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Walking a Tightrope: How the Disease of Addiction Affects Everything!!!: A Practical Guide on How to Stay Clean in Spite of Ours

為了解決Drug addict的問題，作者Woods, Ww 這樣論述：

This is a book about ongoing recovery from drug and alcohol addiction. It is a collection of approaches that I have used in the past thirty years to build and maintain a semi normal and sane methodology for clean living. Recovery is not for the faint of heart, as the disease affects every aspect

of our lives, continues to live inside us even after we establish abstinence and is just waiting for an opportunity to weasel its way back into our lives and fulfill its quest: Jails, Institutions and Death. The writing is a collection of stories, personal experiences and real world examples of what

it is like to be a recovering addict. It is meant to be funny, inspirational and maybe even tragic in some respects. The intent is to be as factual as possible without violating any of the participants anonymity. My personal hope is that this provides someone out there with an opportunity and hope

of living a regular spiritually based life. Life is a spiritual journey and we need to work for that!

Drug addict進入發燒排行的影片

Mental Health, Health-related Quality of Life and Behaviors among Outpatients during the COVID-19 Pandemic: A Multiple Hospitals and Health Centers Study in Vietnam

為了解決Drug addict的問題，作者NGUYEN HOANG MINH 這樣論述：

BackgroundGlobally, the coronavirus disease (COVID-19) pandemic has been placing unprecedented challenges and burdens on various aspects of life, such as economics, culture, politics, education, and healthcare. The uncertainty of COVID-19 increases concerns and fear in the communities, especially i

n those with symptoms like COVID-19 (S-LikeCV19). Additionally, many countries have implemented preventive measures (e.g., lockdown, home confinement, social distancing), leading to considerable changes in peoples’ lives, such as working and learning from home, unemployment, lack of physical connect

ion, and food insecurity. Besides, it is reported that people with underlying health conditions (UHC) and infected with COVID-19 have a higher risk of serious symptoms and complications. Therefore, COVID-19-related factors (e.g., fear, lockdown, S-LikeCV19) and UHC may influence peoples’ psychologic

al health and health behaviors, further lowering their health-related quality of life (HRQoL). Furthermore, people who need health services encountered many challenges during the pandemic, such as difficulties in accessibility, examination and treatment delays, and concerns about COVID-19 infection.

From a public health perspective, it is crucial to understand the impacts of COVID-19-related factors and explore protective factors that can improve lifestyles, psychological health, and HRQoL in outpatients. In addition, due to unavailable specific treatments, non-pharmaceutical interventions (e.g

., adherence to preventive measures, health knowledge improvement, healthy lifestyles) are highly recommended to mitigate the consequences of the COVID-19 pandemic.Therefore, this study was conducted on outpatients during the initial stage of the COVID-19 pandemic for the following purposes:(1) To e

xplore the impacts of UHC, S-LikeCV19, and lockdown on anxiety and depressive symptoms; and examine the modification effects of health behaviors (e.g., eating behaviors, physical activity, smoking, drinking) and preventive behaviors.(2) To explore impacts of UHC, S-LikeCV19, lockdown, and fear of CO

VID-19 (F-CV19) on HRQoL; and examine the modification effects of health literacy, eHealth literacy (eHEALS), digital healthy diet literacy (DDL).(3) To explore impacts of UHC, S-LikeCV19, lockdown, and fear of COVID-19 (F-CV19) on changes in eating behaviors and physical activity; and examine the m

odification effects of eHEALS, DDL.MethodsA cross-sectional study was conducted from 14th February to 31st May 2020 in 18 hospitals and health centers in Vietnam. Data were obtained from 8291 outpatients, including socio-demographic characteristics, UHC, S-LikeCV19, F-CV19, health-related behaviors

(smoking, drinking, eating behaviors, and physical activity), preventive behaviors, eHEALS, DDL, depression (measured by 9-item Patient Health Questionnaire), anxiety (measured by 7-item Generalized Anxiety Disorders), and HRQoL (measured by 36-item Short Form Survey). In addition, multiple linear a

nd logistic regression; and interaction models were performed to explore potential associations.ResultsThe prevalence of anxiety and depression was 12.5% and 22.3%, respectively. Patients with UHC had 3.44 times higher anxiety likelihood and 2.71 times higher depression likelihood, while patients wi

th S-LikeCV19 had 3.31 times higher anxiety likelihood and 3.15 times higher depression likelihood than their counterparts. Similarly, patients under lockdown were 2.39 and 2.89 times more likely to have anxiety and depression than those without lockdown, respectively. Interaction models indicated h

igh compliance with preventive behaviors, unchanged/more physical activity, and unchanged/healthier eating behaviors significantly attenuated the associations of UHC, S-LikeCV19, and lockdown with anxiety and depressive symptoms. In addition, unchanged/more alcohol drinking significantly attenuated

the association between UHC and anxiety. Furthermore, the association between S-LikeCV19 and depression was attenuated by higher health literacy scores in outpatients during the pandemic.This study showed that only fear of COVID-19 was negatively associated with HRQoL (B, -0.79; 95% CI, -0.88 to -0.

