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1.
Medicine (Baltimore) ; 99(4): e18456, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977844

RESUMO

BACKGROUND: In this study, we aim to assess the psychological effects of cognitive behavioral therapy (CBT) on internet addiction (IA) in adolescents. METHODS: This study will search the following databases of Cochrane Library, PUBMED, EMBASE, Scopus, Web of Science, PsycINFO, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure. All these electronic databases will be searched from inception to the September 30, 2019 without any language limitation. Two authors will conduct study selection, data extraction, and study quality assessment, respectively. Any disagreements between 2 authors will be solved by a third author through discussion. Statistical analysis will be performed using RevMan 5.3 software. RESULTS: This study will investigate the psychological effects of CBT on IA in adolescents by measuring psychopathological symptoms, depression, anxiety, time spent on the internet (hours/day), and health-related quality of life. CONCLUSION: This study summarizes current evidence of CBT on IA in adolescents and may provide guidance for both intervention and future researches.PROSPERO registration number: PROSPERO CRD42019153290.


Assuntos
Comportamento Aditivo/terapia , Terapia Cognitivo-Comportamental/métodos , Internet , Adolescente , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa
2.
Adv Exp Med Biol ; 1192: 263-279, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31705499

RESUMO

This article gives an overview of the concept and brain mechanisms of Internet game and smartphone addiction and the applicability of precision medicine and smart healthcare system. Internet game and smartphone addiction are categorized as behavioral addictions, which share similar phenomenology and neurobiological underpinnings with substance addictions. Neuroimaging studies revealed the alteration in the functional activity and structure of individuals with Internet game and smartphone addiction, which also can be potent biomarkers. Precision medicine is defined as treatments targeted to the individual patients on the basis of genetic, biomarker, phenotypic or psychosocial characteristics. Recent advances in high-throughput technology and bioinformatics have enabled us to integrate these big data with behavioral data collected from smartphones or other wearable devices. Data collected via smart devices can be transferred to medical institute and integrated in order to diagnose current status precisely and to provide optimal intervention. The feedbacks of intervention are sent back to the medical provider via self-reports or objective measures to evaluate the appropriateness of the intervention. In conclusion, Internet game and smartphone addiction can be diagnosed precisely using high-throughput technology and optimally managed via smart healthcare system.


Assuntos
Comportamento Aditivo/diagnóstico , Terapia Cognitivo-Comportamental/métodos , Assistência à Saúde/métodos , Internet , Transtornos Mentais/epidemiologia , Medicina de Precisão , Smartphone , Comportamento Aditivo/terapia , Humanos , Neuroimagem , Transtornos Relacionados ao Uso de Substâncias , Jogos de Vídeo
3.
Medicine (Baltimore) ; 98(38): e17283, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31568011

RESUMO

BACKGROUND: Cognitive-behavioral therapy has been considered as a means for internet addiction, but its long-term effect and the impact of internet addiction types and culture are still unclear. OBJECTIVE: This study aims to assess the efficacy of cognitive-behavior therapy for internet addiction symptoms and associated other psychopathological symptoms. METHOD AND ANALYSIS: We will search PubMed, Web of Knowledge, Ovid Medline, Chongqing Vip Database, Wanfang, and China National Knowledge Infrastructure database. Random-effects model in comprehensive meta-analysis software will be used to conduct main meta-analysis. Cochran Q and I are be used to assess heterogeneity while funnel plots and the Egger test are used to assess publication bias. Risk of bias for each study included is assessed by using the Cochrane risk of bias tool. The primary outcome is internet addiction symptom while secondary outcomes are psychopathological symptoms, time spent online, and dropout. TRIALS REGISTRATION NUMBER: PROSPERO CRD42019125667.


