寻求药物使用障碍治疗的客户中暴力史:一个系统的映射审查
Sara Beeler1, Olivia Gerrish1, B Grantham Aldred2
1Jane Addams College of Social Work, University of Illinois Chicago, Chicago, IL, United States.
Frontiers in psychiatry
|March 20, 2024
概括
这篇综述强调了关于对创伤和暴力历史的个体进行药物和酒精治疗的有限研究. 调查结果显示,需要更多的包容性研究和治疗,以解决暴力和物质使用障碍的多样化经验.
科学领域:
- 成 药物 药物 药物 药物
- 创伤研究 创伤研究
- 公共卫生 公共卫生
背景情况:
- 有限的文献存在于药物和酒精治疗,暴力和创伤的交叉点.
- 现有的研究往往狭地定义了暴力 (例如,亲密伴侣暴力) 并以性别为主.
- 为了有效治疗药物使用障碍,需要更广泛地了解暴力和创伤.
研究的目的:
- 系统地绘制有关毒品和酒精治疗的现有文献,用于各种暴力和创伤历史的个人.
- 识别治疗环境,结果指标和寻求治疗的人群.
- 突出关于暴力,创伤和物质使用障碍的研究和临床实践中的差距.
主要方法:
- 2011年至2022年间发表的同行评审文章的系统映射审查.
- 在Web of Science数据库中使用与暴力,物质使用障碍和治疗有关的关键词进行了搜索.
- 包括48篇文章在超过8800个识别记录中,符合包含标准.
主要成果:
- 大多数研究集中在实施暴力的人群 (48%) 与幸存者 (35%) 之间.
- 主要为女性身份的人 (40%) 提供服务,主要是在美国门诊机构 (分别为69%和50%).
- 包括性和性别少数群体,包括跨性别者和性工作者在内的纳入率很小 (每个为6%).
结论:
- 在不同创伤和暴力经历的人群中,对物质使用障碍的研究和治疗存在重大差距.
- 调查结果强调需要更具包容性,公平性和代表性的研究和治疗方法.
- 未来的方向应侧重于解决少数群体和被排斥群体在成服务方面的需求.
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