Defining substance use disorders: do we really need more than heavy use?

Détails

Ressource 1Télécharger: serval:BIB_885F96E9A786.P001 (143.52 [Ko])
Etat: Public
Version: de l'auteur
Licence: Non spécifiée
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
ID Serval
serval:BIB_885F96E9A786
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Editorial
Collection
Publications
Institution
Titre
Defining substance use disorders: do we really need more than heavy use?
Périodique
Alcohol and Alcoholism
Auteur(s)
Rehm J., Marmet S., Anderson P., Gual A., Kraus L., Nutt D.J., Room R., Samokhvalov A.V., Scafato E., Trapencieris M., Wiers R.W., Gmel G.
ISSN
1464-3502 (Electronic)
ISSN-L
0735-0414
Statut éditorial
Publié
Date de publication
2013
Volume
48
Numéro
6
Pages
633-640
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublishDocument Type: Editorial Material
Résumé
AIMS: The aim of the study was to explore whether the concept of heavy substance use over time can be used as definition of substance use disorder.
METHODS: Narrative review.
RESULTS: Heavy use over time clearly underlies the neurobiological changes associated with current thinking of substance use disorders. In addition, there is evidence that heavy use over time can explain the majority of social problems and of burden of disease (morbidity and mortality). A definition of substance use disorders via heavy use over time would avoid some of the problems of current conceptualizations, for instance the cultural specificity of concepts such as loss of control. Finally, stressing the continuum of use may avoid the high level of stigmatization currently associated with substance use disorders.
CONCLUSION: 'Heavy substance use over time' seems to be a definition of substance use disorders in line with results of basic research and epidemiology. Additionally, it reduces stigmatization. This approach should thus be further explored.
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/11/2013 19:00
Dernière modification de la notice
25/09/2019 7:09
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