药物使用,耻辱和在治疗中应对:对参与者的观点进行定性研究
Kaylia Carroll1, Charles Ashley Warnock2,1, Ashlin Ondrusek3
1Department of Social and Behavioral Science, Yale School of Public Health, New Haven, CT, USA.
Drug and alcohol dependence reports
|October 6, 2025
概括
这项关于物质使用治疗的研究发现,人际交互和物质类型显著影响患者的耻辱感. 优先考虑具有实践经验和文化响应护理的提供者可以减少这些负面经验.
科学领域:
- 成研究 研究成研究
- 社会心理学 社会心理学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 耻辱仍然是物质使用障碍 (SUD) 治疗中的一个重要障碍.
- 了解耻辱的细微经验对于改善护理至关重要.
- 现有的框架,如健康耻辱和歧视框架,可以指导分析.
研究的目的:
- 探索个人在药物使用治疗中的耻辱感经验.
- 识别那些面临耻辱的个体所采用的应对策略.
- 了解导致SUD治疗中耻辱化的上下文因素.
主要方法:
- 与SUD治疗计划的55名参与者进行了半结构化访谈.
- 数据收集发生在美国两个不同的地理区域 (东北和东南).
- 主题分析以卫生污名和歧视框架为指导.
主要成果:
- 参与者报告了来自治疗人员,医疗保健提供者和家庭的耻辱感.
- 耻辱感因物质类型 (犯罪化与非犯罪化) 和方法 (注射与非注射) 而有所不同.
- 确定了积极和回避的应对策略;与提供者进行以康复为导向的护理,这些提供者曾经经历过减少耻辱的经历.
结论:
- 人际关系动态和物质特征在治疗中显著塑造了耻辱.
- 建议对医疗保健工作者进行文化敏感的培训,并整合降低伤害.
- 优先考虑具有实践经验的治疗提供者对于减少患者的耻辱感至关重要.
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