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Influence of eating habits on psychopathological symptoms should present clients with mafestations in therapeutic community for treatment of addiction.
Košťáková, Martina ; Miovský, Michal (advisor) ; Minařík, Jakub (referee)
ABCTRACT BACKGROUND: Currently, the diagnosis of ADHD is highly debated. Symptoms pass from childhood to adulthood. It turns out that people who according to the questionnaire YFAS meet the diagnostic criteria for dependence on food, show more comorbidity of other disorders such as binge eating, depressive, or ADHD. OBJECTIVE: The research problem and the aim of the diploma thesis is to find out what effect the regular diet regimen has on the diagnosis of food dependence in clients who are being treated in residential treatment in the treatment community of NL dependence. Assess whether a food addiction is more likely to suffer from ADHD symptoms and symptoms of psychopathology according to the SCL - 90 questionnaire. METHODS: The thesis is based on data from the GAČR ADHD project. The research was conducted in 5 therapeutic communities in the Czech Republic. The YFAS, DIVA and SCL- 90 questionnaires were used for the research. Test cells were collected in 4 waves of data collection, but only the first and second wave of data collection are used in this work because we are interested in data about clients on arrival and during the stay. Of the other questionnaires used in the GAČR ADHD project, very short case studies were developed and only for people who were addicted to food. RESEARCH FILE: The thesis is...
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The motivation of opioids users for abusing of Suboxone
Čížkovská, Dominika ; Šejvl, Jaroslav (advisor) ; Minařík, Jakub (referee)
Background: In the last few years the number of buprenorphine users has been increasing, as well as the number of Suboxone users in substitution treatment. Suboxone became the most used preparation based on buprenorphine in 2015. Thanks to the naloxone component any abuse in the form of intravenous application should not appear. But from the practical experience we know, that the naloxone component is not always working and we can observe its abuse in the form of intravenous application, as well as its black market distribution. This issue is discussed among experts rarely. Aims: The main aim of this study is to describe the motivation of opioids users to abuse Suboxone, either with intravenous application or its distribution to the black market. Next aim is to identify and describe the aversive effect that is connected to intravenous application of Suboxone, specifically how the aversive effect can evince and in what degree it is present. The aim is also to find a possible link between the intravenous application of Suboxone and the needle fixation phenomenon. Methodology: To collect the data, a structured interview based on a questionnaire is used. The respondents are clients of three certified substitution treatment centers in Prague. Data are processed statistically, using simple enumeration...
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Options possible use of methylphenidate as a substitution substance in addiction to methamphetamine
Petrlová, Ivana ; Šejvl, Jaroslav (advisor) ; Minařík, Jakub (referee)
Methamphetamine is currently a leading addictive substance abused by problem drug users on the Czech drug scene. The number of problem drug users of methamphetamine accounts for approximately 73 % of all problem drug users and most of them use methamphetamine for injection. There is no approved effective pharmacotherapy for methamphetamine addiction worldwide. A major benefit for users of methamphetamine due to their number and risks that problem and injecting drug use bring could be substitution treatment such as opiate addiction. Even though there are a few doctors in the Czech republic, who prescribe amphetamine-type drugs to patients diagnosed by F15.2. as a substitution substances, no substance is widely accepted and extended. One of those compounds is methylphenidate hydrochloride known under the trade names Ritalin® and Concerta® .The possibilities of using these substances will be dealt with in my bachelor thesis. The aim of this bachelor thesis is to map out up-to-date knowledge of the use of methylphenidate as a substitution substance in addiction to methamphetamine and describing the possibilities of its potential use for substitution therapy. The bachelor thesis has a research character and works with monographs, published articles and clinical studies dealing with the given issue. The...
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Toxic psychosis as a result of long-term methamphetamine abuse - case studies serie of the clients in therapeutic community
Musílková, Eva ; Kalina, Kamil (advisor) ; Minařík, Jakub (referee)
The thesis deals with the course and character of experienced toxic psychosis and its development over time, in clients at present long term residing in the therapeutic community. The thesis searches relatedness between several parameters defined methamphetamine abuse (intensity, length of use) and the length of the event period. Research core thesis are qualitative case analyzes, in which the emphasis is a typical manifestation of toxic psychosis and its descriptive progress with regard to mentioned parameters of abuse and also to accentuate the importance of toxic psychosis borders as a result of methamphetamine abuse, compared with endogenous psychoses of schizophrenia circuit. The aim of this thesis is to describe individual cases manifestations of psychosis through five client stories and explore the process of psychical recovery and regression of clinical symptoms in time, in clients with the prospect of full recovery. For this particular research the author elected a qualitative approach and storylines of five clients were processed as a set of case studies. Data quality was projected through several methods, while the crucial will be narrative interview, than a life curve and method of participants observation. For data analysis, the method of narrative analysis and a method of recording...
