RiHuiAddiction and Mental Disorders Medical Center, Guangzhou, 510000, China.
Department of Psychological Medicine, PLA Army General Hospital, Beijing, 100700, China.
Adv Exp Med Biol. 2017;1010:219-245. doi: 10.1007/978-981-10-5562-1_11.
This chapter first summarizes the therapy of addiction disorder, and elaborates on the progress of medication. First, the difference between dependency and addiction are introduced. The basic principles of the therapy of substance and non-substance addiction are then put forward. It is also pointed out in this chapter that with the progress of the study, the goal of addiction disorder therapy is expected to transfer from reducing the relapse and harm of the addiction to completely eliminating and recovering from it. This chapter also introduces the progress of psychological addiction elimination technology, especially the "Unconditioned Stimulus Retrieval Extinction Paradigm and Conditioned Stimulus Retrieval Extinction Paradigm" and PITDH technology. Finally it is pointed out that in addiction disorder therapy, comprehensive intervention has become a trend. With regard to the medication for addiction disorders, this chapter also includes the progress and deficiencies of substance and non-substance addiction. In terms of addiction disorder rehabilitation, the foundation of substance addiction is medication which is, however, limited for non-substance addiction. The key to the rehabilitation of addiction disorder is psycho-behavioral therapy, which is especially effective in eliminating craving.
本章首先总结了成瘾障碍的治疗方法，并详细阐述了药物治疗的进展。首先介绍了依赖和成瘾的区别。然后提出了物质和非物质成瘾治疗的基本原则。本章还指出，随着研究的进展，成瘾障碍治疗的目标有望从减少成瘾的复发和危害转移到完全消除和康复。本章还介绍了心理成瘾消除技术的进展，特别是“非条件刺激检索消除范式和条件刺激检索消除范式”和 PITDH 技术。最后指出，在成瘾障碍治疗中，综合干预已成为趋势。关于成瘾障碍的药物治疗，本章还包括物质和非物质成瘾的进展和不足。在成瘾障碍康复方面，物质成瘾的基础是药物治疗，但对非物质成瘾的作用有限。成瘾障碍康复的关键是心理行为治疗，它在消除渴求方面特别有效。
