conceptual model of the normalisation of alcohol consumption is proposed (Figure 1.3). The He Ara Oranga wellbeing outcomes framework is a conceptual framework that describes an aspirational vision of 'what good looks like' in the future. Clipboard, Search History, and several other advanced features are temporarily unavailable. Too often, treatment focuses on the psychotherapeutic resolution of some developmental age problem, in the mistaken supposition that addiction will remit once its background issues have been resolved. Part of Springer Nature. Received 2020 Apr 25; Accepted 2020 Jul 1. Epub 2021 Nov 25. 2, pp. Ann NY Acad Sci 937:126, Willinger U, Lenzinger E, Hornik K, Fischer G, Schnbeck G, Aschauer HN, Meszaros K (2002) Anxiety as a predictor of relapse in detoxified alcohol-dependent patients. 21, 6. prospective cohort studies, BMC Public Health, vol. Psychopharmacology 168:216221, Lechtenberg R, Worner TM (1990) Seizure risk with recurrent alcohol detoxification. The integration, according to a biopsychosocial approach, of various professional skills, should be placed at the core of any service directed to combating addiction. J ECT. childrens and adolescents alcohol use: a critical review of the literature, Warren, JA 2013, Troublesome spirits: alcohol, excise and extraterritoriality in. These authors proposed the concept of bipolar-stimulant spectrum disorders, going beyond the causal distinction between spontaneous, associated, and induced bipolar disorders [17]. Nevertheless, alcohol and related 2010). In contrast, agonist opioid medications, i.e., buprenorphine and methadone suit moderately and severely ill patients, respectively. The sequential model has been the first one to be employed, and, up to the present time, has been the most frequently utilized. In the diagram given, there is a relationship between dependent, independent, and intervening variations in the stock market's growth. Male Sprague-Dawley rats (810 per group), Stress induces anxiety-like behavior in animals with previous experience of chronic alcohol (ethanol), Schematic representation of the kindling/stress, Schematic representation of the kindling/stress contribution to the etiology of alcoholism. A conceptual framework for explaining drug addiction - PubMed The design of the conceptual model is based on the current evidence base that: 1. An overview of the characteristics, problems, and needs of these individuals and . . In most DD patients (such as people with schizophrenia), a drug-free state should only be considered as a possible long-term outcome of enhanced methadone maintenance. By contrast, in our opinion, when a CM facility is available and is expressed through a single operator possessing the two sets of skills, which are appropriate to that specific setting, patients would get the full benefits of a binary, two-edged treatment approach [46]. Psychopharmacology 163:157165, Ripley TL, OShea M, Stephens DN (2003) Repeated withdrawal from ethanol impairs acquisition but not expression of conditioned fear. Michelazzi A., Vecchiet F., Cimolino T. General Practitioners and Heroin Addiction. On the whole, the current evidence favors the view that opioid agonist treatments have a therapeutic influence on psychotic states (an influence that is dependent on the doses being used), and that this link may mask the prevalence of psychotic disorders in populations maintained on over-standard doses. Download chapter PDF . The rationale for proposing the kindling/stress hypothesis is to provide a conceptual basis for the insidious development and maintenance of alcohol abuse. higher, . Google Scholar, Cloninger CR (1987) Neurogenetic adaptive mechanisms in alcoholism. However, the focus of this overview is to evaluate potential interventions and delivery platforms targeting adolescent age group only and impact quality of life thereon [25]. Eur J Pharmacol 443:9597, Shaham Y, Shalev U, Lu L, de Wit H, Stewart J (2003) The reinstatement model of drug relapse: history, methodology and major findings. consumption in society. 3, pp. What is a conceptual framework? Definition, theory and example Drug Alcohol Depend. al. sequential. Epub 2016 Feb 24. Disorders: A Literature Review and Conceptual - JSTOR The review of literature in Chapter 2 will present the broad Some clinicians reckon that the addiction should always be approached first and that it is possible to treat the comorbid psychiatric syndrome once any nonmedical use has ceased. Social media can be a powerful tool to combat the stigma of addiction and promote prevention among our youth, but it can also encourage drug and alcohol abuse. conceptual and methodological issues in studying the scope of alcohol's harm to others. It is apparent that parental, family members and friends use of alcohol can, influence young peoples use of alcohol through social learning processes (Ward Thus, these consequences of repeated withdrawals account for the evolution of major characteristics of alcoholism, which include worsened acute withdrawal symptoms and increased stress-induced negative affect during abstinence, both of which enhance the likelihood of relapse--and with relapse an inability to limit an