Assuntos
Comportamento Aditivo/terapia , Terapia Cognitivo-Comportamental , Internet/estatística & dados numéricos , Humanos
4.
Rev Med Suisse ; 15(663): 1668-1670, 2019 Sep 18.
Artigo em Francês | MEDLINE | ID: mdl-31532118

RESUMO

Mobility and shifting of treatment sites to the community is useful and necessary for some individuals with addictions who are unable to access traditional treatment programs. The article presents different treatment models : Assertive community treatment, Housing First and transition programs. The main effects of the programs presented are a reduction in days of hospitalization and the use of emergency services, as well as an improvement in adherence to outpatient care. These are encouraging results given the significant difficulties of a population which often presents the phenomenon of «â€…revolving doors ¼ with very high rates of readmissions and lack of treatment continuity.


Assuntos
Medicina do Vício , Comportamento Aditivo , Serviços Comunitários de Saúde Mental , Medicina do Vício/métodos , Medicina do Vício/normas , Assistência Ambulatorial , Comportamento Aditivo/terapia , Hospitalização , Humanos
5.
Artigo em Russo | MEDLINE | ID: mdl-31407696

RESUMO

According to WHO consensus decision, gambling disorder, including the form of Internet addiction (IA), should be included in the section 'Impulsive disorders and behavioral addictions' of ICD-11. Population studies in the USA and Europe show the prevalence of IA from 1.5 to 8.2%, and in the countries of Southeast Asia it reaches 20-30% among young people. All this raises questions about the development of standardized approaches to the treatment and correction of this disorder. The review covers pharmacological and non-pharmacological approaches. Several studies and clinical observations have been devoted to pharmacological methods for treating IA, including the successful use of antidepressants such as escitalopram, clomipramine, and bupropion. There are data on the effectiveness of quetiapine, clonazepam, naltrexone and methylphenidate. In general, research was limited to methodological deficiencies, including small sample sizes, lack of control groups etc. Of non-pharmacological and psychotherapeutic approaches, in particular, cognitive-behavioral therapy (CBT) is the most studied. Special programs CBT are developed focused on children and teenagers. In addition to CBT, other psychotherapeutic approaches were used for the correction of IA: reality therapy, Internet interventions, acceptance and responsibility therapy, family therapy, complex methods. In many countries educational medical camps have been established (for example, sports or other outdoor activities) for adolescents with IA. Further studies in the field are needed to develop treatment approaches and diagnostic classification of IA.


Assuntos
Comportamento Aditivo , Terapia Cognitivo-Comportamental , Jogo de Azar , Internet , Adolescente , Comportamento Aditivo/terapia , Criança , Europa (Continente) , Humanos
6.
Int J Prison Health ; 15(2): 105-113, 2019 06 10.
Artigo em Inglês | MEDLINE | ID: mdl-31172855

RESUMO

PURPOSE: Many studies show that incarcerated populations have higher rates of problem drug use than the general population. The purpose of this paper is to analyse trends in addiction treatment demand in prisons in Ireland from 2009 to 2014 using available national surveillance data in order to identify any implications for practice and policy. DESIGN/METHODOLOGY/APPROACH: National surveillance data on treatment episodes for problem drug and alcohol use from 2009 to 2014, collected annually by the National Drug Treatment Reporting System (NDTRS), were analysed. FINDINGS: In total, 6 per cent of all treatment episodes recorded by the NDTRS between 2009 and 2014 were from prison services. The number of prison service treatment episodes increased from 964 in 2009 to 1,063 in 2014. Opiates were the main reason for treatment, followed by alcohol, cocaine and cannabis. The majority (94-98 per cent) of treatment episodes involved males (median age of 29 years) and low educational attainment, with 79.5-85.1 per cent leaving school before completion of second level. The percentage of treatment episodes with a history of ever injecting drugs increased from 20.9 per cent in 2009 to 31.0 per cent in 2014. PRACTICAL IMPLICATIONS: This study can help policy development and service planning in addiction treatment in prison as it provides an insight into the potential needs of incarcerated populations. It also provides a baseline from which to measure any changes in provision of treatment in prison over time. ORIGINALITY/VALUE: This is the first study to analyse treatment episodes in prison using routine surveillance data in Ireland. Analysis of these data can provide useful information, not currently available elsewhere.


