Duration of remission and features of the subjective picture of the world in adults with dependence on psychoactive substances

2018 ◽  
Vol 39 (4) ◽  
pp. 86-94
Author(s):  
A. Molin ◽  
◽  
N. Vasilyeva ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 1-16
Author(s):  
Аліна Осинцева

Over the past decade, the dynamics of the prevalence of substance abuse with various classification and legal groups, the growth of illegal circulation of psychoactive substances, falsification of psychoactive alcoholic beverages, alcohol, delinquency and polydrug abuse have become almost epidemic, with combined abuse of psychoactive substances registered mainly among young people. The goal or the study was to review scientific sources on the current state of the problem of formation, development and spread of polydrug abuse in the world and in Ukraine on the principles of medical and pharmaceutical law. To achieve this goal, the methods of regulatory, documentary, comparative, graphical and tabular analysis were used. A review of scientific observations of scientists from around the world and Ukraine found that in the initial stages of polydrug addiction begins with the simultaneous use of psychoactive substances such as alcohol (ethyl alcohol), psychoactive alcohol-containing liquids, beer, psychoactive drugs, tobacco. Explained that the simultaneous (combined, consistent) use of psychoactive substances of different classification and legal groups and psychoactive alcoholic beverages, alcoholic beverages, beer, psychoactive drugs are widespread among different contingents in the early stages of formation and development of polydrug addiction. Established that the most common alcoholic beverage is beer, which contains a combination of several psychoactive substances, so beer addiction is actually a polydrug addiction, it forms and develops faster, and its pharmaceutical correction is more difficult.


Search for a theoretical framework that answers cultural, social and anthropological questions about man, using complements to live as a being-in-the-world, based on the psychoanalytic clinic. Investigate whether the use of narcotics is individual or a result of social issues that drive the subject to use psychoactive substances. Analyze the clinical structures linked to the use of these substances. To investigate the relationship between fractures with the law and chemical dependency, and religion/ spirituality, establishing links between clinical structures in drug addiction and society. As objectives: to investigate the issues with the Father’s Law and the use of chemical substances. Relate cultural and social systems linked to addictions; seek individual and family assumptions, perhaps social, that elucidate the necessary search for a complement/drug.


2021 ◽  
Vol 12 ◽  
Author(s):  
Michal Ordak ◽  
Aleksandra Zmysłowska ◽  
Miłosz Bielski ◽  
Daniel Rybak ◽  
Maja Tomaszewska ◽  
...  

Background: In recent years, an increase in the frequency of hospitalizations of patients taking newer and newer psychoactive substances has been observed around the world. Each year, authors publish case reports of patients who consumed previously unknown NPS. Most publications of this type concern the period between 2014 and 2016. However, no publication systematically reviews the pharmacotherapy used in these cases. This study aims to review the case reports of patients taking NPS published between 2010 and 2019, as well as analyzing the pharmacotherapy used.Methods: We searched the Thomson (Web of Knowledge), PubMed/Medline, Science Direct, Scopus and Google Scholar databases. The search was performed using all possible combinations of the term “case report” describing the use of NPS, also referred to as designer medications, internet medications, research chemicals and herbal highs.Results: We analyzed 51 case reports on the intake of various types of NPS. Most of them (p < 0.001) concerned the use of synthetic cannabinoids (41.2%) and cathinones (31.4%). The pharmacotherapy applied primarily (p < 0.001) consisted of administering benzodiazepines to patients (62.7%), most of whom took only this group of medications (25.5%), followed by groups receiving benzodiazepines combined with neuroleptics (15.7%) and muscle relaxants (11.8%). Opioids were administered primarily to patients taking synthetic opioids (p < 0.001). Of the 5 cases of deaths from NPS reported in the literature, three relate specifically to the synthetic opioid MT-45. The later the time period, the more medications patients were administered (p = 0.02).Conclusion: In the pharmacotherapy for NPS poisoning, one should focus primarily on combating psychomotor agitation.


