Suav teeb meem siv tshuaj tiv thaiv thiab siv yeeb tshuaj tiv thaiv Marijuana
Cannabis siv tsis meej yog ib qho kev kuaj mob uas tau muab rau kev siv tshuaj yeeb nkab los siv. Tus mob tau qhia nyob hauv Diagnostic and Statistical Manual of Mental Disorders , fifth tsab los sis DSM-5. Nyob hauv tsab xov xwm dhau los, DSM-IV-TR, teeb meem siv cov cannabis lossis marijuana yog sib cais ua ob yam kab mob txawv, kev tsim txom ntawm cannabis , thiab cannabis dependence.
Puas Qhov No Txhais Cannabis Yog Tsis Addictive?
Nrog lub disappearance ntawm cannabis dependence, qee cov neeg yuav txhais cov kev hloov ntawm lub npe tsis meej rau ib txoj kev tsis sib haum los hais tias cov cannabis tsis muaj yees, thiab cannabis tsis ua rau siv tshuaj yeeb. Tom qab tag nrho, nws tau ntev muaj ib lub koob npe nrov li ib qho muag yeeb .
Ntau qhov kev txiav txim siab mus rau hauv kev txiav txim siab hais tias kev siv cov kab mob hauv cov kabmob no yuav tsum tau txhais hauv DSM-5. Ntau cov neeg siv cov kab mob cannabis tsis kam lees txhua hom kev siv tshuaj, tab sis tseem muaj ntau yam tshwm sim los ua neeg quav yeeb quav tshuaj. Cannabis siv tsis muaj teeb meem ua rau cov tib neeg tuaj yeem cuam tshuam los ntawm lawv cov yeeb yaj kiab, tsis tas yuav yog kev quav yeeb quav tshuaj. Txawm li cas los xij, nws tseem muaj chaw kom pom txog kev yees thaum thiab yog tias nws tshwm sim.
Cannabis vam khom tus kws kho mob tau tshawb nrhiav txog cov kab mob cannabis tawm thiab nrhiav tau tias kev tshawb fawb ob leeg kev kuaj mob thiab cov kev tshawb fawb ntawm cov kws kho mob tau qhia txog tus cwj pwm tshem tawm ntawm cov neeg siv hauv cov neeg siv tau txiav tawm cov tshuaj uas ua tib zoo sib xws ntawm lwm cov tshuaj uas pom zoo rau ua yees ua ke, xws li yeeb dawb thiab tus nees ej.
Qhov kev tshem tawm pib li ntawm 24 xuab moos tom qab siv ceev ceev, siv cov kab ntau tom qab 2-4 hnub, thiab tso rau tom qab 1-3 lis piam.
Yog li ntawd, vim hais tias lub npe tau hloov, thiab lub sij hawm "siv" tau hloov "kev tsim txom" lossis "kev ywj pheej," tsis txhais hais tias cov cannabis tsis yog hom tshuaj. Qhov tseeb, txoj kev tshawb fawb pom tias cov kab mob cannabis yog hom tshuaj.
Vim Li Cas Ib Teeb Meem Yuav Hloov Ob?
Thaum tsim muaj cov hom kab mob hauv cov kab mob cannabis no, DSM-5 neeg ua hauj lwm quab yuam kuj tseem ceeb rau kev txiav txim seb cov khoom siv yeeb tshuaj hauv kev hnyav thiab kev siv hom kab mob hauv ib qho tshwj xeeb, yuav tsum muab faib ua ib pawg los yog ob. Hauv DSM-IV-TR, kev tsim txom cannabis tau pom tias tsis tshua muaj teeb meem loj, nrog teeb meem tshwm sim ntawm kev siv hom kab mob hauv tsev neeg, tab sis tsis qhia txog kev vam khom. Hauv kev sib piv, kev quav tshuaj Cannabis tau tsom rau cov cim thiab cov tsos mob ntawm kev tiv thaiv, tshwj xeeb, kam rau siab thiab tshem tawm.
Ntau cov kws txawj siv ntau hom kev tshuaj ntsuam xyuas los txiav txim seb cov teeb meem tshwm sim los ntawm kev siv yeeb tshuaj zoo li tau piav qhia txog kev siv qhov teeb meem ntawm kev siv tshuaj yeeb dej caw, los yog ob pawg ntawm kev quav yeeb tshuaj thiab tshuaj yeeb tshuaj. Raws li cov txiaj ntsim ntawm cov kev soj ntsuam, lawv tau txiav txim siab tias qhov kev pom muaj qhov ua tau zoo tshaj plaws. Siv ntau hom kev sib cais ntawm cannabis kev ua phem thiab kev tswj kav ntawm cannabis, nrog rau ntau hom teeb meem ntawm txhua pawg, siv ib qhov kev siv uas suav nrog tag nrho cov teeb meem yav dhau los hauv ob pawg. Qhov teeb meem ntawm tus neeg qhov teeb meem tuaj yeem raug tau los nrog rau kev qhia ntxiv.
Me me yog siv los qhia txog 2-3 cov tsos mob, mob pes tsawg tus mob 4-5, thiab mob hnyav 6 qhia ntau dua.
Cov tsos mob ntawm Cannabis Use Disorder
Tsawg kawg ob ntawm cov tsos mob nram qab no hauv 12 lub hlis dhau los qhia tau hais tias kev siv kab mob cannabis no:
- Noj ntau hom cannabis tshaj li tau npaj
- Tiv thaiv txoj kev los tswj kev siv cov cannabis
- Siv ntau lub sijhawm siv cov cannabis
- Craving cannabis
- Cov teeb meem ntawm kev ua hauj lwm, tsev kawm ntawv, thiab tsev vim yog siv hom kab mob cannabis
- Ntxiv mus siv cov cannabis txawm muaj teeb meem kev sib raug zoo los yog kev sib raug zoo
- Muab cov khoom ua si los yog txo qee yam kev ua si los ntawm kev muaj peev xwm ntawm cannabis
- Noj cov tshuaj cannabis hauv cov xwm txheej muaj feem ntsib kev phom sij
- Ntxiv mus siv cov cannabis txawm tias muaj teeb meem ntawm lub cev lossis lub hlwb
- Siab mus rau cannabis
- Tshem tawm thaum txiav luam yeeb cannabis.
Nco ntsoov, txoj kev tshiab uas piav txog cannabis siv kab mob yog txhais tias mob hnyav ntawm tus neeg ntawd lub cev tsis muaj kev sib raug zoo nrog txoj kev tsis sib haum xeeb. Nrog rau 11 cov tsos mob xaiv los ntawm, ib tug neeg muaj peev xwm muaj peev xwm siv tau kab mob tsis txaus ntseeg, hnyav, tsis muaj kev kam rau siab los yog tshem tawm, cov cim ntawm kev tiv thaiv. Los ntawm tib qho xwm txheej, lawv muaj peev xwm ua tau raws li cov qauv siv rau kev siv kab mob, mob me, txawm tias muaj kev mob siab rau lub cev thiab tshem tawm.
Qhov chaw:
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, tsib tsab DSM-5 American Psychiatric Association, 2013.
Helzer, J., Van Den Brink, W., & Guth, S. "Puas Yuav Muaj Ob Categorical thiab Dimensional Cov Qauv rau Cov Khoom Uas Siv Tshuaj yeeb hauv DSM-V?" Teeb meem 101, s1: 17-22. 2006.
Muthén, B. "Yuav Tsum Siv Tshuaj Tiv Thaiv Raws Li Categorical or Dimensional?" 101, s1: 6-16. 2006.