Department of Psychology, University of the Western Cape, Cape Town, South Africa.
Department of Special Needs Education, Ghent University, Ghent, Belgium.
Subst Use Misuse. 2021;56(5):683-696. doi: 10.1080/10826084.2021.1892136. Epub 2021 Mar 21.
Substitute addictions, addictive behaviors that sequentially replace each other's functions, have implications for recovery trajectories but remain poorly understood. We sought to scope the extent, range, and characteristics of research on substitute addictions in persons with substance use disorders. : Using Arksey and O'Malley's framework for scoping reviews, a systematic search was conducted to identify publications that referenced substitute addictions up to April 2018. Study characteristics were extracted and summarized to provide an overview of the extant literature. : The 63 included studies show that substitute addictions are terminologically and conceptually ambiguous. Much of the available literature is concentrated in developed contexts - and in particular the United States of America. While presentations varied, at least two sub-types of substitute addictions appeared: long-term replacement and temporary replacement. Existing theories suggest a multifactorial etiology. : The findings suggest a strong need for: increased awareness of substitute addictions and its potential consequences for recovery; interventions that structure prevention and pre-, during-, and post-treatment interactions as well as future research to explore its nature and dynamics drawing on multiple methods.
替代成瘾，即依次替代彼此功能的成瘾行为，对康复轨迹有影响，但仍知之甚少。我们旨在探讨物质使用障碍患者中替代成瘾的研究范围、范围和特征。：使用 Arksey 和 O'Malley 的范围综述框架，对截至 2018 年 4 月的参考替代成瘾的出版物进行了系统搜索。提取并总结了研究特征，以提供现有文献的概述。：63 项纳入的研究表明，替代成瘾在术语和概念上存在模糊性。现有的大部分文献都集中在发达的背景下——特别是美利坚合众国。虽然表现形式各异，但至少出现了两种类型的替代成瘾：长期替代和临时替代。现有理论表明其病因具有多因素性。：研究结果表明，非常需要：提高对替代成瘾及其对康复潜在影响的认识；干预措施，构建预防以及治疗前、治疗中和治疗后互动的结构，以及未来的研究，以探索其性质和动态，借鉴多种方法。
