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Prevalence of Anxiety in Smoking Cessation: A Worldwide Systematic Review and Meta-analysis 戒烟焦虑的患病率:全球系统综述和荟萃分析
IF 1.1 Q3 Medicine Pub Date : 2021-04-21 DOI: 10.1097/ADT.0000000000000263
S. Amiri
Objectives: Smoking cessation can have a significant impact on mental health, so this study aimed to investigate the prevalence of anxiety after smoking cessation by a worldwide systematic review and meta-analysis. Methods: PubMed and Scopus were selected for the study and these were systematically searched until October 2020 based on a syntax of keywords. This search in these 2 databases is limited to English. The event and sample size were used to assess the prevalence of anxiety. The prevalence of anxiety was also assessed based on anxiety disorders and continents. The odds ratio (OR) was used to compare the odd of anxiety in smoking cessation versus nonsmokers and smokers as reference groups based on a random-effects method. Heterogeneity and publication bias were assessed. Results: The prevalence of anxiety after smoking cessation is 19% with a confidence interval (CI) of 14%-24%. Among anxiety disorders, it was the highest prevalence for social anxiety with 29% prevalence. The prevalence of anxiety after smoking cessation in America is 15% and in Europe is 29%. Smoking cessation has a higher odd of anxiety than nonsmokers (OR=1.20; CI: 1.12-1.29). Smoking cessation has a lower odd of anxiety than smokers (OR=0.77; CI: 0.66-0.89). Discussion: Since smoking cessation is a factor that reduces anxiety, so in studies in this area as well as therapeutic interventions, it is necessary to consider this issue.
目的:戒烟可以对心理健康产生重大影响,因此本研究旨在通过全球系统回顾和荟萃分析来调查戒烟后焦虑的患病率。方法:选择PubMed和Scopus进行研究,并根据关键词语法进行系统检索,直到2020年10月。在这两个数据库中的搜索仅限于英语。事件和样本量被用来评估焦虑的患病率。焦虑症的患病率也根据焦虑症和各大洲进行了评估。基于随机效应方法,比值比(OR)用于比较戒烟者与不吸烟者和吸烟者作为参照组的焦虑发生率。评估异质性和发表偏倚。结果:戒烟后焦虑的患病率为19%,可信区间(CI)为14%-24%。在焦虑症中,社交焦虑症的患病率最高,为29%。戒烟后焦虑的患病率在美国是15%,在欧洲是29%。戒烟者的焦虑比不吸烟者高(OR=1.20;置信区间:1.12—-1.29)。戒烟者的焦虑奇数低于吸烟者(OR=0.77;置信区间:0.66—-0.89)。讨论:由于戒烟是减少焦虑的一个因素,所以在这一领域的研究以及治疗干预中,有必要考虑这个问题。
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引用次数: 1
Ignorance has Turned the COVID-19 Into a Social Stigma 无知使COVID-19成为一种社会耻辱
IF 1.1 Q3 Medicine Pub Date : 2021-04-15 DOI: 10.1097/ADT.0000000000000261
M. Naeim, Azim Malekpour, A. Rezaeisharif
Because of the rapidly increasing number of coronavirus (COVID-19) patients, fears and worries have arisen because of lack of awareness and have led to challenges such as social stigma Therefore, the present article aims to pay attention to the social stigma of people with a history of COVID-19 Because of the emergence of COVID-19 disease, accurate and complete information about its psychosocial problems is not available According to the guidelines and strategies announced by the World Health Organization and the Center for Disease Control and Prevention, it is important to review and present comprehensive programs based on community culture
由于冠状病毒(新冠肺炎)患者的数量迅速增加,恐惧和担忧因缺乏意识而产生,并导致了社会污名化等挑战,没有关于其心理社会问题的准确和完整的信息。根据世界卫生组织和疾病控制与预防中心宣布的指导方针和战略,审查和提出基于社区文化的综合计划很重要
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引用次数: 3
Gender Differences in a Sample of Egyptian University Students With Opioid Use Disorders Attributed to Tramadol 曲马多所致阿片类药物使用障碍埃及大学生样本中的性别差异
IF 1.1 Q3 Medicine Pub Date : 2021-04-15 DOI: 10.1097/ADT.0000000000000267
Medhat M. Bassiony, G. S. El-deen, A. Saad, M. Abdelghani
