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Introduction
Michal Miovsky currently works at the Department of Addictology, Charles University in Prague, First Faculty of Medicine. Michal does research in Behavioural Science, Health Psychology and Clinical Psychology with special focus on addictions. His dominant interests are prevention and clinical oriented research and practice, addiction specific training and education programs (withs special focus on university degree programs) and publishing addiction science. He work and promote newly (2016) established Consortium of universities with specialised addiction academic degree programs (ICUDDR) and participate on discussion related to profiling of substance use professionals.
Current institution
Additional affiliations
January 2010 - July 2017
June 2000 - September 2004
January 2004 - present
Position
- Vice-dean of the First Faculty of Medicine and Head of Department
Publications
Publications (272)
BACKGROUND: The EC-DPIP NPSinEurope.eu project contributes to innovative and effective health promotion interventions targeting the emerging use of New Psycho- active Substances (NPS) among people who use drugs he- avily (PUDH). In five countries, we conducted a rapid as- sessment and response (RAR) study of NPS use, aimed at informing these emergi...
The evolving gambling environment, marked by increased accessibility and innovative promotions, has led to rising expenditures globally. Despite this, the relationship between social media use and problem gambling in the Czech Republic remains underexplored. To investigate the association between social media use and problem gambling severity among...
Užívání návykových látek a rozvoj tzv. nelátkových závislostí se stalo jedním z nejvý-
znamnějších témat v kontextu tzv. neinfekčních epidemií současné doby. Zhoršení
situace v důsledku pandemie covidu-19 je patrné zejména u mladších věkových
skupin pacientů a jejich rodin. Zejména u nich se skokově zvýšila naléhavost vy-
tvořit udržitelný, bezpečn...
BACKGROUND: Exponential growth of addiction specific services accelerated the need and pressure on professionalizing workforce. It is followed by the increasing number of university and higher education programs specifically focused on substance use,
hand in hand with curricula development. In such fast condition changes, emphasis on quality assura...
COVID-19 has been associated with a number of rumours. Our research examined the level of agreement with the claim that COVID-19 was a rumour per se, two years after the pandemic, including investigation of socio-economic, psychological as well as political believes and media use characteristics that may help to explain why some people believe in t...
Introduction
Current trends in the addiction field reflect a significant emphasis on the workforce development and education. There are already some data about university‐based addiction studies programs, but not much from Australasia.
Methods
The aim is to provide an overview and describe the academic programs for addiction professionals in Austr...
BACKGROUND: Online learning has the potential to
increase accessibility to high quality and cost-effective
resources in prevention of risk behaviors. The aim
of this pilot study was to assess the experience of
university students with the comprehensive online
course on prevention. METHODS: In this pilot study,
an online questionnaire was administer...
Background: Quality education is needed for providing quality addiction care. There are addiction university-based programmes worldwide, differing in their characteristics leading to different profiles. The ICUDDR is a global consortium of universities preparing the addiction workforce providing networking and collaboration. The purpose was to cate...
Quality of Life (QoL) is a multifaceted concept encompassing economic, social, environmental, psychological, and physical dimensions of an individual’s life, including personal living conditions, happiness, well-being, and life satisfaction. As a vital criterion for sustainable development and active social policy in countries, QoL has been signifi...
The main objective is to present the results of the implementation of this new educational framework in postgraduate and continuing medical education.
Objectives:
This systematic review seeks to present and compare data from studies evaluating the success of medium-term inpatient treatment of alcohol-dependent patients in the Czech Republic. Another aim was to identify the problems that make such comparisons difficult. No previous review comparing the efficiency of various therapeutic programmes...
Introduction
Harmful alcohol use far exceeds other mental disorders in the proportion of patients who do not receive adequate treatment. Despite the long history of anti-alcohol treatment in Czech Republic, there is no published prospective study to this day, in which patients that underwent inpatient addiction treatment are compared to patients on...
Background: Overcoming addiction is characterized by a long-term recovery process and a high rate of relapse. This study aimed to identify factors associated with relapse and long-term abstinence in patients with substance use disorders or behavioral addictions (SUDs/BA) five years after completing the inpatient addiction treatment based on the Apo...
