What’s in a Name? Terminology Preferences Among Patients Receiving Methadone Treatment
What’s in a Name? Terminology Preferences Among Patients Receiving Methadone Treatment
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名字里有什么？
DOI：
10.1007/s11606-022-07813-w
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发表时间：
2023
影响因子：
5.7
通讯作者：
Zheng, Xiaoying
中科院分区：
文献类型：
--
作者：
Gazzola, Marina Gaeta;Maclean, Emma;Beitel, Mark;Carmichael, Iain D.;Cammack, Katharine M.;Eggert, Kathryn F.;Roehrich, Teresa;Madden, Lynn M.;Jegede, Oluwole;Zheng, Xiaoying
背景尽管认识到物质使用障碍（substance use disorder，SUD）术语的重要性，但很少有研究探讨SUD患者的术语偏好。目的探讨阿片类药物使用障碍（opioid use disorder，OUD）患者对成瘾咨询师使用术语的偏好。设计从2019年1月1日至2020年2月28日，在美国东北部的门诊美沙酮治疗项目中，从30天的治疗回顾会议中连续招募参与者，以完成一项横断面调查。主要测量参与者完成7点Likert类型量表，从1（“强烈反对”）至7（“非常同意”）对以下三个方面的偏好进行评分：（a）当前问题，（B）与当前问题相关的集体名词，以及（c）个人描述。我们使用单变量协方差分析（ANCOVA）来检查人口统计学（即，年龄、性别和种族）和术语偏好以及有序logit回归来探索12步程序成瘾与术语“成瘾者”偏好之间的关联。主要结果我们调查了450例患者，平均年龄为38.5（SD = 11.1）岁; 59.6%的患者自认为是男性，77.6%为白色，12.7%为西班牙裔。对呈现问题的最高评级偏好是“成瘾”，“物质使用”和“物质滥用”。评价最高的集体名词术语是“客户”、“病人”和“客人”。“成瘾者”、“物质使用障碍者”和“物质依赖者”是评价最高的个人描述。不同种族和年龄的被试在术语偏好上存在显著差异。分步程序治疗与更大的偏好术语“addict”（F= 21.22，p < .001）。ConclusionsTerminology preferences among people receiving methadone treatment aligned with existing guidelines recommended that clinicians use medically accurate and desigmatizing terms when referring to substance use disorders and the persons who have them.人口统计学上的差异出现在术语的偏好，无需进一步检查。
BackgroundDespite recognition of the importance of substance use disorder (SUD) terminology, few studies examine terminology preferences among patients with SUDs.ObjectiveTo examine preferences of patients with opioid use disorder (OUD) concerning the terminology used by addiction counselors.DesignFrom January 1, 2019, to February 28, 2020, participants were recruited consecutively from 30-day treatment review sessions at outpatient methadone treatment programs in the Northeastern United States to complete a cross-sectional survey.ParticipantsParticipants were English-speaking adult patients with OUD enrolled in methadone treatment.Main MeasuresParticipants completed 7-point Likert-type scales from 1 (“Strongly Disagree”) to 7 (“Strongly Agree”) to rate their preferences for (a) the presenting problem, (b) collective nouns referring to those with the presenting problem, and (c) personal descriptors. We used univariate analysis of covariance (ANCOVA) to examine the associations between demographics (i.e., age, sex, and race) and terminology preferences and ordinal logit regression to explore the association between 12-step program partiality and preference for the term “addict.”Key ResultsWe surveyed 450 patients with mean age of 38.5 (SD = 11.1) years; 59.6% self-identified as male, 77.6% as White, and 12.7% as Hispanic. The highest-rated preferences for presenting problem were “addiction,” “substance use,” and “substance abuse.” The highest-rated collective noun terms were “client,” “patient,” and “guest.” “Person with an addiction,” “person with substance use disorder,” and “substance-dependent person” were the highest-rated personal descriptors. There were significant differences in terminological preference based on race and age. Twelve-step program partiality was associated with greater preference for the term “addict” (F= 21.22,p< .001).ConclusionsTerminology preferences among people receiving methadone treatment aligned with existing guidelines recommending that clinicians use medically accurate and destigmatizing terminology when referring to substance use disorders and the persons who have them. Demographic differences emerged in terminological preferences, warranting further examination.
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DOI：
--
发表时间：
2017
期刊：
Journal of Addictive Diseases
影响因子：
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Lia Shidlansik;M. Adelson;E. Peles
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