Background and Objective: Tramadol use is an overwhelming problem in Egypt. Males and females who use tramadol differ in their sociodemographic and clinical profiles. The aim of this study was to identify gender differences in tramadol use in students at Zagazig University, Egypt. Methods: A cross-sectional study included a total of 1135 undergraduate students, aged 17 to 34 years, from both sexes; males (n=674, 59.4%) and females (n=461, 40.6%), from 10 colleges in Zagazig University. Respondents were randomly selected to assess their tramadol use utilizing the drug use disorders identification test (DUDIT) and the drug use disorders identification test-extended (DUDIT-E). Results: Tramadol use was more prevalent in male than female students (19.7% vs. 2.4%). Both smoking and alcohol use were shared predictive factors for tramadol use in both sexes. The mean years of education and cannabis use predicted tramadol use in males, while only mean age predicted tramadol use in females. Among tramadol users, males were more likely than females to be smokers, polysubstance, and cannabis users, and to have a positive attitude toward tramadol use. Conclusions: Tramadol use was common among university students, with higher prevalence among males. Sex-related similarities and differences were present. Results can guide health policymakers to develop appropriate prevention and management strategies. Population-based longitudinal studies are warranted to explore the causal relationship between tramadol use and progression to other substances in both sexes.
背景和目的:曲马多的使用在埃及是一个压倒性的问题。使用曲马多的男性和女性在其社会人口学和临床概况上有所不同。本研究的目的是确定埃及Zagazig大学学生曲马多使用的性别差异。方法:采用横断面研究方法,共纳入1135名17 ~ 34岁的男女本科生;男性674人(59.4%),女性461人(40.6%),分别来自扎加齐格大学10个学院。随机选择调查对象,利用药物使用障碍鉴定试验(DUDIT)和药物使用障碍鉴定扩展试验(DUDIT- e)评估其曲马多使用情况。结果:男生曲马多使用率高于女生(19.7%比2.4%)。吸烟和饮酒是男女曲马多使用的共同预测因素。平均受教育年限和大麻使用预测男性曲马多使用,而只有平均年龄预测女性曲马多使用。在曲马多使用者中,男性比女性更有可能是吸烟者、多种物质使用者和大麻使用者,并且对曲马多的使用持积极态度。结论:曲马多的使用在大学生中较为普遍,其中男性较高。与性别相关的相似性和差异是存在的。研究结果可指导卫生政策制定者制定适当的预防和管理战略。以人群为基础的纵向研究是有必要的,以探索曲马多的使用和发展到其他物质在两性之间的因果关系。
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引用次数: 1
Effectiveness of Acceptance and Commitment Therapy on Reducing Body Image Disorders in Adolescent Girls 接纳与承诺治疗减轻青春期少女身体意象障碍的效果
IF 1.1 Q3 Medicine Pub Date : 2021-04-06 DOI: 10.1097/ADT.0000000000000265
A. Rezaeisharif, H. Cheraghian, M. Naeim
Background: Body image dissatisfaction and weight self-stigma are prevalent and are associated with physical and psychological ill-health. Acceptance and commitment therapy is increasingly used for both, yet little is known about its effectiveness. Objectives: This study aimed to determine the efficacy of acceptance and commitment therapy in reducing the body image disorder in adolescent girls. Methods: This study was quasi-experimental with pretest and posttest design with the control group. The statistical population of the study was all high school female adolescents with body image disorder; 280 girls were selected based on available sampling from 3 high schools in Ardabil City. Multidimensional Body-Self Relations Questionnaire (MBSRQ) scales were used to assess body image disorder and data were analyzed by SPSS software, version 19. Results: The results of this study indicated that this treatment was effective in reducing body image disorder in adolescent girls. Conclusions: Therefore, this treatment is suggested to reduce body image disorder in adolescent girls.
