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Documents  Dépendance (Psychologie) | enregistrements trouvés : 72

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Purpose of review: After its initial recognition in the DSM-5, Gaming Disorder has now officially been included as a mental disorder in the ICD-11 as a behavioral addiction. In the past decades, research on this phenomenon has increased and in particular theories on its etiopathology have been suggested. In that respect, underlying factors, including neurobiological, social, and psychological factors, have been described. One commonly discussed etiological factor is supposed in specific personality traits. Knowing more about underlying personality factors of Gaming Disorder and other subtypes of internet use disorders would allow for a construction of more sophisticated etiological models, tailored prevention approaches, and would affect the specificity of treatment strategies. This overview provides information on current research on the role of the Big Five personality traits in Gaming Disorder as potential risk modifiers and maintaining factors.

Recent findings: Research has especially identified high neuroticism and low conscientiousness as correlates of Gaming Disorder. Yet, results based on prospective studies are lacking largely, although there is the first evidence that personality traits might not only act as risk modifying factors but could also be influenced by Gaming Disorder.

Summary: Suggestions for future research and the need for a more pronounced perspective taking into account the changing dynamics of personality are presented in this contribution. Addressing personality traits in treatment programs could be a promising approach in preventing patients from premature treatment termination and later relapse.
Purpose of review: After its initial recognition in the DSM-5, Gaming Disorder has now officially been included as a mental disorder in the ICD-11 as a behavioral addiction. In the past decades, research on this phenomenon has increased and in particular theories on its etiopathology have been suggested. In that respect, underlying factors, including neurobiological, social, and psychological factors, have been described. One commonly discussed ...

Dépendance (Psychologie) ; Personnalité ; Internet ; Jeux vidéo - Aspect psychologique

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Non-medical prescription use of opioids (NMPUO) is a public health concern worldwide. Recently, tramadol misuse is increasing, but the systematic research of misuse of this specific opioid is limited. This study set out to assess the relationship between tramadol use and completion of treatment for substance use among adolescents and adults ≤25 years in an outpatient clinical setting. A retrospective cohort study of treatment outcome, expressed as “completion” or “non-completion” of treatment, was conducted in treatment-seeking adolescents with problematic substance use (n=335). Data was extracted from Ung-DOK interviews, a semi-structured assessment instrument designed for adolescents with substance abuse. The study included all treatment-seeking patients at an out-patient facility in 2014-2017. A total of 26% (n=88) were tramadol users (life-time prevalence). Twenty percent (n=66) of all treatments were non-completed. Tramadol users were significantly more likely than non-users to drop out of treatment (35% vs 15%, p<0.001). In multivariate logistic regression, tramadol use and age 18 and above were factors significantly associated with non-completion. Tramadol use was statistically significantly associated with non-completion of treatment. Further research addressing treatment needs and treatment completion among tramadol users is needed.
Non-medical prescription use of opioids (NMPUO) is a public health concern worldwide. Recently, tramadol misuse is increasing, but the systematic research of misuse of this specific opioid is limited. This study set out to assess the relationship between tramadol use and completion of treatment for substance use among adolescents and adults ≤25 years in an outpatient clinical setting. A retrospective cohort study of treatment outcome, expressed ...

Opioïdes ; Adolescents ; Toxicomanie ; Dépendance (Psychologie) ; Médicaments - Usage

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Basic psychological needs in gambling and gaming problems | Juin 2022 H

Article (Toxicomanie et dépendances)

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Background and Aims
Studies on self-determination theory (SDT) have placed satisfaction of basic psychological needs (autonomy, relatedness, and competence) at the core of well-being, whereas frustration of these needs results in multiple potentially unhealthy mental and behavioral patterns. This study analyzed how need satisfaction and frustration relate to the severity of gambling and gaming problems.

Methods
A survey study with 18–75-year-old Finnish participants (N = 1530; 50.33% male) was conducted in April 2021. Basic psychological needs were measured with the Basic Psychological Need Satisfaction and Frustration Scale, mental health issues with the five-item Mental Health Inventory, gambling problems with the Problem Gambling Severity Index, and gaming problems with the Internet Gaming Disorder Test. Zero-inflated negative binomial analyses were conducted to examine how satisfaction and frustration of basic psychological needs, together with mental health issues, are associated with gaming and gambling problems.

Results
Mental health issues were associated with gambling and gaming problems, but this association became nonsignificant when basic psychological needs were added to the model. However, better mental health still was associated with the absence of gaming problems. While need satisfaction had no association with the absence of gaming or gambling problems, need frustration was associated with increases in the severity of both gaming and gambling problems.

Discussion
Frustration of basic psychological needs for autonomy, relatedness, and competence is associated with both gambling and gaming problems and should be considered when developing treatment and support for those who experience such problems.
Background and Aims
Studies on self-determination theory (SDT) have placed satisfaction of basic psychological needs (autonomy, relatedness, and competence) at the core of well-being, whereas frustration of these needs results in multiple potentially unhealthy mental and behavioral patterns. This study analyzed how need satisfaction and frustration relate to the severity of gambling and gaming problems.

