Attitudes, beliefs and stigma attributed by health professionals to dependents of psychoactive substances: a systematic review

Authors

  • Vitor Leite Ferreira Universidad Federal de Juiz de Fora
  • María Elena Iturriaga Goroso Universidad Federal de Juiz de Fora
  • Telmo Mota Ronzani Universidad Federal de Juiz de Fora

DOI:

https://doi.org/10.21501/24631779.3368

Keywords:

Attitude, Beliefs, Prejudice, Drugs abuse, Health Service

Abstract

Objectives: the abusive use and dependence of alcohol and other drugs is very common among communities and seen as a public health problem, which requires care and treatment; thus, this systematic review aims to analyze scientific publications regarding stigmatizing attitudes, beliefs and behaviors by health professionals vis-à-vis users of psychoactive substances, who seek for care in health services. Methodology: During the month of May 2018, a bibliographic search was carried out in the databases of SciELO, LILACS, Pubmed, PsycINFO and Pepsic, which generated a total of 35 articles that corresponded to the inclusion criteria. Results: it is possible to observe that, although professionals are aware of their role in patient care and that sometimes they have a predisposition to attend them, negative attitudes and beliefs prevail, due to fear, low
interest, prejudice, impatience and lack of knowledge about the problem, evidenced in the behaviors of these professionals.
Therefore, it is pointed out the need to promote discussions and new reflections, which must be carried out jointly with the professionals, with the objective of developing strategies to reduce negative attitudes and stigma, which must be worked on from the training.

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Author Biographies

Vitor Leite Ferreira, Universidad Federal de Juiz de Fora

Fondo Editorial- Editora

María Elena Iturriaga Goroso, Universidad Federal de Juiz de Fora

Telmo Mota Ronzani, Universidad Federal de Juiz de Fora

References

Abraham, T. H., Lewis, E. T., & Cucciare, M. A. (2017). Providers' Perspectives on Barriers and Facilitators to Connecting Women Veterans to Alcohol-Related Care From Primary Care. Military Medicine, 182(9), 1888-1894. DOI: 10.7205/MILMED-D-17-00042.

Abraham, T. H., Lewis, E. T., Drummond, K. L., Timko, C., & Cucciare, M. A. (2017). Providers' perceptions of barriers and facilitators to disclosure of alcohol use by women veterans. Primary Health Care Research & Development, 18, 64-72. DOI:10.1017/S1463423616000384

Adorno, R. C. F. (2008). Uso de álcool e drogas e contextos sociais da violência. Revista Eletrônica Saúde Mental Álcool e Drogas, 4(1), 1-10. Recuperado de http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1806-69762008000100002

Badaró, A. C. (2015). As crenças cognitivas e suas relações com sintomas de ansiedade social e depressão (Dissertação de Mestrado). Instituto de Ciências Humanas, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

Benoit, C., Stengel, C., Marcellus, L., Hallgrimsdottir, H., Anderson, J., MacKinnon, K., … Charbonneau, S. (2014). Providers’ constructions of pregnant and early parenting women who uses substances. Sociology of Health & Illness, 36(2), 252-263. DOI: 10.1111/1467-9566.12106

Caixeta, L. M. M., Pedrosa, L. A. K., & Haas, V. J. (2016). Análise das atitudes de profissionais da Atenção Primária a Saúde frente a pessoas com transtornos relacionados ao uso de álcool. Revista Eletrônica de Saúde Mental Álcool e Drogas, 12(2), 84-91. DOI: 10.11606/issn.1806-6976.v12i2p84-91.

Chu, C., & Galang, A. (2013). Hospital Nurses’ Attitudes toward patients with a history of illicit drug use. Canadian-nurse.com, 109(6), 29-34. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23862324

Corrêa Matta, G. C., & Morosini, M. G. V. (2009). Atenção Primária a Saúde. Dicionário da educação profissional em saúde. Recuperado de http://www.epsjv.fiocruz.br/upload/d/Atencao_Primaria_a_Saude_-_recortado.pdf

Davis, A. K., & Rosenberg, H. (2013). Acceptance of non-abstinence goals by addiction professionals in the United States. Psychology of Addictive Behaviors, 27(4), 1102-1109. DOI: 10.1037/a0030563.

