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Article Commentary: Dismantling Racism Against Black, Indigenous, and People of Color across the Substance use Continuum: A Position Statement of the Association for Multidisciplinary Education and Research in Substance use and Addiction

An organization committed to substance use and addiction research addresses racism's impact on people who use drugs. It proposes strategies to promote diversity, equity, and inclusion in the field.

Racismsubstance use disorderaddiction treatmenthealth equityharm reductiondrug lawsracial disparitiesequity
(2021)

Addiction should be treated, not penalized

Drug laws are enforced unequally, disproportionately affecting Black and Hispanic individuals. Punishment for drug use is ineffective and hinders access to treatment. This creates a cycle of harm, necessitating a public health approach.

mass incarcerationaddiction treatmentRacial discriminationopioid crisisinequitable enforcementpublic health approachracial disparities
(2021)

Dopamine Circuit Mechanisms of Addiction-Like Behaviors

Addiction is a chronic disease characterized by compulsive drug use, withdrawal, and relapse. Research uses animal models and studies on dopamine circuits to understand the brain's role in these behaviors.

AddictionDopamineSubstance Use Disorder (SUD)Mesostriatal pathwayNigrostriatal pathwayNigrostriatal pathwayAnimal modelsRelapseCravingRewardCompulsive behavior
(2021)

“I can’t live like that”: The experience of caregiver stress of caring for a relative with Substance Use Disorder

Substance use significantly impacts families, causing psychological and emotional distress, financial hardship, and increasing children's risk of maltreatment.

Substance use disorderaddictionfamily impactcaregiver stressself-careAl-Anonmental healthcoping strategiesresilience
(2021)

Medication and substance use increases among people using cannabis medically during the COVID-19 pandemic

Nearly half of cannabis users surveyed worried about COVID-19 affecting their cannabis access. Many reported starting or increasing other medication use, often due to changes in cannabis availability.

Medical cannabisAlcoholDrug useCovid-19Substitution
(2021)

Does incarceration influence patients’ goals for opioid use disorder treatment? A qualitative study of buprenorphine treatment in jail

The study found that participants have various goals for continuing opioid use disorder treatment after jail, but face many structural barriers. Legal supervision, like parole, can reinforce cycles of drug use and re-incarceration.

Buprenorphine treatmentJailPost-incarcerationAttitudes toward substance use treatment
(2021)

Alcohol and the Brain

Chronic alcohol use can cause widespread brain volume loss, particularly in gray matter. However, some brain volume may recover with abstinence or reduced drinking. The effects of alcohol on the brain appear to worsen with age.

addictionalcoholalcoholismbrainfMRIPETbrain structureneurotoxicity
(2021)

Curing the broken brain model of addiction: Neurorehabilitation from a systems perspective

This article introduces a new model for understanding addiction called system-oriented neurorehabilitation. It emphasizes that addiction involves an addicted mind, brain, and environment, not just a chronic brain disease.

AddictionBrain disease modelNeurorehabilitationSystems approachSystem-oriented neurorehabilitation
(2021)

Epigenetics of addiction

Substance use disorders involve brain changes influenced by genetics and environment.

AcetylationAddictionCocaine DNA hydroxymethylationEpigeneticsMethamphetamineOpioids
(2021)

Multivariate analysis of 1.5 million people identifies genetic associations with traits related to self-regulation and addiction

This study found that a shared genetic factor underlies several externalizing behaviors like ADHD and substance use. This common genetic link can advance understanding of these behaviors and improve gene discovery efforts.

self-regulationpolygenic scoregene discoverymental healthsubstance userisk tolerance
(2021)

Role of microRNAs in the pathophysiology of addiction

Addiction is a chronic brain disorder influenced by both genetics and environment, causing compulsive drug-seeking.

addictionepigeneticmicroRNAnon-coding RNAcocainemethamphetamineopioidsalcoholnicotine
(2021)

Addiction-Associated Genetic Variants Implicate Brain Cell Type- and Region-Specific Cis-Regulatory Elements in Addiction Neurobiology

Substance use disorders are increasing, with genetic links playing a significant role. This research identifies specific brain regions and cell types impacted by genetic variations tied to addiction.

addictiondeep learningepigeneticsgenomicsmachine learningneural circuitsreward circuitsgenetic predispositionmesolimbic dopamine systemSubstance use disorders
(2021)

Striatonigrostriatal Spirals in Addiction

Addiction is a chronic brain disorder marked by compulsive drug seeking despite harm, with rising overdose deaths in the US. Current treatments show limited effectiveness, highlighting the need for new research into underlying mechanisms.

addictionbasal ganglia circuitsbehaviordopamineneurotransmitterreward systemstriatonigrostriatal spiralsneurotransmitters
(2021)

Optimizing the impact of medications for opioid use disorder at release from prison and jail settings: A microsimulation modeling study

Expanded access to all three medications for opioid use disorder (MOUD) in prisons and jails significantly reduces overdose deaths statewide. This approach is more effective than limited MOUD options or no MOUD.

jailsmedications for opioid use disorderopioidsoverdoseprisons
(2021)

Fentanyl-related overdose during incarceration: A comprehensive review

Individuals who are incarcerated face a higher risk of overdose due to reduced opioid tolerance and fentanyl's potency. Overdoses in jails and prisons are likely common but rarely studied.

fentanylopioidoverdoseincarceration
(2021)
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