硬性戒断:重新确立戒断在治疗晚期超加工食品成瘾中的意义。

IF 3.2 3区 医学 Q2 PSYCHIATRY Frontiers in Psychiatry Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1488769
Vera I Tarman
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引用次数: 0

摘要

成瘾是一种复杂的神经生物学疾病,其特征是不顾有害后果而强迫性地寻求和使用药物。长期以来,以禁欲为基础的方法一直是成瘾治疗的基石,但近年来,减低伤害临床医生以及食物成瘾领域的饮食失调治疗从业者提出了合理的挑战。尽管存在这些保留意见,本观点仍强调了禁欲在食物成瘾康复中的作用,并采用了 Koob 模型及其 "hyperkatifeia "概念。然而,在建议禁欲之前,进一步的研究是必不可少的。我们需要:1)确定什么是与超加工食品相关的戒断;2)明确适合最佳实施这种方法的情况和疾病进展;3)在这种方法有害时提供明确的指导;以及 4)开展临床研究,以确认这种策略对晚期食物成瘾的长期康复的有效性。
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Hard stop: reestablishing the significance of abstinence in the treatment of late stage ultra-processed food addiction.

Addiction is a complex neurobiological disorder characterized by compulsive drug-seeking and use despite harmful consequences. While abstinence-based approaches have long been the cornerstone of addiction treatment, recent years have seen legitimate challenges from harm reduction clinicians, and within the food addiction realm, the eating disorder treatment practitioners. This perspective emphasizes the role of abstinence in food addiction recovery using the Koob model and its concept of hyperkatifeia despite these reservations. However, further research is essential before abstinence can be recommended. We need to 1) identify what qualifies as abstinence in relation to ultra-processed food, 2) clarify suitable situations and disease progression for optimal implementation of this approach, 3) provide clear guidelines when it is harmful, and 4) conduct clinical studies to confirm the effectiveness of this strategy for long-term recovery from late-stage food addiction.

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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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