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題名 | 網路成癮之治療藥物=The Treatment of Internet Addiction |
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作者 | 李欣雅; 陳彥宏; 劉建宏; Lee, Hsin-ya; Chen, Yeng-hung; Liu, Chien-hung; |
期刊 | 藥學雜誌 |
出版日期 | 20150600 |
卷期 | 31:2=123 2015.06[民104.06] |
頁次 | 頁110-114 |
分類號 | 418.21 |
語文 | chi |
關鍵詞 | 網路成癮; 抗憂鬱藥; 鴉片類接受器拮抗劑; 抗精神病藥物; 精神興奮劑; |
中文摘要 | 網路成癮 (Internet addiction) 是這幾年新興的疾病名詞,從民國90年網路開始普 及,網路的使用對於我們的生活帶來了許多方便相對也帶來另一些危險。目前對於毒 品或是物質濫用,例如:海洛因的濫用或是香菸的使用,在國內已經訂出明確的相關 替代療法或是戒菸治療政策,但是對於網路成癮的治療目前仍然還沒有一個完整的治 療準則,藥物療效其實也扮演重要角色,因此,在本文我們將針對網路成癮之治療 藥物進行介紹及討論。相關於網路成癮的案例報導或是臨床試驗的研究仍然有限, 對於藥物的選擇也因為網路成癮與物質成癮,及賭博行為具有相似的病理機轉,可 能可以使用的藥物包含:一、抗憂鬱劑:escitalopram、bupropion;二、鴉片類接受 器拮抗劑:naltrexone;三、情緒穩定劑:valproate 及 lithium;四、抗精神病藥物: quetiapine;五、精神興奮劑:methylphenidate 等。至今,用於網路成癮的治療並沒有 一個完整的治療模式,有許多藥物仍然需要更多的臨床實驗及研究來證實其療效。 |
英文摘要 | Internet addiction is a new disorder in recent year. When Internet is popular, it takes us lots of conveniences and also takes some risks for health. At present, there have the specific guidelines and treatments for heroin or cigarette abuse, but it lacks of a treatment strategy for Internet addiction in Taiwan. Although the pharmacotherapy for Internet addiction deeply plays an important role, we will introduce the current treatment and medications for treatments of Internet addictions. However, case reports or randomized clinical trials for the pharmacotherapy of Internet addiction are still limited. As Internet addiction, substance abuse or gambling were suggested that shares the common psychopathological pathways, the choices of medications may include: (1) antidepressants, e.g. escitalopram and bupropion; (2) opioid receptor antagonists, e.g. naltrexone; (3) mood stabilizers, e.g. valproate and lithium; (4) antipsychotics, e.g. quetiapine; (5) psychostimulants, e.g. methylphenidate. To date, there still lacks of a complete treatment strategy for Internet addiction, and thus, future studies should investigate the combination of different pharmacotherapy to improve adherence and outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。