The Neurobiology of Anorexia Nervosa: A Systematic Review Australian & New Zealand Journal of Psychiatry
Recent advances in neuroimaging techniques have enabled a better understanding of the neurobiological underpinnings of anorexia nervosa. This paper summarizes the current understanding of the disorder.
Novel Community-Based Buprenorphine Program: Client Description and Outcomes Journal of Addiction Medicine (free ASAM member resource) The aims of this retrospective, descriptive study were to describe clients served by a buprenorphine program in a community-based recovery center and to present initial treatment outcomes. A record review was conducted for clients treated from July 2010 to August 2011.
Overview of State Actions on Overdose NASADAD NASADAD released an overview of actions states are taking to address overdose deaths. Three broad categories include (1) 911 Good Samaritan Laws, (2) Naloxone prescribing and administration protections, and (3) Naloxone distribution programs.
SAMHSA Issues Advisory to Treatment SAMHSA SAMHSA has issued an advisory about a marked increase in deaths since the beginning of the year that were reportedly linked to the use of heroin contaminated with the drug fentanyl.
Prescribing Thiamine to Inpatients with Alcohol Use Disorders Journal of Addiction Medicine (free ASAM member resource) Thiamine deficiency is a potentially dangerous sequel of alcohol use disorders (AUDs). European and British guidelines recommend administering high-dose parenteral thiamine 3 times daily to avoid consequences of thiamine deficiency. To date, no study has examined how thiamine is prescribed to inpatients with AUD in an American hospital.
A Narrative Review of Binge Eating and Addictive Behaviors Frontiers in Psychiatry In this paper, it is proposed that high seasonality is a risk factor for binge eating, especially in those characterized by anxious and impulsive personality traits. Given the well-established links between binge eating and addiction disorders, it is also suggested that seasonality, together with the same high-risk psychological profile...
Obesity at Conception Programs the Opioid System in the Offspring Brain Neuropsychopharmacology Maternal obesity during pregnancy increases the risk for offspring obesity, in part through effects on the developing brain. Expression of the mu-opioid receptor (MOR), preproenkephalin (PENK), and the dopamine transporter was evaluated in the hypothalamus and reward circuitry...
Iceland Ranks Lowest Amongst Adolescent Alcohol Drinkers in Europe IceNews The ‘Icelandic Model’ is a theoretically-grounded, evidence-based approach to community adolescent substance use prevention that has grown out of a collaboration. The intervention focuses on reducing known risk factors for substance use, while strengthening a broad range of parental, school, and community protective factors.
Disinhibition: Implications for Alcohol and Other Substance Use Disorders Frontiers in Psychiatry Disinhibition is present in various maladaptive behaviors, including substance use disorders. Most previous research has assumed that disinhibition is a psychological construct that is relatively stable within individuals. However, recent evidence suggests that the ability to inhibit behavior fluctuates in response to environmental...
When Treating Addiction, Don’t Forget Patients’ Other Health Issues The Partnership at Drugfree.org This study compared the fixed tapering dose and the symptom–triggered regimens of lorazepam for alcohol detoxification. The main outcome measures were the total amount and duration of lorazepam treatment and the incidence of adverse events or complications.
A Comparative Study of Methods with Lorazepam for Alcohol Detoxification Alcohol and Alcoholism This study compared the fixed tapering dose and the symptom–triggered regimens of lorazepam for alcohol detoxification. The main outcome measures were the total amount and duration of lorazepam treatment and the incidence of adverse events or complications.
Buprenorphine Neurobiology and Clinical Practice ASAM The Pain & Addiction Course: Common Threads XV explores the evolving arena of treating pain and addiction, as well as the prevention of addiction while treating pain. This year's course will focus on prescribing buprenorphine and will cover basic mechanisms; history; use in specific settings; and intersection with other substances.
Confronting the Stigma of Opioid Use Disorder and Its Treatment Journal of the American Medical Association President-Elect of the Maryland Society of Addiction Medicine, Dr. Yngvild Olsen, penned this opinion piece for Journal of the American Medical Association’s “Viewpoint” section. This thoughtful essay provides strategy and reasoning to fight the ongoing stigmatization of treating opioid use disorder.
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The views and positions of any content published in ASAM Weekly are not necessarily endorsed by ASAM nor a reflection of ASAM's beliefs and policies. The features are presented as a summary of the contemporary issues being represented and expressed in scientific, governmental, commercial, and media sources across the specialty field of addiction medicine. Contact ASAM Weekly with any comments or feedback.