Azad Abrar Hussain, Khan Shahzad Ali, Ali Ijaz, Ghani Usman, Fatima Hina, Wazir Pashma, Umar Shaaray Abrar
Health Services Academy, Islamabad-Pakistan.
Mohi-ud-Din Islamic Medical College, Mirpur AJ&K.
J Ayub Med Coll Abbottabad. 2024 Jul-Sep;36(3):578-585. doi: 10.55519/JAMC-03-13771.
Substance use disorder (SUD) presents a significant public health challenge globally, including Pakistan. Despite its high prevalence, there is limited research on the lived experiences of individuals with SUD in Pakistan, particularly in terms of cultural, social, and treatment challenges.
This qualitative study explores the experiences of 60 male individuals with SUD in the capital territory of Pakistan. Participants were recruited using snowball sampling and were interviewed using a semi-structured guide covering various aspects of their lives impacted by SUD. Data were analyzed using thematic content analysis, with translation and back-translation processes ensuring accuracy in capturing participants' narratives.
The study identified four main themes: the impact of SUD on individuals' lives, causes of SUD, treatment experiences, and the social status of individuals with SUD. Participants reported significant financial and social hardships, strained interpersonal relationships, and severe physical and mental health issues. Causes of SUD included emotional distress, peer pressure, and abusive circumstances, while treatment options varied from medical interventions to spiritual healing. The stigma associated with SUD significantly impacted participants' social reintegration and recovery.
The findings highlight the complex interplay of socio-economic, psychological, and cultural factors influencing SUD in Pakistan. The study underscores the need for culturally sensitive, patient-centered approaches in the treatment and rehabilitation of individuals with SUD. Further research is needed to develop comprehensive strategies that address the specific needs of this population.
物质使用障碍（SUD）在全球范围内，包括在巴基斯坦，都构成了重大的公共卫生挑战。尽管其患病率很高，但在巴基斯坦，关于患有物质使用障碍的个人的生活经历的研究有限，特别是在文化、社会和治疗挑战方面。
这项定性研究探索了巴基斯坦首都地区60名患有物质使用障碍的男性的经历。采用滚雪球抽样法招募参与者，并使用半结构化指南进行访谈，该指南涵盖了他们受物质使用障碍影响的生活的各个方面。使用主题内容分析法对数据进行分析，翻译和回译过程确保了准确捕捉参与者的叙述。
该研究确定了四个主要主题：物质使用障碍对个人生活的影响、物质使用障碍的成因、治疗经历以及患有物质使用障碍的个人的社会地位。参与者报告了重大的经济和社会困难、紧张的人际关系以及严重的身心健康问题。物质使用障碍的成因包括情绪困扰、同伴压力和虐待环境，而治疗选择从医学干预到精神治愈各不相同。与物质使用障碍相关的耻辱感严重影响了参与者的社会重新融入和康复。
研究结果突出了影响巴基斯坦物质使用障碍的社会经济、心理和文化因素的复杂相互作用。该研究强调在治疗和康复患有物质使用障碍的个人时需要采用文化敏感、以患者为中心的方法。需要进一步研究以制定满足这一人群特定需求的综合策略。