Methods
A survey study with 18–7...

Joueurs (Jeux de hasard) - Psychologie ; Santé mentale ; Dépendance (Psychologie)

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Cognitions mediate the influence of personality on adolescent cannabis use initiation | Juin 2022

Article (Toxicomanie et dépendances)

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Aims
Much research indicates that an individual’s personality impacts the initiation and escalation of substance use and problems in youth. The acquired-preparedness model suggests that personality influences substance use by modifying learning about substances, which then affects substance use. The current study used longitudinal data to test whether automatic cannabis-related cognitions (memory associations and outcome expectancy liking) mediate the relationship between four personality traits with later cannabis use.

Methods
The study focused on initiation of use in a sample of adolescents who had not previously used (n = 670).

Results
A structural equation model supported a full mediation effect and the hypothesis that personality affects cannabis use in youth by influencing automatic memory associations and outcome expectancy liking. Further findings from the same model also indicated a mediation effect of these cognitions in the relationship between age and cannabis use.

Conclusion
The findings of the study support the acquired-preparedness model where personality influences automatic associations in the context of dual-processing theories of substance use.
Aims
Much research indicates that an individual’s personality impacts the initiation and escalation of substance use and problems in youth. The acquired-preparedness model suggests that personality influences substance use by modifying learning about substances, which then affects substance use. The current study used longitudinal data to test whether automatic cannabis-related cognitions (memory associations and outcome expectancy liking) ...

Cognition ; Toxicomanie et maladies mentales chez l'adolescent ; Cannabis ; Toxicomanie ; Dépendance (Psychologie) ; Personnalité

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The aim of this study was to investigate if and how disordered gaming, loneliness, and family relations have changed throughout the COVID-19 pandemic (from 2019 to 2021), and whether there were any changes in the association between these variables across three samples of gamers (for each respective year). Samples from 2019, 2020, and 2021 were matched by using propensity score matching across socio-demographic characteristics. The total effective sample comprised 897 gamers (N = 299 per year). These samples were compared in terms of disordered gaming – separately as Gaming Disorder (GD; WHO framework) and Internet Gaming Disorder (IGD; APA framework), loneliness, and family harmony scores with analyses of covariance (ANCOVAs), with age and gender as covariates. Steiger tests were used for correlation differences testing. ANCOVAs showed that while GD and IGD scores have increased significantly during the pandemic years, loneliness and family harmony did not change significantly. Furthermore, the correlation differences tests indicated that the correlations between both IGD and GD with loneliness as well as poorer family harmony have increased during the pandemic years. This study provides empirical evidence that the well-being of gamers might have been negatively affected during the COVID-19 pandemic. While loneliness and family harmony did not increase, the stronger correlations between Gaming Disorder and other variables might suggest that gaming may have been used to cope with loneliness and poorer family harmony.
The aim of this study was to investigate if and how disordered gaming, loneliness, and family relations have changed throughout the COVID-19 pandemic (from 2019 to 2021), and whether there were any changes in the association between these variables across three samples of gamers (for each respective year). Samples from 2019, 2020, and 2021 were matched by using propensity score matching across socio-demographic characteristics. The total ...

Pandémies ; Joueurs de jeux vidéo ; Solitude ; Familles - Aspect social ; COVID-19 ; Dépendance (Psychologie)

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Background
Individuals with a family history of alcohol and other substance use disorders (FH+) are several times more likely to develop alcohol problems compared to individuals with no such family histories (FH–). Here we sought to evaluate associations of early life adversity (ELA) with two key risk-related FH+ phenotypic characteristics: increased antisocial and depressive tendencies.

Methods
We examined data from 1187 FH+ and FH– young adults (average age 23.6 years old) with and without personal histories of substance use disorders. Antisocial tendencies were evaluated with the Socialization scale of the California Personality Inventory (CPI-So), while depressive tendencies were evaluated with the Beck Depression Inventory II (BDI).

Results
In general, being FH+, having a personal substance use disorder history, and experiencing greater levels of ELA were associated with lower CPI-So scores (indicating more antisocial tendencies) and higher BDI scores (indicating more depressive tendencies).

Conclusions
These results suggest that ELA is linked to increased antisocial and depressive tendencies observed in FH+ persons. Given that FH+ individuals are disproportionately exposed to ELA, this increased exposure may be a major contributor to these and other risk-related characteristics commonly present in FH+ individuals. Additional studies are needed to evaluate the impact of ELA on risk-related phenotypic characteristics, including prospective studies in early childhood and mechanistic studies evaluating pathways by which ELA exerts its effects on FH phenotypic characteristics.
Background
Individuals with a family history of alcohol and other substance use disorders (FH+) are several times more likely to develop alcohol problems compared to individuals with no such family histories (FH–). Here we sought to evaluate associations of early life adversity (ELA) with two key risk-related FH+ phenotypic characteristics: increased antisocial and depressive tendencies.

Methods
We examined data from 1187 FH+ and FH– young ...

