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Related Experiment Video

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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

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"I Don't Feel Like I Have a Problem Because I Can Still Go To Work and Function": Problem Recognition Among Persons

S M Rogers¹, M Pinedo², A P Villatoro³

¹UT Health, School of Public Health in Austin, Division of Epidemiology, Human Genetics, and Environmental Sciences , Austin , Texas , USA.

Substance Use & Misuse

|June 25, 2019

Summary

This summary is machine-generated.

Many individuals with substance use disorders (SUDs) don't recognize their problem, hindering treatment seeking. Modifying use to maintain responsibilities and negative views of others with SUDs reduce problem recognition.

Keywords:

Problem recognition high-functioning stigma substance use disorder treatment barriers

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Area of Science:

Addiction research
Psychology
Public health

Background:

Substance use disorders (SUDs) often involve a lack of problem recognition, reducing treatment motivation.
Understanding factors influencing problem recognition in SUDs is crucial for effective interventions.

Purpose of the Study:

To explore factors contributing to the lack of problem recognition among individuals diagnosed with SUDs.
To identify reasons why individuals meeting SUD criteria do not perceive their substance use as problematic.

Main Methods:

Qualitative interviews were conducted with 54 participants with recent SUDs.
Thematic coding was used to analyze interview data on substance use, consequences, and treatment experiences.
Participants were recruited via online advertisements and screened through an online survey.

Main Results:

Two key themes emerged: modifying substance use to avoid consequences and internalized stigma ('othering').
Participants who adjusted use to protect responsibilities, negatively viewed those with problems, and associated treatment with defeat showed lower problem recognition.
These factors were linked to a reduced perception of having a substance use disorder.

Conclusions:

Findings highlight the role of behavioral modification, stigma, and treatment perceptions in problem recognition for SUDs.
Intervention strategies can be developed to increase problem recognition, thereby enhancing motivation for treatment.
Addressing these factors may help reduce the treatment gap for individuals with SUDs.