Science topic

Addiction Medicine - Science topic

Explore the latest publications in Addiction Medicine, and find Addiction Medicine experts.
Filters
All publications are displayed by default. Use this filter to view only publications with full-texts.
Publications related to Addiction Medicine (885)
Sorted by most recent
Article
Full-text available
Both quantitative and qualitative observation are used for statistical analysis of the Reward Deficiency Syndrome phenotype, neurogenetic predisposition, for addiction and mental disorder endotypes, in this level 4 evidence, case series. In continuation of the Elle Foundation, 100 research series, Case Series 103 builds upon Case Study 101, in w...
Article
Full-text available
Background and aims: COVID-19 has infected more than 13 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing and ‘lockdown’ measures have affected drug an...
Article
Full-text available
Cytisine is considered to be the oldest medication for smoking cessation and has been used for this purpose in some Eastern/Central European and Central Asian countries for over 50 years. Several sources points towards cytisine's efficacy and effectiveness; it's well tolerated when taken at the recommended dose, and adverse events reported in trial...
Article
Full-text available
Background As students’ direct patient contact was suspended because of COVID-19-related restrictions, we revised our clinical addiction medicine curriculum for students to learn about the different multidisciplinary clinical models delivered at our hospital and in community settings. Our aim was to provide an overview of clinical modalities and fa...
Article
Full-text available
The United States (US) has a culturally diverse population. However, the percentage of underrepresented minorities (URMs) and women in healthcare does not fully reflect their current and future demographics. Our objective was to explore and forecast the gender and racial trends in the US addiction psychiatry fellowship programs. A retrospective ana...
Article
Full-text available
Background Despite high morbidity and mortality, patients with injection drug use associated infective endocarditis (IDU-IE) lack standardized care, and experience prolonged hospitalization and variable substance use disorder (SUD) management. Our study’s objective was to elicit perspectives of health care workers (HCWs) who deliver care to this po...
Article
Full-text available
Quality improvement methods could assist in achieving needed health systems improvements to address mental health and substance use, especially in low-middle-income countries (LMICs). Online learning is a promising avenue to deliver quality improvement training. This Computer-based Drug and Alcohol Training Assessment in Kenya (eDATA-K) study asses...
Article
Full-text available
Background and Aim Distance learning techniques are gaining popularity as the internet today is a faster and more convenient source of spreading exhaustive information. We aim at conducting a scoping review on the utility of internet-based learning in addiction psychiatry. Methods We performed a systematic search of databases such as Google Schola...
Article
Full-text available
Background Screening Brief Intervention Referral to Treatment (SBIRT) is recommended as a routine part of pediatric primary care, though managing patients with positive screens is challenging. To address this problem, the state of Massachusetts created a call line staffed by pediatric Addiction Medicine specialists to provide consultations to prima...
Article
Full-text available
Substance use disorder is a major public health concern in India. Understanding social support among persons who were abstaining from substance use would help in promoting long-term abstinence. To examine perceived social support among abstinent individuals with substance use disorder.Cross-sectional study design was used. Sixty subjects who were a...
Article
Full-text available
Cognitive behavioral therapy (CBT) is the most successful protocol in gambling disorder (GD) treatment. However, it presents some weaknesses, especially concerning relapse prevention (RP). RP is one of the most important therapeutic steps, aiming at managing cravings and to avoid future relapse increasing perceived self-efficacy. Encouraging result...
Preprint
Full-text available
Addiction medicine is a developing field, with many young professionals opting for a career in this area. However, globally, early-career professionals often face challenges in this field, such as lack of competency-based training due to a shortage of trainers, low availability of institutions with appropriate infrastructure, and limited resources...
Article
Full-text available
Background Inner city patients have a higher illness burden and need for care, but experience more unmet care needs. Hospital Addiction Medicine Consult Teams (AMCTs) are a promising emerging intervention. The objective of this study was to assess the impact of a Canadian AMCT-like intervention for inner city patients on reduction in high emergency...
Article
Full-text available
Background: Consensus guidelines recommend multidisciplinary models to manage infective endocarditis, yet often do not address the unique challenges of treating people with drug use-associated infective endocarditis (DUA-IE). Our center is among the first to convene a Drug Use Endocarditis Treatment (DUET) team composed of specialists from Infecti...
Article
Full-text available
Background Addiction medicine consultation and medications for opioid use disorder are shown to improve outcomes for patients hospitalized with infective endocarditis associated with injection drug use. Existing studies describe settings where addiction medicine consultation and initiation of medications for opioid use disorder are not commonplace,...
