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The influence of tightening regulations on patients with new psychoactive substance-related disorders in Japan.
Tanibuchi, Yuko; Matsumoto, Toshihiko; Funada, Daisuke; Shimane, Takuya.
Afiliación
  • Tanibuchi Y; Department of Psychiatry, Chiba Hospital, Funabashi, Chiba, Japan.
  • Matsumoto T; Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
  • Funada D; Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
  • Shimane T; Department of Psychiatry, Center Hospital, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.
Neuropsychopharmacol Rep ; 38(4): 189-196, 2018 12.
Article en En | MEDLINE | ID: mdl-30341809
AIMS: This study aimed to investigate the influence of tightened regulations on new psychoactive substances in patients with disorders related to these drugs in Japan. METHODS: We used a biennial nationwide survey on drug-related psychiatric disorders to examine why individuals who had previously used new psychoactive substances as their primary drug (the drug that had the greatest impact on their psychiatric symptoms) had switched to other drugs, how they had used drugs in the last 12 months and what type of drugs they were now using. We compared the clinical features of these individuals with patients who mainly used new psychoactive substances and had used these drugs at least once in the last 12 months. RESULTS: A total of 2262 people were included, and 399 had used new psychoactive substances. Of those, 71 people had switched to another drug as primary drug, mostly stimulant drugs (35.2%), hypnotics and anxiolytics (15.5%), and cannabis (14.1%) and used these drugs during the previous 12 months. The majority, 53.3%, had switched "because new psychoactive substances were no longer available." In total, 25 people mainly used new psychoactive substances. The group that had changed drugs had more experience of using methamphetamine and were more likely to have abused other drugs before using new psychoactive substances. They had often switched to illegal or prescription drugs after regulations had been tightened. CONCLUSION: The number of patients abusing new psychoactive substances decreased after drug regulations were tightened, but new psychoactive substances-related problems still exist. It is therefore not enough to tighten regulations. Drug dependence treatment and recovery support are also needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Psicotrópicos / Trastornos Relacionados con Sustancias / Control de Medicamentos y Narcóticos Tipo de estudio: Etiology_studies Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Neuropsychopharmacol Rep Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Psicotrópicos / Trastornos Relacionados con Sustancias / Control de Medicamentos y Narcóticos Tipo de estudio: Etiology_studies Límite: Adolescent / Adult / Aged / Child / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Neuropsychopharmacol Rep Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos