Understanding Lay Assessments of Alcohol Use Disorder: Need for Treatment and Associated Stigma.

Understanding Lay Assessments of Alcohol Use Disorder: Need for Treatment and Associated Stigma.
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了解酒精使用障碍的非专业评估:治疗需求和相关耻辱。

DOI:
10.1093/alcalc/agv069
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发表时间:
2016
期刊:
Alcohol and alcoholism (Oxford, Oxfordshire)
影响因子:
--
通讯作者:
Lincoln,AlisaK
Lincoln,AlisaK
中科院分区:
--
文献类型:
--
作者:
Weine,ErienneR;Kim,NancyS;Lincoln,AlisaK

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在美国,四分之三的酒精使用障碍患者从未接受过治疗。我们对谁接受护理的理解是由社会学的观点,理论和模型,其中每一个讨论了外行人对疾病的理解的作用。然而,相对较少的工作已经做了解开的认知过程的基础奠定评估。在框架整合规范的影响污名(FINIS)的背景下,我们的目标是了解关键因素指导外行人的污名化的态度,看法和评估酒精使用障碍的behaviorsMethodsLay人读一个小插曲,描绘一个男性或女性成年人与诊断酒精使用障碍,沿着无论是因果生活事件的解释酒精使用障碍的行为或没有解释。然后,他们作出了判断的需要治疗,心理异常和耻辱,他们觉得对person described.ResultsCausal生活事件的解释减少了外行判断的需要治疗,心理异常和stigm.ConclusionsThe结果表明,因果生活事件的解释的可用性可能有一个复杂的影响外行判断,降低的可能性,建议治疗酒精使用障碍,但同时也减少了污名化的观念(以及可能的社会距离)。
AimsThree-quarters of people with an alcohol use disorder in the USA never receive treatment. Our understandings of who receives care are informed by sociological perspectives, theories and models, each of which discuss the role of lay people's understanding of illness. However, comparatively little work has been done to unpack the cognitive processes underlying lay assessment. In the context of the Framework Integrating Normative Influences on Stigma (FINIS), we aim to understand key factors guiding lay people's stigmatizing attitudes, perceptions and assessments of alcohol use disorder behaviors.MethodsLay people read a vignette depicting a male or female adult with a diagnosable alcohol use disorder, along with either a causal life-event explanation for the alcohol use disorder behaviors or no explanation. They then made judgments of the need for treatment, psychological abnormality and the stigma they felt toward the person depicted.ResultsCausal life-event explanations decreased lay judgments of the need for treatment, psychological abnormality and stigma.ConclusionsThe results suggest that the availability of a causal life-event explanation may have a complex effect on lay judgments, decreasing the likelihood of recommending treatment for alcohol use disorders, yet simultaneously reducing stigmatizing perceptions (and presumably social distance).
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