甲基苯丙胺诱发的清醒和睡眠管理:对在线叙述的定性分析。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of psychoactive drugs Pub Date : 2024-09-01 Epub Date: 2023-08-20 DOI:10.1080/02791072.2023.2246458
Sanjaya Regmi, Satish K Kedia, Michael Schmidt, Asos Mahmood, Tony Lugemwa, Patrick J Dillon
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引用次数: 0

摘要

尽管人们对甲基苯丙胺的促醒特性和使用甲基苯丙胺增加能量的概念给予了很大关注,但对使用甲基苯丙胺的人如何管理其使用以实现其功能性目标或在此过程中遇到的挑战却知之甚少。这项定性研究探讨了使用甲基苯丙胺来控制觉醒和减少睡眠以实现功能目标的人的经历。我们对提交给在线论坛的 202 封匿名信进行了基础理论分析。在这一过程中,我们发现了五个主题:(1)使用甲基苯丙胺来延长觉醒时间和减少睡眠需求;(2)失去对觉醒和睡眠需求的控制;(3)在吸食甲基苯丙胺时管理觉醒和睡眠需求;(4)陷入觉醒和睡眠的循环;以及(5)即使停止使用甲基苯丙胺,睡眠也会受到干扰。参加者认为甲基苯丙胺对实现他们的功能目标至关重要,他们不遗余力地试图控制这种物质的不良影响。因此,针对甲基苯丙胺使用障碍患者的潜在动机以及他们认为甲基苯丙胺与实现功能性目标之间的关联所采取的干预措施可能会使他们受益。
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Methamphetamine-Induced Wakefulness and Sleep Management: A Qualitative Analysis of Online Narratives.

While much attention has been given to methamphetamine's wake-promoting properties and the concept of using methamphetamine to increase energy, little is known about the ways people who use methamphetamine manage their use to pursue their functional goals or the challenges they encounter doing so. This qualitative study explores the experiences of people who used methamphetamine to manage wakefulness and reduce sleep as a means to achieve functional goals. We conducted a grounded theory analysis of 202 anonymous letters submitted to an online forum. Five themes emerged from this process: (1) Using methamphetamine to extend wakefulness and reduce the need for sleep; (2) Losing control over wakefulness and the need for sleep; (3) Managing wakefulness and the need for sleep while on methamphetamine; (4) Getting caught in a cycle of wakefulness and sleep; and (5) Sleep disruptions even after ceasing methamphetamine use. Participants believed methamphetamine was critical to meeting their functional goals, and they went to great lengths to try to manage the substance's ill effects. Thus, clients in treatment for methamphetamine use disorder may benefit from interventions addressing their underlying motivations and perceived associations between methamphetamine and meeting functional goals.

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CiteScore
5.30
自引率
7.10%
发文量
62
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