Toxicomanie ; Dépression ; Dépendance (Psychologie) ; Habiletés sociales chez l'adolescent

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Objective: The present study examined daily associations between mental health symptoms (i.e., depression and anxiety symptoms) and simultaneous alcohol and marijuana (SAM) use and use-related negative consequences among young adults. Method: Participants were a community sample of 409 young adults between the ages of 18-25 who drank alcohol at least three times in the past month and reported SAM use in the past month (Mage = 21.6, 50.9% female). A baseline assessment included a measure of SAM use motives, after which participants completed five 14-day bursts reporting daily mental health symptoms and alcohol/marijuana use. Results: Daily mental health symptoms were not associated with SAM use likelihood. However, baseline SAM coping motives moderated the association between mental health symptoms and use such that young adults with stronger coping motives showed a stronger positive association between mental health symptoms and SAM use. Further, on SAM use days, reporting more mental health symptoms relative to one's average was associated with experiencing more use-related negative consequences, even after controlling for daily levels of alcohol and marijuana use (RR = 1.03, 95% CI = 1.01-1.05, p = .002). Conclusions: The association between daily mental health symptoms and SAM use depended on whether the young adults had coping motives for use. Daily fluctuations in mental health were associated with negative use-related consequences experienced on SAM use days regardless of motives. These findings highlight the potential importance of prevention and intervention strategies particularly on days when young adults are experiencing increased mental health symptoms.
Objective: The present study examined daily associations between mental health symptoms (i.e., depression and anxiety symptoms) and simultaneous alcohol and marijuana (SAM) use and use-related negative consequences among young adults. Method: Participants were a community sample of 409 young adults between the ages of 18-25 who drank alcohol at least three times in the past month and reported SAM use in the past month (Mage = 21.6, 50.9% ...

Alcool ; Cannabis ; Dépendance (Psychologie) ; Santé mentale

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Objective: Problematic alcohol use among college students remains a public health concern; thus, there is a need to understand distinct drinking events, such as unplanned and planned drinking. The present study examined motives and social and physical contexts as correlates of unplanned and planned drinking to help inform prevention and intervention. Method: College student alcohol and cannabis users (N = 341; 53% women) completed 56 days of data collection (two 28-day bursts) with five repeated daily surveys. Three-level generalized linear mixed-effects models were used to examine associations among motives, physical and social contexts, and unplanned versus planned drinking. We also examined whether unplanned or planned drinking resulted in greater consumption and negative consequences. Results: Social and enhancement motives were related to planned drinking, whereas offered motives (i.e., offers of alcohol) and coping motives were linked to unplanned drinking. Drinking at home, with roommates, or alone was associated with unplanned drinking. Drinking at a bar/restaurant, a party, at a friend's place, with friends, with strangers/acquaintances, with a significant other, or with intoxicated people was linked to planned drinking. Unplanned drinking was related to fewer drinks consumed and fewer negative consequences endorsed. Conclusions: Findings showed that planned drinking-irrespective of consumption-was related to more negative consequences than unplanned drinking. In addition to targeting intentions to drink, the present study provided specific motives and social and physical contexts that are associated with planned drinking that could be incorporated into ecological momentary interventions focused on harm reduction.
Objective: Problematic alcohol use among college students remains a public health concern; thus, there is a need to understand distinct drinking events, such as unplanned and planned drinking. The present study examined motives and social and physical contexts as correlates of unplanned and planned drinking to help inform prevention and intervention. Method: College student alcohol and cannabis users (N = 341; 53% women) completed 56 days of ...

Alcool ; Dépendance (Psychologie)

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Sortir de la dépendance affective (Format imprimé uniquement) | Mai 2022

Article (Santé mentale adulte)

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Demander l'article à bibliotheques.cissslan@ssss.gouv.qc.ca

Penser, décider, agir sans leur partenaire? Impensable pour ces grands angoissés. La présence de l'autre leur est vitale, au risque de l'étouffer. Heureusement, il est possible de reprendre confiance en soi et s'émanciper, assure le psychanalyste Saverio Tomasella.

Amours - Comportement compulsif ; Dépendance (Psychologie) ; Autonomie (Psychologie)

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Association between urbanization and internet addiction | Mai 2022 H

Article (Psychiatrie)

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Purpose of review: Understanding the association between urbanization and Internet addiction is essential to the design and implementation of Internet addiction prevention measures in urban areas. This epidemiological review explores the urbanization-Internet addiction association and its potential underlying factors.

Recent findings: Nine studies have reported that Internet addiction prevalence is higher in urban areas, but three studies have noted the opposite. Psychiatric disorders and stress are the most commonly mentioned factors underlying the association. The effects of urbanization on Internet availability, Internet cafes, online gaming, outdoor or interactive activities, and family regulation and monitoring have been suggested to lead to higher Internet addiction risk. The ongoing COVID-19 pandemic, obesity, sleep problems, and the migration of parents to urban areas in search of work have strengthened the effect of urbanization on Internet addiction.

