Craving among patients seeking treatment for substance use disorder.
Craving among patients seeking treatment for substance use disorder.
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DOI：
10.1007/s44192-023-00049-y
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发表时间：
2023-11-08
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影响因子：
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渴望被认为是成瘾的核心特征和复发的预测因素。然而，对于不同患者群体的渴望如何变化还缺乏全面的了解。本研究旨在更好地告知如何有效、准确地利用渴望作为物质使用障碍 (SUD) 患者的临床预后工具。这项横断面研究利用了收集到的接受 SUD 专业治疗的患者 (n = 112) 的信息。使用单个项目和其他摄入问卷评估前 30 天内的渴望。与过去 30 天内未报告物质使用的患者相比，过去 30 天内报告物质使用的患者更有可能报告渴望（AOR = 6.86 [95% CI 2.17–21.7]，p 值 = 0.001）。与未报告西班牙裔/拉丁裔种族的患者相比，报告西班牙裔/拉丁裔种族的患者报告渴望的可能性较小（AOR = 0.28 [95% CI 0.08–0.95]，p值 = 0.04）。渴望与不良童年事件之间没有关联（OR = 1.03 [95% CI 0.84–1.25]，p值 = 0.81）。最近的物质使用和渴望之间的关联支持了之前的发现。观察到的西班牙裔/拉丁裔患者的渴望差异是新颖的，这表明社会文化影响以及可能的遗传因素影响了患者报告的渴望。需要进行更多研究来进一步了解导致这一发现的潜在因素，以便更好地利用渴望作为患者群体的临床指标。
Craving has been implicated as a central feature of addiction and a predictor of relapse. However, a complete understanding of how craving varies across patient populations is lacking. This study aimed to better inform the effective and accurate use of craving as a clinical prognostic tool for patients with substance use disorders (SUD). This cross-sectional study utilized information gathered on patients (n = 112) entering specialty treatment for a SUD. Craving in the prior 30 days was assessed with a single item with other intake questionnaires. Patients who reported substance use in the last 30 days were more likely to report craving compared to patients who did not report substance use in the last 30 days (AOR = 6.86 [95% CI 2.17–21.7], p-value = 0.001). Patients who reported Hispanic/Latinx ethnicity were less likely to report craving compared to patients who did not report Hispanic/Latinx ethnicity (AOR = 0.28 [95% CI 0.08–0.95], p-value = 0.04). There was no association between craving and Adverse Childhood Events (OR = 1.03 [95% CI 0.84–1.25], p-value = 0.81). The association between recent substance use and craving supports previous findings. The observed variation in craving among patients who report Hispanic/Latinx ethnicity is novel and suggests socio-cultural influences and possibly genetic factors influencing reported craving amongst patients. Additional research is needed to further understand the underlying factors leading to this finding, in order for better utilization of craving as a clinical indicator across patient populations.
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DOI：
10.1111/j.1521-0391.2012.00297.x
发表时间：
2012-11-01
期刊：
The American journal on addictions
影响因子：
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作者：
Schneekloth, Terry D;Biernacka, Joanna M;Mrazek, David A
通讯作者：
Mrazek, David A
影响因子：
4.4
作者：
Serre, Fuschia;Fatseas, Melina;Auriacombe, Marc
通讯作者：
Auriacombe, Marc
影响因子：
3.9
作者：
Pinedo, Miguel;Zemore, Sarah;Rogers, Shannon
通讯作者：
Rogers, Shannon
影响因子：
1.7
作者：
Nordheim, Kristoffer;Walderhaug, Espen;Duckert, Fanny
通讯作者：
Duckert, Fanny
影响因子：
4.7
作者：
Shiyko, Mariya;Naab, Pamela;Li, Runze
通讯作者：
Li, Runze