背景:身体形象不满和体重自我耻辱感普遍存在,并与身体和心理健康不良有关。接受和承诺疗法越来越多地用于两者,但对其有效性知之甚少。目的:探讨接纳与承诺疗法对少女身体意象障碍的治疗效果。方法:本研究采用准实验设计,采用前测和后测相结合的设计,以对照组为研究对象。本研究的统计人群均为患有身体形象障碍的高中女生;从阿达比尔市的3所高中中选出280名女孩。采用多维身体-自我关系问卷(MBSRQ)量表对身体形象障碍进行评估,并采用SPSS 19版软件对数据进行分析。结果:本研究结果表明,该疗法能有效地减轻青春期女孩的身体形象障碍。结论:建议采用该方法治疗青春期少女身体形象障碍。
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引用次数: 2
Video Game Addiction Among Students During COVID-19 Pandemic Based on Regulatory Focus Theory and Interpersonal Competence 基于调节焦点理论和人际能力的新冠肺炎疫情期间学生电子游戏成瘾研究
IF 1.1 Q3 Medicine Pub Date : 2021-04-06 DOI: 10.1097/ADT.0000000000000262
Yudhi Nugraha, Awalya Awalya, M. Mulawarman
Video game addiction is one of the mental health problems due to the uncontrolled activities in accessing video game platforms. This study aimed to identify the tendencies of video game addiction among Senior High School students based on the aspects of Regulatory Focus Theory and interpersonal competence. It implemented a quantitative descriptive model with a 2×2 factorial design. A total of 1046 students participated in the survey. The findings revealed the increasing video game addiction cases among the students during the COVID-19 pandemic. The students with a high promotion focus and a high interpersonal competence as well as those with a low prevention focus and a low interpersonal competence tended to experience video game addiction.
电子游戏成瘾是由于访问电子游戏平台时不受控制的活动而导致的心理健康问题之一。本研究旨在从调节焦点理论和人际交往能力两个方面来识别高中生电子游戏成瘾的倾向。它采用2×2析因设计实现了一个定量描述模型。共有1046名学生参加了调查。研究结果显示,在新冠肺炎大流行期间,学生中的电子游戏成瘾病例不断增加。推广重点高、人际交往能力强的学生,以及预防重点低、人际交往水平低的学生,都容易出现电子游戏成瘾。
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引用次数: 5
Emerging Challenges in COVID-19 With Substance Use Disorders COVID-19新出现的挑战与物质使用障碍
IF 1.1 Q3 Medicine Pub Date : 2021-04-06 DOI: 10.1097/ADT.0000000000000266
Mohammed Salahuddin, M. Manzar, S. Pandi‑Perumal, Ahmed S. Bahammam
Background and Objective: People with substance use disorder (SUD) may be easily vulnerable to coronavirus disease-19 (COVID-19). Given the impaired lung function caused by COVID-19 may exacerbate the symptoms of patients already having preexisting opioids or central nervous system stimulants use disorder. This narrative review highlights the risks of interactions between COVID-19 and SUD. Methods: This article has systematically reviewed and collated relevant papers and articles identified through PubMed focusing on SUD and COVID-19. Results: SUD is characterized by an array of combined mental, physical, and behavioral symptoms, which is undoubtedly of great public health concern especially in the context of the recent advent of the COVID-19 pandemic. The myriad of physiological changes caused by COVID-19 and SUD may be additive or synergistic on various organ functions, hence this review has highlighted potential challenges and possible outcomes because of these interactions. Systematic delineation to parse out the combined COVID-19 and SUD pathology on a given organ function is crucial. Moreover, the primary measures to tackle the COVID-19 pandemic like home confinement and lack of social support may be a significant predictor of relapse in already sober individuals, thus alternate methodologies may be needed to confine this problem. Conclusion: This review highlights the importance of the intertwined epidemics interactions and proposes early measures to recognize the scope of problem at the individual level to prevent future challenges.