Summary: Early assessment and treatment provided by mental health services are crucial for mitigating the effect of urbanization on Internet addiction risk. Cities should be designed to provide adequate space for physical and interactive activities. To promote outdoor activities, air pollution, traffic congestion, and crime should be controlled. Prospective face-to-face studies involving analysis of data on pollution, traffic, and Internet addiction could provide evidence to elucidate the urbanization- Internet addiction association.
Purpose of review: Understanding the association between urbanization and Internet addiction is essential to the design and implementation of Internet addiction prevention measures in urban areas. This epidemiological review explores the urbanization-Internet addiction association and its potential underlying factors.

Recent findings: Nine studies have reported that Internet addiction prevalence is higher in urban areas, but three studies have ...

COVID-19 ; Jeux vidéo - Aspect psychologique ; Dépendance (Psychologie) ; Internet

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Varenicline for the Treatment of Cocaine Dependence | Mars / Avril 2022 H

Article (Toxicomanie et dépendances)

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Objectives: Varenicline is a partial agonist at the [alpha]2[beta]4 and [alpha]6[beta]2 nAChR receptors and a full agonist at [alpha]7 receptors. Both [alpha]7 and [alpha]6[beta]2 receptors are implicated in the neural reward circuitry activated by cocaine use. A preliminary clinical trial suggested that varenicline treatment reduced cocaine use. This trial was intended to replicate and extend the findings of the previous trial.

Methods: This was a 12-week, double-blind, placebo-controlled clinical trial involving 156 subjects with DSM IV cocaine dependence. Subjects received up to 2 mg of varenicline or identical placebo daily along with weekly relapse prevention psychotherapy. The primary outcome measure was cocaine use measured by thrice-weekly urine drug screens. Additional outcome measures included end of study cocaine abstinence, cocaine craving, cocaine withdrawal symptom severity, cigarette use, and global improvement measure by the Clinical Global Improvement Scale.

Results: End of study cocaine abstinence, measured by urine drug screens during the last 3 weeks of the trial, was not different between groups (8% in the varenicline treated subjects and versus 9% in placebo-treated subjects). Generalized estimating equations analysis of urine drug screen results showed no significant difference between groups in cocaine abstinence over the 12 weeks of the trial. There were no significant differences between the 2 groups in cocaine craving or cocaine withdrawal symptom severity. Varenicline was well-tolerated. There were no medication-associated serious adverse events.

Conclusions: Varenicline plus cognitive-behavioral therapy does not seem to be an efficacious treatment for cocaine dependence.
Objectives: Varenicline is a partial agonist at the [alpha]2[beta]4 and [alpha]6[beta]2 nAChR receptors and a full agonist at [alpha]7 receptors. Both [alpha]7 and [alpha]6[beta]2 receptors are implicated in the neural reward circuitry activated by cocaine use. A preliminary clinical trial suggested that varenicline treatment reduced cocaine use. This trial was intended to replicate and extend the findings of the previous trial.

Methods: This ...

Cocaïne ; Médicaments - Toxicologie ; Dépendance (Psychologie) ; Toxicomanie

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Objectives: To review the currently available evidence on transfer strategies from methadone to sublingual buprenorphine used in clinical trials and observational studies of medication for opioid use disorder treatment, and to consider whether any strategies yield better clinical outcomes than others.

Methods: Six medical and public health databases were searched for articles and conference abstracts. The Cochrane Central Register of Controlled Trials and the World Health Organization International Clinical Trials Registry Platform were used to identify unpublished trial results. Records were dually screened, and data were extracted and checked independently. Results were summarized qualitatively and, when possible, analyzed quantitatively.

Results: Eighteen studies described transfer from methadone to buprenorphine. Transfer protocols were extremely varied. Most studies reported successful rates of transfer, even among studies involving transfer from high methadone doses, although lower pretransfer methadone dose was significantly associated with higher rate of successful transfer. Precipitated withdrawal was not reported frequently. A range of innovative approaches to transfer from methadone to buprenorphine remains untested.

Conclusions: Few studies have used designs that enable comparison of different approaches to transfer patients from methadone to buprenorphine. Most international clinical guidelines provide recommendations consistent with the available evidence. However, clinical guidelines should be perceived as providing "guidance" rather than "protocols," and clinicians and patients need to exercise judgment when attempting transfers.
Objectives: To review the currently available evidence on transfer strategies from methadone to sublingual buprenorphine used in clinical trials and observational studies of medication for opioid use disorder treatment, and to consider whether any strategies yield better clinical outcomes than others.

Methods: Six medical and public health databases were searched for articles and conference abstracts. The Cochrane Central Register of Controlled ...

