Saunders Stephen M, Zygowicz Karen M, D'Angelo Benjamin R
Department of Psychology, Marquette University, P.O. Box 1881, Milwaukee, WI 53233-1881, USA.
J Subst Abuse Treat. 2006 Apr;30(3):261-70. doi: 10.1016/j.jsat.2006.01.003.
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.
酒精使用障碍患者治疗利用不足的情况有充分记录。本研究考察了寻求治疗过程后期的治疗障碍，该过程被概念化为认识到问题、决定有必要改变、决定需要专业帮助以及寻求治疗。所有参与者都认为自己存在严重到需要治疗的饮酒问题。对那些已经寻求治疗的人（治疗寻求者）和尚未寻求治疗的人（对照对照组）之间的差异进行了评估，包括与个人相关的（如羞耻感）和与治疗相关的（如费用）障碍。与治疗相关的障碍相比，两组更常认可与个人相关的障碍。对照对照组更有可能认可这两种类型的障碍，尤其是倾向于不通过治疗来处理问题。在寻求帮助的后期，与治疗相关的障碍不如与个人相关的障碍那么重要。在考虑了其他差异（如与饮酒相关的负面后果）之后，障碍的重要性依然存在。文中讨论了对治疗的启示。
