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家庭压力、健康状况和矛盾心理在进入酒精治疗过程中是如何起作用的?60岁及以上酒精使用障碍患者的经历。

How do family pressure, health and ambivalence factor into entering alcohol treatment? Experiences of people aged 60 and older with alcohol use disorder.

作者信息

Emiliussen Jakob, Andersen Kjeld, Nielsen Anette S

机构信息

University of Southern Denmark, Odense, Denmark.

The Department of Psychiatry, Odense, Denmark.

出版信息

Nordisk Alkohol Nark. 2017 Feb;34(1):28-42. doi: 10.1177/1455072516682639. Epub 2017 Mar 17.

Abstract

AIM

This qualitative study is concerned with the motivations that lead older adults to enter treatment for alcohol problems. There is a need to expand our understanding of the unique characteristics and problems of this population to be able to devise specialised and effective treatments and preventive measures.

METHOD

We conducted an analysis of secondary findings from interview data collected in a qualitative interpretative phenomenological analysis (IPA) study. Our participants were 12 elderly people aged 60 years or more who had experienced late-onset alcohol use disorder. Transcription, categorisation, collapsing and analysis were conducted rigorously in accordance with the IPA standards.

FINDINGS

Family can function as a pressure structure in terms of fostering motivation for treatment. Participants were to a certain extent ambivalent about treatment, which led them to devaluing treatment and its effects. Our results are on par with comparable results from other studies.

CONCLUSION

Older adults who experience very-late-onset of alcohol use disorder experience familial pressure and health concerns which lead them to enter treatment. Our participants seemed ambivalent about treatment and its necessity, which seems to lead to a devaluation of therapy.

摘要

目的

本定性研究关注促使老年人接受酒精问题治疗的动机。有必要拓展我们对这一人群独特特征和问题的理解,以便能够设计出专门且有效的治疗方法和预防措施。

方法

我们对一项定性解释现象学分析(IPA)研究中收集的访谈数据的二次研究结果进行了分析。我们的参与者是12名60岁及以上患有迟发性酒精使用障碍的老年人。根据IPA标准严格进行了转录、分类、归纳和分析。

结果

在促进治疗动机方面,家庭可起到压力结构的作用。参与者在一定程度上对治疗持矛盾态度,这导致他们轻视治疗及其效果。我们的结果与其他研究的可比结果相当。

结论

经历极迟发性酒精使用障碍的老年人会感受到家庭压力和健康问题,这促使他们接受治疗。我们的参与者似乎对治疗及其必要性持矛盾态度,这似乎导致了对治疗的轻视。

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