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地狱与疗愈的故事:互联网用户对苯二氮䓬类药物所致痛苦和戒断的构建。

Stories of Hell and Healing: Internet Users' Construction of Benzodiazepine Distress and Withdrawal.

机构信息

1 University of Westminster, London, United Kingdom.

出版信息

Qual Health Res. 2017 Nov;27(13):2030-2041. doi: 10.1177/1049732317728053. Epub 2017 Sep 9.

Abstract

Benzodiazepines are a group of drugs used mainly as sedatives, hypnotics, antiepileptics, and muscle relaxants. Consumption is recommended for 2 to 4 weeks only, due to fast onset of dependency and potentially distressing withdrawal symptoms. Few peer-review studies have drawn on the user experiences and language to appreciate firsthand experiences of benzodiazepine withdrawal or discontinuation syndrome. We looked extensively at patient stories of benzodiazepine withdrawal and recovery on Internet support sites and YouTube. Our analysis indicated that users employ rich metaphors to portray the psychologically disturbing and protracted nature of their suffering. We identified seven major themes: hell and isolation, anxiety and depression, alienation, physical distress, anger and remorse, waves and windows, and healing and renewal. By posting success stories, ex-users make known that "healing" can be a long, unpredictable process, but distress does lessen, and recovery can happen.

摘要

苯二氮䓬类药物是一组主要用作镇静剂、催眠剂、抗癫痫药和肌肉松弛剂的药物。由于依赖性快速发作和可能出现令人痛苦的戒断症状,建议仅使用 2 至 4 周。很少有同行评议的研究借鉴用户的经验和语言来了解苯二氮䓬戒断或停药综合征的第一手体验。我们广泛研究了互联网支持网站和 YouTube 上的苯二氮䓬戒断和康复的患者故事。我们的分析表明,使用者使用丰富的隐喻来描绘他们所遭受的心理困扰和长期性质。我们确定了七个主要主题:地狱和孤独、焦虑和抑郁、异化、身体不适、愤怒和悔恨、波动和窗口以及康复和更新。通过发布成功故事,前使用者让人们知道“康复”可能是一个漫长而不可预测的过程,但痛苦确实会减轻,康复是可能的。

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