A systematic review on Substance Addiction: medical diagnosis or morality flaw?

Barata, Pedro Cabral; Oliveira, Catarina; Castro, Sara; Mota, Ana Margarida

doi:10.1016/j.ejpsy.2019.07.001

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…Furthermore, substance abuse involves a series of voluntary acts associated with enduring changes in brain function related to automatized behavior. Apart from the variation in metabolic enzymes, it is believed that genes influence other aspects of addiction such as learning or behavioral disinhibition/impulsivity ( 22 , 24 ).…”

Section: Introductionmentioning

confidence: 99%

A multidisciplinary approach to the management of liver disease and alcohol disorders in psychiatric settings (Review)

et al. 2021

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Society is burdened with the uncontrolled use of alcohol, an ongoing issue, with a substantial associated morbidity and a pressing economical reverberation. It is inevitable that a series of psychiatric patients who display alcohol disorders will be admitted to hospital while also suffering from health conditions, such as liver disease, due to the consumption of alcohol. Managing comorbid patients in a psychiatric facility is a delicate matter that requires a collaborative team. The aim of this systematic paper is to highlight the following: The possibility of treating alcohol use disorder (AUD) and alcohol withdrawal syndrome (AWS) overlapping alcohol liver disease (ALD) within a psychiatric institution, and the importance of a collaborative multidisciplinary team; correctly dosing psychoactive medication when metabolism is affected by ALD; deciding when is it necessary to seek a transfer to a general hospital. Prescribing medication in patients suffering from ALD is still a not a fully documented territory. Protein binding, metabolism, bioavailability, extraction ratios, excretion route, and half-life must be taken into consideration as well as frequently repeating liver panels. Studies suggest that short-acting benzodiazepines are preferred over their alternatives when treating AWS in ALD. All anticonvulsants can be used in patients with decompensated liver disease with caution, although newer generation antiepileptic agents should be first line. Propofol is favored to benzodiazepines or opioids in the case of decompensated cirrhosis. Patients with ALD are likely to be further compromised by the potential hepatocytotoxicity of some pharmacological agents. On that account, having an integrated perspective of the medical case while taking into consideration the underlying illness as well as possible drug interaction is crucial in treating AUD or AWS in a psychiatric institution.

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Section: Introductionmentioning

confidence: 99%

A multidisciplinary approach to the management of liver disease and alcohol disorders in psychiatric settings (Review)

et al. 2021

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“…A dependência química constitui um processo de associação de elementos que afeta o sistema neurológico e as condições imediatas junto ao que operacionaliza as ações de uso contínuo. Os diagnósticos para a dependência química são caracterizados por vários critérios que vão desde os aspectos farmacológicos até a própria busca do dependente para superar o desafio da dependência (CABRAL BARATA et al, 2019).…”

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Estresse precoce, impulsividade e comportamento suicida em usuários de substâncias psicoativas

Júnior¹

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In the last few decades, there has been a significant increase in the prevalence of subjects who use psychoactive substances in a problematic way. The use of these drugs has become a worldwide concern due to the risks and consequences that this situation can bring to the addict.The literature shows that one of the factors that can contribute to drug consumption in adulthood are the stressful situations experienced in childhood, called early stress, in addition, impulsivity and suicidal behavior are listed as serious results triggered by chemical dependence. Therefore, the present study aims to analyze the relationship between early stress, impulsivity and suicidal behavior. This is a cross-sectional, descriptive study with a quantitative approach. Data collection was performed at the Psychosocial Care Center for Alcohol and Drugs in the city of Rio Verde -Goiás. The evaluations were carried out using the Mini International Neuropsychiatric Interview, Childhood Trauma Questionnaire, Barratt's Impulsivity Scale and the Suicidal Ideation Scale of Beck. The data were compiled and analyzed using descriptive and inferential statistics. The sample consisted of 105 patients diagnosed with alcohol or crack LISTA DE ABREVIAÇÕES ASI6Addiction Severity Index version 6

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Effect of MAOA rs1465108 polymorphism on susceptibility to substance/alcohol use disorder: a novel PCR-RFLP assay for the detection of MAOA rs1465108

Kaya-Akyüzlü,

Özkan-Kotiloğlu,

Yıldırım

et al. 2024

Mol Biol Rep

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A systematic review on Substance Addiction: medical diagnosis or morality flaw?

Cited by 3 publications

References 38 publications

A multidisciplinary approach to the management of liver disease and alcohol disorders in psychiatric settings (Review)

A multidisciplinary approach to the management of liver disease and alcohol disorders in psychiatric settings (Review)

Estresse precoce, impulsividade e comportamento suicida em usuários de substâncias psicoativas

Effect of MAOA rs1465108 polymorphism on susceptibility to substance/alcohol use disorder: a novel PCR-RFLP assay for the detection of MAOA rs1465108

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