Addiction Research and Therapy

  • Anger, Anxiety and Health Determinants in the Process of Community Recovery

    The article discusses anger and anxiety in the context of recovery. It relates social determinants of health to individual pathology and how an individuals stress level is related to one’s community. How stressors such as, drug infected areas, lack of access to parks and playgrounds, quality education, etc impact significantly on a person’s anxiety is discussed. To help facilitate healthy change the use of peer specialists and partnering with the faith-based community can create a more comprehensive network of supportive allies.

  • MAGUEREZ ARCH AS A METHODOLOGY FOR APPLICABILITY OF ACTIONS IN ADHESION TO ALCOHOL TREATMENT

    Introduction The active methodology is an educational conception that stimulates critical-reflexive teaching-learning processes. Objective to apply the Arco de Maguerez in the Jardim Oasis community, in the municipality of Iguatu-CE. Methodology The first method was applied to the Hanlon method, in which priorities were established, based on the criteria of magnitude, severity, effectiveness and feasibility. Each criterion was analyzed using numerical score scores: magnitude (1-10); severity (1-10), effectiveness (0.5-1.5) and feasibility (0 or 1). It was through the observational analysis that the problematization “difficulty in adhering to the treatment of alcoholism” was highlighted. As a methodological framework, he used the Maguerez Arch based on “five steps”: observation of reality; key points of the problem; theorization; hypotheses of solution; application of action in reality. Results First Step – Observation of Concrete Reality. Second Step – Determination of Key Posts Third Step – Theorizing: There is a consensus in the literature on the low adherence rate of dependents, the dropout rates are generally above 50%. The literature found that more than 50% of patients evade in the first month. Fourth Step – Solution Hypotheses: Establish Links; inform; use harm reduction policy. Step Five – Application to Reality; Action plans to improve the problem in the reference territory. Conclusion It was understood that despite being a pedagogical instrument focused on the teaching – learning process, it can be fully applied in the daily routine of health services, starting from a social reality up to the moment of effective

  • Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

    Background: After receiving in-patient treatment for alcohol abuse, alcohol-dependent patients (ADP) are at risk to return to heavy drinking. Little has been known regarding the correlates of socio-demographic and heavy drinking within 6-month after inpatient treatment. Objectives: This study aims to examine the socio-demographic correlates of heavy drinking among Thai ADP after hospital discharge within six-months. Methods: A prospective cohort study of 618 ADP who received inpatient treatment at two tertiary care hospitals in Northern Thailand between July and December 2014. Heavy drinking is defined by the World Health Organization as ≥5 standard drinks for men and ≥4 standard drinks for women per occasion. Heavy drinking data was collected using a Timeline Follow Back Calendar (TLFB) every month after discharge. Other measures included the Alcohol Use Disorder Identification Test (AUDIT), Rosenberg Self-esteem Scale, Alcohol Craving Control (ACC), Severity of Alcohol Dependence Questionnaire (SADQ), and demographic questionnaires. Results: 618 participants present with a mean age of 43.28 (SD=10.01) years, 94.2% male, 216 (35%) reported that family members are drinkers, and 400 (70.7%) continue to exhibit heavy drinking behaviour. The logistic regression model revealed that age at onset of alcohol use was correlated with heavy drinking after hospital discharge within 6 months (p

  • IMPACT OF MENTAL HEALTH AND BEHAVIORAL DISORDER DUE TO THE USE OF ALCOHOL IN THE PERNAMBUCO POPULATION: AN ANALYSIS FROM NATIONAL HEALTH INDICATORS

    Introduction: Alcohol abuse does not characterize a state of character or weakness, it is a physical and psychological dependence that manipulates a dependent’s conduct and interposes between the individual, a family and other social relationships. There are 3.3 million deaths per year, due to harmful use of alcohol, and ranks as the third disease that kills the most in the world. In Brazil, it is estimated that 4.2% of the population most likely to be abused or addicted, alarming compared to the world average. Objective: To analyze the prevalence data in new cases of mental and behavioral disorders due to alcohol use, from 2014 to 2018 by sample of municipalities in the state of Pernambuco with more than 100 new cases in the period. Methodology: This is a study in secondary databases, conducted from the Brazilian Basic Data indicators, an integral tool of the health information system, using quantitative analysis of variables. Results: There was a reduction of 8% in new cases in 2018 when compared to 2014. The municipality of Vitória de Santo Antão had a greater relative reduction of new cases in the period, from 82 in 2014 to 5 new cases in 2018. Paulista presented 559 fewer new cases when comparing 2018 and 2014, this being the largest absolute reduction among the municipalities. Men were 18 times more dependent than women, and the population aged 30 to 59 years had 4.6 times more new cases than the other age groups. Discussion: It is generally observed that there were significant reductions in the number of new cases when evaluating all municipalities in Pernambuco. This may be associated with the expansion of preventive public health education policies aimed at raising awareness of the use and abuse of the population and the role of multidisciplinary teams towards the dependent patient,…

