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Users' and GPs' causal attributions of illegal substance use: an exploratory interview study
Rolf Wynn1, Kjetil Karlsen, Bianca Lorntzsen
1Department of Clinical Psychiatry, Institute of Clinical Medicine, University of Tromsø, Norway. rolf.wynn@gmail.com
Understanding causal attributions for substance use (SU) is key. Both SU and general practitioners (GPs) believe multiple factors cause SU, but communication remains challenging.
Area of Science:
- Medical Sociology
- Addiction Psychiatry
- General Practice
Background:
- Causal attributions, or beliefs about the causes of substance use (SU), can influence patient-provider communication.
- Exploring these beliefs among individuals who use substances (SU) and their general practitioners (GPs) is crucial for improving mutual understanding.
Purpose of the Study:
- To investigate the beliefs of SU and GPs regarding the causes of illegal substance use.
- To understand how substance use is discussed during consultations.
Main Methods:
- Qualitative analysis of interviews with eight individuals who use substances (SU) and five general practitioners (GPs).
- Interviews focused on perceived causes of substance use and communication dynamics in consultations.
Main Results:
- Both SU and GPs identified multiple contributing factors to substance use, including biological, social, lack of self-control, positive experiences, and chance.
- SU individuals more frequently emphasized the positive aspects of substance use compared to GPs.
- Communication about substance use during consultations was frequently reported as difficult by both groups.
Conclusions:
- Substance use is commonly viewed by both SU and GPs as multifactorial.
- Effective communication regarding substance use between SU and GPs is challenging.
- GPs should explore patients' causal attributions for substance use to enhance clinical care.
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