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Addiction medicine
About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.
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TL;DR: It is estimated that every fifth patient in a primary care practice has a substance use disorder, and there are a wide variety of options for those with resources.
Abstract: Substance use disorders occur in 10% to 20% of patients presenting to the primary care physician It is estimated that every fifth patient in a primary care practice has a substance use disorder One of the challenges for the primary care physician after the initial assessment is a referral to the appropriate level of care Substance abuse treatment is now a multibillion dollar industry, and there are a wide variety of options for those with resources Most patients depend on community resources and state- and county-funded programs
6 citations
TL;DR: The current state of OUD training at the GME level is characterized by reviewing published literature on GME educational interventions designed to enhance the care of patients with OUD and finding MAT training is under-represented within the current landscape of educational interventions.
Abstract: Medications for addiction treatment (MAT) are the standard of care for treating opioid use disorder (OUD) and reducing overdose deaths, yet demand for MAT providers has outstripped supply in the USA. Public policy and graduate medical education (GME) leaders have called for increased focus on addiction medicine training for resident physicians to mitigate this provider gap. We sought to characterize the current state of OUD training at the GME level by reviewing published literature on GME educational interventions designed to enhance the care of patients with OUD. We identified 31 articles describing 29 unique interventions. The majority of these articles detailed specific, reproducible interventions with outcomes, and tended to focus on training resident physicians in behavioral approaches to treat OUD, rather than MAT. Fewer than half of interventions involved direct patient care. MAT training is under-represented within the current landscape of educational interventions, despite MAT being the standard of care for OUD.
6 citations
University of St Andrews1, University of California, Los Angeles2, Radboud University Nijmegen3, University of Tehran4, Tehran University of Medical Sciences5, United Nations Office on Drugs and Crime6, Medical University of South Carolina7, Mashhad University of Medical Sciences8, McGovern Institute for Brain Research9
TL;DR: This global study has been designed and conducted by the International Society of Addiction Medicine Practice and Policy Interest Group (ISAM-PPIG) to understand better the health related issues of people with Substance Use Disorders as well as responses of the relevant health care systems during the COVID-19 pandemic.
Abstract: 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 Group (ISAM-PPIG) to understand better the health related issues of people with Substance Use Disorders (SUD) as well as responses of the relevant health care systems during the pandemic. Methods: This is a cross-sectional study using convenient sampling. The data gathering was carried out with two follow-up stages each two months apart through an online conducted survey prepared using Google platform. The survey started by emergence of COVID-19 as a pandemic in March 2020 and respondents were followed till September 2020 when most of the initial lockdowns by most countries are supposed to be reopened. Ethics and Dissemination: The study was approved by the ethics committee of University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. The results will be published in relevant peer reviewing journals and communicated with different international stakeholders.
6 citations
TL;DR: Monitoring of prescribed and nonprescribed drug use provides valuable information on the diagnosis and management of patients and can be helpful in confirming drug use and allowing physicians to determine whether the patient is compliant or whether other psychotropic drugs are being used.
Abstract: Drug abuse1 is a common phenomenon which virtually confronts all countries in Europe and has also been a major public health issue over the past decades. Monitoring of prescribed and nonprescribed ...
5 citations
01 Jan 2005
TL;DR: Evidence from clinical observations and experimental research provides substantial support for the relationship between binge-eating obesity, addiction, and the DA reward system.
Abstract: The pathogenesis of obesity is multi-factorial; both genetics and the environment influence the many variables that regulate body weight, metabolism, and eating behavior. The loss of control of eating behavior associated with obesity is analogous to the compulsive drug taking behavior observed in drug-addicted individuals. The American Society of Addiction Medicine first proposed the hypothesis of a food addiction over 10 years ago. Evidence from clinical observations and experimental research, in particular neuroimaging studies, provides substantial support for the relationship between binge-eating obesity, addiction, and the DA reward system.
5 citations