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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Anhedonia in substance use disorders: A systematic review of its nature, course and clinical correlates
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Anhedonia in substance use disorders: A systematic review of its nature, course and clinical correlates

机译:anhedonia在物质使用障碍:对其性质,课程和临床相关的系统审查

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Objective: There is growing evidence that anhedonia is a commonly experienced symptom among substance-using populations. This systematic review synthesises findings across a range of substances to address questions regarding the time course of anhedonia, how anhedonia relates to other symptoms of substance dependence and whether it is similarly prevalent across all addictive drugs. Method: A literature search was conducted on PubMed, PsycINFO and MEDLINE, yielding 32 studies that used selfreport measures of anhedonia among participants with a history of a substance abuse, dependence or long-term daily use of addictive substances. Results: Findings from these studies indicate that anhedonia (1) is elevated in samples dependent on a range of substances; (2) typically appears as a consequence of substance abuse or dependence, and diminishes with abstinence; and (3) predicts increased drug cravings and the likelihood of relapse in those attempting abstinence. Conclusions: The common experience of anhedonia in substance-dependent populations, and its relationship to relapse, emphasises the importance of developing therapeutic interventions that specifically target anhedonia in the treatment of all substance use disorders.
机译:目的:日益增长的证据表明anhedonia是物质群体中常见的症状。这种系统审查在一系列物质上合成了一些物质,以解决有关厌氧的时间过程的问题,Anhedonia如何涉及物质依赖的其他症状以及其在所有上瘾药物中是否类似地普遍存在。方法:在PubMed,Psycinfo和Medline进行文献搜索,产生32项研究,其中参与者在滥用物质,依赖性或长期日常使用令人上瘾的物质中使用了Anhedonia的Selfreport测量。结果:这些研究的结果表明,抑制症(1)在依赖于一系列物质的样品中升高; (2)通常由于药物滥用或依赖而出现,并用禁欲减少; (3)预测药物渴望增加以及试图禁欲的人中复发的可能性。结论:Anhedonia在依赖物质群体中的共同经验,及其与复发的关系,强调了在治疗所有物质使用障碍的治疗中,制定特异性靶向Anhedonia的治疗干预措施的重要性。

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