BACKGROUND: In the field of harm reduction
(HR), an established quality assurance system with implemented quality standards is rather rare in practice. Together with limited evidence in this area, this leads to an imbalance in the basic segments of drug demand reduction and their lack of compatibility and alignment in terms of therapeutic continuit...
Editorial. Project FENIQS-EU. A special issue: Addictology 1/2023.
The role of physicians is crucial in the prevention and treatment of substance use disorders and addiction. The quality of addiction-specific medical education varies, as do postgraduate and continuing medical education programmes in different countries. In order to ensure a high level of quality education, it is necessary to name and define compet...
Quality Standards (QS) are an important priority in European drug policy, although the extent of their application remains unclear.
The FENIQS-EU project (Further ENhancing the Implementation of Quality Standards in drug demand reduction across Europe) was set up to foster the use of QS. The objective of this paper is to present the main findings o...
Diagnostický rozhovor k posuzování možného výskytu ADHD u dětí a dospívajících ve věku 5-17 let (Young DIVA-5) vydala v dubnu 2021 nadace DIVA Foundation se sídlem v Nizozemském Haagu.
Český překlad a adaptace nástroje Young DIVA-5 realizoval tým Kliniky adiktologie 1. LF UK a VFN v Praze v rámci programu Cooperatio, vědní oblasti HEAS. Na adaptac...
Background
The implementation of quality standards and measures in the school-based prevention of risk behaviors is not well evidenced in the literature.
Aims
The description of the emergence and implementation of an original nationwide quality management for the prevention of risk behaviors.
Methods
Narrative review from database searches, inclu...
Studying in college can be a challenging time for many students, which can affect their mental health. In addition to academic pressure and stressful tasks, another aggravating factor in student life is the ongoing coronavirus disease 2019 (COVID-19) pandemic. The aim of the study was to examine the prevalence of anxiety, depression, and somatic sy...
Sborník Vězeňství a nelegální drogy je v českém jazyce ojedinělou publikací svého druhu. Autorský kolektiv se při jeho sestavování pokusil vytvořit takový text, který by odrážel současný stav našich znalostí a poznatků o užívání nelegálních drog ve věznicích České republiky a který by současně velmi důsledně vycházel z tzv. přístupu „evidence based...
BACKGROUND: A broad range of professionals, training opportunities, and regional differences exist in the addiction study field worldwide. This educational variety poses a challenge in proposing a precise classification of study programs at the higher education and university levels to meet the criteria of quality control-based treatment for those...
This study aims to explore the associations between descriptive normative beliefs (DNB), alcohol use and negative consequences and test whether self-regulation (SR) moderates this relationship. The data was collected online from 1621 first-year university students in the Czech Republic, Hungary, Lithuania and Slovakia. The AUDIT, self-regulation qu...
Building upon the tradition of the oldest specialized programs, the "Apolinar model" of alcohol treatment influenced the emergence and development of residential treatment programs in what is now the Czech Republic and Slovakia. Similarly to the socialist concept of unitary economy, this approach was applied in all emerging treatment programs until...
Impulsem k zahájení procesu, jenž postupně vedl až ke vzniku zdravotnické profese adiktologa v České repub-lice, byla reakce na nedostatek dostatečně vzdělaných profesionálů v nově vznikajících službách v 90. letech. Postupem času však došlo k natolik výrazné a úspěšné profilaci této nové profese, že byl uvedený rámec překro-čen a vznikl zcela svéb...
Cílem studie je a) popsat parametry a proces vývoje postgraduálního vzdělávání lékařů v letech 2004-2020; b) provést srovnání mezí a možností postgraduálního vzdělávání v adiktologii a novými zahraničními kurikuly UTC a UPC; c) výsledný návrh a tvorba nového e-learningového kurzu Prevence škodlivého užívání návykových látek a léčba závislostí.
Objectives
To fill the existing research gap related to long-term costs of postacute care in methanol poisoning survivors, healthcare cost for 6 years after the outbreak has been modelled and estimated.
Design
In a prospective longitudinal cohort study, data collected from 55 survivors of the Czech methanol mass poisoning outbreak in 2012 were col...
Publishing Addiction Science is a comprehensive guide for addiction scientists facing the complex process of contributing to scholarly journals. Written by an international group of addiction journal editors and their colleagues, it discusses how to write research articles and systematic reviews, choose a journal, respond to reviewers’ reports, bec...