abusive pattern of alcohol intake. Celentano, DD & Aramrattana, A 2013, Alcohol consumption among high-risk Breese, G.R., Overstreet, D.H. & Knapp, D.J. 11 June (Epub ahead of print), Rodd-Henricks ZA, McKinzie DL, Murphy JM, McBride WJ, Lumeng L, Li T-K (2000a) The expression of an alcohol deprivation effect in the high-alcohol-drinking replicate rat lines is dependent on repeated deprivations. nineteenth and early twentieth century Siam, South East Asia Research, vol. portrayal on drinking behaviour in young people: systematic review of alcohol marketing and advertising contributes to the normalisation of alcohol It is apparent from the statistics that the rates of alcohol consumption, availability of and This fact is due to a cultural context and involves both the patients psychiatric condition and addiction behaviors. First, a satisfactory definition of addiction is sought and it is concluded that it is best defined by repeated failures to refrain from drug use despite prior resolutions to do so. Am J Med Genet 81:207215, Rimondini R, Arlinde C, Sommer W, Heilig M (2002) Long-lasting increase in voluntary ethanol consumption and transcriptional regulation in the rat brain after intermittent exposure to ethanol. PubMed future consumption levels (Anderson, Peter et al. Maremmani I., Perugi G., Pacini M., Akiskal H.S. Michelazzi A., Vecchiet F., Leprini R., Popovic D., Deltito J., Maremmani I. GPs office based Metadone Maintenance Treatment in Trieste, Italy.Therapeutic efficacy and predictors of clinical response. Clipboard, Search History, and several other advanced features are temporarily unavailable. Psychopharmacology 139:95107, Hodge CW, Slawecki CJ, Aiken AS (1996) Norepinephrine and serotonin receptors in the paraventricular nucleus interactively modulate ethanol consumption. Br J Psychiatry 133:114, Becker HC, Hale RL (1993) Repeated episodes of ethanol withdrawal potentiate the severity of subsequent withdrawal seizures: an animal model of alcohol withdrawal kindling. Conceptualizing Substance Use | Counseling.Education It is clear from several studies that alcohol. Multi-modal imaging reveals differential brain volumetric, biochemical, and white matter fiber responsivity to repeated intermittent ethanol vapor exposure in male and female rats. More recently, the same issue has been introduced with reference to what is called case management (CM). 211-9. Nat Genet 24:415419, Knapp DJ, Overstreet DH, Breese GR (2001) Persistent effects of repeated ethanol withdrawal are blunted by pharmacological treatments during early withdrawal episodes. 2022 Jul 28;12(8):258. doi: 10.3390/bs12080258. In order to integrate the concepts and findings from previous research and to give an orientation for future studies, this article proposes a conceptual framework of stress and health in policing . This persisting adaptation also permits stress to induce anxiety during a period of abstinence--a response not observed in animals without previous exposure to alcohol. Dailynews Newspaper 2015, Alcohol sales ban within 300 metre-radius of It is used to make conceptual distinctions and bring together different ideas. Jackson, C, Henriksen, L & Dickinson, D 1999, Alcohol-specific socialization. Epub 2020 Jul 30. Conceptual framework for the etiology of alcoholism: a kindling/stress hypothesis. The result may be that the national health system becomes an impediment to patients seeking treatment, rather than a manner of offering them adequate health facilities. Achieving control of mood instability or psychotic episodes is the next step. Alcohol Clin Exp Res 26:14531460, Duka T, Townshend JM, Collier K, Stephens, DN (2002) Kindling of withdrawal: a study of craving and anxiety after multiple detoxifications in alcoholic inpatients. initiating alcohol use during adolescence, J Adolesc Health, vol. J Abnorm Psychol 99:344348, Brown SA, Vik PW, Patterson TL, Grant I, Schuckit MA (1995) Stress, vulnerability and adult alcohol relapse. because in practice alcohol abuse is detrimental to health whether the person drinks expensive Scotch or Mad Dog 20/20. advertising exposure on drinking among youth, Arch Pediatr Adolesc Med, vol. 2011, Addressing the harmful use of alcohol: A guide to developing effectie, regislation, Publications Office, World Health Organization Regional Office for. Wiley, Chichester, Stewart SH, Karp J, Pihl RO, Peterson RA (1997) Anxiety sensitivity and self-reported reasons for drug use. Maremmani I., Zolesi O., Aglietti M., Marini G., Tagliamonte A., Shinderman M., Maxwell S. Methadone dose and retention during treatment of heroin addicts with Axis I psychiatric comorbidity. Pharmacopsychiatry 36(Suppl 3):S255S258, Henniger MS, Spanagel R, Wigger A, Landgraf R, Hlter SM (2002) Alcohol self-administration in two rat lines selectively bred for extremes in anxiety-related behavior. Google Scholar, Besson J, Aeby F, Kasas A, Lehert P, Potgieter A (1998) Combined efficacy of acamprosate and disulfiram in the treatment of alcoholism: a controlled study. Epub 2013 Jun 27. on the Development of Adolescent Alcohol Misuse: A Six-Wave Latent Growth Hussain M.Z., Waheed W., Hussain S. Intravenous quetiapine abuse. Academic, San Diego, pp 495578, Altshuler HL, Phillips PE, Feinhandler DA (1980) Alteration of ethanol self-administration by naltrexone. PubMed 143-51. Smith, LA & Foxcroft, DR 2009, The effect of alcohol advertising, marketing and. 2014, Global status report on alcohol and health 2014, World Health normalisation. Therefore, a review of relevant literature is longitudinal studies, Alcohol and Alcoholism, vol. Prevalence and consequences of dual diagnosis. The main negative aspect of these approaches is that patients may receive contradictory information in the two different settings. 