背景与目的:物质使用障碍(SUD)患者易感染新型冠状病毒病(COVID-19)。鉴于COVID-19引起的肺功能受损可能会加剧已经存在阿片类药物或中枢神经系统兴奋剂使用障碍的患者的症状。这篇叙述性综述强调了COVID-19与SUD之间相互作用的风险。方法:系统查阅和整理PubMed检索到的以SUD与COVID-19为主题的相关论文和文章。结果:SUD表现为一系列精神、身体和行为的综合症状,特别是在最近新冠肺炎大流行的背景下,这无疑是一个值得关注的公共卫生问题。COVID-19和SUD引起的无数生理变化可能是多种器官功能的叠加或协同作用,因此本综述强调了这些相互作用所带来的潜在挑战和可能的结果。系统描述分析COVID-19和SUD联合病理对特定器官功能的影响至关重要。此外,应对COVID-19大流行的主要措施,如家庭隔离和缺乏社会支持,可能是已经清醒的个体复发的重要预测因素,因此可能需要其他方法来限制这一问题。结论:本综述强调了流行病相互交织的重要性,并提出了在个人层面认识问题范围的早期措施,以防止未来的挑战。
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引用次数: 1
Symptoms of Intoxication and Withdrawal in a Sample of Egyptian Patients Using Synthetic Cannabinoids: A Cohort Study 埃及患者使用合成大麻素的中毒和戒断症状:一项队列研究
IF 1.1 Q3 Medicine Pub Date : 2021-04-06 DOI: 10.1097/ADT.0000000000000259
M. Morsy, Yasser Mohamed, Mahmoud M. El Habiby, Nayera Mohamed, Mahmoud Soliman
Introduction: Novel psychoactive substances that contain synthetic cannabinoids (SCs) have recently started to be used recreationally, especially by young adults. In contrast to the decline in the use of many novel psychoactive substances such as the cathinones and piperazines, it seems that the number of SC users is increasing. Although SC drugs mimic the psychotropic effects of cannabis, their undesired effects are unpredictable and more severe than those associated with cannabis. The majority of SC detected in herbal products has greater binding affinity to the cannabinoid CB1 receptor than Δ9-tetrahydrocannabinol, the primary psychoactive compound in the cannabis plant, and greater affinity at the CB1 than the CB2 receptor. In vitro and animal in vivo studies show SC pharmacological effects to be 2 to 100 times more potent than tetrahydrocannabinol. A limited number of studies have examined SC use among patients; hence little is known about the effects of their use on patients during intoxication, withdrawal, and 1 month after cessation of use of SC. Objective: This study is a cohort study aiming to investigate the symptoms of intoxication, withdrawal, and 1-month cessation of SCs. Patients and Methods: Between February 2019 and February 2020, 92 adult patients using SCs aged 18 to 65 years from both the Outpatient Clinic and Inpatient Department of Psychiatry, Ain Shams University and Masr El Gedida (El Matar) Psychiatric Hospital, Ministry of Health were subjected to full history taking using clinical history sheet for the assessment of medical symptoms and Addiction Severity Index (the Arabic version was used). Results: There was a significant association between the use of SCs and development of multiple symptoms, both medical and psychiatric symptoms, and even serious side effects necessitating emergency management. Regarding the most common symptoms reported by the patient, the most common cardiovascular symptom during intoxication was palpitations, while the most common reported psychiatric symptom was hallucinations developed during intoxication. It was found that the patients who were hospitalized due to medical problems had higher amount and longer duration of use of SC. Conclusion: SC use can cause an array of symptoms ranging from mild medical and psychiatric symptoms to extreme side effects.