Text reflektuje nejnovější vývoj v oblasti dětské a dorostové adiktologie a aktivity Sekce dětské a dorostové adiktologie (DaDA) SNN CLS JEP podpořené projektem Nadace Sirius, zejména pak oblast mapování služeb a adaptace doporučených postupů atd.
Background:
Most severe substance use disorders (SUDs) are connected with attention deficit hyperactivity disorder (ADHD) and other mental health problems. Therapeutic communities (TCs) provide a suitable option for the treatment of severe SUDs. The relationship between ADHD, the severity of the SUD, and other comorbidities in residential TCs is u...
Fluctuations in motivation to change in persons with substance use disorder (SUD) may lead to their dropping out of treatment. ADHD in SUD persons is known to have a negative effect on motivational processes in general. Residents with comorbid ADHD may therefore experience more fluctuations in motivation during treatment. We assessed the developmen...
Background | Addictology is a transdisciplinary field dealing with the treatment and prevention of addictions. As yet the field does not have a document describing the competencies of graduates of its dedicated academic programme which would clearly define their professional boundaries and interface with other related disciplines. Aims | The aim is...
DIVA-5 je třetím vydáním diagnostického nástroje DIVA. Toto vydání zahrnuje úpravy, které byly provedeny ve verzi DIVA 2.0 v reakci na změny kritérií pro poruchu pozornosti s hyperaktivitou provedené v 5. vydání Diagnostického a statistického manuálu duševních poruch (DSM-5).
Diagnostický rozhovor k posuzování možného výskytu ADHD u dospělých vyda...
Background
The harm reduction (HR) approach to injecting drug use was rapidly adopted in Central Europe following the fall of the Iron Curtain. The associated social and economic transformation had significant consequences for drug policies in the region. A large number of emerging services have been dependent on funding from a wide range of nation...
Objectives
Researches consider the young generation (adolescents) to be the population group whose mortality from injury has the lowest effect on economic growth. The objective was to evaluate the relations between economic indicators and preventable injury mortality in Central and Eastern European Countries (CEECs), with a primary focus on adolesc...
BACKGROUND: The harm reduction (HR) approach to injecting drug use was rapidly adopted in Central Europe following the fall of the Iron Curtain. The associated social and economic transformationhad significant consequences for drug policies in the region. A large number of the emerging services have been dependent on funding from a wide range of na...
Aim: The aim was to map and describe the university-based addiction studies programs in Africa, as part of continuing international research.
Methods: The study was conducted in 2016–2017. The first phase was based on Google and literature search of academic programs through pre-defined keywords. The second phase consisted of an in-depth analysis o...
BACKGROUND: The training curriculum has been developed by a European project (UPC-Adapt) co- funded by the European Commission. Eleven partners adapted the Universal Prevention Curriculum to
suit the European context. AIMS: The aims of the implementation study were to adapt the EUPC into
a standardised university course delivered by distance learni...
V historii lidské kultury neexistuje jediný moment bez návykových látek. Doprovázejí nás všude a od nepaměti. Používali jsme je při šamanských rituálech, léčíme s nimi, užívány jsou pro relaxační či povzbudivé účinky, případně pro vyvolání změněných stavů vědomí. Jsou stále okolo nás – od čaje a kávy, přes alkohol, tabák a nelegální látky, až k náv...
Purpose: The effect of acute methanol poisoning on the follow-up quality of life of survivors in mass poisoning outbreaks is not known. The objective of this is to study the impact of visual and central nervous system (CNS) sequelae of methanol poisoning on long-term health-related quality of life (QoL) of survivors, its clinical determinants, and...
Objective: Human resources are crucial for addiction treatment and prevention services, as well as for science and research. The aim of this historical case study is to explain and demonstrate the role of specialized university academic degree study programmes in addictions in the context of a national institutional infrastructure. This specific gr...
AIM: The first objective was to conduct a comparative clinical study comparing a set of patients being treated for a GD with the norm. The second objective was to divide the group of patients being treated for gambling disorders according to the scale of Self-directedness (SD) into a group without personality disorders, a group with suspected perso...
Objective:
Drawing on qualitative analysis of selected historical documents, the paper seeks to provide a definition of the general characteristics of the first institutional alcohol treatment facilities in today's Czech Republic and Slovakia, taking into account the historical context of the first half of the 20th century. An additional aim was t...
