Seeking help for drinking problems; a study in the Boston Metropolitan Area.

Hingson, Ralph; Mangione, Tom; Meyers, Alan; Scotch, Norman A.

doi:10.15288/jsa.1982.43.273

Cited by 139 publications

(57 citation statements)

References 7 publications

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“…Researchers have reported that the intensity or frequency of negative life events and psychosocial impairments related to drinking is predictive of treatment seeking (e.g., Brennan & Moos, 1996, Brennan et al, 1994, Finney & Moos, 1995, Kaskutas et al, 1997, Proudfoot & Teesson, 2002, Tucker, 1995, suggesting that denial and embarrassment are eventually overwhelmed by a desire to reduce the problems associated with drinking (e.g., Hingson et al, 1982, Thom, 1986). Indeed, drinking-related problems are more predictive of treatment seeking than the drinking behavior itself, such as amount or frequency (Hajema et al, 1999, Kaskutas et al, 1997.…”

Section: Barriers At the Early Steps Of Treatment Seekingmentioning

confidence: 99%

“…One person-related barrier, public stigma or fear of others' reactions, is relevant at the latter steps wherein, by definition, one must publicly acknowledge a drinking problem and the need for treatment (Corrigan, 2004). Doubting the need for treatment seems to be a fairly universally experienced person-related barrier (Fox et al, 2001, Hingson et al, 1982, Mojtabai et al, 2002, as is fear of being embarrassed or even being stigmatized by admitting the need for treatment or by actually attending treatment , Grant, 1997, Thom, 1986. Achieving these steps is also hindered by ignorance about treatment availability and incorrect notions about the requirements for acceptance into treatment (Grant, 1997, Tucker, 1995).…”

Section: Barriers At the Latter Steps Of Treatment Seekingmentioning

confidence: 99%

See 1 more Smart Citation

Person-related and treatment-related barriers to alcohol treatment

Saunders

Zygowicz

D'Angelo

2006

Journal of Substance Abuse Treatment

152

117

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Treatment underutilization by persons with alcohol use disorder is well-documented. This study examined barriers to treatment at the latter stages of the treatment-seeking process, which was conceptualized as recognizing the problem, deciding that change is necessary, deciding that professional help is required, and seeking care. All participants identified themselves as having a drinking problem that was severe enough to warrant treatment. Differences between those who had (Treatment Seekers) and those who had not (Comparison Controls) sought treatment were evaluated, including the experience of person-related (e.g., shame) and treatment-related (e.g., cost) barriers. Person-related barriers were more commonly endorsed by both groups than treatment-related barriers. Comparison Controls were more likely to endorse both types of barriers, especially the preference for handling the problem without treatment. Treatment-related barriers were less relevant than person-related barriers at the latter stage of help seeking. The significance of barriers endured after accounting for other differences, such as drinking-related negative consequences. Treatment implications are discussed.

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Section: Barriers At the Early Steps Of Treatment Seekingmentioning

confidence: 99%

Section: Barriers At the Latter Steps Of Treatment Seekingmentioning

confidence: 99%

Person-related and treatment-related barriers to alcohol treatment

Saunders

Zygowicz

D'Angelo

2006

Journal of Substance Abuse Treatment

152

117

View full text Add to dashboard Cite

show abstract

“…Despite their substantial potential for favorably influencing alcohol-related behaviors, and their almost universal belief that it is their responsibility to help their patients who have alcohol-related problems, 10,11 primary care providers have paid scant attention to their patients' alcohol use. For example, in a large primary care clinic, physicians detected alcohol problems in fewer than half of their patients with current alcohol abuse or dependence.…”

mentioning

confidence: 99%

Alcohol counseling

et al. 1998

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OBJECTIVE:To assess the use of a brief provider-delivered alcohol counseling intervention of 5 to 10 minutes with highrisk drinking patients by primary care providers trained in the counseling intervention and provided with an office support system. DESIGN:A group randomized study design was used. Office sites were randomized to either a usual care or special intervention condition, within which physicians and patients were nested. The unit of analysis was the patient. SETTING:Primary care internal medicine practices affiliated with an academic medical center. PARTICIPANTS:Twenty-nine providers were randomized by practice site to receive training and an office support system to provide an alcohol counseling special intervention or to continue to provide usual care. INTERVENTION:Special intervention providers received 2 1/2 hours of training in a brief alcohol-counseling intervention and were then supported by an office system that screened patients, cued providers to intervene, and made patient education materials available as tip sheets. MEASUREMENTS AND MAIN RESULTS:Implementation of the counseling steps was measured by patient exit interviews (PEI) immediately following the patient visit. The interval between the date of training and the date of the PEI ranged from 6 to 32 months. Special intervention providers were twice as likely as usual care providers to discuss alcohol use with their patients. They carried out every step of the counseling sequence significantly more often than did usual care providers ( p Ͻ .001). This intervention effect persisted over the 32 months of follow-up. CONCLUSIONS:Physicians and other health-care providers trained in a brief provider-delivered alcohol intervention will counsel their high-risk drinking patients when cued to do so and supported by a primary care office system.

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“…Esta identificação é apenas potencialmente determinante da procura de tratamento, pois muitos deles não a efetivam [5][6][7] .…”

Section: Percepção Da Síndrome De Dependência Artigo Originalunclassified

“…Outras pesquisas ratificaram a importância da percepção da gravidade como disparadora da procura de tratamento, entre variados outros fatores associados ou facilitadores deste evento 5,[14][15][16][17][18][19][20] . Oppenheimer et al 1 resumiram o processo de busca de tratamento por dependentes de substâncias psicoativas: ela resultaria da "combinação de eventos disparadores e uma reavaliação subjetiva do significado destes eventos".…”

Section: Percepção Da Síndrome De Dependência Artigo Originalunclassified

Percepção da síndrome de dependência por pacientes em tratamento

Fontanella

Mello

Demarzo

et al. 2008

J. bras. psiquiatr.

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A percepção da dependência de substâncias psicoativas é um dos principais motivadores da procura de tratamento por pessoas com este quadro clínico e a compreensão de seus significados constitui uma questão relevante em saúde. objetivos: Levantar e compreender os significados pessoais atribuídos pelos pacientes que procuraram tratamento à síndrome de dependência. método: Pesquisa qualitativa com entrevistas semidirigidas com amostra intencional de 13 dependentes de substâncias que procuraram tratamento. resultados: Os atuais critérios para dependência de substâncias foram abordados espontaneamente pelos pacientes. Atribuíram variados significados pessoais à questão do desejo intenso, da compulsão e do descontrole quanto ao uso, e também à síndrome de abstinência, à tolerância, ao abandono de outros interesses e prazeres e à percepção das conseqüências nocivas do uso. conclusão: Os entrevistados mostram compreensão própria do processo de procura de tratamento, avaliando meticulosa e subjetivamente o desconforto dos sintomas de dependência. Tais significados requerem especial atenção dos profissionais de saúde, sobretudo, nos atendimentos em atenção básica e, uma vez abordados, poderão facilitar a procura de tratamento. ABstrActThe perception of the dependence symptoms is a key factor on the treatment seeking process by people who suffer from it, and its understanding is a relevant health issue.

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Seeking help for drinking problems; a study in the Boston Metropolitan Area.

Cited by 139 publications

References 7 publications

Person-related and treatment-related barriers to alcohol treatment

Person-related and treatment-related barriers to alcohol treatment

Alcohol counseling

Percepção da síndrome de dependência por pacientes em tratamento

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