含有合成大麻素(SCs)的新型精神活性物质最近开始被用于娱乐性,特别是年轻人。与诸如卡西酮和哌嗪等许多新型精神活性物质的使用量下降相反,SC使用者的数量似乎在增加。虽然SC药物模仿大麻的精神作用,但它们的不良影响是不可预测的,而且比与大麻有关的影响更严重。在草药产品中检测到的大多数SC与大麻素CB1受体的结合亲和力高于Δ9-tetrahydrocannabinol(大麻植物中的主要精神活性化合物),并且与CB1受体的亲和力高于CB2受体。体外和动物体内研究表明,SC的药理作用比四氢大麻酚强2至100倍。有限数量的研究调查了SC在患者中的使用;因此,在SC中毒、停药和停药1个月后,使用它们对患者的影响知之甚少。目的:本研究是一项队列研究,旨在调查SC中毒、停药和停药1个月后的症状。患者和方法:在2019年2月至2020年2月期间,来自艾因沙姆斯大学精神病学门诊和住院部和卫生部Masr El Gedida (El Matar)精神病院的92名年龄在18至65岁之间使用SCs的成年患者接受了完整的病史记录,使用临床病史表评估医学症状和成瘾严重程度指数(使用阿拉伯语版本)。结果:SCs的使用与多种症状(包括医学和精神症状)甚至严重副作用(需要紧急处理)之间存在显著关联。关于患者报告的最常见症状,中毒期间最常见的心血管症状是心悸,而最常见的精神症状是中毒期间出现的幻觉。研究发现,因医疗问题住院的患者使用SC的量更高,持续时间更长。结论:SC使用可引起一系列症状,从轻微的医学和精神症状到极端的副作用。
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引用次数: 0
Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019 2017-2019年拉什特沙法精神病院精神病再入院率及相关因素评估
IF 1.1 Q3 Medicine Pub Date : 2021-04-06 DOI: 10.1097/ADT.0000000000000258
K. Najafi, Adel Yousefi Siahkoucheh, Adeleh Yousefi Siahkoucheh, M. Bayat, Fardad Didar, M. Naeim
Background: Hospital readmission is one of the important priorities of health systems due to its impact on the cost and quality of hospital care and imposing an additional burden on the health system. Complications are much more severe in patients who are readmitted to the hospital, with high mortality, increased length of stay, and a 25% increase in medical costs. Objective: This study aimed to evaluate the prevalence of psychiatric readmission and associated factors in Shafa Psychiatric Hospital in Rasht during the years 2017-2019. Methods: The research method is descriptive-analytical and applied in terms of results. The statistical population of this study consisted of all patients admitted to Shafa Hospital of Rasht during 2017-2019. Sampling method: This study was a convenience sampling with a sample size of 196 people. Data were entered into SPSS 24 software. Descriptive data were expressed as mean, SD, frequency (percentage of frequency). Binomial and χ2 tests were also used to compare the frequency of the 2 groups in a population. Results: The results of this study showed that having a criminal record significantly increases the frequency of readmission, involuntary hospitalization, being single, and not having a readmission risk job. Conclusion: On the basis of the results, it is suggested that the follow-up of patients and providing hospitalization for emotional support and recommendation for appropriate medication can be helpful and reduce the rate of readmission.
背景:医院再入院是卫生系统的重要优先事项之一,因为它影响医院护理的成本和质量,并给卫生系统带来额外负担。再次入院的患者并发症严重得多,死亡率高,住院时间延长,医疗费用增加25%。目的:本研究旨在评估2017-2019年拉什特市沙法精神病院精神病再入院率及其相关因素。方法:采用描述性分析的研究方法,以结果为依据。本研究的统计人群包括2017-2019年在拉什特沙法医院住院的所有患者。抽样方法:本研究采用方便抽样,样本量为196人。数据输入SPSS 24软件。描述性数据以平均值、标准差、频率(占频率的百分比)表示。还采用二项检验和χ2检验比较两组在同一人群中的出现频率。结果:本研究结果表明,有犯罪记录的人再入院、非自愿住院、单身和没有再入院风险工作的频率显著增加。结论:在此基础上,建议对患者进行随访,给予住院情感支持,并推荐适当的药物治疗,有助于降低再入院率。
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引用次数: 7
Effectiveness of the Cognitive Restructuring Approach on Irrational Beliefs and Hopelessness in Individuals With a Substance Abuse Disorder: A Randomized Controlled Trial 认知重组方法对药物滥用障碍患者非理性信念和绝望的有效性:一项随机对照试验
IF 1.1 Q3 Medicine Pub Date : 2021-04-01 DOI: 10.1097/ADT.0000000000000264
A. Rezaeisharif, A. Karimi, M. Naeim
Background: Nowadays, because of the increasing prevalence of addiction in society, there are many costs involved in treating addicts and returning them to normal lives. This will not be possible except in new and effective ways. Objectives: This study aimed to determine the effectiveness of the cognitive reconstruction approach on irrational beliefs and hopelessness of people with substance abuse disorder. Methods: The statistical population of this study includes all people with substance abuse disorder, who were present in addiction treatment camps in Ardabil in 2018, from which 80 eligible people were selected using the available sampling method and Random methods were divided into experimental and control groups (40 people in each group). The experimental group underwent 8 sessions of 90 minutes of cognitive reconstruction intervention. Both groups completed the Ahwaz Irrational Beliefs 4-Factor Questionnaire and the Beck hopelessness test as a pretest and post-test. Data were analyzed using analysis of covariance. Results: The results showed that the cognitive reconstruction approach was effective in reducing the irrational beliefs and hopelessness of the subjects in the experimental group (P<0/01). Conclusions: On the basis of this study, it can be concluded that cognitive reconstruction intervention can be effective in improving irrational beliefs and reducing hopelessness in people with substance abuse.