Article
Full-text available
Background Despite the important upstream impact policy has on population health outcomes, few studies in implementation science in health have examined implementation processes and strategies used to translate state and federal policies into accessible services in the community. This study examines the policy implementation strategies and experien...
Poster
Full-text available
Physicians receive little training in addiction medicine, and many lack the skills to treat patients with addiction. We have developed a four-day addiction medicine course training first-year medical students in addiction counseling and Medication Assisted Therapy (MAT). Instruction in addiction counseling was evidenced-based and provided by an add...
Article
Full-text available
Background Because hospitals are a safety net for persons with injection drug use (IDU), they play a valuable role towards ending the HIV epidemic. The objective of this study is to evaluate the hospital outcomes of persons with HIV (PWH) and opioid use disorder (OUD). Methods CHOICE is a retrospective review of hospitalized persons with an infect...
Article
Full-text available
Background In the United States, methadone for opioid use disorder (OUD) is highly regulated. Federal agencies announced guidelines in March 2020 allowing for relaxation of take-home methadone dispensing at opioid treatment programs (OTPs) to improve treatment access and reduce COVID-19 transmission risk during the public health emergency. We explo...
Article
Full-text available
Purpose of Review In this article, we provide a brief review of recent computational modelling studies of substance use disorders (SUDs), with a focus on work published within the last 5 years. While reinforcement learning (RL) approaches are most prominent in recent studies, we also review work from other perspectives that focus on Bayesian (activ...
Book
Full-text available
В учебном пособии освещены вопросы, касающиеся общих аспектов научной области знаний «наркология», дано представление о предмете медицинской специальности «психиатрия-наркология», рассмотрены базовые понятия и термины, используемые в наркологии, а также соотношение научных дисциплин «наркология» и «аддиктология». Также анализируется представленност...
Article
Full-text available
Problem: There is a shortage of addiction medicine (AM) physicians and a 9-year period (2017-2025) in which to build the workforce via a practice pathway enabling physicians to combine experiential hours with passing a board exam to become board-certified AM physicians. Afterward, AM specialists will need to complete the traditional fellowship pat...
Article
Full-text available
Use of the methodology of cross self-confrontation (CSC) is limited in the field of healthcare and in the context of clinical practice. We applied this methodology within an addiction medicine unit of a university hospital, as part of an exploration of addiction-related clinical difficulties. Cross self-confrontation was used according to a 3-phase...
Article
Full-text available
Psychiatric comorbidity is common in gambling disorder (GD), but there are few studies on larger nationwide samples of treatment-seeking patients. Also, temporal associations between GD and other psychiatric disorders are often difficult to study. To address the prevalence and the temporal associations of prescriptions for psychiatric disorders — b...
Conference Paper
Full-text available
Addiction medicine is a relatively developing field of medicine with many young, enthusiastic professionals opting for a career in this field. There has been rapid evolution in different domains of clinical care, training and research in the field seen in recent times. The present symposium will cover recent developments in the domains of clinical...
Article
Full-text available
Background and Objectives Compare the risk of relapse to heroin and other illicit opioids among opioid-dependent patients receiving treatment with extended-release naltrexone (XR-NTX) or buprenorphine-naloxone (BP-NLX). Methods Re-analyzed data from a 12-week multicenter, open-label, randomized treatment study with a subsequent 36-week open-label...
Article
Full-text available
Background The past two decades have witnessed an epidemic of opioid use disorder (OUD) in the USA, resulting in catastrophic loss of life secondary to opioid overdoses. Medication treatment of opioid use disorder (MOUD) is effective, yet barriers to care continue to result in a large proportion of untreated individuals. Optimal analgesia can be ob...
Article
Full-text available
Background and Aims: COVID-19 has infected more than 77 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing, and “lockdown” measures have affected drug and...
Article
Full-text available
Background and Aims: COVID-19 has infected more than 77 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing, and "lockdown" measures have affected drug and...
Article
Full-text available
Spirituality is a construct that is reflected in a diversity of strongly felt personal commitments in different cultural and national groups. For persons with substance use disorders (SUDs), it can serve as a component of the recovery capital available to them. This position statement reviews empirical research that can shed light on psychological,...
Article
Full-text available
Introduction: The need for innovative approaches to address the opioid epidemic in the United States is widely recognized. Many challenges exist to addressing this epidemic, including the obstacles outpatient substance use treatment practices face in implementing measurement-based care (MBC), quality measurement systems, and evidence-based treatme...
Article
Full-text available
Aim We plan to conduct a randomised clinical trial among people likely to witness opioid overdose to compare the educational effectiveness of point-of-care naloxone distribution with best-available care, by observing participants’ resuscitation skills in a simulated overdose. This mixed methods feasibility study aims to assess the effectiveness of...
