Department of Psychiatry, De-Addiction Centre, National Institute of Mental Health and Neuro Sciences, Bangalore - 560 029, India.
Indian J Psychiatry. 2010 Jan;52(Suppl 1):S189-99. doi: 10.4103/0019-5545.69232.
Substance use patterns are notorious for their ability to change over time. Both licit and illicit substance use cause serious public health problems and evidence for the same is now available in our country. National level prevalence has been calculated for many substances of abuse, but regional variations are quite evident. Rapid assessment surveys have facilitated the understanding of changing patterns of use. Substance use among women and children are increasing causes of concern. Preliminary neurobiological research has focused on identifying individuals at high risk for alcohol dependence. Clinical research in the area has focused primarily on alcohol and substance related comorbidity. There is disappointingly little research on pharmacological and psychosocial interventions. Course and outcome studies emphasize the need for better follow-up in this group. While lack of a comprehensive policy has been repeatedly highlighted and various suggestions made to address the range of problems caused by substance use, much remains to be done on the ground to prevent and address these problems. It is anticipated that substance related research publications in the Indian Journal of Psychiatry will increase following the journal having acquired an 'indexed' status.
物质使用模式以其随时间变化的能力而臭名昭著。合法和非法物质的使用都会导致严重的公共卫生问题，而我国现在已经有了这方面的证据。许多滥用物质的全国性流行率已经计算出来，但区域差异非常明显。快速评估调查有助于了解使用模式的变化。妇女和儿童中物质的使用越来越令人担忧。初步的神经生物学研究集中在确定高风险酒精依赖个体。该领域的临床研究主要集中在酒精和物质相关的合并症上。令人失望的是，关于药物和心理社会干预的研究很少。病程和预后研究强调了这一群体需要更好的随访。虽然一再强调缺乏全面的政策，并提出了各种建议来解决物质使用引起的一系列问题，但在预防和解决这些问题方面，仍有许多工作要做。预计随着该杂志获得“索引”地位，《印度精神病学杂志》中与物质相关的研究出版物将会增加。
