Prevention and Treatment of Addictive Disorders

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Mental Health".

Deadline for manuscript submissions: closed (31 August 2021) | Viewed by 14413

Special Issue Editor


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Guest Editor
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA
Interests: addiction; schizophrenia; psychiatry; brain imaging; psychopharmacology

Special Issue Information

Dear Colleagues,

Addiction involves using a psychoactive substance (e.g., alcohol, cocaine, methamphetamine, cannabis, heroin, nicotine) or partaking in a behavior (e.g., problematic gambling and gaming, hypersexuality, and excessive food consumption) for which the rewarding properties provide a compelling incentive to repeat the activity, despite potential negative consequences. In neurobiological terms, addiction is an imbalance between cognitive control and reward circuits stemming from a complex interplay between genetic predisposition and environmental factors. It can lead to negative life consequences including poor physical and mental health, unemployment, homelessness, incarceration, and death. Addiction can be combatted in a number of ways, such as preventatively during development, for example, or therapeutically via behavioral, pharmacological, and, in severe cases, surgical intervention.

It is the aim of this Special Issue to highlight the current clinical research on prevention and treatment of addictive disorders. We would like to invite original research papers, systematic reviews, and meta-analyses.

Dr. Simon Zhornitsky
Guest Editor

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Keywords

  • addiction
  • addictive disorder
  • substance use disorder
  • substance dependence
  • substance abuse
  • prevention
  • treatment
  • therapy

Published Papers (4 papers)

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Research

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16 pages, 2646 KiB  
Article
Depression Mediates the Relationship between Childhood Trauma and Internet Addiction in Female but Not Male Chinese Adolescents and Young Adults
by Xue Dong, Ruxin Zhang, Simon Zhornitsky, Thang M. Le, Wuyi Wang, Chiang-Shan R. Li and Sheng Zhang
J. Clin. Med. 2021, 10(21), 5015; https://doi.org/10.3390/jcm10215015 - 28 Oct 2021
Cited by 14 | Viewed by 2690
Abstract
Internet addiction is associated with a range of psychological risk factors such as childhood trauma and depression. Studies have also suggested sex differences in internet and other behavioral addictions. However, it remains unclear how childhood trauma, depression and internet addiction inter-relate differently between [...] Read more.
Internet addiction is associated with a range of psychological risk factors such as childhood trauma and depression. Studies have also suggested sex differences in internet and other behavioral addictions. However, it remains unclear how childhood trauma, depression and internet addiction inter-relate differently between the sexes. A total of 1749 adolescents and young adults aged 12–27 participated in a survey of sociodemographic characteristics and standardized assessments to evaluate internet addiction (Internet Addiction Test), childhood trauma (Childhood Trauma Questionnaire) and depression (Beck Depression Inventory). Mediation and path analyses were used to examine the relationship between childhood trauma, depression and internet addiction. Internet-addicted females relative to males showed more severe depression but the control participants showed the opposite. Childhood trauma was associated with depression for both internet-addicted males and females; however, internet-addicted females but not males showed significant associations between depression and the severity of internet addiction as well as between childhood trauma and the severity of internet addiction. Further, in females, depression mediated the correlations between all types of childhood trauma and the severity of internet addiction. A path analysis suggested that sexual abuse and emotional neglect contributed most significantly to internet addiction when all types of childhood trauma were examined in one model. The findings suggest sex differences in the relationship between childhood trauma, depression and internet addiction. Childhood trauma contributes to internet addiction through depression only in females. The findings may guide future prevention and intervention strategies of internet addiction. Full article
(This article belongs to the Special Issue Prevention and Treatment of Addictive Disorders)
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10 pages, 228 KiB  
Article
Association of General Cognitive Functions with Gaming Use in Young Adults: A Comparison among Excessive Gamers, Regular Gamers and Non-Gamers
by Joon Hwan Jang, Sun Ju Chung, Aruem Choi, Ji Yoon Lee, Bomi Kim, Minkyung Park, Susan Park and Jung-Seok Choi
J. Clin. Med. 2021, 10(11), 2293; https://doi.org/10.3390/jcm10112293 - 25 May 2021
Cited by 12 | Viewed by 3183
Abstract
This study aimed to examine the relationship of general cognitive function with gaming use, and to identify elements of intelligence predicting increased gaming use. In total, 160 young adults participated in this study. Two clinical groups (n = 97) were defined: excessive [...] Read more.
This study aimed to examine the relationship of general cognitive function with gaming use, and to identify elements of intelligence predicting increased gaming use. In total, 160 young adults participated in this study. Two clinical groups (n = 97) were defined: excessive gaming users diagnosed with internet gaming disorder (IGD) (n = 64) and the high-risk users (n = 33). The control group (n = 63) was also divided into regular gamers (n = 14) and non-gamers (n = 49). Participants completed the Wechsler Adult Intelligence Scale-IV and self-reported questionnaires regarding IGD severity and gaming hours. The IGD group had significantly lower Full Scale Intelligence Quotient (FSIQ), Verbal Comprehension Index (VCI), and Processing Speed Index (PSI) scores, compared with regular gamers and non-gamers. The IGD group also exhibited lower Working Memory Index (WMI) scores, compared with non-gamers. The high-risk group demonstrated significantly lower PSI score, compared with non-gamers. Furthermore FSIQ, VCI, WMI, and PSI scores were significant predictors of gaming hours in the IGD group. For the high-risk group, FSIQ, WMI, and VCI scores were negatively associated with gaming hours. Our study demonstrates the need to address the importance of enhancing working memory and verbal ability, thus, preventing the development of gaming addiction among individuals at high-risk gamers. Full article
(This article belongs to the Special Issue Prevention and Treatment of Addictive Disorders)
12 pages, 932 KiB  
Article
Sublingual Buprenorphine/Naloxone and Multi-Modal Management for High-Risk Chronic Pain Patients
by Shane Kaski, Patrick Marshalek, Jeremy Herschler, Sijin Wen and Wanhong Zheng
J. Clin. Med. 2021, 10(5), 973; https://doi.org/10.3390/jcm10050973 - 2 Mar 2021
Cited by 2 | Viewed by 2305
Abstract
Patients with chronic pain managed with opioid medications are at high risk for opioid overuse or misuse. West Virginia University (WVU) established a High-Risk Pain Clinic to use sublingual buprenorphine/naloxone (bup/nal) plus a multimodal approach to help chronic pain patients with history of [...] Read more.
Patients with chronic pain managed with opioid medications are at high risk for opioid overuse or misuse. West Virginia University (WVU) established a High-Risk Pain Clinic to use sublingual buprenorphine/naloxone (bup/nal) plus a multimodal approach to help chronic pain patients with history of Substance Use Disorder (SUD) or aberrant drug-related behavior. The objective of this study was to report overall retention rates and indicators of efficacy in pain control from approximately six years of High-Risk Pain Clinic data. A retrospective chart review was conducted for a total of 78 patients who enrolled in the High-Risk Pain Clinic between 2014 and 2020. Data gathered include psychiatric diagnoses, prescribed medications, pain score, buprenorphine/naloxone dosing, time in clinic, and reason for dismissal. A linear mixed effects model was used to assess the pain score from the Defense and Veterans Pain Rating Scale (DVPRS) and daily bup/nal dose across time. The overall retention of the High-Risk Pain Clinic was 41%. The mean pain score demonstrated a significant downward trend across treatment time (p < 0.001), while the opposite trend was seen with buprenorphine dose (p < 0.001). With the benefit of six years of observation, this study supports buprenorphine/naloxone as a safe and efficacious component of comprehensive chronic pain treatment in patients with SUD or high-risk of opioid overuse or misuse. Full article
(This article belongs to the Special Issue Prevention and Treatment of Addictive Disorders)
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Review