Opioïdes ; Médicaments - Toxicologie ; Toxicomanie ; Dépendance (Psychologie)

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Outpatient parenteral antibiotic therapy (OPAT) refers to the monitored provision of intravenous antibiotics for complicated infections outside of a hospital setting, typically in a rehabilitation facility, an infusion center, or the home. Home-based OPAT allows for safe completion of prolonged courses of therapy while decreasing costs to the healthcare system, minimizing the risk of hospital-related infectious exposures for patients, and permitting patients to recover in a familiar environment. Amidst the COVID-19 pandemic, during which nursing facilities have been at the center of many outbreaks of the SARS-CoV-2 virus, completion of antimicrobial therapy in the home is an even more appealing option. Persons who inject drugs (PWID) frequently present with infectious complications of their injection drug use which require long courses of parenteral therapy. However, these individuals are frequently excluded from home-based OPAT on the basis of their addiction history. This commentary describes perceived challenges to establishing home-based OPAT for PWID, discusses ways in which this is discriminatory and unsupported by available data, highlights ways in which the COVID-19 pandemic has accentuated inequities in care, and proposes a multidisciplinary approach championed by Addiction specialists to increasing implementation of OPAT for appropriate patients with substance use disorders.
Outpatient parenteral antibiotic therapy (OPAT) refers to the monitored provision of intravenous antibiotics for complicated infections outside of a hospital setting, typically in a rehabilitation facility, an infusion center, or the home. Home-based OPAT allows for safe completion of prolonged courses of therapy while decreasing costs to the healthcare system, minimizing the risk of hospital-related infectious exposures for patients, and ...

COVID-19 ; Toxicomanie ; Dépendance (Psychologie)

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Predictors of Unplanned Readmissions Among Patients With Substance Use Disorders | Mars 2022 H

Article (Toxicomanie et dépendances)

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Objective: The objective of this study was to evaluate predictors of unplanned readmission to a specialized hospital addiction unit within less than 30 days, between 30 and 60 days and over 60 days post-discharge among individuals with a diagnosis of substance use disorder.

Methods: Cox proportional hazards regressions were used to test the effects of potential risk factors on time-to-onset for unplanned readmissions. The outcome (survival time) was the length of time to hospital readmission and the predictors were age, sex, duration of the first hospital stay, Health of Nation Outcome Scales score and Brief Symptom Check List.

Results: Of the 750 readmissions analyzed for the reported period 28.0% took place in less than 30 days, 12.0% between 30 and 60 days and 60.0% after 60 days of discharge. Length of the first hospitalization was a statistically significant predictor of readmission between 30 and 60 days and over 60 days but not for less than 30 days. A 10% increase in length of the first hospitalization, holding all other variables constant, was associated with a 5.0% decrease in unplanned readmissions occurring between 30 and 60 days and a 2.2% decrease in readmissions over 60 days post-discharge.

Conclusion: Length of the first hospitalization was found to be a protective factor of readmission between 30 and 60 days and over 60 days but not for less than 30 days post-discharge. The longer the duration of the first hospitalization, the less quickly patients were readmitted to hospital.

Objectif: L'objectif de cette etude etait d'evaluer les predicteurs de readmissions non planifiees dans une unite hospitaliere specialisee en addiction en moins de 30 jours, entre 30 et 60 jours et plus de 60 jours apres leur sortie chez les personnes ayant un diagnostic de trouble lie a l'utilisation de substances (TUS).

Methode: Les regressions des risques proportionnels de Cox ont ete utilisees pour tester les effets des facteurs de risques potentiels sur le temps relies aux readmissions non planifiees. Le pronostic (duree de survie) etait la duree jusqu'a la readmission a l'hopital et les verifiables etaient l'age, le sexe, la duree du premier sejour a l'hopital, le score des resultats du Health of Nation Outcome Scales (HoNOS-F) et la liste de controle des symptomes du Brief Symptom Check List (BSCL).

Resultats: Sur les 750 readmissions analysees pour la periode rapportee, 28,0% ont eu lieu en moins de 30 jours, 12,0% entre 30 et 60 jours et 60,0% apres 60 jours de conge. La duree de la premiere hospitalisation etait une variable predictive statistiquement significative pour les readmissions entre 30 et 60 jours et les plus de 60 jours, mais pas pour les moins de 30 jours. Une augmentation de 10% de la duree de la premiere hospitalisation, en maintenant toutes les autres variables constantes, a ete associee avec une diminution de 5,0% des readmissions imprevues survenant entre 30 et 60 jours et une diminution de 2,2% des readmissions plus de 60 jours apres la liberation.

Conclusions: La duree de la premiere hospitalisation s'est averee etre un facteur de protection contre une readmission entre 30 et 60 jours et au-dela de 60 jours mais pas pour les moins de 30 jours apres la liberation. Plus la duree de la premiere hospitalisation est longue, moins les patients sont readmis rapidement a l'hopital.
Objective: The objective of this study was to evaluate predictors of unplanned readmission to a specialized hospital addiction unit within less than 30 days, between 30 and 60 days and over 60 days post-discharge among individuals with a diagnosis of substance use disorder.

Methods: Cox proportional hazards regressions were used to test the effects of potential risk factors on time-to-onset for unplanned readmissions. The outcome (survival ...

