Department of Psychiatry, Columbia University, New York, NY, USA.
Department of Psychiatry, Columbia University, New York, NY, USA.
J Psychiatr Res. 2024 Dec;180:33-38. doi: 10.1016/j.jpsychires.2024.09.050. Epub 2024 Sep 30.
Given increasing emphasis on understanding the role of genes in the etiology of addictive disorders, the present study aimed to investigate the implications of genetic explanations of addiction for attitudes and beliefs about patients among addiction treatment providers. Participants were recruited from addiction-related professional organizations. The sample included professionals with medical backgrounds (n = 153) and with nonmedical backgrounds (n = 232). They viewed a description of a fictitious patient with either alcohol use disorder or gambling disorder, which was experimentally varied to indicate the presence or absence of a genetic cause. They completed measures of their genetic attributions for the patient's symptoms as well as their attitudes and beliefs about the patient. The presence of a genetic explanation increased genetic attribution ratings but did not significantly affect other measured variables. However, participants' genetic attributions for the patient's symptoms were associated with significantly lower ascriptions of blame to the patient and greater belief in the effectiveness of medication, but also with reduced confidence in the effectiveness of psychotherapy and with pessimism about the patient's prognosis. Geneticized, biomedical conceptualizations of addiction may have implications for treatment providers' attitudes toward patients.
鉴于人们越来越重视了解基因在成瘾障碍发病机制中的作用,本研究旨在探讨成瘾的遗传解释对成瘾治疗提供者对患者的态度和信念的影响。参与者是从与成瘾相关的专业组织中招募的。样本包括具有医学背景的专业人员(n=153)和非医学背景的专业人员(n=232)。他们观看了一个虚构的患有酒精使用障碍或赌博障碍的患者的描述,该描述通过实验进行了变化,以表明是否存在遗传原因。他们完成了对患者症状的遗传归因以及对患者的态度和信念的测量。遗传解释的存在增加了对患者症状的遗传归因评分,但对其他测量变量没有显著影响。然而,患者症状的遗传归因与对患者的责备归因显著降低、对药物治疗有效性的更大信念以及对心理治疗有效性的信心降低以及对患者预后的悲观态度有关。成瘾的遗传化、生物医学概念化可能对治疗提供者对患者的态度产生影响。