Wang Erin Y, Pan Annabelle, Srinivas Tara, Loftus John, Geller Gail, Carrese Joseph A, Antoine Denis, Fingerhood Michael
Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Gen Intern Med. 2024 Dec;39(16):3182-3189. doi: 10.1007/s11606-024-08939-9. Epub 2024 Jul 19.
Spirituality is an important component of recovery for many individuals with substance use disorder (SUD). However, few studies have compared patient and physician attitudes on spirituality in SUD recovery.
This study investigates patient and physician beliefs about the role of spirituality in SUD recovery and about discussing spirituality in relationship to recovery in primary care settings.
Semi-structured interviews were conducted with primary care physicians recruited at two academic hospitals, and patients recruited from a faith-based residential therapeutic community. Interview transcripts were independently coded by two researchers and a grounded theory approach was used to generate themes that reflected participants' experiences.
Interviews were conducted with 15 patients and 10 physicians. Patients had diverse views about the impact of spirituality on their SUD recovery, including positive, negative, and neutral. Patient and physician opinions on discussing spirituality in a primary care setting differed: most physicians felt positively towards this, believing that understanding their patients' spirituality helped them care for their patients as whole people. Many patients felt neutral, stating that they did not feel like these conversations were necessary for their care, and that they believed physicians preferred not to discuss spirituality in medical settings. Tolerance from both the patient and physician, open-ended questioning, and an individualized approach were identified as facilitators to effective discussions about spirituality and recovery.
Spirituality can have diverse effects on an individual's SUD recovery. Physicians endorsed the benefits of discussing spirituality in the context of their patients' recovery, while patients expressed reservations about engaging in these conversations with their physicians. This variation in perspectives highlights the need for additional research to understand the individual and structural factors that contribute to it, as well as best practices for engaging in effective, non-judgmental conversations about spirituality in recovery.
灵性是许多物质使用障碍（SUD）患者康复的重要组成部分。然而，很少有研究比较患者和医生对SUD康复中灵性的态度。
本研究调查患者和医生对灵性在SUD康复中的作用以及在初级保健环境中讨论与康复相关的灵性的看法。
对在两家学术医院招募的初级保健医生以及从一个基于信仰的住院治疗社区招募的患者进行了半结构化访谈。访谈记录由两名研究人员独立编码，并采用扎根理论方法生成反映参与者经历的主题。
对15名患者和10名医生进行了访谈。患者对灵性对其SUD康复的影响有不同看法，包括积极、消极和中立的看法。患者和医生对在初级保健环境中讨论灵性的意见存在差异：大多数医生对此持积极态度，认为了解患者的灵性有助于他们全面照顾患者。许多患者持中立态度，称他们觉得这些对话对他们的治疗并非必要，并且他们认为医生在医疗环境中不愿意讨论灵性。患者和医生的包容、开放式提问以及个性化方法被确定为促进关于灵性和康复的有效讨论的因素。
灵性对个体的SUD康复可能有不同影响。医生认可在患者康复背景下讨论灵性的益处，而患者对与医生进行这些对话表示保留意见。这种观点差异凸显了需要进行更多研究，以了解促成这种差异的个体和结构因素，以及在康复中就灵性进行有效、无偏见对话的最佳实践。
