Exploring Technology-Based Enhancements to Inpatient and Residential Treatment for Young Adult Women with Co-Occurring Substance Use.
Exploring Technology-Based Enhancements to Inpatient and Residential Treatment for Young Adult Women with Co-Occurring Substance Use.
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DOI：
10.1080/15504263.2021.1940412
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发表时间：
2021-07
影响因子：
2.2
通讯作者：
Greenfield SF
中科院分区：
文献类型：
--
作者：
Sugarman DE;Meyer LE;Reilly ME;Rauch SL;Greenfield SF
在所有年龄组中，年轻人的药物使用率最高。尽管男性在历史上的物质使用障碍（SUD）比率高于女性，但研究表明这种性别差距正在缩小。患有共病精神疾病的年轻人发生SUD的风险增加。并发精神障碍，如抑郁症，焦虑症，进食和创伤后应激障碍在女性中比男性SUD更普遍，但精神健康治疗往往不能充分解决接受共病精神障碍护理的患者的物质使用问题。为患有精神疾病和同时发生的SUD的妇女量身定制的促进性别平等的干预措施已获得经验支持。针对患有并发症的年轻成年女性的数字干预措施有可能克服在精神病治疗环境中解决年轻成年女性药物使用问题的障碍。本研究采用以用户为中心的设计过程，以更好地了解如何使用技术来解决接受住院和住院精神病治疗的年轻成年女性的药物使用问题。女性（N = 15;年龄18 - 25岁），从五个精神病治疗方案招募，从事定性访谈和完成自我报告的调查技术的使用和可接受性。定性访谈编码的突出主题。结果显示，目前很少有参与者使用基于网络的心理健康应用程序（即，"应用程序"），但大多数参与者表示有兴趣使用应用程序作为他们心理健康治疗的一部分。与会者确定了几个重要的主题突出的妇女，他们的年龄，包括物质使用和性侵犯，耻辱和羞耻，从物质使用的困难，同时保持与同龄人的社会关系，以及负面情绪作为触发使用。这些数据提供了初步证据，表明数字干预可能是解决在精神病环境中接受护理的年轻成年女性共同出现的药物使用问题的可行方法。
Young adults have the highest rates of substance use of any age group. Although men historically have higher rates of substance use disorders (SUDs) than women, research shows this gender gap is narrowing. Young adults with comorbid psychiatric disorders are at increased risk for developing an SUD. Co-occurring psychiatric disorders such as depression, anxiety, eating and post-traumatic stress disorders are more prevalent in women than men with SUDs, yet mental health treatment often does not adequately address substance use in patients receiving care for a comorbid psychiatric disorder. Tailored gender-responsive interventions for women with psychiatric disorders and co-occurring SUD have gained empirical support. Digital interventions tailored to young adult women with co-occurring disorders have potential to overcome barriers to addressing substance use for young adult women in a psychiatric treatment setting. This study utilized a user-centered design process to better understand how technology could be used to address substance use in young adult women receiving inpatient and residential psychiatric care. Women (N = 15; age 18–25 years), recruited from five psychiatric treatment programs, engaged in a qualitative interview and completed self-report surveys on technology use and acceptability. Qualitative interviews were coded for salient themes. Results showed that few participants were currently using mental health web-based applications (i.e., “apps”), but most participants expressed an interest in using apps as part of their mental health treatment. Participants identified several important topics salient to women their age including substance use and sexual assault, stigma and shame, difficulties abstaining from substance use while maintaining social relationships with peers, and negative emotions as a trigger for use. These data provide preliminary evidence that a digital intervention may be a feasible way to address co-occurring substance use problems in young adult women receiving care in a psychiatric setting.
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影响因子：
5
作者：
Beards, Courtney;Silverman, Alexandra L.;Bjorgvinsson, Throstur
通讯作者：
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影响因子：
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作者：
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DOI：
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影响因子：
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