Objective:
Comprehensive bachelor's, master's, and doctorate-level curricula of Addiction Studies (Addictology) were developed and implemented at Charles University (First Faculty of Medicine) between 2003 and 2012. This Prague model combines three evidence-based approaches to addressing substance use - prevention, treatment, and public health - i...
Objectives:
The study focuses on the 2012 methanol outbreak in the Czech Republic. The main goal of the present study was to apply analytical and descriptive tools to selected qualitative and quantitative processes related to the 2012 methanol outbreak in the Czech Republic. The secondary goal was to study and evaluate in detail their potential fo...
Dokument po připomínkovém kole MZ ČR a po jednání se zástupci Reformy psychiatrické péče, pojišťoven a MZ dne 6. 8. 2019 (redakčně uzavřeno 13. září 2019). Dokument úzce navazuje a vychází z verze 6.0 chvále-né výborem SNN ČLS JEP dne 3. dubna 2019 a následně výborem ČAA dne 8. dubna 2019 a doporučené pro další diskusi jak uvnitř obou odborných spo...
BACKGROUND: There is a continuous tradition of institutional impatient addiction treatment in what is now the Czech Republic which dates back to 1948, when the “Apolinar Model” began to be developed by Jaroslav Skála and his colleagues. Before the
advent of this treatment approach, there was only one inpatient facility providing addiction treatment...
Context: The influence of co-morbid conditions on the outcome of acute methanol poisoning in mass poisoning outbreaks is not known.
Objective: The objective of this is to study the impact of burden of co-morbidities, complications, and methanol-induced brain lesions on hospital, follow-up, and total mortality.
Methods: All patients hospitalized wit...
Kniha popisuje okolnosti vzniku nejstaršího léčebného programu na území České republiky existujícícho bez přerušení od roku 1948. Snaží se zachytit klíčové etapy vývoje této instituce až do roku 2012, kdy byla tranformována do dnešní podoby Kliniky adiktologie 1. LF UK a VFN. Ve druhé části knihy jsou pak popsány všechny klíčové provozy a programy...
Background
Acute methanol poisoning leads to optic neuropathy and necrotic lesions of basal ganglia (BG) and subcortical white matter. Survivors of methanol poisoning exhibit long‐term executive and memory deficits. Associations between brain volumetry parameters and cognitive sequelae of methanol poisoning are not known. The aim of our study was t...
The Ten-Item Internet Gaming Disorder Test (IGDT-10) is a short screening instrument developed to assess Internet gaming disorder (IGD) as proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM–5), adopting a concise, clear, and consistent item-wording. According to initial studies conducted in 2014, the instrumen...
ADHD (Attention deficit hyperactivity disorder) je označení pro skupinu geneticky přenášených neurobiologických dysfunkcí, které u postižené osoby snižují schopnost zaměřit a udržet pozornost, přizpůsobovat aktivitu a ovládat impulzy. Celosvětově se prevalence ADHD v dospělosti pohybuje mezi 2,5 - 4,3 %. U přibližně 15 % dětí přetrvává porucha ADHD...
BACKGROUND: A continuous tradition of institutional inpatient alcohol treatment in what is now the Czech Republic dates back to 1948. At present this type of treatment generally involves what is known as the “Apolinar Addiction Treatment Model”, the origin of which
is associated with the person of Jaroslav Skála and the Apolinar centre. Prior to th...
Background: The field of addiction studies (AS) has grown in the last several decades. However, little is known about the structure and conditions of current academic programs. Only two studies have examined AS programs in the U.S., and both were conducted almost 15 years ago. The current study was designed to identify AS programs existing in the U...
Background and Aims: Previous studies have found associations between specific gaming motives (escapism, achievement, social) and problematic video gaming. Furthermore, it has also been reported that escape, competition, and fantasy motives mediated between psychiatric distress and problematic online gaming (POG). The present study tested the media...
Background | The inpatient alcohol treatment has a continuous tradition dating to 1948 in what is now the Czech Republic. The foundations for the so-called Apolinar Addiction Treatment Model were laid down by Jaroslav Skála in 1948. There were three institutional
inpatient facilities specialising in the treatment of alcohol dependency – Velké Kunči...
