药物使用障碍的心率变异性生物反馈:健康政策影响

IF 3.4 Q1 EDUCATION & EDUCATIONAL RESEARCH Policy Insights from the Behavioral and Brain Sciences Pub Date : 2022-09-10 DOI:10.1177/23727322221113037
S. Wieman, D. Eddie
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引用次数: 0

摘要

物质使用障碍(SUD)造成了巨大的个人和公共卫生负担,部分原因是其复发性。一线SUD治疗旨在加强情感和认知控制,帮助个体克服使用酒精和其他药物的冲动,然而,SUD损害的自动生理过程与情感状态和环境相互作用,损害了努力的认知控制,破坏了避免物质使用的尝试。虽然现有的一线SUD治疗可能间接帮助抵消这些弱点,但没有针对它们。心率变异性生物反馈(HRVB)涉及有节奏的呼吸,直接针对这些缺陷,补充一线SUD治疗。HRVB已经从基于临床的治疗演变为利用可穿戴生物传感器和智能手机应用程序的动态干预,具有及时支持情感和行为自我调节的能力。有证据支持HRVB对SUD的疗效,但需要更多的研究来充分评估HRVB支持SUD恢复的潜力并为政策提供信息。
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Heart Rate Variability Biofeedback for Substance Use Disorder: Health Policy Implications
Substance use disorder (SUD) exacts massive individual and public health burdens, in part because of its relapsing nature. First-line SUD treatments aim to strengthen affective and cognitive control to help individuals override impulses to use alcohol and other drugs, yet automatic physiological processes compromised by SUD interact with affective states and the environment, compromising effortful cognitive control and undermining attempts to avoid substance use. While existing first-line SUD treatments may indirectly help offset these vulnerabilities, none target them. Heart rate variability biofeedback (HRVB) involves rhythmic breathing that directly targets these deficits, complementing first-line SUD treatments. HRVB has evolved from a clinic-based treatment to an ambulatory intervention utilizing wearable biosensors and smartphone applications with capacity for just-in-time support of affective and behavioral self-regulation. There is evidence supporting the efficacy of HRVB for SUD, but more research is needed to fully assess HRVB's potential to support SUD recovery and inform policy.
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来源期刊
Policy Insights from the Behavioral and Brain Sciences
Policy Insights from the Behavioral and Brain Sciences Social Sciences-Public Administration
CiteScore
5.30
自引率
0.00%
发文量
24
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