Assuntos
Comportamento Aditivo/terapia , Prisões/organização & administração , Transtornos Relacionados ao Uso de Substâncias/terapia , Adolescente , Adulto , Idoso , Alcoolismo/epidemiologia , Alcoolismo/terapia , Comportamento Aditivo/epidemiologia , Feminino , Humanos , Irlanda/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adulto Jovem
7.
J Behav Addict ; 8(2): 201-212, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31146552

RESUMO

BACKGROUND AND AIMS: Clinicians and researchers are increasingly interested in investigating excessive use of video gaming recently named Internet gaming disorder (IGD). As is the case with extensively researched adolescent problem behaviors such as substance use disorder, several studies associate IGD with the young person's family environment and the parent-adolescent relationship in particular. Evidence-based treatments for a range of adolescent clinical problems including behavioral addictions demonstrate efficacy, the capacity for transdiagnostic adaptation, and lasting impact. However, less attention has been paid to developing and testing science-based interventions for IGD, and at present most tested interventions for IGD have been individual treatments (cognitive behavioral therapy). METHODS: This article presents the rationale for a systemic conceptualization of IGD and a therapeutic approach that targets multiple units or subsystems. The IGD treatment program is based on the science-supported multidimensional family therapy approach (MDFT). Following treatment development work, the MDFT approach has been adapted for IGD. RESULTS: The article discusses recurring individual and family-based clinical themes and therapeutic responses in the MDFT-IGD clinical model, which tailors interventions for individuals and subsystems within the young person's family. DISCUSSION AND CONCLUSIONS: Basic science developmental research can inform conceptualization of IGD and a systemic logic model of intervention and change. This paper aims to expand treatment theorizing and intervention approaches for practitioners working with frequently life-altering behaviors of excessive Internet gaming. We operationalize this aim by addressing the question of why and how parents should be involved in youth IGD treatment.


Assuntos
Comportamento Aditivo/terapia , Terapia Cognitivo-Comportamental/métodos , Terapia Familiar/métodos , Pais/psicologia , Jogos de Vídeo/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Comportamento Aditivo/psicologia , Humanos , Internet
8.
Am J Nurs ; 119(7): 68-69, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31232784
9.
Int J Circumpolar Health ; 78(1): 1629783, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31219779

RESUMO

The impacts of colonization have had significant impacts on the mental health and community wellness Indigenous peoples in the Northwest Territories (NWT). It is important that all communities in the NWT have access to key services in a culturally relevant way in achieving mental and community wellness. A scoping review was conducted to identify mental health services available in the NWT. To guide the understanding of the landscape of mental health services in the NWT, the information on health services gathered was organized using the First Nations Mental Wellness Continuum (FNMWC) Model's Continuum of Essential Services. Documents accessed included grey literature, consisting of government documents, practice guidelines, education materials, community wellness reports, internet searches and expert consult interviews to collect data on mental health and wellness services in the NWT. 68 mental health services were included in this review, from 23 different sources. Results were summarized and described the Continuum of Essential Services from the FNMWC Model. This guided approach was found to be useful for mapping mental health services for communities in the NWT. The findings highlight and catagorize existing mental health services and gaps in relation to a First Nation's perspective using the FNMWC Model. Specific areas examined included the Continuum of Essential Services, Key Partners, Culture as a Foundation, and Indigenous Social Determinants of Health. Findings can guide communities and health authorities in planning, implementing and coordinating a full range of optimized mental health services in the NWT.


