Addiction medicine

About: Addiction medicine is a research topic. Over the lifetime, 1070 publications have been published within this topic receiving 23685 citations.

Medications For Addiction Treatment: Changing Language to Improve Care.

Abstract: The term medication-assisted treatment has been widely adopted in reference to the use of opioid agonist therapy. Although it is arguably better than the older terms of replacement or substitution therapy, medication-assisted treatment implies that medications are a corollary to whatever the main part of treatment is. No other medication for other health conditions is referred to this way. It has finally been recognized that to improve care and reduce stigma, we must use medically accurate and person-first language, describing those with the disease of addiction as people with substance use disorder. However, to truly change outcomes, we must also alter the language of treatment.

Addiction or compulsion: Politics or illness?

Abstract: Confusion exists about the use of the terms addiction and compulsion. In the case of sexual addiction and compulsion, the issues seem to be more volatile. In part this reflects our cultural ambivalence about sex, and in part this reflects professional ambivalence about sex addiction. This article summarizes the clinical usage of the terms sexual addiction and sexual compulsion and the issues that result across five separate disciplines: sexual medicine, addiction medicine, trauma medicine, psychiatry, and criminal justice rehabilitation. The summary reveals many parallels in the five disciplines and their reactions to the terms sexual addiction and sexual compulsion. Research across the disciplines points to a paradigm shift which may resolve issues of clinical understanding of the terms.

Stigmatization of Substance Use Disorders Among Internal Medicine Residents

Abstract: Background: Evidence suggests that some physicians harbor negative attitudes towards patients with substance use disorders (SUDs). The study sought to (1) measure internal medicine residents’ attitudes towards patients with SUDs and other conditions; (2) determine whether demographic factors influence regard for patients with SUDs; and (3) assess the efficacy of a 10-hour addiction medicine course for improving attitudes among a subset of residents. Methods: A prospective cohort study of 128 internal medicine residents at an academic medical center in New York City. Scores from the validated Medical Condition Regard Scale (MCRS) were used to assess attitude towards patients with alcoholism, dependence on narcotic pain medication, heartburn, and pneumonia. Demographic variables included gender, postgraduate training year, and prior addiction education. Results: Mean baseline MCRS scores were lower (less regard) for patients with alcoholism (41.4) and dependence on narcotic pain medication (35.3) t...

The ASAM principles of addiction medicine

Abstract: In the midst of an addiction epidemic, this newly updated edition of The American Society of Addiction Medicine Principles of Addiction Medicine, 5th edition is the sought-after text every addiction researcher and care provider needs. This comprehensive reference text dedicates itself to both the science and treatment of addiction. You'll receive a thorough grounding in both the scientific principles behind the causes of addiction and the practical aspects of clinical care. Chapters are written by recognized experts, covering areas such as the basic science of addiction medicine; diagnosis, assessment and early intervention; pharmacologic and behavioral interventions; mutual help and twelve-step; and co-occurring addiction, medical and psychiatric disorders-backed by the latest research data and successful treatment methods. Features: numerous figures, tables and diagrams elucidate the text; chapters include case examples; list of data research reports provided at end of each chapter; new material on Prescription Drug Abuse, Club Drugs, Nursing Roles in Addressing Addiction, Conceptual and Treatment Issues in Behavioral Addictions, Rehabilitation Approaches to Pain Management, Comorbid Pain and Addiction, Pharmacotherapy for Adolescents with Substance Use Disorders, Preventing and Treating Substance Use Disorders in Military Personnel, and more. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: complete content with enhanced navigation; a powerful search feature pulls results from your notes, everything in the book, and even the web; cross-linked pages, references, and more for easy navigation; ability to highlight text for easier reference of key content; ability to share notes with friends and colleagues; ability to save your favorite content for future, quick reference; and interactive question bank with more than 300 questions.

Resting state functional connectivity analysis for addiction medicine: From individual loci to complex networks.

Abstract: Resting state functional connectivity (rsFC) has provided a new and valuable tool for investigating network-level dysfunction in addiction. Following the recent development of a framework of large scale network disruptions, we have been able to arrive at unique insights into craving-related aspects of addiction using rsFC. However, such network-level advancement has thus far eluded our understanding of mesocorticolimbic involvement in addiction. Given the importance of this system in vulnerability and resilience to addiction, understanding mesocorticolimbic dynamics to the same extent could provide critical insights into the disease. To this end, we review here recent studies on addiction that employ rsfC and suggest a new approach, one that combines a novel model for addiction with new experimental techniques as well as participant groups, to accelerate progress in this arena.