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The Betel Nut Withdrawal: An Often Overlooked Psychiatric Condition?

檳榔戒斷症候群:常常被忽略的精神科問題

並列摘要


Objective: The use of betel nut has been widespread in Southeast Asia and the south Pacific islands. Betel nut-chewing leads to habituation, addiction, and withdrawal. We report a case of a patient with betel nut withdrawal which had been an often overlooked psychiatric problem. Case Report: A 51-year-old male patient with habitual chewing of betel nuts developed withdrawal symptoms after stopping his betel nut use. Those symptoms included mood swings, anxiety, sleep disturbances, and flu-like symptoms. His symptoms were resolved after receiving supportive pharmacological treatments with a low dose of antidepressant/anxiolytic and hypnotics. Conclusion: Our patient in this case report supported the concept of clinically identifiable betel nut withdrawal and its dependence, which can be diagnosed using criteria similar to those currently used for other substances of abuse. Based on the report in this case and those in the literature, we are calling attention to this psychiatric problem of betel use.

並列關鍵字

betel nut withdrawal dependence

參考文獻


Benegal, V,Rajkumar, RP,Muralidharan, K(2008).Does areca nut use lead to dependence?.Drug Alcohol Depend.97,114-21.
Burton-Bradley, BG(1979).Arecaidinism: betel chewing in transcultural perspective.Can J Psychiatry.24,481-8.
Chandra, PS,Carey, MP,Carey, KB,Jairam, KR(2003).Prevalence and correlates of areca nut use among psychiatric patients in India.Drug Alcohol Depend.69,311-6.
Ko, YC,Chiang, TA,Chang, SJ,Hsieh, SF(1992).Prevalence of betel quid chewing habit in Taiwan and related sociodemographic factors.J Oral Pathol Med.21,261-4.
Chu, NS(2001).Effects of betel chewing on the central and autonomic nervous systems.J Biomed Sci.8,229-36.

被引用紀錄


邱夢君(2016)。越吃越健忘?- 嚼食檳榔對視-空間短期記憶與語音短期記憶的影響〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-2107201615273400

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