  • CANNABINOID POISONING IN CHILDREN: IMPORTANCE OF MULTIDRUG TESTING

    Introduction: Cannabis sativa is one of the most commonly used recreational drugs, contains over 500 different clinical compounds and over 60 known cannabinoids. Drug abuse tests are widely used as hospital screening tests for poisoning diagnoses. Objective: This study aims to understand the types of drug abuse tests used in cases of acute cannabinoid poisoning, especially in children. Methodology: This was a literature review, having as source of research the databases UpToDate, NCBI Pubmed, Online Library (SCIELO) and Toxicology Manuals. As inclusion criteria were used publications from 2000 to 2019, in Portuguese, English and Spanish, related to the keywords. Discussion: Acute cannabis poisoning is a clinical diagnosis, however, diagnosis in children may be difficult, so drug screening in the urine may be helpful to confirm the diagnosis. Conclusion: These tests are easy to perform and cheap, having good specificity through their chemical structure, directing the immunoassay to the toxic agent.

  • IMPACT OF MENTAL AND BEHAVIORAL DISORDERS DUE TO THE USE OF PSYCHOACTIVE SUBSTANCES IN PERNAMBUCO: AN ANALYSIS FROM NATIONAL HEALTH INDICATORS

    Introduction: Psychoactive substances can cause disorders that differ from each other and varying severity and diverse symptomatology. Enabling complications in the family and social environment of the user, in addition to high rates of morbidity and mortality. Alcohol is a psychoactive substance most used by the Brazilian population, followed by caffeine, opiates, cannabinoids, cocaine and crack, with high levels of simultaneous use of two or more substances. In Brazil, it is estimated that psychoactive imports will increase, especially among young people. Objective: To analyze data from years 2014 to 2018, for example from the state of Pernambuco state with more than 100 case cases in the period. Methodology: This is a study in secondary databases, conducted from the Basic data indicator of Brazil, using the health information system, using the quantitative analysis of variables. Results: The number of new occurrences between 2014 and 2018 increased by 1.4 times. Of a total of 2971 cases, 75.3% were treated non-urgently and sometimes more often than women. The working age population (between 15 and 60 years old) presented 94.3% of new cases among those under 15 years old and over 60 years old, with the largest number of new cases in the range of 20 to 29 years old, representing 34%. Discussion: In general, there was a significant increase in the number of new cases in the population of the state of Pernambuco. Men and their age status have been progressively classified as important risk factors for mental and behavioral disorders due to psychoactive substance use. In addition, a proportion of emergency care indicates a severity of the disorder that has occurred. Conclusion: Injections in psychoactive therapies focus on health focused on psychoactive disorders, with emphasis on health promotion focused on males. The case to disregard the increasing increases of new cases over…