2020 ◽  
Author(s):  
Cesar Augusto Trinta Weber ◽  
Ingridi Teixeira Monteiro ◽  
Julia Medeiros Gehrke ◽  
Wagner Silva de Souza

Background: The protocols for mitigating the transmission of Covid-19 seem to be a trigger for the use of psychoactive substances, as an individual's adaptive response to support this new way of being in the world. Objective: To investigate the use of psychoactive substances in the context of the Covid-19 pandemic in Brazil. Method: A cross-sectional and prospective observational study, undertaken in a virtual environment. An online survey was developed and employed through Google Forms to collect data. The survey was made available to participants on social networks, Facebook@, Whatsapp@, and Instagram@, linked to the research group, during the period 06/15/2020 to 07/15/2020. 1,145 individuals participated in the research. Results: The average age of the participants was 37 years old. They were mostly female, white, Brazilians, with a higher education level, with occupations in the health field, and had religion. They either maintained their family income or suffered a small income decrease. Moreover, they informed that they were caring for social isolation. The most used substances before and after the beginning of the Covid-19 pandemic were alcohol, tobacco, marijuana, although the use of these substances decreased (P<0.001). Approximately 32% of the participants started using psychoactive substances in this period. Among them, most individuals started by their own initiative. Conclusions: For a better understanding of the pattern use of psychoactive substances during the Covid-19 pandemic and the adverse effects on human behavior and mental disorders, careful longitudinal studies must be developed, due to the great interest in the knowledge of adaptive responses when people's lives are at risk.


2020 ◽  
Vol LII (1) ◽  
pp. 49-54
Author(s):  
Sergej S. Soshnikov ◽  
Vladimir I. Starodubov ◽  
Dar’ya A. Khaltourina ◽  
Vasilij V. Vlassov ◽  
Ol’ga V. Obuhova ◽  
...  

Aim. Assessment of the health consequences of substance use in the form of lost years of healthy life in the world in comparison with Russia. An additional task was to determine the economic losses from alcohol, tobacco and drugs in the Russian Federation. Methods. We used indicators of mortality, morbidity, prevalence, and years of life lost, taking into account the DALY disability from tobacco, alcohol, opiates, cannabis, and other drugs (ICD10: I42.6, K70.03, Z72.0, F10-19). Indicators of harmful health effects from PS were presented from 1990 to 2017. Variables were standardized by age and sex. An economic assessment of the impact of tobacco, alcohol, and drugs denominated in rubles was applied. Results. Total economic losses from psychoactive substances, expressed in rubles, amounted to from 887.4 billion to 8.5 trillion rubles in Russia in 2017. The greatest harmful effects on health from psychoactive substances in Russia and the world are caused by tobacco, with alcohol in the second place. The damage from smoking in Russia in years of lost life including disability DALY amounted to 8.6 million in 2017 Alcohol consumption and its consequences in Russia caused 1.85 million DALYs of harm to health, alcoholic cirrhosis and other liver diseases-643 thousand DALYs. Conclusion. Alcohol and nicotine cause maximum harm to the health and economy of Russia, and in conditions of limited resources, the main efforts should be directed at preventing the consequences of alcoholism and tobacco smoking.


Author(s):  
Sarah Invine

Alcohol is one of the most popular psychoactive substances in the world, and drinking it is considered a social norm in the UK. The pandemic has increased the potential for hazardous drinking, as well as the risk of relapse from abstinence in those with dependence. This article will discuss the risks associated with drinking alcohol, how to assess alcohol consumption and what interventions can be provided for motivated patients who want to cut their alcohol intake.


Psychiatriki ◽  
2021 ◽  
Author(s):  
Efthymia Patsika ◽  
Minerva-Melpomeni Malliori

It is a well-established common notion that artists appear to use and abuse psychoactive substances more frequently and heavily than non-artists. The purpose of this study was to investigate if this holds true. The sample consisted of 118 participants, both artists and non-artists. They were asked to complete the ASSIST questionnaire, developed by the World Health Organization, that includes closed questions on substance use along with an additional questionnaire on demographic characteristics. The questionnaires were posted online in a digital platform. The artists scored significantly higher on substance use than the other professionals. Women reported less psychoactive substance use compared to men. The results confirmed the study hypothesis, in line with previous research findings. The number of similar studies in the international literature is limited. Our results are particularly useful but due to significant limitations of this study further investigation is suggested, as well as further examination of the causes of the phenomenon.