Article
Full-text available
Aims The MRCPsych (Membership of the Royal College of Psychiatrists, United Kingdom) parallel training pathway has been introduced in Malaysia to produce competent psychiatrists to deliver evidence-based psychiatric care. Certain training centres faced specific challenges during the process of implementation, including the lacking of supervisors wi...
Article
Full-text available
Introduction: Hospitalizations related to the consequences of substance use are rising yet most hospitalized patients with substance use disorder do not receive evidence-based addiction treatment. Opportunities to leverage the hospitalist workforce could close this treatment gap. Aim: To describe the development, implementation, and evaluation o...
Article
Full-text available
Background: Current curriculum guidelines for addiction training in psychiatry need to be adapted to the competency by design framework to integrate clinical skills in addiction. Objective: We conducted a systematic review to identify curricular and educational interventions to build competency among psychiatry residents and fellows in addiction...
Article
Full-text available
Background Infectious complications of injection drug use (IDU) often require lengthy inpatient treatment. Our objective was to identify the number of admissions related to IDU in Regina, Canada, as well as describe patient demographics and comorbidities, yearly mortality, readmission rate, and cumulative cost of these hospitalizations between Janu...
Article
Full-text available
This paper aimed to summarize kratom’s psychological effects on users and the Islamic views on kratom use. A literature survey of published kratom studies, teachings based on the holy Qur’an, the Sunnah, and views of several Islamic scholars based on qualitative methodology through text analysis was conducted. The results demonstrated that despite...
Article
Full-text available
Background and Objectives Chronic pain is not well understood in opioid‐dependent populations. We report the prevalence of chronic pain and pain characteristics in an opioid‐dependent population by treatment type and gender. Methods This cross‐sectional study opportunistically recruited 569 patients (32% women) receiving treatment for opioid use d...
Article
Full-text available
In recent years, there has been a rapid expansion of the vaping market which has led many to question whether vaping can assist people in smoking cessation, or if it in fact paves the way for new smokers. While there has not been conclusive evidence regarding vaping as a smoking cessation tool, there is striking evidence that vaping is linked to ne...
Article
Full-text available
Objective Substance use disorder (SUD) is a global concern. Evidence from high-income countries suggests that SUD training for psychiatry residents is less than optimal but it is unknown whether the situation is different in low-/middle-income settings. This study assessed psychiatry residents’ perception of their SUD training. Methods A cross-sec...
Article
Full-text available
The body of research examining the validity of food addiction and eating addiction far exceeds the research examining their clinical utility [...]
Article
Full-text available
ABSTRACT Objectives: An increasing number of Americans are turning to kratom for self-management of various pain, anxiety, and mood states and as an opioid substitute. Addiction to this unique botanical develops and carries a high relapse risk and, to date, there are no guidelines on how to maintain long-term abstinence. The aim of this article is...
Article
Full-text available
Objectives: An increasing number of Americans are turning to kratom for self-management of various pain, anxiety, and mood states and as an opioid substitute. Addiction to this unique botanical develops and carries a high relapse risk and, to date, there are no guidelines on how to maintain long-term abstinence. The aim of this article is to compi...
Article
Full-text available
Background Emerging evidence suggests the composition of local illicit drug markets varies over time and the availability and relative lethality of illicit drugs may contribute to temporal trends in overdose mortality. Law enforcement drug seizures represent a unique opportunity to sample the makeup of local drug markets. Prior research has associa...
Article
Full-text available
Background Long-term prescription of opioids by healthcare professionals has been linked to poor individual patient outcomes and high resource utilization. Supportive strategies in this population regarding acute healthcare settings may have substantial impact. Methods We performed a systematic review and meta-analysis of primary studies. The stud...
Article
Full-text available
Background People who inject drugs (PWID) are at risk for infectious complications of their injection practices, including Staphylococcus aureus (SA) bacteremia. Prolonged hospitalization is sometimes required; however, rates of discharges against medical advice (AMA) are elevated in this patient population. Inadequate control of pain and opioid wi...
Article
Full-text available
Background Patients experiencing homelessness and opioid use disorder (OUD) admitted for severe infections often require prolonged hospital stays. These patients, typically evaluated by Infectious Disease (ID) providers, are often excluded from Outpatient Parenteral Antimicrobial Therapy (OPAT) due to social risk factors. Medical respite, near Harb...
Article
Full-text available
Background Guidelines recommend multidisciplinary models for the management of infective endocarditis but have failed to incorporate the unique challenges of treating drug-use associated infective endocarditis (DUA-IE). Given the drug use and overdose epidemic with rising cases of DUA-IE, we created a multidisciplinary Drug Use Endocarditis Team (D...