Toxicomanie ; Dépendance (Psychologie) ; Services aux toxicomanes

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Does tramadol dependence impair cognitive functions? | Mars 2022 H

Article (Pharmacologie et laboratoires)

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The aim of this study is to assess the effect of tramadol use on cognitive functions, especially executive functions. Thirty tramadol use disorder patients were recruited from those admitted to the toxicology departments of Menoufia University Hospitals for detoxification. Thirty controls were recruited from employees working at the faculty of medicine, Menoufia University. Both patients and controls underwent a demographic sheet and computerized cognitive battery. Patients also completed another sheet about substance use history. Urine screening for drugs was performed on all patients prior to admission. No differences regarding age, education or marital status were found between patients and controls. Tramadol-dependent patients showed cognitive impairment in the form of impaired visual-spatial memory and executive functions in comparison to controls. After detoxification, patients showed improvement regarding executive functions but not visual-spatial memory. Tramadol impairs cognitive functions in tramadol-dependent patients.
The aim of this study is to assess the effect of tramadol use on cognitive functions, especially executive functions. Thirty tramadol use disorder patients were recruited from those admitted to the toxicology departments of Menoufia University Hospitals for detoxification. Thirty controls were recruited from employees working at the faculty of medicine, Menoufia University. Both patients and controls underwent a demographic sheet and co...

Troubles de la cognition ; Médicaments - Abus ; Dépendance (Psychologie)

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Objective: The aim of this study was to examine dependence on combustible and e-cigarettes among users of both products (dual users), which may provide important insights into long-term use patterns. Method: Dual users (smoking daily for 3 months, using e-cigarettes at least once/week for the past month; N = 256; 45% women, 71% White, M age 39.0 years) not interested in quitting either product participated in a longitudinal, 2-year, observational study. At baseline, participants completed measures of combustible and e-cigarette dependence (Fagerstrom Test of Cigarette Dependence [FTCD], e-FTCD, Wisconsin Inventory of Smoking Dependence Motives [WISDM], e-WISDM, Penn State Cigarette Dependence Index, and Penn State E-Cigarette Dependence Index) and carried a study smartphone for 2 weeks to record cigarette and e-cigarette use events. Results: Most measures of dependence were product specific (e.g., FTCD and e-FTCD were not correlated, r = -0.003) and predicted product-specific outcomes (e.g., long-term use of that product). However, individuals used the two products for some of the same secondary dependence motives (e.g., weight control, cognitive and affective enhancement). These secondary, or instrumental, motives predicted use of both products at 1 year. Which product was used first in the morning was strongly related to product dependence scores and likelihood of continued product use at 1 year. Conclusions: Among dual users of combustible and e-cigarettes, measures of e-cigarette and cigarette dependence tended to be unrelated to one another, but dual users tended to use both products for the same instrumental motives. Which product is used first in the morning may serve as a valuable measure of relative dependence on the two products.
Objective: The aim of this study was to examine dependence on combustible and e-cigarettes among users of both products (dual users), which may provide important insights into long-term use patterns. Method: Dual users (smoking daily for 3 months, using e-cigarettes at least once/week for the past month; N = 256; 45% women, 71% White, M age 39.0 years) not interested in quitting either product participated in a longitudinal, 2-year, obs...

Cigarettes électroniques ; Dépendance (Psychologie) ; Tabagisme

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Stimulant use disorder (StUD) is an increasingly prevalent public health concern in Canada. To mitigate harm in the context of dual public health emergencies—the coronavirus disease 2019 (COVID-19) pandemic and the opioid crisis—the British Columbia Centre on Substance Use (BCCSU) released interim clinical guidance in March 2020.1 The document provides guidance for primary care providers caring for people with substance use disorders. It introduces stimulant replacement therapy (SRT) as a reasonable treatment option given the extraordinary circumstances under which health care providers are operating, although SRT has not been considered an evidence-based treatment for StUD. The case we report is one of the first to illustrate the benefits of SRT in this context, demonstrating how it can generate better health outcomes, improve patient engagement with health care, and reduce COVID-19 transmission, hence accomplishing both individual and public health goals.
Stimulant use disorder (StUD) is an increasingly prevalent public health concern in Canada. To mitigate harm in the context of dual public health emergencies—the coronavirus disease 2019 (COVID-19) pandemic and the opioid crisis—the British Columbia Centre on Substance Use (BCCSU) released interim clinical guidance in March 2020.1 The document provides guidance for primary care providers caring for people with substance use disorders. It ...

Pandémies ; COVID-19 ; Coronavirus ; Dépendance (Psychologie)

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- 365 p.
Cote : WM176 A224 2022

Ouvrage didactique sur les différentes addictions comportementales : addiction aux jeux d'argent, cyberdépendance, addiction aux achats, troubles des conduites alimentaires ou encore addiction au travail. L'introduction définit l'évolution du concept d'addiction comportementale en le distinguant des dépendances aux substances psychoactives.