  • ASSOCIATION BETWEEN PERCEIVED STRESS AND ALCOHOL CONSUMPTION IN STUDENTS FROM IFPE – VITÓRIA’S FROM SANTO ANTÃO CAMPUS

    Introduction:The term stress can be defined as a psychosocial phenomenon with biological. Alcohol has a social effect, making it more evident at school due to concern by young people.Objective:Identify the perceived stress level, the prevalence of alcohol consumption and to verify the association of the stress level with alcohol consumption among students of the Federal Institute of Education, Science and Technology of Pernambuco. Methodology: The sample consisted of 217 students, with a mean age of 15.52 (Minimum 13 and maximum 19). The most were male (52 %), semi-resident (79 %), rural (67 %). DISCUSSION: The average perceived stress was 48.22, with a minimum of 36, a maximum of 63 and a standard deviation of 5.01.About six out of ten do something to relieve stress.These data differ slightly from those found in the pilot study, where about seven out of ten students report some feeling of irritation in the past month (72.7 %), 63.6 % report that they’re feeling happy, 81.8 % of them had or are having an emotional problems that still makes them sad. Results: As mechanisms to relieve stress, eight categories were identified, most of them had used for leisure.Regarding stress, this research presents results similar to other studies involving adolescent students, however, with different assessment instruments, where the stress level ranged from 13.16 % to 73 %. Conclusion: The study points out that the stress during adolescence in the school environment is related to several factors, such as: school postage, excessive academic activities, disputes, fear of disapproval and anxiety.Regarding the consumption of alcohol, almost half already used (47 %).

  • Drug Addiction in Bangladesh: “A Consequence of Social Demoralization Rather Than Individual Flaws”

    Addiction is a maladaptive pattern of drug abuse including alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotics and anxiolytics, stimulants, tobacco and others that persists despite negative consequences. An article of New England Journal of Medicine says “addiction is a disease of the brain” whereas another leading journal specifies “Genetics contributes significantly to vulnerability to this disorder”. Neurological changes observed in long-term substance abusers are nearly identical to those seen in people struggling with obesity, porn aficionados, gamblers, internet “addicts”, compulsive shoppers and simply those involved in intense romantic relationships. As with many other brain diseases, addiction has embedded behavioral and social-context aspects that are important parts of the disorder itself. An increased incidence of addiction is clearly a reflection of social demoralization. In countries like Bangladesh, people are easily demoralized because of social or peer influence. And widespread corruption, creating severe social injustices, various types of criminal activities is very common here. Issues of moral value declines in common people are expressed in many literatures. Frustration, unemployment, lack of recreation facilities and bad companionship are the epic reasons of drug addiction among youth in this country.

  • SOCIO-DEMOGRAPHIC PROFILE AND LIFESTYLE OF ALCOHOLICS IN DETOXIFICATION IN THE MUNICIPALITY OF VITÓRIA DE SANTO ANTÃO, PE

    Introduction: The World Health Organization (2004)4, considers the alcoholic as an excessive drinker whose dependence on alcohol is accompanied by mental disorders, physical health, relationship with others and social and economic behavior.Objective: To identify the sociodemographic profile and the lifestyle of users of the Unified Health System (SUS) with diagnosis of alcoholism in the city of Vitória de Santo Antão, PE. Methodology: Cross-sectional, descriptive and quantitative study, performed in a Hospital Unit agreed with SUS, located in the city of Vitoria de Santo Antão, PE. Data were collected with patients admitted from September to November 2016, through of the questionnaires on the sociodemographic and lifestyle conditions of alcoholics. The data were statistically described. The research was approved by the Research Ethics Committee involving Human Beings of the Health Sciences Center – Federal University of Pernambuco (CAAE: 55297416.0.0000.5208). Results: Twenty-eight male patients aged 19-65 years old, were evaluated. It was observed that 93 % did not finish high school, 57 % with income of up to one minimum wage, 74 % unemployed and 70 % smokers. Conclusion: The present study verified a low socio-demographic condition and an unsatisfactory lifestyle in the population previously evaluated.

  • PROFILE OF USERS OF PSYCHOACTIVE SUBSTANCES IN STREET SITUATIONS IN A POPULATION OF ALAGOAS

    Introduction: the consumption of illicit drugs is a public health problem. Objective: the aim of this study is to identify the profile of street drug users in the city of Arapiraca. Methodology: users were recruited in welcoming communities and at the Special Reference Center for Population in Street Situation (POP Center). A sociodemographic questionnaire was used to provide access to the users profile. All the participants signed the Informed Consent Term (TCLE). Statistical analysis was performed using the Stastistics Package for Social Science (SSPS) version 21. Results: a total of 12 users participated in the study, the age group most affected was between 36 and 45 years. The majority of users were male. Regarding ethnicity, marital status and schooling, 50% declared themselves mixed race, 83.3% were single and 50% had incomplete elementary education. Conclusions: some studies have shown that street users are predominantly male and that this predominance may be related to cultural issues. Further studies with this theme are necessary to better assess the profile of users of psychoactive substances nationwide.