药物使用情况的演变:对应急管理的影响。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of applied behavior analysis Pub Date : 2024-08-28 DOI:10.1002/jaba.2911
Shelby Goodwin, Kimberly C Kirby, Bethany R Raiff
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引用次数: 0

摘要

应急管理(CM)是指在达到行为目标后给予激励,它具有改善药物使用治疗效果的潜力。这种干预方式具有很大的灵活性,可以通过改变激励措施的力度和时间安排、目标行为和干预结构等多种方式进行调整。遗憾的是,在过去的 10 到 15 年中,药物使用情况发生了许多变化:物质的药效更强,用药过量的风险增加,新的物质和使用方法被引入,有意和无意混用的物质种类越来越多。这些发展可能会损害中医治疗效果。我们探讨了近期因立法、监管、社会和经济因素而导致的四类药物使用变化:兴奋剂、阿片类药物、烟草和大麻。针对这些变化,我们讨论了未来研究中对中药可调节成分进行调整的可能性。通过不断适应药物使用环境的变化,中药可以保持最佳疗效。
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Evolution of the substance use landscape: Implications for contingency management.

Contingency management (CM), which involves the delivery of incentives upon meeting behavioral goals, has the potential to improve substance use treatment outcomes. The intervention allows for flexibility through numerous modifiable components including changes to incentive magnitude and schedule, target behavior, and intervention structure. Unfortunately, numerous changes in the substance use landscape have occurred in the past 10 to 15 years: Substances are more potent, overdose risk has increased, new substances and methods of use have been introduced, and substance classes are increasingly being intentionally and unintentionally mixed. These developments potentially undermine CM outcomes. We explored recent substance use changes due to legislative, regulatory, social, and economic factors for four substance classes: stimulants, opioids, tobacco, and cannabis. We discuss potential adjustments to the modifiable components of CM for future research in response to these changes. By continually adapting to the shifting substance use landscape, CM can maintain optimal efficacy.

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来源期刊
Journal of applied behavior analysis
Journal of applied behavior analysis PSYCHOLOGY, CLINICAL-
CiteScore
5.80
自引率
20.70%
发文量
61
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