Assuntos
Comportamento Aditivo/terapia , Competência Cultural/organização & administração , Serviços de Saúde do Indígena/organização & administração , Serviços de Saúde Mental/organização & administração , Saúde Mental/etnologia , Regiões Árticas , Comportamento Aditivo/etnologia , Comportamento Aditivo/reabilitação , Promoção da Saúde/organização & administração , Serviços de Saúde do Indígena/normas , Humanos , Inuítes , Territórios do Noroeste , Educação de Pacientes como Assunto , Guias de Prática Clínica como Assunto , Saúde Pública , Resiliência Psicológica , Serviços de Saúde Rural
10.
J Med Syst ; 43(5): 135, 2019 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-30949846

RESUMO

This study conducts a mapping study to survey the landscape of health chatbots along three research questions: What illnesses are chatbots tackling? What patient competences are chatbots aimed at? Which chatbot technical enablers are of most interest in the health domain? We identify 30 articles related to health chatbots from 2014 to 2018. We analyze the selected articles qualitatively and extract a triplet for each of them. This data serves to provide a first overview of chatbot-mediated behavior change on the health domain. Main insights include: nutritional disorders and neurological disorders as the main illness areas being tackled; "affect" as the human competence most pursued by chatbots to attain change behavior; and "personalization" and "consumability" as the most appreciated technical enablers. On the other hand, main limitations include lack of adherence to good practices to case-study reporting, and a deeper look at the broader sociological implications brought by this technology.


Assuntos
Comportamentos Relacionados com a Saúde , Aprendizado de Máquina , Telemedicina/métodos , Mensagem de Texto , Interface Usuário-Computador , Comportamento Aditivo/diagnóstico , Comportamento Aditivo/terapia , Comunicação , Nível de Saúde , Humanos , Internet , Saúde Mental , Doenças Metabólicas/diagnóstico , Doenças Metabólicas/terapia , Doenças do Sistema Nervoso/diagnóstico , Doenças do Sistema Nervoso/terapia , Transtornos Nutricionais/diagnóstico , Transtornos Nutricionais/terapia
11.
Soins Psychiatr ; 40(321): 41-44, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31006444

RESUMO

The day hospital in addictology is a recent hospital service for patients with substance use disorders. It lies somewhere between an inpatient withdrawal unit and outpatient consultations. The day hospital service provides care ranging from withdrawal preparation, abstinence support, the reduction of risks or harm and long-term support for patients.


Assuntos
Comportamento Aditivo/terapia , Hospital Dia , Transtornos Relacionados ao Uso de Substâncias/terapia , Humanos
12.
Enferm. glob ; 18(54): 63-70, abr. 2019.
Artigo em Espanhol | IBECS | ID: ibc-183477

RESUMO

Justificación: Existe una asociación entre tabaquismo y TUS, especialmente con alcohol y cannabis. Sin embargo, las intervenciones sanitarias parecen no ir encaminadas a su enfoque.Objetivo: Evaluar el grado de motivación para el abandono tabáquico tras realizar una intervención psicoeducativa breve sobre abordaje del tabaquismo.Metodología: Se trata de una investigación cuantitativa de tipo analítico cuasiexperimental que se lleva a cabo mediante dos cohortes experimentales, del tipo pre- y post-intervención. Se aplica una intervención breve educativa y se evalúan las diferencias en la motivación para el abandono tabáquico en un grupo antes de la intervención y en otro grupo después de la misma. Resultados: Existe una diferencia de 1,27 puntos en el grado de motivación encontrado en los individuos respecto a los grupos experimentales. Conclusiones: Las personas drogodependientes son fumadoras con altos grados de dependencia nicotínica por lo que es preciso diseñar estrategias de cesación adecuadas


Justification: There is a connection between smoking and substances use disorder, especially alcohol and cannabis. Nevertheless, health interventions seem not to be addressed to this approach. Objective: Evaluation of the motivation degree for the smoking quit after developing a brief psycho-educational intervention on smoking.Methodology: It is a quantitative research of analytical type, almost experimental, developed by means of two experimental series, of the types pre- and post- intervention. A brief educational intervention is applied and there is an evaluation of the differences in the motivation for the smoking quit in a group before the intervention and in another one after the intervention. Results: There is a difference of 1,27 points in the degree of motivation found in the individuals regarding the experimental groups. Conclusions: Drug addict people are smokers with a high degree of nicotinic dependence, so it is necessary to design suitable strategies of quitting