Article
Full-text available
Background Healthcare encounters for skin and soft tissue infections (SSTIs) due to injection drug use (IDU) may provide opportunities for interventions to improve outcomes. We explored factors that may impact reduction of healthcare utilization and modify other complications of substance use disorder after an IDU-related SSTI. Methods We conducte...
Article
Full-text available
There has been a plethora of discussions recently to bring about changes in the teaching of Psychiatry at the undergraduate level by various academicians. Much of it revolved around up-skilling teachers in Psychiatry, allocating more teaching hours for the subject in undergraduate curriculum, and moving to practice based learning. (1) The wide chas...
Preprint
Full-text available
Migrants and refugees are considered vulnerable to mental health problems and substance use disorders and may be particularly affected by service disruptions associated with the COVID-19 pandemic. The International Society of Addiction Medicine (ISAM) ran a multi-phased global survey among clinicians and health professional that are actively workin...
Article
Full-text available
This review, focused on food addiction (FA), considers opinions from specialists with different expertise in addiction medicine, nutrition, health psychology, and behavioral neurosciences. The concept of FA is a recurring issue in the clinical description of abnormal eating. Even though some tools have been developed to diagnose FA, such as the Yal...
Article
Full-text available
Chronic pain is a significant comorbid condition among individuals with opioid use disorder (OUD). However, due to conflicting perceptions of responsibility, structural barriers, and a lack of widely applied standards of care, it is unclear what the landscape of chronic pain management looks like in addiction medicine. Using a national opioid surve...
Article
Full-text available
Az alkoholfüggőség egyik legsúlyosabb pszichiátriai szövődménye az alkoholmegvonási delírium, amely a hosszan tartó, nagy mennyiségű, rendszeres alkoholfogyasztás hirtelen abbahagyását követően alakulhat ki. Halálozása kezeletlen esetben 15-20%, időben észlelt és megfelelően kezelt esetekben a halálozás 1-5% közé csökkenthető. Célkitűzés: alkoholme...
Article
Full-text available
Introduction: The use of novel designer drugs has increased worldwide over the years. Etizolam is a designer benzodiazepine (BZD) that has raised concern because of its growing non-medical use, liability to tolerance and dependence, and related harms. Studies exploring the abuse liability and cognitive effects of etizolam outside the therapeutic do...
Article
Full-text available
Background Alcohol use disorder (AUD) is associated with a high prevalence rate and causes a significant burden on health systems globally. The most severe condition associated with AUD is end-stage alcohol-related liver disease (ARLD), for which liver transplan-tation (LTX) is the only curative therapy. However, the determination of key epidemiolo...
Article
Full-text available
Background: Over the past 15 years, comparative assessments of psychoactive substance harms to both users and others have been compiled by addiction experts. None of these rankings however have included synthetic cannabinoids or non-opioid prescription analgesics (NOAs, e.g., gabapentinoids) despite evidence of increasing recreational use. We prese...
Article
Full-text available
Background Addiction medicine consultation services (ACS) may improve outcomes of hospitalized patients with substance use disorders (SUD). Our aim was to examine the difference in length of stay and the hazard ratio for a routine hospital discharge between SUD patients receiving and not receiving ACS. Methods Structured EHR data from 2018 of 1,90...
Article
Full-text available
Managing infection control of the Corona virus disease (Covid-19) could be very challenging for substance use disorder (SUD) residential treatment programs. The Centers for Disease Control (CDC) is providing guidelines for the public on how to reduce the risk of contracting Covid-19. The American Society of Addiction Medicine (ASAM) provided specif...
Preprint
Full-text available
Background and aims: COVID-19 has infected more than 13 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing and ′lockdown′ measures have affected drug and a...
Article
Full-text available
PurposeHigh-dose benzodiazepines (BZDs) abuse has been documented to cause multidomain cognitive dysfunction. We explored whether cognitive abnormalities to high-dose BZD abuse might be reversed by detoxification with slow subcutaneous infusion of flumazenil.Methods We recruited 96 patients consecutively admitted to the Department of Internal Medic...
Article
Full-text available
Introduction: As one of the major health problems in the present century, the COVID-19 pandemic affected all parts of the global communities and the health of substance users are potentially at a greater risk of harm. This global study has been designed and conducted by the International Society of Addiction Medicine Practice and Policy Interest Gr...
Article
Full-text available
Background and aims: 2019-coronavirus disease (COVID-19) is causing insurmountable psychosocial impact on the whole mankind. Marginalized community, particularly those with substance use disorders (SUD), are particularly vulnerable to contract the infection and also likely to suffer from greater psychosocial burden. This article analyses the intri...