1. Effect of dehydroepiandrosterone add-on therapy on mood, decision making and subsequent relapse of polydrug users.
- Author
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Ohana, David, Maayan, Rachel, Delayahu, Yael, Roska, Paola, Ponizovsky, Alexander M., Weizman, Abraham, Yadid, Gal, and Yechiam, Eldad
- Subjects
RODENTS ,DEHYDROEPIANDROSTERONE ,ADRENOCORTICAL hormones ,ANDROGENS ,DRUG resistance ,SUBSTANCE abuse & psychology ,IMMUNOMODULATORS ,AFFECT (Psychology) ,COMPARATIVE studies ,DECISION making ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,STATISTICAL sampling ,SUBSTANCE abuse ,DISEASE relapse ,EVALUATION research ,RANDOMIZED controlled trials ,TREATMENT effectiveness ,BLIND experiment ,THERAPEUTICS - Abstract
A major problem in the treatment of addiction is predicting and preventing relapse following a rehabilitation program. Recently, in preclinical rodent studies dehydroepiandrosterone (DHEA) was found to markedly improve the resistance to drug reuse. In a double-blind, placebo-controlled study, we examined the effect of DHEA on relapse rates in adult polydrug users taking part in a detoxification program enriched with intensive psychosocial interventions and aftercare. During treatment, participants (79 percent males, mean age 28) consumed DHEA (100 mg/day) or placebo daily for at least 30 days. Of the 121 initial volunteers, 64 participated for at least 1 month. While in treatment, DHEA reduced negative affect on the Positive and Negative Affect Scale (F = 4.25, P = 0.04). Furthermore, in a 16-month follow-up, we found that reuse rates in the DHEA condition were about a third compared with placebo (12 versus 38 percent; χ(2) = 5.03, P = 0.02). DHEA treatment also resulted in an increase in DHEA sulfate (DHEA-S) 1 month following treatment, and the level of DHEA-S predicted relapse in the follow-up assessment. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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