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成瘾不排除躯体疾病:不要让污名化影响诊断方法和治疗

[Addiction does not rule out somatic disease: don't let stigma influence diagnostic approach and treatment].

作者信息

Thybaut Raisa J L, de Jong Cor A J, Pinxten Lucas, van Rijn Leendert

机构信息

Verslavingszorg Noord Nederland, Groningen.

Contact: Raisa J.L. Thybaut (

出版信息

Ned Tijdschr Geneeskd. 2023 Mar 16;166:D7109.

Abstract

Addiction is a disease that occurs often and causes a large burden of disease. Patients are frequently stigmatized, also by health caregivers. As a result, care of patients with addiction is often sub-optimal and sometimes harmful. We present three patients in whom the focus on addiction, the diagnosis, and treatment of other somatic disorders has remained underexposed, with severe consequences for the patient. We discuss what stigmatization is and means for patients with addiction. We must recognize that professionals stigmatize, just as patients do themselves. There are effective interventions to help medical professionals destigmatize patients with addiction in their education and training. Every intervention starts with self-reflection on the stigma of addiction in every healthcare professional.

摘要

成瘾是一种常见疾病,会造成巨大的疾病负担。患者常常受到污名化,医护人员也不例外。因此,对成瘾患者的护理往往不够理想,有时甚至有害。我们介绍三位患者,他们成瘾问题以及其他躯体疾病的诊断和治疗未得到充分关注,给患者带来了严重后果。我们讨论了污名化对成瘾患者而言是什么以及意味着什么。我们必须认识到,专业人员也会像患者自身一样给患者带来污名。在医学专业人员的教育和培训中,有一些有效的干预措施可以帮助消除对成瘾患者的污名。每一项干预都始于每位医护人员对成瘾污名的自我反思。

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