Troubles du comportement ; Comportement compulsif ; Dépendance (Psychologie) ; Santé mentale

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Conduites addictives à l'adolescence: quelle prévention? | 2022 H

Article (Santé mentale jeunesse)

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En France, la prévention collective des addictions à l’adolescence s’appuie sur un modèle comportemental, éducatif, de transmission des savoirs sur la santé et d’acquisition de compétences psychosociales. Le développement et le renforcement des compétences psychosociales semble être l’unique remède préventif, protégeant les adolescents d’une installation problématique dans des conduites aliénantes. Dans ce texte, je soutiens que, face au processus adolescent, la prévention doit être pensée différemment, ce modèle ne prenant pas en compte la singularité des mouvements psychiques de l’adolescence. Je propose, avec la création du dispositif Expériences animées, une approche complémentaire étayée par les pensées et méthodes psychanalytiques. Avec cette approche, il s’agit de penser la prévention en tant qu’étayage des différents remaniements psychiques en soutenant le travail de symbolisation.
En France, la prévention collective des addictions à l’adolescence s’appuie sur un modèle comportemental, éducatif, de transmission des savoirs sur la santé et d’acquisition de compétences psychosociales. Le développement et le renforcement des compétences psychosociales semble être l’unique remède préventif, protégeant les adolescents d’une installation problématique dans des conduites aliénantes. Dans ce texte, je soutiens que, face au ...

Dépendance (Psychologie) ; Dépendance chez l'adolescent ; Psychanalyse

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Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices | Janvier 2022 H

Article (Médecine familiale et soins primaires)

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PURPOSE Evidence supports treatment for opioid use disorder (OUD) with buprenorphine in primary care practices (PCPs). Barriers that slow implementation of this treatment include inadequately trained staff. This study aimed to increase the number of rural PCPs providing OUD treatment with buprenorphine. This evaluation describes the impact of a practice team training on the implementation and delivery of OUD treatment with buprenorphine in PCPs of rural Colorado.

METHODS Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) was a multilevel implementation study that included a practice-focused intervention to improve awareness, adoption, and use of buprenorphine treatment for OUD. Participating PCP teams received the IT MATTTRs Practice Team Training and support. Practices’ implementation of treatment components was assessed before and after training. Practice-reported and population-level data from the Prescription Drug Monitoring Program were obtained to describe changes in delivery of treatment after training.

RESULTS Forty-two practices received team training. Practices reported an average of 4.7 treatment-related components in place at baseline compared with 13.0 at 12-month follow-up (F[2,56] = 31.17, P <.001). The proportion of participating practices providing or referring patients for treatment increased from 18.8% to 74.4%. The increase in number of people with a prescription for buprenorphine was significantly greater in the study region over a 4-year period compared with the rest of the state (Wald χ2 = 15.73, P <.001).

CONCLUSIONS The IT MATTTRs training for PCP teams in OUD treatment with buprenorphine addressed elements beyond clinician waiver training to make implementation feasible and effectively increased implementation and delivery of this treatment in rural Colorado.
PURPOSE Evidence supports treatment for opioid use disorder (OUD) with buprenorphine in primary care practices (PCPs). Barriers that slow implementation of this treatment include inadequately trained staff. This study aimed to increase the number of rural PCPs providing OUD treatment with buprenorphine. This evaluation describes the impact of a practice team training on the implementation and delivery of OUD treatment with buprenorphine in PCPs ...

Opioïdes ; Soins de santé primaires ; Dépendance (Psychologie)

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Auteurs

Reynaud, Michel [3]

Allain-Dupré, Brigitte [2]

Danis, Daniela [2]

Halpern, Howard M. (Howard Marvin) [2]

Karila, Laurent [2]

Laventure, Myriam [2]

Lejoyeux, Michel [2]

Plourde, Chantal [2]

Valleur, Marc [2]

Venisse, Jean-Luc [2]

AIDQ [1]

André, Christophe [1]

Arkowitz, Hal [1]

Ascher Michael S. [1]

Aubin, Henri-Jean [1]

Baum, Joanne [1]

Beaudin, Jean Philippe [1]

Belkacem, Abdou [1]

Benhaiem, Annabel [1]

Biron, Jean-François [1]

Borgia, Diane [1]

Brady, Kathleen T. [1]

Calza, André [1]

Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke [1]

Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale [1]

Collège romand de médecine de l'addiction [1]

Congrès international francophone d'addictologie (2010, Nantes) [1]

Contant, Maurice [1]

Corcos, Maurice [1]

Coudé, Marie-Claude [1]

Couteron, Jean-Pierre [1]

Cungi, Charly [1]

Dinechin, Blandine de [1]

Drouin, Caroline [1]

Emery, Gary [1]

Estellon, Vincent [1]

Faille, Jocelyne [1]

Fréchette, Josée [1]

Gagnon, Yves [1]

Galanter, Marc [1]

Gervasoni, Nicola [1]

Gilbert, Elizabeth [1]

Godden, Tim [1]

Gorsane, Mohamed-Ali [1]

Gothuey, Isabelle [1]

Hadji-Slimane, Fatima [1]

Herie, Marilyn [1]

Hoopes, Andrea J. [1]

Institut universitaire de première ligne en santé et services sociaux [1]

Lain, Geoffrey [1]

Lajoie, Gérald [1]

Langevin, Jacques [1]

