A qualitative study of methamphetamine users' perspectives on barriers and facilitators of drug abstinence.
A qualitative study of methamphetamine users' perspectives on barriers and facilitators of drug abstinence.
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DOI：
10.1080/02791072.2014.914611
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发表时间：
2014-07
影响因子：
2.8
通讯作者：
Lovinger K
中科院分区：
文献类型：
--
作者：
Herbeck DM;Brecht ML;Christou D;Lovinger K
为了更好地了解甲基苯丙胺（MA）的使用模式和恢复的过程中，定性访谈进行了成人MA用户（n=20），比较接受药物滥用治疗与那些谁没有接受治疗的样本。答复者提供了详细的信息，说明他们为什么以及如何从使用转向戒断，以及他们认为是戒断障碍的因素。对录音和文字记录进行了审查，以确定共同的主题。参与者报告了一系列轻度/中度到强烈破坏性的问题，包括失去重要的关系和深刻的变化，他们认为他们是他们的核心，例如，“我没有意识到我是多么的黑暗和卑鄙...我就像变了一个人。”最初的禁欲往往是由多种外部力量（例如，毒品测试，儿童监护问题，监狱，搬迁），但持续的禁欲归因于思想的转变和对使用的显著认识。治疗组报告使用更多和不同的资源来维持他们的禁欲比没有治疗组。研究结果表明，个性化的干预措施和多种，同时的方法和资源是必不可少的，达到稳定的禁欲。了解长期使用者使用MA、成瘾和戒断的经验可以为参与和维持MA使用者的治疗和康复策略提供信息。
To better understand methamphetamine (MA) use patterns and the process of recovery, qualitative interviews were conducted with adult MA users (n=20), comparing a sample that received substance abuse treatment with those who had not received treatment. Respondents provided detailed information on why and how they changed from use to abstinence, and factors they considered to be barriers to abstinence. Audio recordings and transcripts were reviewed for common themes. Participants reported a range of mild/moderate to intensely destructive problems, including loss of important relationships and profound changes to who they felt they were at their core, e.g., “I didn’t realize how dark and mean I was... I was like a different person.” Initial abstinence was often facilitated by multiple external forces (e.g., drug testing, child custody issues, prison, relocation), but sustained abstinence was attributed to shifts in thinking and salient realizations about using. The treatment group reported using more and different resources to maintain their abstinence than the no treatment group. Findings indicate individualized interventions and multiple, simultaneous approaches and resources were essential in reaching stable abstinence. Understanding long-term users’ experiences with MA use, addiction and abstinence can inform strategies for engaging and sustaining MA users in treatment and recovery.
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