von Bardeleben U, Ladewig D
Psychiatrische Universitätsklinik, Basel.
Ther Umsch. 1997 Jul;54(7):393-6.
In Switzerland, dependence on these drugs reflects primarily the relationship between patient and doctor, due to the strict regulations. Drugs involved are in most cases benzodiazepines and other sedatives, less frequently stimulants including weight-control products and drugs containing opioids. Patients' characteristics and motivations include 1.) attempt for specific psychotropic effects, 2.) habituation developed during long-term treatment, 3.) overconsumption of drugs without seeking specific psychotropic effects. Clinical syndromes and therapeutic and preventive strategies are described.
在瑞士,由于严格的规定,对这些药物的依赖主要反映了患者与医生之间的关系。所涉及的药物在大多数情况下是苯二氮䓬类药物和其他镇静剂,较少是包括减肥产品在内的兴奋剂以及含阿片类药物。患者的特征和动机包括:1.)追求特定的精神药物效果;2.)在长期治疗过程中形成的习惯化;3.)无特定精神药物效果追求情况下的药物过度消费。文中描述了临床综合征以及治疗和预防策略。