通过成瘾神经生物学的丰富教育来教授物质使用障碍的知识和共情:专业学校成瘾教育的叙述性回顾。

Substance use & addiction journal Pub Date : 2025-07-01 Epub Date: 2025-02-10 DOI:10.1177/29767342251317026
Leslie C Newman, Ashley T Swisshelm
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引用次数: 0

摘要

背景:成瘾是一种毁灭性的慢性疾病,需要大量的资源和关注。医疗保健专业人员注意到,在照顾患有物质使用障碍(SUD)的患者时,由于耻辱感、与患者打交道的感知困难以及治疗依从性问题而遇到困难。在处理患有SUD的个体的挑战可能源于对疾病的理解不足以及由此产生的对患者行为的误解。成瘾教育的类型和程度影响对SUD的理解深度和对患者的态度。在这篇综述中,我们探讨了成瘾教育的各个方面,包括检查课程指南和教育策略,特别是关于成瘾的神经生物学。方法:我们使用在线数据库和搜索引擎进行了一项叙述性综述,以识别与成瘾/SUD教育相关的研究,重点是神经生物学内容的类型和范围。结果:检查成瘾教育的研究记录了可能导致SUD治疗不足和不尊重SUD患者的缺陷。在专业核心课程和课程指南中,也缺乏关于成瘾教育的神经生物学程度的细节。通过更全面的神经生物学来实施更详细的成瘾教育方法,以及激励学生学习和欣赏这些复杂细节的策略。结论:虽然成瘾教育有许多方面,但在成瘾的神经生物学机制方面建立一个坚实的基础对于建立对成瘾的疾病性质和由此导致的个体行为的认识是重要的。除了成瘾的奖励性质之外,教学对于使学生理解生存压力系统的激活和妥协的决策如何影响患有SUD的个体的行为至关重要。对成瘾的更全面的理解会促进对SUD患者的更多尊重,并为有效治疗创造更多机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Teaching Knowledge and Empathy in Substance Use Disorder Through Enriched Education in the Neurobiology of Addiction: A Narrative Review on Addiction Education in Professional Schools.

Background: Addiction is a devastating chronic disease requiring significant resources and attention. Healthcare professionals have noted struggles in caring for patients with substance use disorder (SUD) due to stigma, perceived difficulties in dealing with patients, and issues with treatment compliance. Challenges in dealing with individuals with SUD may stem from an inadequate understanding of the disease and consequent misconceptions about patient behaviors. The type and extent of addiction education affect the depth of understanding of SUD and shape attitudes toward patients. In this review, we explore aspects of addiction education including examining curricular guidelines and educational strategies, especially regarding the neurobiology of addiction.

Methods: We conducted a narrative review using online databases and search engines to identify studies related to addiction/SUD education with emphasis on the type and extent of neurobiological content.

Results: Studies examining addiction education document deficiencies that may contribute to insufficiencies in SUD treatment and disrespectful treatment of individuals with SUD. There is also a lack of detail regarding the extent of the neurobiology of addiction education in professional core courses and curricular guidelines. Implementing a more detailed approach to addiction education with more comprehensive neurobiology is discussed along with strategies to motivate students to learn and appreciate these complex details.

Conclusions: While there are many aspects of addiction education, a solid foundation in the neurobiological mechanisms of addiction is important to establish an appreciation for the disease nature of addiction and the resulting behaviors of the individual. Teaching beyond the rewarding nature of addiction is essential to enable students to comprehend how the activation of survival stress systems and compromised decision-making affects the behavior of individuals with SUD. A more comprehensive understanding of addiction fosters more respect for individuals with SUD and creates potential for more opportunities for effective treatment.

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