Assuntos
Humanos , Masculino , Feminino , Motivação/classificação , Tabagismo/enfermagem , Abandono do Uso de Tabaco/métodos , Transtornos Relacionados ao Uso de Substâncias/complicações , Comportamento Aditivo/terapia , Avaliação de Eficácia-Efetividade de Intervenções , Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos , Planejamento de Assistência ao Paciente/organização & administração
13.
Psychiatry Res ; 275: 53-60, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30878857

RESUMO

This study aims to provide a systematic review of the applications of machine learning methods in addiction research. In this study, multiple searches on MEDLINE, Embase and the Cochrane Database of Systematic Reviews were performed. 23 full-text articles were assessed and 17 articles met the inclusion criteria for the final review. The selected studies covered mainly substance addiction (N = 14, 82.4%), including smoking (N = 4), alcohol drinking (N = 3), as well as uses of cocaine (N = 4), opioids (N = 1), and multiple substances (N = 2). Other studies were non-substance addiction (N = 3, 17.6%), including gambling (N = 2) and internet gaming (N = 1). There were eight cross-sectional, seven cohort, one non-randomized controlled, and one crossover trial studies. Majority of the studies employed supervised learning (N = 13), and others employed unsupervised learning (N = 2) and reinforcement learning (N = 2). Among the supervised learning studies, five studies used ensemble learning methods or multiple algorithm comparisons, six used regression, and two used classification. The two included reinforcement learning studies used the direct methods. These results suggest that machine learning methods, particularly supervised learning are increasingly used in addiction psychiatry for informing medical decisions.


Assuntos
Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Aprendizado de Máquina , Algoritmos , Estudos Cross-Over , Estudos Transversais , Jogo de Azar/psicologia , Jogo de Azar/terapia , Humanos , Aprendizado de Máquina/tendências , Fumar/psicologia , Fumar/terapia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia
14.
Psychol Addict Behav ; 33(3): 310-317, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30896193

RESUMO

Abstinence self-efficacy (ASE) and delay discounting predict treatment outcomes and risk of relapse. Associations between delay discounting and ASE among individuals in recovery from substance use have not been investigated. Data from 216 individuals in recovery from substance abuse recruited from The International Quit & Recovery Registry, an ongoing online data collection program used to understand addiction and how people succeed in recovery, were included in the analysis. Discounting rates were assessed using an adjusting-delay task, and ASE was assessed using the Relapse Situation Efficacy Questionnaire (RSEQ). Delay discounting was a significant predictor of ASE, even after controlling for age, gender, race, ethnicity, annual income, education level, marital status, and primary addiction. Context-specific factors of relapse included Negative Affect, Positive Affect, Restrictive Situations (to drug use), Idle Time, Social-Food Situations, Low Arousal, and Craving. A principal component analysis of RSEQ factors in the current sample revealed that self-efficacy scores were primarily unidimensional and not situation specific. The current study expands the generality of delay discounting and indicates that discounting rates predict ASE among individuals in recovery from substance use disorders. This finding supports the recent characterizations of delay discounting as a candidate behavioral marker of addiction and may serve as a basis to better identify and target subgroups that need unique or more intensive interventions to address higher risks of relapse and increase their likelihood of abstinence. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento Aditivo/terapia , Desvalorização pelo Atraso/fisiologia , Intenção , Autoeficácia , Transtornos Relacionados ao Uso de Substâncias/terapia , Adulto , Comportamento Aditivo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fenótipo , Prognóstico , Transtornos Relacionados ao Uso de Substâncias/psicologia , Inquéritos e Questionários , Resultado do Tratamento
15.
Artigo em Inglês | MEDLINE | ID: mdl-30845752