Author(s):  
Carlos Alberto Yasin Wayhs ◽  
Caroline Tortato ◽  
Kristiane De Cássia Mariotti ◽  
Rafael Scorsatto Ortiz ◽  
Renata Pereira Limberger

The new psychoactive substances (NPS) market is in a constant state of flux, with new substances being synthesized regularly and marketed in many ways and forms. These substances often emerge quickly, just as they disappear, evidencing a clear attempt to circumvent the control trafficking enforcement agencies and the international community. Among the wide variety of NPS, the NBOMe series attracted attention from medical and legal authorities due to the high number of cases of intoxication, followed or not by death in several countries around the world, including Brazil. So, this brief communication aimed to evaluate the number of NBOMe Brazilian Federal Police (BFP) over the past eight years, and highlight the NPS constant state of flux, evidencing by the Brazilian NBOMe case. This is a retrospective study based on information from forensic analysis reports from seizures of BFP. The NBOMe seizures generated 4 forensic analysis requests in 2012, 21 in 2013, 45 in 2014, 61 in 2015, 80 in 2016, 22 in 2017, 19 in 2018 and 2 in 2019, totaling 254 forensic analysis reports analyzed. This NPS emerged quickly in Brazil from the year 2012, and tented to disappear in recent years, from the perspective of the BPF forensic analysis reports, evidencing the NPS constant state of flux, represented here by the Brazilian NBOMe case.


2021 ◽  
Vol 10 (3) ◽  
pp. 273-276
Author(s):  
Guillermo Muñoz- Zurita ◽  
Silvia Bocanegra Carrillo

Summary: The consumption of psychoactive substances legal and illegal, is a phenomenon that has been increasing dramatically in the world, which has attracted the attention of international organizations like the United Nations Organization and the World Health Organization. Psychoactive substance use is a real problem that is negatively affecting society, also is affecting consumers in their social, economic and health roles. As a social problem, we can see that several studies and research information reveal the magnitude and trends of use and abuse of such substances in our country. Material and methods: The study was a unicentric and transversal in the student community of “Benemerita Autonomous University of Puebla” medical school in the month of April of this year. A survey was applied based in the Mexican official standard (Norma Oficial Mexicana NOM-028-SSA2-2016) for prevention, treatment and control of addiction, the students are between 18 and 26 years who agreed to participate in the research as voluntary and anonymous people. Results: The most consumed psychoactive substance in the medical school of the Benemerita Autonomous University of Puebla was caffeine, followed by alcohol and nicotine. In terms of frequency we have 25% consume these substance daily, 28% weekly, 18% monthly and 1% in exams season. Their consumption motive in the most part of the students (46%) was as a part of his life, 23% do it to improve their performance and 19% does if for addiction.


Author(s):  
Mathewson Kent

There are about 2,000 entities in the world today that ethnologists call societies, each with distinct cultures. Perhaps the most obvious marker, and many argue the most important, is that each of these entities has its own language. Among the other societal attributes, besides language, that can make claims to human universality, or nearly so, is the cultural use of psychoactive substances— or what commonly are referred to as simply “drugs.” These range from mild stimulants such as coffee, tea, cacao, coca, and kola to stupeficients such as opium and alcohol, to hallucinogens found in mushrooms, cacti, and a number of flowering plants. Since the Mesolithic and perhaps before, the vast majority of the world’s peoples have used one or more such substances for religious and related purposes. Even in their most seemingly secular contexts, drugs are often used in ritual and habitual ways that exhibit their cultural embeddedness. Increasingly the world’s remaining indigenous peoples and many local folk are confronting questions and the consequences of the production, processing, trade, trafficking, and consumption of drugs deemed illegal and illicit by global agencies and national polities. Some of these substances, usually in their unrefined forms, have deep roots in local and indigenous cultures and economies. Often they serve important roles in constituting and maintaining cultural identity. With ever-increasing modernization and globalization, the circumstances and conditions under which indigenous and local peoples produce, trade, and use these substances continues to change. In turn, psychoactive substances—whether sanctioned, proscribed, or both—often serve as agents in the creation and defense of local and indigenous “moral” geographies. The concept of moral geography (as used here) refers to both the actual and symbolic terrain upon which traditional societies elaborate their customary livelihood and belief systems, and the cognate spaces in which they defend these practices and perceptions. For most indigenous peoples, the drugs in their culture, whether sacred or profane, are manifest in both their moral economies and geographies. For some groups, drugs become defining elements in their relations with dominant cultures and polities. For others, they are less than determinate, but still play significant roles in mediating exchanges—both symbolic and material. In either case, they can serve as mechanisms of subordination, or modes of resistance, or sometimes both.


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