[评估关于低风险使用酒精、大麻、赌博和游戏的建议:目前的知识状况]。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY
Hans-Jürgen Rumpf, Ulrich John, Helmut Seitz, Florian Rehbein, Norbert Scherbaum, Ursula Havemann-Reinecke, Tobias Hayer
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引用次数: 0

摘要

目的:从公共卫生的角度来看,提供关于低风险消费的信息与具有成瘾性和负面健康、心理或社会后果的行为高度相关。本文概述了此类针对酒精、大麻、赌博和游戏的建议的有效性和益处。方法:以叙述性回顾为基础进行综述。结果:根据目前的证据,对酒精消费限制的建议不能再得到支持。相反,建议禁欲。就大麻而言,目前还不可能确定使用频率和数量的阈值,从而造成相应的危害。因此,目前的建议与“更安全的使用”有关。关于赌博,有初步但尚不可靠的经验数据。必须考虑到不同消费层面的阈值,例如参与不同形式的赌博、赌博的规律性或持续时间以及花费的金额。目前还没有针对游戏的循证消费建议。此外,在得出任何建议之前,必须考虑超出纯粹使用时间的媒体内容。总的来说,建议的有效性取决于民众的看法和接受程度。结论:关于消费的建议是基于现有的证据,必须不断审查和调整,从酒精消费的例子可以看出。行为建议必须以适当的形式进行沟通,以便人们能够毫无偏见地理解这些建议,并为大众所接受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Assessment of recommendations for low-risk use of alcohol, cannabis, gambling and gaming: state of knowledge].

Aim: From a public health perspective, the provision of information on low-risk consumption is highly relevant for behavior with addictive potential and negative health, psychological or social consequences. This article provides an overview of the effectiveness and benefits of such recommendations for alcohol, cannabis, gambling and gaming.

Methods: An overview based on a narrative review.

Results: The recommendation for alcohol consumption limits can no longer be upheld on the basis of current evidence. Instead, abstinence is recommended. In the case of cannabis, it is currently not possible to determine thresholds for the frequency and quantity of use with regard to consequential harms. Current recommendations, therefore, relate to "safer use". With respect to gambling, initial but not yet reliable empirical data are available. Thresholds of varying consumption dimensions, such as the involvement in different forms of gambling, the regularity or duration of gambling as well as the amount of money spent, must be taken into account. There are no evidence-based consumption recommendations for gaming. Furthermore, a consideration of the media content that goes beyond pure usage time is essential before any recommendations can be derived. Overall, the effectiveness of recommendations depends on the perception and acceptance of the population.

Conclusion: Recommendations for consumption are based on the available evidence and must be continuously reviewed and adapted, as can be seen from the example of alcohol consumption. Behavioral recommendations must be communicated in a suitable form so that they are understood without bias and are accepted by the general population.

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来源期刊
Nervenarzt
Nervenarzt 医学-精神病学
CiteScore
2.50
自引率
18.20%
发文量
169
审稿时长
4-8 weeks
期刊介绍: Der Nervenarzt is an internationally recognized journal addressing neurologists and psychiatrists working in clinical or practical environments. Essential findings and current information from neurology, psychiatry as well as neuropathology, neurosurgery up to psychotherapy are presented. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of neurology and psychiatry. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
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