オピオイド使用障害の治療中の家族と薬物使用による汚名
Valerie A Earnshaw1, Natalie M Brousseau2, E Carly Hill1
1Department of Human Development and Family Sciences, University of Delaware, 111 Alison Hall West, Newark, DE 19716, USA.
Stigma and health
|September 2, 2025
まとめ
家族からの侮辱は,オピオイド使用障害 (OUD) 治療を受けている個人の薬物使用の増加と関連しています. 家族の汚名を取り除くことは,OUDの回復を支えるために非常に重要です.
科学分野:
- 心理学
- 公衆衛生
- 依存症 医学
背景:
- 法律で定められた汚名や 差別を受けることは 様々な汚名付けられた集団の薬物使用の継続と結びついています
- この関連は特にオピオイド使用障害 (OUD) の個人に懸念されるもので,治療の成功を阻害し,過剰摂取のリスクを高める可能性がある.
- 以前の研究では 既成の汚名を 徹底的に調べることはできませんでしたが 理論では 家庭にまつわる汚名が 独特に有害である可能性が示唆されています
研究 の 目的:
- OUD 治療を受けた人びとの間で,他の原因から生じる汚名と比べて,家族からの汚名がより強く関連しているかどうかを調査する.
- OUD集団における薬物使用に対する汚名源の差異的な影響に関する経験的証拠を提供すること.
主な方法:
- 定量的なデータは,OUDの治療を受けている145人の個人から収集されました.
- 参加者は190人の異なる個人から 起草された汚名を体験したと報告しました
- 薬物使用は尿検査の陽性結果によって客観的に測定され,データは一般的な線形混合モデルを使用して分析されました.
主要な成果:
- 薬物使用との関連性は,非家族的な要因によるものよりも強いことが示された.
- この発見は,OUD治療を受けた個体において統計的に有意であった.
結論:
- OUD 治療を受けている人における薬物使用の継続に関連した重要な要因は,家族に起因する汚名です.
- 将来の研究では,薬物使用と汚名関係における特定の関係性の役割が検討されるべきである.
- 家族の汚名を標的とした介入は,OUD患者の回復の成果を高めるために不可欠です.
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