同时吸毒及其神经心理学意义

Hugo Sánchez Castillo, Rodrigo Iván Castañeda Garrido, Diana Berenice Paz Trejo, Daniel Soltero de la Rosa, Pavel Zárate González
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引用次数: 0

摘要

前言:药物滥用是一个影响到全世界数百万人的健康问题。它可以被定义为一种并发状态,在这种状态下,行为的目标是产生一种愉悦的感觉,减少药物给药中断所产生的不适。药物退役会产生认知改变,尤其是在记忆和执行功能方面。这些影响是由于前额皮质易受药物作用的影响。多重用药定义为同时服用或在短时间内分离服用几种药物。与其他成瘾相比,对这种药物摄入的研究很少。目的:用神经心理学电池评价三组吸毒人群的多重用药效果。方法:选取36例多药消费者和11例非多药消费者为对照组(共47例)。根据使用的药物种类,将聚类药物消费者分为三个不同的组。采用神经心理学量表“Neuropsi Atención y Memoria”对所有多药服用者进行评估,并与对照组进行比较。结论和讨论:观察到神经心理方面的影响,特别是在言语记忆和唤起(包括言语和视觉空间)以及抽象态度和抑制方面(p < 0.05)。我们在康复中心观察到几例复发和再入院。抑制和抽象态度的发现可以解释治疗粘附性差,日常生活改变和几次复发。
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Simultaneous consumption of drugs and their neuropsychological implications
Introduction: drug abuse is a health problem that affects millions of people around the world. It could be defined as a concurrent condition in which the behavior has the goal of produce a pleasant sensation and reduce the discomfort produced by the interruption of the drug administration. The drug retirement produces cognitive alterations, particularly in memory and executive function. Those effects are due to the vulnerability of prefrontal cortex to the drug effects. Poly drug use is defined as the simultaneous intake, or separated in short time lapses, of several drugs. This kind of drug intake has been poorly studied in comparison to other addictions. Objective: to evaluate the effects of poly drug use in three groups of drug consumers evaluated with a neuropsychological battery. Method: thirty-six poly drug consumers were included and eleven non consumers integrated a control group (total sample: 47 subjects). Poly drug consumers were divided in three different groups depending on the kind of drugs consumed. All poly drug users were evaluated with the Neuropsychological battery “Neuropsi Atención y Memoria” and were compared against the performance of control group. Conclusion and discussion: neuropsychological affections were observed, particularly in verbal memory and evocation (both verbal and visuospatial) as well as in abstract attitude and inhibition (p < 0.05). We observed several relapses and readmissions in the rehabilitation center. The findings over inhibition and abstract attitude could explain the poor adhesion to treatment, alterations in everyday life and several relapses.
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