RESUMO

Participatory action research was introduced in the 1960s and early 1970s, but it has only been more widely adopted in the recent years. Such methodologies have since been applied to several web & mobile-based interventions in psychiatry. To date no prior review has scoped the extent of the application of such methodologies for web & mobile-based interventions in psychiatry. In this article, a scoping literature review was performed, and seven articles have been identified. The most common methodologies are that of co-design workshops; and increasingly service users and participants are included in these workshops. There remains a lack of application of such methodologies for addiction research. Increasingly, attention and cognitive bias modification interventions are more commonplace, given that they have been found to be effective in modifying underlying biases amongst individuals with addictive disorders. Unfortunately, there remains to be inherent limitations with web and mobile versions of attention and cognitive bias modification interventions. Participatory design research methods could help address these limitations and future research involving the conceptualization of new attention or cognitive bias modification applications ought to consider the incorporation of these research methods.


Assuntos
Viés de Atenção , Comportamento Aditivo/terapia , Pesquisa sobre Serviços de Saúde , Atenção , Comportamento Aditivo/psicologia , Cognição , Humanos , Projetos de Pesquisa
16.
Curr Drug Res Rev ; 11(1): 40-43, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30829179

RESUMO

BACKGROUND: The management of mental disorders in child and adolescent is challenging. In addition, when substance use disorders are associated with mental disorders, important complications are noted. Dual pathology and Substance-induced disorders should be distinguished in cases like this. OBJECTIVE: To summarize the latest information on the epidemiology, etiology and management aspects of dual pathology in adolescents. METHODS: PubMed, Web of Science, PsycINFO and SciELO databases were searched to perform a narrative review. RESULTS: Dual pathology is the term used to designate the co-occurrence of an addictive disorder and at least one other mental health disorder, independently. To distinguish dual pathology from substance- induced disorders, the temporal association between the disorders in a longitudinal assessment should be emphasized. If the symptoms of the mental disorder appear prior to the substance use or after a long period of abstinence, a diagnosis of dual pathology should be considered. Patients with dual pathology present greater psychosocial issues, more medical problems, and worse prognosis than those with substance-induced disorders. The proposed etiological models agree that biological, psychological and social factors are shared in the development of these conditions. CONCLUSION: Healthcare systems should focus on creating policies that will allow early detection, preventive public health measures, and an integrated and coordinated care for these patients. Public health policies should create means to promote awareness and prevention of these pathologies since early initiation of treatment (pharmacological, psychotherapeutic, family therapy, education in schools, behavioral interventions and treatment of comorbidities) reduces the risks associated to substance use disorders and other negative consequences.


Assuntos
Comportamento Aditivo/complicações , Transtornos Mentais/complicações , Transtornos Relacionados ao Uso de Substâncias/complicações , Adolescente , Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Diagnóstico Duplo (Psiquiatria) , Humanos , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia
17.
J Addict Nurs ; 30(1): 4-13, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30829995

RESUMO

The fact that addictive disorders have a significant negative impact on the health of the global population is well documented in contemporary health literature. What is less well documented is the uncomfortable realization that the tools in our armament to help individuals who struggle with addictive disorders are limited. Many individuals will spend their lives "cycling" through the addiction treatment continuum only to again be met with relapse. Third-party reimbursement for addiction treatment has focused on time-limited treatments and "brief" therapies with an additional emphasis on support group attendance (aka "free" services) with minimal focus on the fact that brief therapies have poor evidence for efficacy. In this article, we explore an alternative to brief therapies by reaching back to the earliest and most comprehensive treatment we have for behavioral change-psychoanalysis. This article engages in a literature review to determine whether sufficient evidence exists for the use of psychoanalysis as a treatment for addictive disorders. Implications for advanced practice psychiatric nurses are discussed.


