Collective analytics: advancing the neuroscience of ADHD.

Collective analytics: advancing the neuroscience of ADHD.
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DOI:
10.1016/s2215-0366(17)30056-1
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发表时间:
2017-04
期刊:
The lancet. Psychiatry
影响因子:
--
通讯作者:
Posner J
Posner J
中科院分区:
其他
文献类型:
--
作者:
Lugo-Candelas C;Posner J

文献摘要

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all patients on OST should be routinely asked about their drinking and those who are drinking heavily should be advised to cut down the frequency and quantity of their alcohol use. 9 Those who struggle to enact this advice on their own should be offered referral for assessment and interventions such as cognitive behavioural therapy and pharmacotherapy. As the authors point out, the opioid dependence of these patients precludes the use of the opioid antagonists like naltrexone and namalfene but they can still be offered acamprosate and disulfiram, if this is not contraindicated by compromised liver function or disease. 9The effect of long-term OST on benzodiazepine use was less clear-cut. Rates of regular use, showed a small increase over the study period (10% to 11· 1%). This might reflect continued maintenance prescribing of benzodiazepines by OST clinics or general practitioners to avoid patients resorting to the black market for these drugs. This practice should also be evaluated given the poorer social integration of regular benzodiazepine users in this and other cohorts, 10 and the increased risks of overdose when opioids are used in combination with benzodiazepines. 8