Research on the employability of university graduates provides key feedback for universities, applicants, students, and decision makers. The topic is even more important at a time when the first international curricula (UPC/UTC) and professional platforms are being developed. The profession of an addiction specialist in the Czech Republic is a youn...
The aim of this article is to investigate changes in alcohol consumption among predominantly methamphetamine users (N = 176) in four residential therapeutic communities for addiction treatment in the Czech Republic. This is a quantitative prospective, naturalistic, cohort study that compares drinking patterns, illicit drug use, injecting, and crime...
Background:
In September 2012, a series of methanol poisonings occurred in the Czech Republic as a result of an influx of illicit alcohol into (predominantly) cheap alcoholic beverages on the retail market. The public authorities decided to prevent public health risks by prohibiting sales of liquors that contained more than 20% alcohol (> 20% liqu...
Intenzita diskuse o možných pozitivních zdravotních dopadech užívání alkoholu je stále vyšší. Vedle laických a obvykle ničím nepodložených tvrzení se poměrně často objevuje argumentace odkazující na odborné zdroje, šířená a podporovaná mj. některými lékaři. Autor článku poukazuje na vysoce nebezpečný fenomén střetu zájmù a další etické rozměry toho...
Institucionalizovaná ústavní protialkoholní léčba má na území České republiky od roku 1948 kontinuální tradici. V současné době je v tomto typu léčby zpravidla aplikován tzv. „Apolinářský model léčby závislostí“. Před vznikem tohoto léčebného zařízení existovala na našem území tři institucionalizovaná ústavní zařízení specializovaná na léčbu závisl...
PRAGUE HOSTED THE SECOND INTERNATIONAL CONFERENCE OF UNIVERSITIES PROVIDING ADDICTION-SPECIFIC EDUCATION (ICUDDR conference)
The aim of this paper is to present a specific patient population who were treated for alcohol addiction in the Department of Addictology of the General University Hospital in Prague (DoA) between 10/2016 and 02/2017, and discuss the psychopathologies, quality of life, levels of alcohol consumption and depression found in this group. After applying...
Neurological sequelae including gait impairment were reported in survivors after methanol intoxication; however, no systematic study has been published so far. We aimed to analyse gait and balance impairment in a group of Czech methanol poisoning survivors. We examined 43 patients (age 46±13 years) 2-8 months after methanol poisoning and 43 healthy...
The knowledge available on the effectiveness of treatment interventions for methamphetamine users in Europe remains scarce. The present study investigated the patterns of use and treatment outcomes of 176 clients, predominantly injecting methamphetamine users, in 4 residential therapeutic communities in the Czech Republic. Most of the clients were...
The aim of this study was to identify gender differences between a group with and without attention deficit hyperactivity disorder (ADHD) in the sample of 76 clients of therapeutic communities. The battery of tests contained three questionnaires based on ADHD Self-Report Scale (ASRS), Wender Utah Rating Scale (WURS), and Conners Teacher Questionnai...
BACKGROUND: Research into eating disorders concurring with substance abuse is gaining increasing significance because of the growing prevalence of this comorbidity in clinical practice. Drug dependency and eating disorders have a similar aetiology and are often closely related. AIMS: The main aim of this exploratory study was to assess women with e...
Background and aims: The Ten-Item Internet Gaming
Disorder Test (IGDT-10) is a brief instrument developed
to assess Internet Gaming Disorder as proposed in the
DSM-5. The first psychometric analyses carried out
among a large sample of Hungarian online gamers demonstrated
that the IGDT-10 is a valid and reliable instrument.
The present study aimed t...
Etablovanie z nás nesníma zodpovednosť: prísľuby a súčasnosť kvalitatívneho výskumu v Čechách a na Slovensku. Československá psychologie, 61, 4, 401-414. Táto verzia je rukopis zadaný do tlače. Tlačené vydanie neobsahuje predstavenie diskutujúcich. Pri citovaní prosím konzultujte tlačené vydanie. Etablovanie z nás nesníma zodpovednosť: prísľuby a s...
Republic Citation: Chládková, N., Miovský, M. (2016). Adolescentní pacientka užívající návykové látky komorbidní s mentální bulimií: klinická kazuistická studie. Adiktologie, 16(4), 00-00. 2016 / 16 / 4 CASE STUDY ADIKTOLOGIE 246 SUMMARY: The present clinical case study draws on initial experience with outpatient addiction treatment of adolescents...
