The craving and new clinic of addiction: A simplified and operational perspective

被引:7
|
作者
Auriacombe, Marc [1 ,2 ,3 ,4 ,5 ]
Fatseas, Melina [1 ,2 ,3 ]
Daulouede, Jean-Pierre [1 ,2 ,5 ]
Tignol, Jean [1 ]
机构
[1] Univ Bordeaux, F-33076 Bordeaux, France
[2] CNRS, USR 3413, Lab Psychiat, Equipe Addict,SANPSY, F-33076 Bordeaux, France
[3] CHU Bordeaux, USCA, CH Charles Perrens Pole Addictol, Filiere Soins Addict, 121 Rue Bechade, F-33076 Bordeaux, France
[4] Univ Penn, Dept Psychiat, Perelman Sch Med, Ctr Studies Addict, Philadelphia, PA USA
[5] CH Bayonne, Assoc BIZIA, Ctr Addictol BIZIA, F-64109 Bayonne, France
来源
ANNALES MEDICO-PSYCHOLOGIQUES | 2018年 / 176卷 / 08期
关键词
Addiction; Care management; Craving; Chronic disease; Prevention; Relapse; Therapeutic withdrawal; SUBSTANCE USE;
D O I
10.1016/j.amp.2018.08.014
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Addiction or use disorder can be defined as a deregulated modality of use of a source of gratification that may be a substance or a behavior. The word "craving" in the addictions is used to describe an unusual desire or urge to use that may be better characterized by its unwanted quality then just by its intensity. This unwanted or pathological craving is an egodystonic experience. This is a common complaint among people with addiction. The importance of this phenomenon has only been demonstrated for a decade. It is now strongly suggested that craving is the most characteristic manifestation of addiction, since its presence and intensity predict use and relapse. As a result, "craving" could be a preferred target for addiction treatments: psychotherapy, pharmacotherapy, but also therapeutic education. (C) 2018 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:746 / 749
页数:4
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