Mental Disorders After Long-term Use of Illicit Drugs and Alcohol Review article
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Abstract
Some cases of a particular type of psychiatric disorders have been reported in addicts who, after prolonged periods of alcohol and psychoactive use, have become abstinents or have minimized the amount of psychoactive substances they took. These people have developed a dysfunctional pattern of relationships with people, especially isolation from their families, and at the same time – with hyperactivity in social media, engagement in missionary goals, impulsivity, stiffening of views, radicalization, ideologization and obsessiveness of evaluations, reversal of earlier mental values, with reevaluation of the open to hostile attitudes towards the related people. Typically, there were disturbances of the contents of thinking, like the idée fixe and semi-delusions. Radicalism and ideologization transiently strengthened the social position of patients, but over time led to deepening their isolation from the related society. The basis for these observations may be structural and functional changes in the brains of addicts, revealed even after many years of abstinence, as well as negative feedback between addicts and their social network.
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References
2. Łoza B. Rozdział 44. Depresja u osób z zespołem metabolicznym i cukrzycą. W: Mamcarz A. Zespół metaboliczny. Wydanie 1. Medical Education, Warszawa 2008: 529-544.
3. Bussing-Birks M. Mental Illness and Substance Abuse. National Bureau of Economic Research. Online.
4. Rascanu R. The Personality Profile of the Drug Addict. Europe’s Journal of Psychology 2005; 1(1).
5. Stokowski LA. No Amount of Alcohol Is Safe. Medscape 2014. Online.
6. Andrews MAW, Ridderinkhof R. Scientific American 2011. Online.
7. Jacobus J, Tapert SF. Effects of Cannabis on the Adolescent Brain. Curr Pharm Des 2014; 20(13): 2186-2193.
8. Nutt D, King LA, Saulsbury W, Blakemore C. Development of a rational scale to assess the harm of drugs of potential misuse. Lancet 2007; 369(9566): 1047-1053.
9. Qiu Y, Jiang G, Su H et al. Progressive White Matter Microstructure Damage in Male Chronic Heroin Dependent Individuals: A DTI and TBSS Study. PLoS One 2013; 8(5): e63212. https://doi.org/10.1371/journal.pone.0063212.
10. Bechara A, Dolan S, Denburg N et al. Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia 2001; 39(4): 376-389.
11. Wang L, Zou F, Zhai T et al. Abnormal gray matter volume and resting-state functional connectivity in former heroin-dependent individuals abstinent for multiple years. Addiction Biology 2016; 21(3): 646-656.
12. Stevenson JS. Alcohol use, misuse, abuse, and dependence in later adulthood. Annu Rev Nurs Res 2005; 23: 245-280.
13. Maddox JC, Levi M, Thompson C. The compliance with antidepressants in general practice. J Psychopharmacol 1994; 8(1): 48-52.
14. Nielson EM. Substance Abuse Counselors’ Recovery Status and Self-Schemas: Preliminary Implications for Empirically Supported Treatment Implementation J Drug Alcohol Res 2016; 5: 235982.