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精神共病障碍患者中减少大麻使用的数字干预措施综述

A Review of Digital Interventions to Decrease Cannabis Use Among Patients With Comorbid Psychiatric Disorders.

机构信息

Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.

Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA.

出版信息

J Dual Diagn. 2022 Oct-Dec;18(4):199-210. doi: 10.1080/15504263.2022.2126058. Epub 2022 Sep 30.

Abstract

OBJECTIVE

Cannabis use disorder (CUD) is associated with an elevated risk for psychiatric disorders and symptoms, contributing to poor health outcomes and increased medical costs. Unfortunately, interventions that simultaneously address cannabis use and co-occurring psychiatric disorders are limited in availability. Targeted digital interventions to reduce cannabis use could be beneficial for patients with psychiatric disorders. Digital interventions could be easily disseminated and used in numerous clinical locations, including outpatient, inpatient, residential, and community psychiatric treatment settings.

METHODS

Literature on digital cannabis reduction interventions for persons with psychiatric disorders was examined between April 2021 and June 2021. Articles were obtained from PubMed and PsycINFO databases. English language randomized controlled trials (RCT), feasibility and acceptability studies, pilot studies, and published protocols were included.

RESULTS

There is significant evidence that digital interventions can effectively reduce cannabis use in general, non-clinical populations. However, there is less literature examining interventions for persons living with co-occurring psychiatric illness-most of which is tailored to patients living with chronic psychosis.

CONCLUSIONS

There is great need for accessible and tailored digital interventions for co-occurring CUD and psychiatric disorders.

摘要

目的

大麻使用障碍(CUD)与精神障碍和症状的风险增加有关,导致健康状况不佳和医疗费用增加。不幸的是,同时解决大麻使用和同时发生的精神障碍的干预措施在可用性方面受到限制。针对减少大麻使用的有针对性的数字干预措施可能对患有精神障碍的患者有益。数字干预措施可以很容易地在众多临床场所(包括门诊、住院、住院和社区精神治疗场所)传播和使用。

方法

在 2021 年 4 月至 6 月期间,对针对精神障碍患者的数字大麻减少干预措施的文献进行了检查。从 PubMed 和 PsycINFO 数据库中获取了文章。纳入了英语随机对照试验(RCT)、可行性和可接受性研究、试点研究和已发表的方案。

结果

有大量证据表明,数字干预措施可以有效地减少一般非临床人群中的大麻使用。然而,关于针对同时患有精神疾病的人的干预措施的文献较少,其中大部分是针对患有慢性精神病的患者量身定制的。

结论

非常需要针对同时患有 CUD 和精神障碍的患者的易于访问和量身定制的数字干预措施。

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