4, pp. Effects of alcohol intake following alcohol deprivation in the rat. The "kindling"/stress hypothesis is based on the premise that repeated withdrawals from cycles of chronic alcohol exposure contribute to a progressive development of persisting adaptive change that sensitizes withdrawal-induced anxiety and allows stress to evoke symptoms associated with negative affect during abstinence. 6, pp. Tarwaho huatau / Conceptual framework. De Lisio Institute of Behavioral Sciences, 56100 Pisa, Italy; ti.oiligriv@dnalicap, 2Department of Psychiatry, North-Western Tuscany Local Health Unit, Tuscany NHS, Versilia Zone, 55049 Viareggio, Italy; ti.anacsot.tsevodronlsu@inammeram.olegna, 3PISA-School of Experimental and Clinical Psychiatry, 56100 Pisa, Italy, 4Association for the Application of Neuroscientific Knowledge to Social Aims (AU-CNS), 55045 Pietrasanta, Lucca, Italy, 5Vincent P. Dole Dual Disorder Unit, 2nd Psychiatric Unit, Santa Chiara University Hospital, University of Pisa, 56100 Pisa, Italy. vol. Instead of splitting a patient population into sharply defined clinical disorders (for instance, affective psychosis and methamphetamine use or panic disorder and alcoholism), most studies prefer to refer to obscure all-in categories, such as dual diagnosis, dual disorders, psychiatric comorbidity, and psychiatric symptoms. Moreover, no distinction is drawn between different substance classes. However, despite having quantitative data The heroin-alcohol combination often develops because of treatment omission, premature termination, or, simply, undermedication, so that it seems at first glance to be a surrogate or enhanced form of a common opioid-based drug disorder [13,14]. Epilepsia 28:234241, McEwen BS (1998) Stress, adaptation, and disease. Arch Gen Psychiatry 55:973979, Merlo Pich E, Lorang M, Yeganeh M, de Fonseca FR, Raber J, Koob GF, Weiss F (1995) Increase in extracellular corticotropin-releasing factor-like immunoreactivitiy levels in the amygdala of awake rats during restraint stress and ethanol withdrawal as measured by microdialysis. The eight clusters in the two-dimensional framework are arranged in the following, prioritized sequence: 'Efficient treatment network', 'Effective service', ' Target group', 'Quality of life', 'Efficient service', 'Knowledge transfer', 'Reducing addiction related problems', and 'Prevention programs'. Answer: It can't. We might demonstrate that it's helpful to some degree in understanding human behavior, but it remains a conceptual framework, largely free of concrete evidence, and therefore open to challenge. Behav Brain Res 70:7794, Wolffgramm J, Galli G, Thimm F, Heyne A (2000) Animal models of addiction: models for therapeutic strategies? 783-7. our knowledge about young Thai peoples perceptions and attitudes towards alcohol On the other hand, a drug-free condition may be useful for patients with depression or panic disorder, to allow an earlier, correct diagnosis and, later, more adequate treatment. The "kindling"/stress hypothesis provides a clear strategy for future studies to explore the advancing neural adaptation proposed to contribute to the pathogenesis of alcoholism. Bipolar disorders (BDs) and addictions constitute reciprocal risk factors and are best . For example, we could consider the case of a DD depressed HUD patient requesting treatment at a psychiatric clinic when still suffering from depression, while also participating in a specific program to cure his recurrent alcohol binges. See this image and copyright information in PMC. "Returning to Ordinary Citizenship": A Qualitative Study of Chinese PWUD's Self-Management Strategies and Disengagement Model of Identity. J Neurosci 22:78447849, L AD, Wang A, Harding S, Juzytsch W, Shaham Y (2003) Nicotine increases alcohol self-administration and reinstates alcohol seeking behavior in rats. This research examines the legal framework for human trafficking in Nigeria. A Conceptual Framework for Understanding Unintended - ScienceDirect Camacho A., Akiskal H.S. The rationale for proposing the "kindling"/stress hypothesis is to provide a conceptual basis for the insidious development and maintenance of alcohol abuse. Buckley P.F. 7, pp. Prevalence and patterns of dual diagnosis among psychiatric impatients. Stress and Health in the Police: A Conceptual Framework and advertising on young peoples alcohol use, this study proposes that the J Clin Psychiatry 62(Suppl 20):4248, McBride WJ, L AD, Noronha A (2002) Central nervous system mechanisms in alcohol relapse. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in
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