Doi, L., Cheyne, H., & Jepson, R. (2014). Alcohol brief interventions in Scottish antenatal care: a qualitative study of midwives’ attitudes and practices. BMC Pregnancy and childbirth, 14(1). DOI: 10.1186/1471-2393-14-170.

El Rasheed, A. H., El Sheikh, M. M., El Missiry, M. A., Hatata, H. A., & Ahmed, N. (2016). Addiction stigma among mental health professionals and medical students in Egypt. Addictive Disorders & Their Treatment, 15(4), 165-174. DOI: https://doi.org/10.1097/ADT.0000000000000090

Ferreira, M. C. (2010). A Psicologia Social Contemporânea: principais tendências e perspectivas nacionais e internacionais. Psicologia: Teoria e Pesquisa, 26, 51-64. Recuperado de http://periodicos.unb.br/ojs248/index.php/revistaptp/article/view/20710

Fonti, S., Davis, D., & Ferguson, S. (2016). The attitudes of healthcare professionals towards women using illicit substances in pregnancy: A cross-sectional study. Women Birth, 29(4), 330-335. DOI: 10.1016/j.wombi.2016.01.001.

Global Status Report on Alcohol and Health. (2018). World Health Organization. Geneva.

Gray, M. T. (2014). Agency and addiction in a harm reduction paradigm: French nurses' perspectives. Archives of Psychiatric Nursing, 28(1), 35-42. DOI: 10.1016/j.apnu.2013.09.005.

Hanpatchaiyakul, K., Eriksson, H., Kijsomporn, J. & Ostlund, G. (2016). Healthcare providers' experiences of working with alcohol addiction treatment in Thailand. Contemporary Nurse, 52(1), 59-73. DOI: 10.1080/10376178.2016.1183461.

Ketterer, F., Symons, L., Lambrechts, M.-C., Mairiaux, P., Godderis, L., Peremans, … Vanmeerbeek, M. (2014). What factors determine Belgian general practitioners' approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model. BMC Family, 15(1). DOI: 10.1186/1471-2296-15-119

Kirtadze, I., Otiashvili, D., O’Grady, K. E., Zule, W., Kruptsky, E., Wendee, M., Jones, H. E. (2013). Twice stigmatized: provider's perspectives on drug-using women in the Republic of Georgia. Journal of Psychoactive Drugs, 45(1), 1-9. DOI: 10.1080/02791072.2013.763554

Klingemann, J. (2016). Acceptance of Reduced-Risk Drinking as a Therapeutic Goal within the Polish Alcohol Treatment System. Alcohol and Alcoholism, 51(4), 436-441. DOI: 10.1093/alcalc/agv141

Lawrence, R. E., Rasinski, K. A., Yoon, J. D., & Curlin., F. A. (2013). Physicians’ beliefs about the nature of addiction: a survey of Primary Care physicians and psychiatrics. The American Journal of Addictions, 22(3), 255-260. DOI: 10.1111/j.1521-0391.2012.00332.x.

Lev-Ran, S., Adler, L., Nitzan, U., & Fennig, S. (2013). Attitudes towards nicotine, alcohol and drug dependence among physicians in Israel. Journal of Substance Abuse Treatment, 44, 84-89. DOI: 10.1016/j.jsat.2012.04.001.