70; p < 0.001). Interaction models suggested that the inverse association between F-CV19 and HRQoL was mitigated by higher eHEALS scores or higher DDL scores.Patients with UHC, or with S-LikeCV19, or under lockdown had 54%, 52%, and 62% lower likelihoods of unchanged/healthier eating behaviors, and

21%, 58%, and 22% lower likelihoods of unchanged/more physical activity. Interaction models indicated that the association between lockdown and eating behaviors was significantly attenuated by higher DDL scores. Meanwhile, the association between lockdown and physical activity was significantly miti

gated by higher eHEALS scores. There was no statistically significant interaction of UHC and S-LikeCV19 with DDL and eHEALS on changes in health behavior outcomes.Conclusions:During the pandemic, patients under lockdown period, or with UHC, or S-LikeCV19 were more likely to have anxiety and depressi

ve symptoms; and less likely to have unchanged/healthier eating behaviors and unchanged/more physical activity. In addition, patients with higher F-CV19 were more likely to have poorer HRQoL.High adherence to preventive behaviors, physical activity, and healthy eating behaviors could mitigate the ne

gative impacts of UHC, S-LikeCV19, and lockdown on anxiety and depression. In addition, higher health literacy could mitigate the impact of S-LikeCV19 on depression during the pandemic. Besides, alcohol drinking was found to lower the impact of UHC on anxiety.Moreover, better eHEALS and DDL could mi

tigate the adverse impacts of F-CV19 on HRQoL. Higher eHEALS could help to alleviate the impact of lockdown on physical activity, while higher DDL could mitigate the impact of lockdown on eating behaviors.Our findings provide timely and reliable evidence for appropriate strategies to enhance healthy

lifestyles, preventive behaviors, eHEALS, and DDL, thereby preventing outpatients from psychological disorders and improving their HRQoL during the pandemic.

One by One: A Memoir of Love and Loss in the Shadows of Opioid America

為了解決Drug addict的問題，作者Bush, Nicholas 這樣論述：

Nicholas Bush is a reformed drug addict who works with addicts and criminals in halfway houses and prisons to help them turn their lives around. He began combatting his own addiction after losing a sister and a brother to drug overdoses. Bush has written articles related to opioid addiction for USA

Today, the New York Post, PBS, and the Johns Hopkins Medical Journal, and been featured on The Today Show. He is from Green Bay, Wisconsin, and lived for many years in Kansas City, Missouri, but currently resides in Mendocino, California, with his wife and young daughters.

酒精使用障礙症合併憂鬱情緒患者接受認知行為治療之個案研究

為了解決Drug addict的問題，作者葉育修 這樣論述：

摘要：本研究以個案報告記錄三位「酒精使用障礙症」(Alcohol use disorder, AUD)合併「憂鬱症」(Major depressive disorder, MDD)患者接受「認知行為治療」(Cognitive Behavior Therapy, CBT) 的歷程。本研究分為四個階段，第一階段於身心科門診或病房收案；第二階段在病患充分知情同意後納入研究，並施行心理測驗評估病患的認知功能可接受「認知行為治療」(Cognitive Behavior Therapy, CBT)。第三階段，病患會接受12次CBT治療，並在最後一次治療時，接受心理測驗。第四階段在結案後一個月再進行追蹤訪

談與評估CBT療效。研究結果發現，個案在接受認知行為治療時，有助於療效因子分為內在因素與外在因素。內在因素包括：病患能修改失功能的信念與負面的自動化思考，提升回家作業遵從性，並且在渴求時採取有效因應策略。外在因素為正向積極的社交支持力量。無助於療效的因子，包括：在治療時，病患不願意揭露實際飲酒情況與憂鬱情緒，無法與治療師建立合作同盟的治療關係，回家作業遵從性不佳與欠缺社群支持。此外，本研究建議酒精使用障礙症合併有憂鬱情緒與述情障礙特質者，認知行為治療重點應著重於教導病患辨識在高風險情境中促進飲酒的信念，並且使用行為活化技巧對應渴求與憂鬱情緒。最後，本研究結果為相關領域提供更近一步量化研究基礎，

並且提供該族群接受更有效評估與臨床介入方式。