背景:如今,由于成瘾在社会中越来越普遍,治疗成瘾者和让他们恢复正常生活需要付出很多代价。除非以新的有效方式,否则这是不可能的。目的:本研究旨在确定认知重建方法对药物滥用障碍患者的非理性信念和绝望的有效性。方法:本研究的统计人群包括2018年在Ardabil戒毒营的所有药物滥用障碍患者,其中80名符合条件的人采用现有抽样方法,随机方法分为实验组和对照组(每组40人)。实验组接受了8次90分钟的认知重建干预。两组都完成了Ahwaz非理性信仰4因素问卷和Beck绝望测试作为前测和后测。使用协方差分析对数据进行分析。结果:实验组受试者的非理性信念和绝望情绪明显减少(P<0.01)。结论:在本研究的基础上,可以得出结论,认知重建干预可以有效地改善药物滥用者的非理性信念,减少绝望。
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引用次数: 7
The COVID-19 Outbreak, High Stress, and Increased Substance Use 新冠肺炎爆发、高压力和药物使用增加
IF 1.1 Q3 Medicine Pub Date : 2021-04-01 DOI: 10.1097/ADT.0000000000000260
M. Naeim, A. Rezaeisharif
After the outbreak of the coronavirus and the epidemic of this deadly disease with the imposition of restrictions and the rumor that addicts are not infected, the rate of slippage among drug users in the COVID-19 period has increased to some extent and in a way, addiction has followed a secret process In addition to increasing public awareness of rumors through the media, it should be noted that the main bulwark fight against the tendency to use drugs is the family When the foundations of the family weaken, we must wait for any harm to the youth If families do not take action to prevent drug use, we will have to witness unpleasant events in the not too distant future
冠状病毒疫情爆发后,这种致命疾病的流行,加上限制措施的实施和吸毒不被感染的谣言,在COVID-19期间,吸毒者的滑脱率在一定程度上有所增加,在某种程度上,吸毒除了通过媒体提高公众对谣言的认识外,还遵循了一个秘密的过程。应该指出,与吸毒倾向作斗争的主要堡垒是家庭。当家庭的基础削弱时,我们必须等待任何对青少年的伤害。如果家庭不采取行动防止吸毒,在不久的将来,我们将不得不目睹不愉快的事情发生
{"title":"The COVID-19 Outbreak, High Stress, and Increased Substance Use","authors":"M. Naeim, A. Rezaeisharif","doi":"10.1097/ADT.0000000000000260","DOIUrl":"https://doi.org/10.1097/ADT.0000000000000260","url":null,"abstract":"After the outbreak of the coronavirus and the epidemic of this deadly disease with the imposition of restrictions and the rumor that addicts are not infected, the rate of slippage among drug users in the COVID-19 period has increased to some extent and in a way, addiction has followed a secret process In addition to increasing public awareness of rumors through the media, it should be noted that the main bulwark fight against the tendency to use drugs is the family When the foundations of the family weaken, we must wait for any harm to the youth If families do not take action to prevent drug use, we will have to witness unpleasant events in the not too distant future","PeriodicalId":44600,"journal":{"name":"Addictive Disorders & Their Treatment","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46880630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
期刊
Addictive Disorders & Their Treatment
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