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., … Moher, D. (2009). The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Medicine, 6(7), e1000100, 1-28. DOI: https://doi.org/10.1371/journal.pmed.1000100

MacRae, E. (2001). Antropologia; aspectos sociais, culturais e ritualísticos. Recuperado de http://www.neip.info/downloads/t_edw10.pdf

Maffina, L., Deane, F. P., Lyons, G. C., Crowe, T. P., & Kelly, P. J. (2013). Relative importance of abstinence in clients' and clinicians' perspectives of recovery from drugand alcohol abuse. Substance Use Misuse, 48(9), 683-690. DOI: 10.3109/10826084.2013.782045

Meltzer, E. C., Suppes, A., Burns, S., Shuman, A., Orfanos, A., Sturiano, C. V., … Fins, J. J. (2013). Stigmatization of Substance Use Disorders Among Internal Medicine Residents. Substance Abuse, 34(4), 356–362. DOI: 10.1080/08897077.2013.815143

Mendes Carvalho, F. R. M., Brusamarello, T., Noeremberg Guimarães, A. N., Paes, M. R., & Alves Maftum, M. A. (2011). Causas de recaída e de busca por tratamento referidas por dependentes químicos em uma unidade de reabilitação. Colombia Médica, 42(2), 57-62. Recuperado de http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S1657-95342011000500007

Miles, M., Chapman, Y., Francis, K., & Taylor, B. (2013). Midwives experiences of establishing partnerships: working with pregnant women who use illicit drugs, 30(10), 1082-1087. DOI: 10.1016/j.midw.2013.06.020.

Monks, R., Topping, A., & Newell, R. (2013). The dissonant care management of illicit drug users in medical wards, the views of nurses and patients: a grounded theory study. Journal of Advanced Nursing, 69(4), 935-946. DOI: 10.1111/j.1365-2648.2012.06088.x.

Moraes, M. (2008). O modelo de atenção integral à saúde para tratamento de problemas decorrentes do uso de álcool e outras drogas: percepções de usuários, acompanhantes e profissionais. Ciência & Saúde Coletiva, 13(1), 121-133. DOI: http://dx.doi.org/10.1590/S1413-81232008000100017

Mules, T., Taylor, J., Price, R., Walker, L., Singh, B., Newsam, P., … Jenkin, G. (2012). Addressing patient alcohol use: a view from general practice. Journal of Primary Health Care, 4(3), 217-222. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22946070

Norberg, M. M., Gates, P., Dillon, P., Kavanagh, D. J., Manocha. R., & Copeland, J. (2012). Screening and managing cannabis use: comparing GP's and nurses' knowledge, beliefs, and behavior. Substance Abuse Treatment, Prevention and Policy, 7. DOI: 10.1186/1747-597X-7-31.

Ortega, L. B., & Ventura, C. A. (2013). I am alone: the experience of nurses delivering care to alcohol and drug users. Revista da Escola de Enfermagem da USP, 47(6), 1379-1386. DOI: 10.1590/S0080-623420130000600019.

Paiva, F. S., Ferreira, M. L., Martins, M. Z. F., Barros, S. L. C. F., & Ronzani, T. M. (2014). A percepção profissional e comunitária sobre a reinserção social dos usuários de drogas. Psicologia e Sociedade, 26(3), 696-706. DOI: http://dx.doi.org/10.1590/S0102-71822014000300018

Prates, J. G., Pinho, P. H., Oliveira, M. A. F., & Claro, H. G. (2014). A concepção dos enfermeiros de serviços de urgência e emergência sobre o processo saúde-doença na assistência aos usuários de substâncias psicoativas. Saúde Debate, 38(101), 318-327. DOI: http://dx.doi.org/10.5935/0103-1104.20140029.

Queiroz, I. S. (2001). Os programas de redução de danos como espaços de exercício da cidadania dos usuários de drogas. Psicologia: Ciência e Profissão, 21(4), 2-15. DOI: http://dx.doi.org/10.1590/S1414-98932001000400002

Ramos, M. M., Sebastian, R. A., Murphy, M., Oreskovich, K., & Condon, T. P. (2017). Adolescent substance use: Assessing the knowledge, attitudes, and practices of a school-based health center workforce. Substance Abuse, 38(2), 230-236. DOI: 10.1080/08897077.2017.1287149

Reddy, A. T., Andersen, R. M. & Gelberg, L. (2015). Clinicians' Beliefs and Practices Regarding Drug Use Care of Their Community Health Center Patients. Journal of Addiction Medicine, 9(6), 447-453. DOI: 10.1097/ADM.0000000000000158.

