CRAVING IN SUBSTANCE USE DISORDERS
Journal Title: The Odisha Journal of Psychiatry - Year 2017, Vol 26, Issue 1
Abstract
Drug addiction constitutes a chronic central nervous system disorder and one of the most serious public health problems globally. Most prominent feature of addictive behavior is craving which can be described as the psychic pain of addiction. It is an intractable obstacle confronted by addicts attempting to achieve abstinence. Craving is the key in evolving drug-taking behavior into compulsive drug-taking behavior. Direct relationship between craving and relapse, though not well established, appears to occur through intermediate factors. Incorporating craving measurements into routine clinical practice can increase the patient's capacity to recognize and monitor his internal states that are related to substance intake and this can be used in recommending appropriate treatment. Craving seems to be a nonunitary phenomenon, and different kinds of craving with different mechanisms have been proposed, so it is conceivable that different drugs (including proposed immunotherapy) can be more or less effective on different kinds of craving.
Authors and Affiliations
Shobit Garg, Ambrish S. Dharmadhikari, V. K. Sinha, Jyoti Mishra
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