Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
University of Southern California, Los Angeles, CA, USA.
J Psychoactive Drugs. 2024 Jul-Aug;56(3):422-432. doi: 10.1080/02791072.2023.2228781. Epub 2023 Jun 29.
Misuse of prescription and non-prescription stimulants and related overdose deaths represent a growing public health crisis that warrants immediate intervention. We examined 100 posts and their respective comments from a public, recovery-oriented Reddit community in January 2021 to explore content related to DSM-V stimulant use disorder symptoms, access and barriers to recovery, and peer support. Using inductive and deductive methods, a codebook was developed with the following primary themes: 1) DSM-V Symptoms and Risk Factors, 2) Stigma/Shame, 3) Seeking Advice or Information, 4) Supportive or Unsupportive Comments. In 37% of posts community members reported taking high doses and engaging in prolonged misuse of stimulants. Nearly half of posts in the sample (46%) were seeking advice for recovery, but 42% noted fear of withdrawal symptoms or a loss of productivity (18%) as barriers to abstinence or a reduction in use. Concerns related to stigma, shame, hiding use from others (30%), and comorbid mental health conditions (34%) were also noted. Social media content analysis allows for insight into information about lived experiences of individuals struggling with substance use disorders. Future online interventions should address recovery barriers related to stigma and shame as well as fears associated with the physical and psychological impact of quitting stimulant misuse.
处方和非处方兴奋剂的滥用以及由此导致的过量死亡是当前公共卫生危机的重要组成部分，需要立即采取干预措施。本研究于 2021 年 1 月对一个以康复为导向的公共 Reddit 社区中的 100 个帖子及其相关评论进行了分析，旨在探讨与 DSM-V 兴奋剂使用障碍症状、康复途径和障碍以及同伴支持相关的内容。本研究采用归纳和演绎方法制定了一个编码手册，其中包含以下主要主题：1）DSM-V 症状和风险因素，2）污名/羞耻感，3）寻求建议或信息，4）支持性或不支持性评论。在 37%的帖子中，社区成员报告称服用了大剂量药物，并长时间滥用兴奋剂。在样本中，近一半的帖子（46%）是在寻求康复建议，但 42%的帖子提到对戒断症状或丧失工作能力（18%）的恐惧是戒断或减少使用的障碍。还注意到与污名、羞耻、向他人隐瞒使用情况（30%）以及共病精神健康状况（34%）相关的担忧。社交媒体内容分析可以深入了解与个人物质使用障碍相关的生活体验信息。未来的在线干预措施应解决与污名和羞耻相关的康复障碍，以及与停止滥用兴奋剂相关的身体和心理影响相关的恐惧。