Lapointe, Jean-Marie [1]

Lefebvre, Geneviève [1]

Lelord, François [1]

Lévesque, Rénald [1]

Levin, Frances R. [1]

Levounis, Petros [1]

Loas, Gwenolé [1]

Martin, Maxim [1]

Matysiak, Jean-Claude [1]

Miller, William R. [1]

Millerand, Florence [1]

Minotte, Pascal [1]

Morel, Alain [1]

Moreno, Megan A. [1]

Morin, Paul [1]

Nadeau, Louise [1]

Nicole, Sophie [1]

Perreault, Nadia [1]

Picherot, Georges [1]

Piétro, Daniel [1]

Piquet, Pascale [1]

Plourde, Chantale [1]

Programme Clés en main [1]

Rochefort, Suzie [1]

Rocque, Sylvie [1]

Rollnick, Stephen [1]

Romo, Lucia [1]

Salomon, Lucas [1]

Schaeffer, Brenda [1]

Séméria, Eudes [1]

Shenfeld, Joanne [1]

Stheneur, Chantal [1]

Stora, Michael [1]

Suissa, Amnon Jacob [1]

Svanberg, Jenny [1]

Thoër, Christine [1]

Vallée, Alexandra [1]

Varescon, Isabelle [1]

Whalen, Monique [1]

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Date de parution
Descripteurs

Dépendance (Psychologie) [72]

Toxicomanie [18]

Amours - Comportement compulsif [8]

Drogues [8]

Alcoolisme [6]

Cyberdépendance [6]

Jeux de hasard - Comportement compulsif [6]

Jeux vidéo - Aspect psychologique [6]

Relations entre hommes et femmes [6]

Alcool [5]

Cannabis [5]

Toxicomanie - Traitement [5]

Alcoolisme - Traitement [4]

Autonomie (Psychologie) [4]

Biblio-Santé - Santé mentale [4]

Comportement compulsif - Traitement [4]

COVID-19 [4]

Internet [4]

Santé mentale [4]

Toxicomanie et maladies mentales [4]

Alcooliques - Relations familiales [3]

Amour - Aspect psychologique [3]

Dépendance chez l'adolescent [3]

Joueurs (Jeux de hasard) - Psychologie [3]

Opioïdes [3]

Psychopathologie [3]

Services aux toxicomanes [3]

Toxicomanes - Réadaptation [3]

Troubles du comportement [3]

Cocaïne [2]

Codépendance [2]

Comportement compulsif [2]

Dépendants - Réadaptation [2]

Jeux électroniques - Aspect psychologique [2]

Joueurs de jeux vidéo [2]

Médicaments - Toxicologie [2]

Pandémies [2]

Personnalité [2]

Sexualité - Comportement compulsif [2]

Tabagisme [2]

Tabagisme - Traitement [2]

Toxicomanes - Relations familiales [2]

Toxicomanie - Complications et séquelles [2]

Troubles du comportement alimentaire [2]

Troubles sexuels [2]

Actualisation de soi [1]

Adolescents [1]

Adolescents - Santé mentale [1]

Adultes [1]

Alcooliques - Biographies [1]

Alcooliques - Réadaptation [1]

Alcoolisme - Prévention [1]

Alcoolisme - Récits personnels [1]

Amour [1]

Angoisse - Traitement [1]

Anorexie mentale [1]

Autothérapie [1]

Changement (Psychologie) [1]

Cigarettes électroniques [1]

Codépendants - Psychologie [1]

Cognition [1]

Comportement autodestructeur [1]

Comportement compulsif - Aspect psychologique [1]

Comportement compulsif - Réadaptation [1]

Connaissance de soi [1]

Contes - Emploi en thérapeutique - Ouvrages pour la jeunesse [1]

Coronavirus [1]

Dépendants - Biographies [1]

Dépendants - Psychologie [1]

Dépendants - Services [1]

Dépendants en réadaptation - Intégration [1]

Dépendants en réadaptation - Services [1]

Dépression [1]

Dépression - Traitement [1]

Émotions chez l'enfant [1]

Entretiens (Psychiatrie) [1]

Entretiens motivationnels [1]

Estime de soi [1]

État-limite (Psychiatrie) [1]

Ex-détenus - Réhabilitation [1]

Exercice [1]

Familles [1]

Familles - Aspect social [1]

Gilbert, Élizabeth [1]

Habiletés sociales chez l'adolescent [1]

Handicapés - Habiletés de base - Guides, manuels, etc [1]

Hyperactivité [1]

Internet et adolescents [1]

Internet et enfants [1]

Intervention sociale [1]

Jeunesse - Protection, assistance, etc. [1]

Jeux sur Internet [1]

Jeux sur Internet - Aspect social [1]

Jeux vidéo - Emploi en thérapeutique [1]

Joueurs compulsifs - Psychologie [1]

Joueurs compulsifs - Réadaptation [1]

Logement [1]

Logement social [1]

Malades mentaux [1]

Malades mentaux - Intégration [1]

Malades mentaux - Logement [1]

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