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Design of Pilot Clinical Trial of Treatment of Hepatitis C in Polyvalent Problem Drug Users with Pharmacological Substitution of Opioids and Methamphetamine (HCV-PPDUSOM)
Oktábec, Zbyněk ; Gabrhelík, Roman (advisor) ; Minařík, Jakub (referee)
Charles University in Prague First Faculty of Medicine Study programme: Specialization in Health Care Branch of Study: Addictology PharmDr. Bc. Zbyněk Oktábec, Ph.D. et Ph.D. Design of Pilot Clinical Trial of Treatment of Hepatitis C in Polyvalent Problem Drug Users with Pharmacological Substitution of Opioids and Methamphetamine (HCV-PPDUSOM) Master's Thesis Advisor: Mgr. Roman Gabrhelík, Ph.D. Prague, 2016 Abstract Hepatitis C is one of the most serious blood-borne complications of somatic health status of drug users. The HCV-positive injecting drug users are therefore directly indicated for the treatment of this type (and other types also) of hepatitis. Problematic adherence and treatment compliance is obvious in this group. Both foreign and domestic experiences show that stabilization of the use of illegal (and/or illegally acquired) substances is the essential part of the treatment of hepatitis. The interaction of the high quality treatment of somatic, psychosocial and add-on pharmacological care, including the substitution of illegal (and/or illegally acquired) drugs, leads to patient's increased compliance and adherence to HCV treatment. This diploma thesis is presenting both the theoretical frame and the study design of the pilot clinical trial of HCV treatment with the supportive substitution...
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Development and changes of motivation to treatment among clients with diagnoses ADHD in therapeutic communities for drug addicts
Zvingerová, Nina ; Miovský, Michal (advisor) ; Minařík, Jakub (referee)
The aims of this study were to examine the relationship between symptoms of ADHD (Attention deficit/Hyperactivity disorder) and motivation for change, to explore their role in the prediction of treatment completion and to identify domains in psycho-social characteristics which can affect the motivation. The sample was composed of 250 illicit-subsatnce users, treated in therapeutic communities for drug addicts. Motivation for change was assessed with the Change Questionnaire, the presence of ADHD symptoms was assessed with DIVA2.0 (Diagnostic interview for Adult ADHD). Respondents indicated strong motivation to change the problematic behavior, but the study struggled with high rate of premature dropping out of the treatment, so the hypothesis about the effect of measured motivation for successful completing of the tretment could not be confirmed or disconfirmed. The relationship between ADHD and motivation could not be confirmed as well. The most important finding is probably the positive correlation between rate of psychopathology and ADHD, and it's negative influence on motivation. The work also gives a report about the problem of measuring of motivation, and reports some suggestions for the improvement. Powered by TCPDF (www.tcpdf.org)
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USER HABITS METAMPHETAMINE USERS
Plaček, Jan ; Minařík, Jakub (advisor) ; Gabrhelík, Roman (referee)
1 Univerzita Karlova v Praze 1. lékařská fakulta Studijní program: Specializace ve zdravotnictví Studijní obor: Adiktologie ID studijního oboru: B5345 Jan Plaček Uživatelské zvyklosti uživatele pervitinu User habits of methamphetamine addicts Bakalářská práce Vedoucí závěrečné práce: MUDr. Jakub Minařík Praha 2016 2 Summary The author sets "to map user's habits (frequency and dose) of methamphetamine users, including such addictive substances combined with the primary addictive substance" as aim of this work. The work is divided into two parts - theoretical (Chapter 1) and practical (Chapter 3 - 6). The theoretical part explores methamphetamine - what is it, history, effects, number of users. The second part consists of interviews with eight users of methamphetamine. The author demonstrates common habits of methamphetamine users. It is very difficult, because there are many factors affecting frequency and dose of users. Many of that factors are not entirely predictable. Keywords methamphetamine, drug, dose, frequency, combination
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PHARMACOTERAPEUTIC INTERVENTIONS IN ADDICTION TREATMENT
Kozinski, Jan ; Minařík, Jakub (advisor) ; Oktábec, Zbyněk (referee)
Drug dependence is one of the most common psychiatric diagnosis besides with affective disorders and anxiety disorders. Drug abuse may entail many somatic and psychiatric comorbidities which complicate treatment and substantially worsen its prognosis. Allthough the main reason of keeping dependence behaviour are maladaptive behavioural patterns, on the cell level there are mainly pathophysiological processes in the central nervous systém. Similarly, it can be supposed that centre of treatment lies in psychotherapy, nevertheless parallel medication may significantly reduce subjective difficulties connected with abstinence from drug, which are common reason from treatment terminating from the side of patient. In the urgent addictology, or acute psychiatry it is possible to meet with situations, when psychotherapeutic techniques have only limited effectiveness. It is possible to use for example de-escalate approach with anxious patient that is intoxicated by cannabinoids or halucinogens, but it has no efficacy in the case of life-threatening acute intoxication by anticholinergics, opioids or tranquillisers. Similarly, in the case of acute withdrawal syndrome after long abuse of drugs with strong physical dependence, such as alcohol or benzodiazepines may physician almost exclusively rely on...
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Controlled alcohol drinking
Nováková, Elizabeth ; Popov, Petr (advisor) ; Minařík, Jakub (referee)
BACKGROUND. Alcohol consumption is increasing worldwide. The Czech Republic is constantly holding onto the first rungs of the world's biggest drinkers. There is a tradition of treatment based on strict abstinence. Possibility of choosing controlled drinking, in some cases, would expand the therapeutic options for working with clients affected by alcohol. AIMS. This theses deals with the theme of controlled drinking. The main aim is to present the current knowledge of the issue and to describe impementation in practise. The other aim is to describe type of client for whom this strategy could work, and also to present some methods used abroad. RESEARCH QUESTIONS. Research questions are dealing with the type of clientele for which controlled drinking could present the right choice, and also with the type of methods used in work with this clientele. METHODS. To meet the aims, there was made an analysis of scientific literature reached by research made throug international scientific databases in period of October 2014 to July 2015. RESULTS. By the analysis of available literature, it was found that there is a type of users for which may controlled drinking be appropriately chosen goal, at least according to current research findings. Selected sources also contain a description of methods of work with...
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