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37 pages, 48508 KiB  
Review
Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review
by Heval Özgen, Renske Spijkerman, Moritz Noack, Martin Holtmann, Arnt Schellekens, Søren Dalsgaard, Wim van den Brink and Vincent Hendriks
J. Clin. Med. 2021, 10(17), 3908; https://doi.org/10.3390/jcm10173908 - 30 Aug 2021
Cited by 10 | Viewed by 5463
Abstract
Childhood attention-deficit/hyperactivity disorder (ADHD) is a risk factor for the development of substance abuse and substance use disorders (SUD) in adolescence and (early) adulthood. ADHD and SUD also frequently co-occur in treatment-seeking adolescents, which complicates diagnosis and treatment, and is associated with poor [...] Read more.
Childhood attention-deficit/hyperactivity disorder (ADHD) is a risk factor for the development of substance abuse and substance use disorders (SUD) in adolescence and (early) adulthood. ADHD and SUD also frequently co-occur in treatment-seeking adolescents, which complicates diagnosis and treatment, and is associated with poor treatment outcomes. In this study, we provide a systematic review of controlled studies on the effectiveness of pharmacological, psychosocial, and complementary treatments of ADHD in adolescents with and without comorbid SUD. In addition, we review the longitudinal association between pharmacotherapy for childhood ADHD and the development of SUD in adolescence and early adulthood. We conducted a systematic review of the research literature published since 2000 using Medline, PsycINFO, and the Cochrane Database of Systematic Reviews databases to select randomized clinical trials, observational studies, and meta-analyses. The quality of the evidence from each study was rated using the SIGN grading system. Based on the limited evidence available, strong clinical recommendations are not justified, but provisionally, we conclude that stimulant treatment in children with ADHD may prevent the development of SUD in adolescence or young adulthood, that high-dose stimulant treatment could be an effective treatment for adolescents with ADHD and SUD comorbidity, that cognitive behavior therapy might have a small beneficial effect in these patients, and that alternative treatments are probably not effective. More studies are needed to draw definitive conclusions that will allow for strong clinical recommendations. Full article
(This article belongs to the Special Issue Prevention and Treatment of Addictive Disorders)
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