Caffeine Withdrawal and Dependence: A Convenience Survey Among Addiction Professionals.
Caffeine Withdrawal and Dependence: A Convenience Survey Among Addiction Professionals.
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咖啡因戒断和依赖：成瘾专业人士的便利调查。
DOI：
10.1089/jcr.2013.0005
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Juliano,LauraM
中科院分区：
文献类型：
--
作者：
Budney,AlanJ;Brown,PamelaC;Griffiths,RolandR;Hughes,JohnR;Juliano,LauraM
目的：咖啡因戒断被纳入DSM-IV的研究附录，以鼓励更多的研究，以帮助确定其在下一版本的手册中的地位。由于在发表时缺乏实证研究，咖啡因依赖没有被包括在内。这项研究评估了成瘾专家对咖啡因戒断和依赖的临床重要性的看法。方法：开发了一份包含6个项目的调查问卷，并以电子方式发送给六个专注于成瘾的专业组织的成员。还征求了不限成员名额的意见。500名会员回复了。结果：大多数（95%）认为停止咖啡因会产生戒断综合征，并且认为咖啡因戒断具有临床重要性（73%）；然而，只有一半（48%）的人认为咖啡因戒断应该被列入《精神疾病诊断与统计手册》（DSM）。大多数人（58%）认为有些人会对咖啡因产生依赖；然而，只有44%的人认为它应该被列入DSM。评论表明，对纳入咖啡因诊断的恐慌是由于担心精神病学领域因纳入临床严重程度相对较低的常见疾病而受到批评。然而，其他人则表示，迫切需要更认真地对待与咖啡因有关的问题。结论：大多数成瘾专家认为咖啡因戒断和依赖障碍存在，并且在临床上具有重要意义；然而，这些专业人士在是否应该将咖啡因戒断和依赖纳入DSM中存在分歧。需要更广泛地传播现有的关于咖啡因戒断的文献和对咖啡因依赖的进一步研究，为决策者和卫生保健工作者提供额外的指导。
Aims:Caffeine withdrawal was included in the research appendix of the DSM-IV to encourage additional research to assist with determining its status for the next version of the manual. Caffeine dependence was not included because of a lack of empirical research at the time of publication. This study assessed the beliefs of addiction professionals about the clinical importance of caffeine withdrawal and dependence.Methods:A 6-item survey was developed and delivered electronically to the members of six professional organizations that focus on addiction. Open-ended comments were also solicited. Five hundred members responded.Results:The majority (95%) thought that cessation of caffeine could produce a withdrawal syndrome, and that caffeine withdrawal can have clinical importance (73%); however, only half (48%) thought that caffeine withdrawal should be included in the Diagnostic and Statistical Manual of Mental Disorders (DSM). A majority (58%) believed that some people develop caffeine dependence; however, only 44% indicated that it should be in the DSM. Comments suggested that trepidation about inclusion of caffeine diagnoses was due to the concerns about the field of psychiatry being criticized for including common disorders with a relatively low clinical severity. Others, however, expressed an urgent need to take caffeine-related problems more seriously.Conclusions:The majority of addiction professionals believe that caffeine withdrawal and dependence disorders exist and are clinically important; however, these professionals are divided in whether caffeine withdrawal and dependence should be included in DSM. Wider dissemination of the extant literature on caffeine withdrawal and additional research on caffeine dependence will be needed to provide additional guidance to policymakers and healthcare workers.
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DOI：
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期刊：
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