退伍军人的药物使用障碍:发病率和治疗挑战。

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2017-08-30 eCollection Date: 2017-01-01 DOI:10.2147/SAR.S116720
Jenni B Teeters, Cynthia L Lancaster, Delisa G Brown, Sudie E Back
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引用次数: 0

摘要

物质使用障碍 (SUD) 是我国退伍军人中的一个重大问题。在以下概述中,我们将提供有关退伍军人中 SUDs 患病率、SUDs 临床特征、筛查和循证治疗方案以及相关治疗挑战的信息。在心理治疗方法中,用于治疗药物依赖性成瘾的行为干预通常涉及短期认知行为疗法干预。这些干预措施侧重于识别和改变与药物渴求、使用或复发增加相关的适应不良思想和行为。此外,以客户为中心的动机访谈法侧重于提高参与治疗和减少药物使用的动机。各种药物疗法在治疗药物依赖性成瘾方面得到了一些支持,主要是帮助减少渴求或戒断症状。本文讨论了目前已获批准的药物以及治疗方面的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Substance use disorders in military veterans: prevalence and treatment challenges.

Substance use disorders (SUDs) are a significant problem among our nation's military veterans. In the following overview, we provide information on the prevalence of SUDs among military veterans, clinical characteristics of SUDs, options for screening and evidence-based treatment, as well as relevant treatment challenges. Among psychotherapeutic approaches, behavioral interventions for the management of SUDs typically involve short-term, cognitive-behavioral therapy interventions. These interventions focus on the identification and modification of maladaptive thoughts and behaviors associated with increased craving, use, or relapse to substances. Additionally, client-centered motivational interviewing approaches focus on increasing motivation to engage in treatment and reduce substance use. A variety of pharmacotherapies have received some support in the management of SUDs, primarily to help with the reduction of craving or withdrawal symptoms. Currently approved medications as well as treatment challenges are discussed.

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