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Substance Use Disorders: A Global Public Health Issue

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (1 March 2024) | Viewed by 2654

Special Issue Editor


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Guest Editor
Hochschule der Bundesagentur für Arbeit, University of Applied Labour Studies, Campus Mannheim, D-68163 Mannheim, Germany
Interests: psychiatry and psychotherapy; addiction medicine; health services research; unemployment and mental illness; neuro-/bioethics
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Special Issue Information

Dear Colleagues,

Without any question, substance use disorders (SUD) such as substance abuse and addiction, are major public health concerns worldwide. The World Health Organization (WHO) identified SUD— together with other mental disorders—to be a leading cause for disability worldwide. For example, 5.9% of deaths worldwide can be attributed to alcohol, e.g., cardiovascular disease, diabetes, injuries, gastrointestinal diseases or cancers, etc. However, there are further psychoactive legal as well as illegal psychoactive substances such as tobacco, cannabis, stimulants, opioids, sedatives/ hypnotics, cocaine, volative solvents leading to detrimental somatic (e.g. cardiovascular disease, cancer), mental (e.g. depression, cognitive decline) and psychosocial consequences such as accidental injuries, aggression, violence, suicide and precarious living situations that come along with further societal exclusion, severer (mental) health problems and increased mental vulnerabilities, missing education, unemployment, becoming criminal, self-harm and self-stigmatization, etc.

Without any therapeutic option, SUD have a very poor outcome regarding the above-mentioned and further consequences.

This demonstrates the significant impact of prevention and intervention. Even if health care systems provide divergent possibilities for prevention and therapy, only a more or less small part of people suffering from SUD can be reached by current options. On average, most people suffering from SUD enter the treatment system after many years of SUD. Therapeutic options contain many different parts such as addiction specific counselling, motivational interviewing, cognitive-behavioral therapies, pharmacological treatment and lately different types of e-interventions.

Those entering treatment have many complex needs including mental health needs that can only be met through a combination of specialist treatment and a wider social and health care.

This Special Issue addresses divergent aspects of SUD as a worldwide major health issue. It contains somatic, mental and especially psychosocial consequences of SUD, as well as meaningful aspects of prevention and therapeutic options in different health care systems worldwide.

You may choose our Joint Special Issue in Healthcare

Prof. Dr. Andreas G. Franke
Guest Editor

Manuscript Submission Information

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Keywords

  • substance use disorders (SUD)
  • addiction
  • treatment
  • psychosocial consequences
  • comorbidities
  • gender aspects
  • public health
  • mental health
  • criminal offense
  • legal/illegal substances

Published Papers (1 paper)

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11 pages, 317 KiB  
Article
Evaluation of a Primary E-Health Intervention for People with Alcohol Use Disorder: Clinical Characteristics of Users and Efficacy
by Nathalie Stüben, Andreas Guenter Franke and Michael Soyka
Int. J. Environ. Res. Public Health 2023, 20(15), 6514; https://doi.org/10.3390/ijerph20156514 - 3 Aug 2023
Cited by 2 | Viewed by 2407
Abstract
In Germany, only about 10% of patients with alcohol use disorder (AUD) are treated by the professional help system. “The First 30 Days without Alcohol”, an interactive e-health intervention, was developed to support people with “alcohol problems” to abstain from alcohol. The aim [...] Read more.
In Germany, only about 10% of patients with alcohol use disorder (AUD) are treated by the professional help system. “The First 30 Days without Alcohol”, an interactive e-health intervention, was developed to support people with “alcohol problems” to abstain from alcohol. The aim of this study was to examine the feasibility of the approach, the program’s target group, if and why it is effective. In March 2022 an email was sent to all users who had completed the program. A link to a web-based survey regarding the target group’s characteristics, its alcohol-use patterns, former attempts to change the problematic drinking behavior and experience with the program was introduced. The Alcohol Use Disorders Identification Test (AUDIT) was used prior and post intervention. A total of 718 participants completed the questionnaire. Of these, 99.2% suffered from AUD; 81.6% of participants were females, and about one third reported some form of psychiatric comorbidity; 46.6% did not use any additional help or assistance apart from the program; 78.3% reported to be abstinent after participation in the 30-day program, and the data show a significant AUDIT score reduction. Primary e-health interventions may contribute to the established addiction-help system. The intervention seems to reach predominantly highly educated and high-functioning females because of their characteristics. Full article
(This article belongs to the Special Issue Substance Use Disorders: A Global Public Health Issue)
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