Assuntos
Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Terapia Psicanalítica , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Alcoólicos Anônimos/organização & administração , Comportamento Aditivo/economia , Comportamento Aditivo/enfermagem , Humanos , Enfermagem Psiquiátrica , Recidiva , Transtornos Relacionados ao Uso de Substâncias/economia , Transtornos Relacionados ao Uso de Substâncias/enfermagem , Falha de Tratamento
18.
Issues Ment Health Nurs ; 40(4): 335-341, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30742546

RESUMO

This integrative review assesses the effectiveness of psychological interventions for reducing the severity of Internet addiction and/or Internet gaming disorder. We searched five databases, and both a narrative synthesis and meta-analyses were conducted. Five randomized controlled trials (RCTs) and six quasi-experimental studies met the inclusion criteria. The included interventions were categorized as cognitive-behavioral therapy, family-based intervention, and counseling program. A meta-analysis showed significant effects of psychological interventions, whereas a narrative synthesis showed some evidence that they could reduce addiction severity. Psychological interventions may help to reduce addiction severity, but further RCTs are needed to identify the most effective type.


Assuntos
Comportamento Aditivo/terapia , Terapia Cognitivo-Comportamental , Internet , Jogos de Vídeo/psicologia , Humanos
19.
Fortschr Neurol Psychiatr ; 87(5): 305-311, 2019 May.
Artigo em Alemão | MEDLINE | ID: mdl-30791060

RESUMO

OBJECTIVE: Animal-assisted therapies, especially with therapy dogs, are getting increasingly popular in inpatient psychiatric treatment. In the present pilot study, we examined how chronic and comorbid patients in psychiatric addiction treatment assess this form of therapeutic support. METHODS: Pre-post-evaluation of the intervention variable "therapy dog" in a prospective, naturalistic setting. Without intervention 50 patients, with intervention 52 patients were requested to answer a questionnaire on topics covering social interaction / ward atmosphere, emotional competences and pathological addiction behavior. RESULTS: The two studied groups differed highly significantly in most of the items on the topics social interaction / ward atmosphere, emotionality and addiction pathology, in favor of animal-assisted therapy. Also, the frequency of smoking and dealing with craving were significantly reduced in this group. Effect sizes were medium to high. CONCLUSIONS: Patients consider the presence of a therapy dog on a psychiatric addiction ward very positively. Ward atmosphere is experienced as more pleasant and patients see a possibility of behavioral change with respect to social and emotional competences.


Assuntos
Terapia Assistida por Animais , Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Unidade Hospitalar de Psiquiatria , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Animais , Fissura , Cães , Emoções , Feminino , Humanos , Pacientes Internados/psicologia , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Estudos Prospectivos , Fumar/terapia , Comportamento Social , Inquéritos e Questionários
20.
Pediatrics ; 143(2)2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30602544

RESUMO

The current epidemic of opioid addiction has arguably been the most recalcitrant in the nation's history and the first to involve substantial numbers of adolescents. The country has embarked on a public health response, including increasing access to addiction treatment. However, the treatment infrastructure, which was initially created in the 1970s, is ill equipped for meeting the needs of adolescents and young adults, who are often cared for in pediatric primary care. In this article, I review the development of the current treatment system, examine shortfalls in regard to youth-specific needs, and propose suggestions for addressing the current crisis while simultaneously preparing to address future epidemics of addiction by enabling pediatricians to better manage substance use disorders in primary care.


Assuntos
Analgésicos Opioides/efeitos adversos , Epidemias , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/psicologia , Adolescente , Comportamento Aditivo/epidemiologia , Comportamento Aditivo/psicologia , Comportamento Aditivo/terapia , Epidemias/prevenção & controle , Humanos , Metadona/administração & dosagem , Transtornos Relacionados ao Uso de Opioides/terapia , Pediatras/tendências , Papel do Médico , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/tendências
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