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致瘾临界点:迷幻辅助疗法在应对阿片类药物危机中的潜在作用。

The tripping point: The potential role of psychedelic-assisted therapy in the response to the opioid crisis.

机构信息

Interdisciplinary Studies, University of British Columbia, 270-2357 Main Mall, H. R. MacMillan Building, Vancouver, BC, V6T 1Z4, Canada; Centre for Gender & Sexual Health Equity, 1190 Hornby Street, Vancouver, BC, V6Z 2K5, Canada.

British Columbia Centre on Substance Use, 400-1045 Howe St, Vancouver, BC, V6Z 2A9, Canada; School of Population and Public Health, University of British Columbia, 5804 Fairview Avenue, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Int J Drug Policy. 2019 Apr;66:80-81. doi: 10.1016/j.drugpo.2018.11.006. Epub 2019 Feb 7.

Abstract

The increasing contamination of the drug supply with illicitly manufactured fentanyl and related analogs in North America has resulted in the most severe drug-overdose crisis in history. Available pharmacotherapy options for the treatment of opioid use disorder have had limited success in curbing the current crisis, and a growing body of evidence highlights the need for innovative interventions that target underlying social-structural drivers of opioid use disorder. Re-emerging clinical research suggests that psychedelic-assisted therapy has potential as an alternative treatment for refractory substance use disorders and related comorbidities. Based on the available evidence, our viewpoint supports advancing research on the potential role of psychedelic-assisted therapy within a multifaceted response to the opioid crisis.

摘要

在北美,非法制造的芬太尼和相关类似物对毒品供应的污染不断增加,导致了历史上最严重的药物过量危机。目前用于治疗阿片类药物使用障碍的药物治疗选择在遏制当前危机方面收效甚微,越来越多的证据强调需要创新干预措施,以解决阿片类药物使用障碍的潜在社会结构性驱动因素。重新出现的临床研究表明,迷幻药辅助疗法作为一种治疗难治性物质使用障碍和相关共病的替代疗法具有潜力。基于现有证据,我们的观点支持在应对阿片类药物危机的多方面措施中推进迷幻药辅助疗法潜在作用的研究。

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