在管理阿片类药物使用障碍和酒精使用障碍的感知威胁和有效性的差异
Vaishnavi Tata1,2, Zahra Majd1, Ashna Talwar1
1College of Pharmacy, Department of Pharmaceutical Health Outcomes and Policy, University of Houston, College of Pharmacy, Houston, Texas, USA.
Substance use & misuse
|June 4, 2023
概括
了解患者的动机是治疗酒精使用障碍 (AUD) 和阿片类药物使用障碍 (OUD) 的关键. 许多未经治疗的AUD或OUD患者专注于危险控制,这表明需要量身定制的干预措施.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 对酒精使用障碍 (AUD) 和阿片类药物使用障碍 (OUD) 的药物辅助治疗 (MAT) 可能在没有患者动机的情况下是无效的.
- 扩展并行过程模型 (EPPM) 为了解患者威胁感知和治疗反应提供了一个框架.
研究的目的:
- 评估AUD或OUD风险的个体如何感知威胁,并使用EPPM对药物治疗做出反应.
- 根据威胁评估和控制策略对未接受治疗的个体进行分类.
主要方法:
- 一个横截面的在线调查管理了基于风险的诊断尺度来评估EPPM构造.
- 描述性统计数据被用来比较治疗与未治疗的参与者.
- 未接受治疗的参与者被分为低威胁评估,恐惧控制或危险控制组.
主要成果:
- 在411个响应中,71.29%属于AUD队列,28.71%属于OUD队列. 74.70%的参与者没有接受治疗.
- 在未经治疗的OUD队列中,56.72%的人处于危险控制状态,而AUD队列中为27.08% (p < 0.05).
- 两个队伍中大量未接受治疗的个体表现出低威胁评估或恐惧控制反应.
结论:
- 感知到的威胁和有效性会影响那些有物质使用障碍 (SUD) 风险的人.
- 患有OUD的人比患有AUD的人更有可能参与危险控制.
- 对于早期干预,特别是对于多重物质使用障碍患者,需要进一步的研究.
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