S08-1SUBGROUPS OF ADDICTION: FROM BASIC RESEARCH TO THERAPY

Abstract

Changes of DSM 5 and ICD 11 show that craving is the central symptom of addiction often independent of the leading drug of addiction. The etiology in the past was often reduced to the effects of drugs like nicotine or alcohol, but today we know that genetic, biological and psychosocial vulnerabilities are very important to develop addiction. In trials with nearly 8000 young people we could show the importance of personality factors like temperament or ADHD. The heterogeneity of addiction is undoubted and genetic, basic research and therapeutic trials will be shown demonstrating that we need subgroups of addiction to get better prevention and treatment programs. These scientific results should be included in a program following the knowledge of psychotherapy in motivation, crisis intervention and relapse prevention programs. WHO and UNDOC published in 2016 the “Minimal Standards of Addiction treatment”. It should be our goal to combine scientific data with this minimal standards.