使用毒品和药物对心理健康的负面影响

Okoye, Nelyn Akunna, Udeji, Rosemary Nneka, Ordu, Charles Nkesi, Aneke, Emeka John, Offor, Chinazor Cordelia, Asanya, Chinyere Ada
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引用次数: 0

摘要

心理健康是指一个人的情绪、心理和社会福祉,包括思想、情感、行为和应对生活挑战的能力等方面。包括药物滥用在内的一些因素被认为会导致心理健康失调;因此,迫切需要在全球范围内解决这些因素。药物滥用是一个复杂的公共卫生问题,涉及合法和非法药物的滥用,其后果超出了个人健康范围。精神健康与药物滥用之间的关系加剧了挑战,因为药物滥用会导致精神疾病的发展或恶化。这篇综述研究了生物、心理和社会决定因素,并主张采用标准化方法来解决复杂的药物滥用问题。我们使用了各种电子数据库(如 PubMed、Scopus、Web of Science、Medline 等)来获取资源,其中审查了 33 篇文献。所查阅文献的结果表明,药物滥用对心理健康的影响涉及影响神经递质水平和大脑结构变化的神经生物学改变。这不仅影响到个人,还会造成社会负担,如医疗费用增加和刑事司法介入,再加上围绕精神健康和药物滥用的耻辱感。将药物分为合法和非法两类突出了药物的多样性,并强调了了解其对精神健康影响的必要性。这些类别包括合法药物、处方药、社会认可的物质以及具有不同依赖性的非法药物。解决由药物滥用引发的精神障碍需要采取综合方法,其中包括双重诊断综合治疗(IDDT)、药物辅助治疗(MAT)、认知行为疗法(CBT)、动机访谈法(MI)、辩证行为疗法(DBT)、同伴支持、12 步计划和以康复为导向的护理系统(ROSC)等策略。这些方法保证了护理的连续性,以个人为中心,强调康复,承认心理健康和药物滥用疾病之间的关系。然而,综述强调了一个研究缺口,即需要进行深入研究,以评估上述干预措施的有效性。此外,探索创新策略以应对污名化、有限的治疗机会和成瘾的周期性等挑战,将提高干预的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Negative Implications of Drug and Substance use on Mental Health
Mental health refers to a person's emotional, psychological, and social well-being, which encompasses aspects such as thoughts, feelings, behaviors, and the ability to cope with life's challenges. Several factors including drug abuse have been recognized to cause mental health disorders; hence, the urgent need to globally address these factors. Drug abuse emerges as a complex public health issue, involving the misuse of legal and illegal drugs, with consequences extending beyond individual health. The relationship between mental health and drug abuse intensifies challenges, as drug misuse contributes to the development or worsening of mental health disorders. This review examined biological, psychological, and social determinants, and advocate for a standardized approach to address the complex issue of drug abuse. Various electronic databases, such as PubMed, Scopus, Web of Science, Medline, and others, were used to access resources, in which thirty-three (33) literatures were reviewed. Results of the reviewed literatures revealed that the impact of drug abuse on mental health involves neurobiological alterations affecting neurotransmitter levels and structural changes in the brain. This does not only affect individuals, but also results in societal burdens, such as increased healthcare costs and criminal justice involvement, compounded by the stigma surrounding mental health and substance abuse. The classification of drugs into legal and illegal categories highlights the diversity of substances and emphasizes the need to understand their effects on mental well-being. Categories include legal drugs, prescription medications, socially accepted substances, and illegal drugs with varying dependency potentials. Addressing mental health disorders induced by drug abuse requires a comprehensive approach, involving strategies like Integrated Dual Diagnosis Treatment (IDDT), Medication-Assisted Treatment (MAT), Cognitive-Behavioral Therapy (CBT), Motivational Interviewing (MI), Dialectical Behavior Therapy (DBT), Peer Support, 12-Step Programs, and Recovery-Oriented Systems of Care (ROSC). These methods guarantee a care continuum that centers on the individual and emphasizes recovery, acknowledging the relationship between mental health and drug abuse disorders. Nevertheless, the review highlights a research gap in that, in-depth research is needed to evaluate the effectiveness of the aforementioned interventions. Additionally, exploring innovative strategies to address challenges such as stigma, limited treatment accessibility, and the cyclical nature of addiction would enhance intervention effectiveness.
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