DSM-5: important changes in the field of addictive diseases.

[DSM-5: important changes in the field of addictive diseases.] Nervenarzt. 2014 Apr 17; Authors: Heinz A, Friedel E Abstract There are two major changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) concerning the field of addiction. Firstly, the previous distinction between abuse and dependence has been abolished and both disorders are now subsumed under the category addiction and related disorders. Secondly, pathological gambling has now been included in the section of addiction with slight changes in diagnostic criteria. Both changes have major implications for the definition and conceptualization of what we call a psychiatric "disease" or "disorder", which have also been addressed in the introductory statement of DSM-5. Concerning the category of abuse that is now part of substance use disorders, there is a concern that a well-defined disorder ("dependence") is now mixed with a less well-defined syndrome ("abuse"). The inclusion of non-substance, behavioral addictions poses the danger of pathologizing a wide range of human behavior in future revisions of the classification. Both concerns are further addressed in this article. PMID: 24737037 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - Category: Neurology Authors: Tags: Nervenarzt Source Type: research

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CONCLUSIONS Physicians in Poland perceive e-cigarettes as harmful and addictive. Physicians' knowledge about e-cigarettes is mostly based on non-scientific sources, which points out the urgent need to develop national smoking cessation guidelines regulating the issue of e-cigarettes based on scientific evidence. PMID: 31439826 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
This study was planned to assess the differences in the clinical characteristics, angiographic characteristics, and in-hospital outcomes of smokers and nonsmokers after primary percutaneous coronary intervention at a tertiary care hospital in Karachi, Pakistan.MethodsWe included patients between 40 and 80 years of age diagnosed with ST-segment elevation myocardial infarction who underwent primary percutaneous coronary intervention from July 1, 2017, to March 31, 2018. Clinical and angiographic characteristics and in-hospital outcomes were obtained from the cases submitted to the National Cardiovascular Data Registry's Cath...
Source: Global Heart - Category: Cardiology Source Type: research
Having survived a decade of drink and drugs as a young woman, Professor Judith Grisel focused all her determination on writing a book about addictionWhenProfessor Judith Grisel sat down to write her bookNever Enough (a guide to the neuroscience of addiction that has been her life ’s work), she didn’t expect to share so much of her own story. Nevertheless the resulting chapters are a collision of the personal and professional, detailing the deep links between her work life and the decade of drug and alcohol addiction that almost destroyed her.On paper, Grisel was an unlikely candidate for going off the rails. On...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Life and style Health Drugs Alcoholism Society Science Source Type: news
Publication date: Available online 22 August 2019Source: The Lancet PsychiatryAuthor(s): Meng-Chuan Lai, Caroline Kassee, Richard Besney, Sarah Bonato, Laura Hull, William Mandy, Peter Szatmari, Stephanie H AmeisSummaryBackgroundCo-occurring mental health or psychiatric conditions are common in autism, impairing quality of life. Reported prevalences of co-occurring mental health or psychiatric conditions in people with autism range widely. Improved prevalence estimates and identification of moderators are needed to enhance recognition and care, and to guide future research.MethodsIn this systematic review and meta-analysis...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research
Publication date: Available online 22 August 2019Source: International Review of NeurobiologyAuthor(s): Li Zhang, Ti-Fei YuanAbstractExercise intervention has long been used as one adjunctive treatment for drug abuse. Both animal studies and human trials suggest that exercise training effectively prevents addiction formation, suppresses drug-seeking behaviors, and ceases addictions. Moreover, exercise improves both mental and cognitive deficits that commonly occur during drug withdrawal. Those observations are supported by neurobiological studies in which exercise training modulates several neural networks including the do...
Source: International Review of Neurobiology - Category: Neuroscience Source Type: research
The objective of this study was to perform a review of the literature, aiming at a better understanding about the changes in CPK levels and the frequency of rhabdomyolysis in spine surgery, with special attention in posterior lumbar fusion. Nineteen studies were selected for analysis. The studies had different characteristics considering patients age, body mass index, comorbidities and type of surgery. The best available evidence points out to the prognosis depend on the extension and clinical severity of rhabdomyolysis, as well as on the early and prompt medical intervention.
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
AbstractPurpose of ReviewMedications 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.Recent FindingsWe identified 31 ar...
Source: Current Addiction Reports - Category: Addiction Source Type: research
Authors: Abholz HH PMID: 31431247 [PubMed - in process]
Source: Deutsches Arzteblatt International - Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research
When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures. As a result, patients often were sent home with the equivalent of handfuls of powerful and addictive medications. Then the opioid crisis hit, along with  studies showing one possible side effect of […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs
Deciding what type of treatment center to go to, now that you’ve made the decision to get sober, can be pretty difficult. Finding the right treatment center and the right treatment program will make all the difference in your long-term recovery and sobriety, so how do you know when you have found the right one? Sometimes, it can come down to the simplest details, which is why knowing how to determine luxury treatment vs normal treatment is extremely important. The Luxury Treatment Difference If you are used to a certain lifestyle, you don’t have to give it all up just to enter treatment for addiction. In fact,...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Alcohol Rehab Information Drug Rehab Information Drug Treatment Sober Living and Aftercare addiction treatment addiction treatment center drug treatment center luxury luxury drug rehabilitation luxury heroin rehab treating addicts tr Source Type: blogs
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