Towards a New Consensus for Addiction Medicine Training
A new study asks for the opinions of addiction experts, with a view to reaching a consensus on the necessary core skills that medical education ought to cover.
Substance use is common among people living with HIV (PLHIV) and is associated with worse outcomes along the HIV care continuum. One potentially effective clinic-based approach to addressing unhealthy substance use is screening, brief intervention, and referral to treatment (SBIRT).
Introduction: Certain child rearing practices are associated with severe behavioral problems in children.
Objective: To assess the relationship between child rearing practices and severe behavioral problems in children.
Screening and brief intervention (SBI) for unhealthy drinking has not been widely implemented in primary care partly due to reliance on physicians to perform it.
General political views are rarely considered when discussing public support for tobacco control policies and tobacco use. The aim of this study was to explore potential associations between political views, smoking and support for tobacco control policies.
In 2013 nalmefene was authorised for moderating drinking among patients not in need of detoxification, extending pharmacotherapy to less dependent drinkers.
Problem gambling in the UK is reported to affect around 590,000 people.
The condition can be treated via a range of approaches, including cognitive behavioural therapy and medication.
Published in the journal Translational Psychiatry, a new study carried out by researchers from Imperial College London has found that gambling addiction activates the same brain pathways as drug and alcohol cravings.
There tends to be an increase in prevalence of substance use issues within populations living in urban areas and where poverty levels are high.
Certain risk factors, more common in deprived areas, are particularly associated with substance use problems. Others are known to foster resilience and can protect individuals from poor consequences.
Objectives: To explore contextual factors that increase vulnerabilities to negative sexual and reproductive health (SRH) outcomes and possible differences in SRH-related behaviours and the needs of women who use drugs (WUD) through non-injecting and injecting routes.
Design: Qualitative study design using semi-structured in-depth interviews.
Alcohol marketing, promotion and sponsorship are widespread in most of the world today. Alcohol marketing is evolving constantly and utilizes multiple channels, including youth-oriented radio, television, sports events and popular music concerts, websites, social media, mobile phones and product placements in movies and TV shows.
There is much debate as to whether e-cigarettes are in fact ‘better’ for you than traditional cigarettes because their potential adverse effects are only beginning to be researched. Combine this with the fact that, between 2011 and 2015, the use of e-cigarettes among US high-school students rose by around 900%, the situation makes for concerning reading.
To estimate the economic burden and cost attributable to Fetal Alcohol Spectrum Disorder (FASD) in Canada in 2013.
Alcohol drinking is an established risk factor for several malignancies, and it is a potentially modifiable risk factor for cancer. The Cancer Prevention Committee of the American Society of Clinical Oncology (ASCO) believes that a proactive stance by the Society to minimize excessive exposure to alcohol has important implications for cancer prevention.
Objectives: Older adults are particularly vulnerable to adverse effects from concurrent alcohol and medication use. However, there is limited evidence regarding the prevalence of these adverse outcomes among older adults, and there is a lack of consensus regarding what constitutes an alcohol-interactive medicine.
Substance use disorders are one of the most common and debilitating mental health conditions experienced by youth, and several well-established risk factors exist that contribute to the development and persistence of SUDs.
Background: Long-term alcohol use is known to harm brain functioning in adolescence.
Mexico’s 2009 “narcomenudeo reform” decriminalized small amounts of drugs, shifting some drug law enforcement to the states and mandating drug treatment diversion instead of incarceration. Data from Tijuana suggested limited implementation of this harm reduction-oriented policy.
Objective: To develop and encourage the adoption of clinical practice guidelines (CPGs) for smoking cessation in Canada by engaging stakeholders in the adaptation of existing high-quality CPGs using principles of the ADAPTE framework.
The complexities of substance misuse treatment indicate a need to consider the efficacy of creative arts therapies for those who find it difficult to verbalise their emotions and feelings. The focus of this systematic review is to identify and critically evaluate studies on the effectiveness of creative arts therapy interventions for reducing substance misuse, aiming at reaching some conclusions on the subject.
We investigated the relationship between receptivity to electronic cigarette (e-cigarette) advertisements at baseline and e-cigarette use at follow-up among adult baseline non-users of cigarettes and e-cigarettes.
A greater understanding of the factors that influence long-term sustainment of quality improvement (QI) initiatives is needed to promote organizational ability to sustain QI practices over time, help improve future interventions, and increase the value of QI investments.
Randomized clinical trials have established the efficacy of naltrexone for reducing quantity of alcohol consumption and incidence of relapse to heavy drinking. To evaluate putative treatment mechanisms, human laboratory studies have examined naltrexone's effects on alcohol responses and self-administration during short-term medication protocols.
Clinical psychology is particularly well suited to offering a multifaceted response in order to help those living with a substance use disorder. A new study published in the academic journal American Psychologist investigates the extent to which current clinical psychology training is addressing the fact that addiction has emerged as a serious public health crisis, asking: ‘Are we keeping up with the rising epidemic?’
Alcohol and nicotine are two of the most frequently abused drugs, with their comorbidity well described. Previous data show that chronic exposure to nicotine upregulates high-affinity nicotinic acetylcholine receptors (nAChRs) in several brain areas. Effects of ethanol on specific brain nAChR subtypes within the mesolimbic dopaminergic (DA) pathway may be a key element in the comorbidity of ethanol and nicotine.
Objectives: Evidence from the US Truth campaign suggests that interventions focusing on tobacco industry practices and ethics may be effective in preventing youth smoking uptake. We developed, piloted and evaluated a school-based intervention based on this premise.
Recent political campaigns on both sides of the Atlantic have led some to argue that we live in the age of ‘post-factual’ or ‘post-truth’ politics, suggesting evidence has a limited role in debate and public policy. How can we demonstrate the public value of evidence-informed debate under those circumstances?
Background: Although mobile phone-delivered smoking cessation programs are a promising way to promote smoking cessation among adolescents, little is known about how adolescents might actually use them.
Although a few countries have banned flavored cigarettes (except menthol), flavors in most tobacco products remain unregulated across the globe. We conducted a systematic review of qualitative studies examining perceptions of and experiences with flavored non-menthol tobacco products.
Drug addiction is one of the most important health problems worldwide. This pathology results in the death of about 500,000 individuals annually around the globe. Despite this scenario, the development of effective drug therapies against this disease has been slow and not very successful. In recent years, new alternative pharmacological strategies against drug addiction have been designed and validated.
Objective: Taxation equitably reduces smoking, the leading cause of health inequalities. The tobacco industry (TI) can, however, undermine the public health gains realised from tobacco taxation through its pricing strategies. This study aims to examine contemporary TI pricing strategies in the UK and implications for tobacco tax policy.
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