Controversies in Assessment, Diagnosis, and Treatment of Kratom Use Disorder

Current Psychiatry Reports, Год журнала: 2024, Номер 26(9), С. 487 - 496

Опубликована: Авг. 13, 2024

We apply the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria for substance use disorders (SUDs) to herbal product kratom. Similarities differences between kratom disorder (KUD) other SUDs are explored, along with assessment, diagnostic, therapeutic recommendations KUD.

Язык: Английский

Dynamic Topic Modeling of Kratom Use and Experiences: Insights on 13 years of Reddit Discussions

Опубликована: Авг. 19, 2024

Traditionally used in Southeast Asia for common ailments, kratom (Mitragyna speciosa) is increasingly being adopted other regions the self-treatment of pain, mental health issues such as anxiety, depression, and dependence or managing withdrawal symptoms linked to stimulants/sedatives substances absence clinical supervision. To gain better insight into experiences motivations underlying use, previous studies have analyzed material shared among users on social media. However, these investigations often employed manual labeling categorizations, which are time-consuming do not allow investigation large samples. The present work utilized a natural language processing approach (BERTopic) extract prominent topics discussion from kratom-related Reddit posts made between 2010 2023 (n = 188,139 posts). Dynamic Topic Modeling was also implemented analyze how discussions about evolved over time. From results, discussed including usage substance use disorder recovery (e.g., suboxone), drug testing, consumption methods, logistic bringing flights, receiving via mail), tapering off kratom, providing support others who process quitting kratom. current study supports need trials well new ecological insights users, while supporting implementation policies regulate its usage.

Язык: Английский

Time course of kratom effects via ecological momentary assessment, by product type, dose amount, and assayed alkaloid content

Drug and Alcohol Dependence, Год журнала: 2024, Номер 264, С. 112460 - 112460

Опубликована: Окт. 10, 2024

Using ecological momentary assessment (EMA), we undertook a natural experiment wherein kratom-product variability was tool to assess kratom dose-response relationships based on product form and alkaloid level.

Язык: Английский