Anger and substance abuse: a systematic review and meta-analysis

Laitano, Helen Vargas; Ely, Amanda; Sordi, Anne; Schuch, Felipe Barreto; Pechansky, Flávio; Hartmann, Thiago Casarin; Hilgert, Juliana Balbinot; Wendland, Eliana Márcia; Dimen, Lisia Von; Scherer, Juliana Nichterwitz; Calixto, Alessandra Mendes; Narvaez, Joana Corrêa de Magalhães; Ornell, Felipe; Kessler, Felipe

doi:10.1590/1516-4446-2020-1133

Cited by 13 publications

(4 citation statements)

References 75 publications

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“…Recent prevalence studies have highlighted the increase in cocaine use in Ireland and identified the emergence of ‘crack’ cocaine use among a marginalised population that may previously have used heroin [ 23 ]. Cocaine use can cause intense craving [ 37 ], with users also experiencing irritability and anxiety [ 38 ]. There is a need to investigate whether such behavioural issues are discouraging pharmacies from engaging with the needle exchange service.…”

Section: Discussionmentioning

confidence: 99%

Community Pharmacy Needle Exchange Programme: What Can Analysis of the Data Tell Us about the Changing Drug Market in Ireland?

Evans,

Harnedy,

Keenan

2024

IJERPH

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Community Pharmacy Needle Exchanges are a harm reduction measure that have been established in a number of countries to provide access to sterile injecting equipment for people who inject drugs (PWID). To ensure that they are meeting needs, it is important to monitor the use of the services. This study aimed to determine patterns of needle distribution and return in community pharmacies in Ireland over time. The number of pharmacies, needle packs, clean needles and returned packs was obtained from the Health Service Executive (HSE) Planning and Business Information Unit (PBI). Yearly totals were calculated to show patterns from 2015 to 2022. There has been an 18% decline in the number of pharmacies providing the service since 2015, with a 19% decline in the number of packs provided and a 21% decline in the number of packs returned. The proportion of packs returned was 23% in 2015 and 18% in 2022. There has been a 16% decline in the number of sterile needles provided and a 6% reduction in the average number of needles per individual since 2017. Declining needle use and low rates of used needle return (against a backdrop of large numbers of PWID that have not significantly reduced over time) suggest that there is a need to investigate if community pharmacies in Ireland have the scope to improve their harm reduction impact. This raises questions in terms of the need to both improve and adapt the service against a backdrop of changing drug markets. Key recommendations include the need to review the harm reduction services employed by participating pharmacies when providing new equipment and organising the return of used equipment.

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Section: Discussionmentioning

confidence: 99%

Community Pharmacy Needle Exchange Programme: What Can Analysis of the Data Tell Us about the Changing Drug Market in Ireland?

Evans,

Harnedy,

Keenan

2024

IJERPH

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“…However, anger and irritability can be present in other mental health conditions and personality disorders. A recent meta-analysis showed higher rates of anger scores among psychoactive substance users when compared to non-users ( 108 ). This finding highlights the relevance of anger in the evaluation and treatment of addiction.…”

Section: Six Main Transdiagnostic Dimensions Of Dysregulation Derived...mentioning

confidence: 99%

Proposing an integrative, dynamic and transdiagnostic model for addictions: dysregulation phenomena of the three main modes of the predostatic mind

Loreto,

Sordi,

de Castro

et al. 2024

Front. Psychiatry

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Several theories have been proposed to explain the complex diagnostic aspects related to addiction disorders and their development. Recent frameworks tend to focus on dimensional perspectives of symptoms rather than categorical systems, since substance use disorders are frequently comorbid with other psychiatric and especially personality disorders. However, useful transdiagnostic models that could integrate clinical evaluation derived from neuroscientific theories are lacking. In the present manuscript, the authors propose a model based on a new paradigm, in an attempt to better explain this complex, multifaceted phenomenon. The new paradigm presupposes that emotions and behavior are a response to risk prediction. Individuals make choices and engage in actions to manage potential risks/rewards in order to seek or maintain homeostasis in their internal and external environments – a mechanism that the authors call predostatic (predictive mechanism with homeostatic purpose). The model considers three main modes of the predostatic mind: (1) Alarm Mode, activated by high and/or imminent risk prediction; (2) Seek Mode, activated by long-term risk or reward prediction; and (3) Balance Mode, a self-regulating state of mind related to low risk prediction, a soothing system and a calm state. Addiction is seen as a chronic dysregulation of organism systems leading to internalizing or externalizing phenomena mainly related to the Seek and Alarm Modes, which are persistently activated by reward and risk prediction, respectively, thus hindering Balance. Addiction neuroscience research has shown that chronic drug use or engagement in addictive behaviors can lead to neuroadaptations in the brain reward circuitry, disrupting normal balance and the regulation of reward processes. This dysregulation can contribute to persistent drug-seeking/addictive behaviors despite negative consequences. This newly proposed dynamic and integrative model, named dysregulation based on externalizing and internalizing phenomena of the three main modes of the predostatic mind (DREXI3), proposes six dysregulation dimensions with basic emotional and behavioral symptoms, such as neurophysiological alterations, impulsivity, compulsion, cognitive impairment/psychosis, mood, and anxiety/anger. In this paper, the authors explain the rationale behind DREXI3 and present some hypothetical clinical examples to better illustrate the use of the model in clinical practice. The development of this innovative model could possibly guide tailored treatment interventions in the addiction field.

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“…çalışmasında, psikoaktif madde kullanan bireylerin kullanmayanlara kıyasla daha yüksek düzeyde öfkeye sahip olduğunu ortaya koymuş ve tedavi programlarında öfke yönetiminin de ele alınmasını önermiştir (35). Ayrıca, madde kullanımı bireyleri intihar davranışına itmektedir (4).…”

Section: Psikiyatrik Ve Psikolojik Sorunlarunclassified

Psychosocial Problems Experienced by Substance Addicts, Implemented Evidence-Based Interventions and the Role of Nursing

2022

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Madde bağımlılığı, bireyin sağlığını, aile hayatını, toplumun güvenliğini ve ekonomiyi de olumsuz yönde etkileyen önemli bir halk sağlığı sorunudur. Madde bağımlılığı ile mücadelede multidisipliner bir yaklaşım gerekmektedir. Madde bağımlılığı; eğitim, ekonomi, sosyal ilişkiler ve damgalanma, duygusal ve psikiyatrik sorunlar gibi psikososyal boyutta birçok soruna neden olmaktadır. Bu derlemede madde bağımlılığının psikososyal boyutları, birey ve ailenin psikososyal bakımında hemşirenin rolü, kanıta dayalı hemşirelik müdahaleleri ile neler yapılması gerektiği tüm boyutlarıyla aktarılmış, madde bağımlısı birey ve ailesine yönelik diğer disiplinler tarafından yapılan kanıt temelli müdahale çalışmalarından da örnekler sunularak konuya dikkat çekmek amaçlanmıştır.

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Anger and substance abuse: a systematic review and meta-analysis

Cited by 13 publications

References 75 publications

Community Pharmacy Needle Exchange Programme: What Can Analysis of the Data Tell Us about the Changing Drug Market in Ireland?

Community Pharmacy Needle Exchange Programme: What Can Analysis of the Data Tell Us about the Changing Drug Market in Ireland?

Proposing an integrative, dynamic and transdiagnostic model for addictions: dysregulation phenomena of the three main modes of the predostatic mind

Psychosocial Problems Experienced by Substance Addicts, Implemented Evidence-Based Interventions and the Role of Nursing

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