56642114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI: 10.1016/S1575-0973(10)70023-4
{"title":"","authors":"","doi":"10.1016/S1575-0973(10)70023-4","DOIUrl":"https://doi.org/10.1016/S1575-0973(10)70023-4","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 3","pages":"Pages 121-124"},"PeriodicalIF":0.0,"publicationDate":"2010-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70023-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92134900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Los MESTOS y la especialización en Psiquiatría 精神病学的MESTOS和专业化
Trastornos adictivos Pub Date : 2010-04-01 Epub Date: 2010-12-01 DOI: 10.1016/S1575-0973(10)70009-X
C. Puerta García
{"title":"Los MESTOS y la especialización en Psiquiatría","authors":"C. Puerta García","doi":"10.1016/S1575-0973(10)70009-X","DOIUrl":"https://doi.org/10.1016/S1575-0973(10)70009-X","url":null,"abstract":"","PeriodicalId":89512,"journal":{"name":"Trastornos adictivos","volume":"12 2","pages":"Pages 45-46"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1575-0973(10)70009-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90019930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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