CHILD AND ADOLESCENT ADDICTOLOGY ON THE THRESHOLD OF EMANCIPATION?
BACKGROUND: The development of a comprehensive
system of a specialised network of addiction treatment services
and the relevant needs analysis gave rise to the idea of
creating a model of an outpatient addiction treatment clinic
for children and adolescents. Subsequently, a need arose to
pilot test this concept as a specific type of multithreshold...
SUMMARY: In view of the development of the epidemiological situation in substance use
among children and adolescents and the results of needs assessment studies, the management
of the Department of Addictology, First Faculty of Medicine, Charles University, and General University
Hospital in Prague, resolved to propose a design of an outpatient add...
Methanol poisoning leads to lesions in the basal ganglia and subcortical white matter, as well as to demyelination and atrophy of the optic nerve. However, information regarding cognitive deficits in a large methanol sample is lacking. The principal aim of the present study was to identify the cognitive sequelae of methanol poisoning and their morp...
Editorial contents brief description of last activities what happened on Department of Addictology in Prague in the international context and about establishing of new partnership with other universities and ICUDDR (International Consortium of Universities) and in the context of UPC (Universal Prevention Curriculum) and UTC (Universal Treatment Cur...
Background: Intentions to move abroad have been found to be linked to a higher alcohol use and alcohol-related harm in the university student population. Leaving one´s country can often represent a reaction to an unsatisfactory life and thus it can be hypothesized that those who perceive their life as stressful are more likely to have a plan to mov...
Aims: We mapped and described university study programmes in the addictions field (USPA) in Europe, according to degrees, professional backgrounds, titles, methods of delivery, duration, entrance requirements, fees, clinical practice requirements and courses offered. Methods: The study consisted of two parts: 1) a general mapping of USPA – utilisin...
BACKGROUND: An increasing number of new psychoactive substances (NPS) in seizures and their usage in various populations and, in some countries, heavily in the population of high-risk (including injecting) users is a general trend in Europe. It logically leads to the objective of finding out what the specific situation related to NPS in the context...
[NOTE: file includes the complete Special Issue on New Psychoactive Substances (NPS) and Internet Sourced Drugs (iDrugs) in Different Subpopulations in the European Union. Adiktologie, 16(2), 72-192.]
INTRODUCTION: NPS IN EUROPE
New psychoactive substances (NPS) have emerged at the start of this millennium, initially attracting a small number of d...
Background: The relationship between psychological factors and emigration plans (EP) has not been sufficiently explored.
Objectives: The objective of this study was to examine whether personality factors and perceived social support are related to EP.
Method: Data from the large longitudinal study SLICE (Student Life Cohort in Europe) were used fo...
Objectives:
Our goal is to demonstrate the variability of imaging findings, primarily in the MRI, in 46 patients who survived acute methanol poisoning. This cohort of patients is the largest such sample group examined by MRI.
Methods:
Patients were examined by means of imaging methods (42 patients by MRI and 4 by CT). All had an identical protoc...
The undergraduate bachelor’s study programme in addictology in the Czech Republic has existed since 2005. It was the logical consequence of the former development of education and training programmes within the 1990s initiated by some NGOs in the Czech Republic and had links to a long-term process that started at the beginning of the 1960s (with it...
Goal. The goal of the study was to examine the mediating effect of self-control in the relation of perceived high expectation messaging from adults to the lifelong prevalence of alcohol and tobacco use among early adolescents. Sample and methods. The sample consisted of 1298 pupils of primary schools (53,3 % girls, M=11,52, SD=0,61). The variables...
Aim
To study the effect of a universal prevention intervention targeting cannabis use in individual children with different risk profiles.
Methods
A school-based randomized controlled prevention trial was conducted over a period of 33 months (n=1,874 sixth-graders, baseline mean age 11.82). We used a two-level random intercept logistic model for p...
Background: Recent studies show that the parenting styles may play a significant role in the patterns of alcohol use among children and adolescents. Aim: The aim of our study is to examine the influence of specific parenting factors on the incidence of drunkenness and frequency of alcohol use and, on the basis of these findings, propose a typology...