Reyre, A., Jeannin, R., Largueche, M., Moro, M. R., Baubet, T. & Taieb, O. (2017). Overcoming professionals' challenging experiences to promote a trustful therapeutic alliance in addiction treatment: A qualitative study. Drug and Alcohol Dependence, 174, 30-38. DOI: 10.1016/j.drugalcdep.2017.01.015

Rocha, F. M., Vargas, D., Oliveira, M. A. F., de & Bittencourt, M. N. (2013). Caring for people with psychoactive substance dependence: nursing student perceptions. Revista da Escola de Enfermagem da USP, 47(3), 671-677. DOI: http://dx.doi.org/10.1590/S0080-623420130000300021

Ronzani, T. M., & Furtado, E. F. (2010). Estigma Social sobre o uso de álcool. J Bras Psiquatr., 59(4), 326-332. DOI: http://dx.doi.org/10.1590/S0047-20852010000400010

Rosa, C. R. (2017). O álcool e a violência doméstica: efeitos e dramas. VirtuaJus, 13(1), 243-269.

Rosenberg, H., & Davis, A. K. (2014). Differences in the acceptability of non-abstinence goals by type of drug among American substance abuse clinicians. Journal of Substance Abuse Treatment, 46(2), 214-218. DOI: 10.1016/j.jsat.2013.07.005.

Ross, L. E., Vigod, S., Wishart, J., Waese, M., Spence, J. D., Oliver, J., … Shields, R. (2015). Barriers and facilitators to primary care for people with mental health and/or substance use issues: a qualitative study. BMC Family Practice, 16(135), 1-13. DOI: 10.1186/s12875-015-0353-3

Sebastiani, R. W., & Maia, E. M. C. (2005). Contribuições da psicologia da saúde-hospitalar na atenção ao paciente cirúrgico. Acta Cirúrgica Brasileira, 20(1), 50-55. DOI: http://dx.doi.org/10.1590/S0102-86502005000700010

Silva, W. R., & Peres, R. S. (2014). Concepções sobre álcool e outras drogas na Atenção Básica: O pacto degenerativo dos profissionais de saúde. Psicologia: Ciência e Profissão, 34(2), 474-487. http://dx.doi.org/10.1590/1982-3703000492013.

Silveira, P. S., Soares, R. G., Gomide, H. P., Ferreira, G. C. L., Casela, A. L. M., Martins, L. F., & Ronzani, T. M. (2015). Social distance toward people with substance dependence: a survey among health professional. Psicologia em Pesquisa, 9(2), 170-176. DOI: http://dx.doi.org/10.5327/Z1982-1247201500020007

Slaunwhite, A. K., & Macdonald, S. (2015). Alcohol, Isolation, and Access to Treatment: Family Physician Experiences of Alcohol Consumption and Access to Health Care in Rural British Columbia. The Journal of Rural Health, 31(4), 335-345. DOI: 10.1111/jrh.12117.

Talbot, A. L., Dorrian, J., & Chapman, J. (2015). Using the Theory of Planned Behaviour to examine enrolled nursing students’ intention to care for patients with alcohol dependence: a survey study. Nurse Education Today, 35(11), 1054-1061. DOI: 10.1016/j.nedt.2015.05.017.

Tam, W. C. M., Zwar, N., & Markham, R. (2013). Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study. BMC Family Practice, 14(1). doi: 10.1186/1471-2296-14-121

UNODC (Oficina de las Naciones Unidas contra la Droga y el Delito) 2018. Informe Mundial sobre las Drogas. Recuperado de: https://www.unodc.org/wdr2018/prelaunch/WDR18_ExSum_Spanish.pdf

van Boekel, L. C. van, Brouwers, E. P. M., van Weeghel, J. van & Garretsen, H. F. L. (2014). Healthcare professionals’ regard towards working with patients with substance use disorders: comparison of primary care, general psychiatric and specialist addiction services. Drug and Alcohol Dependence, 134, 92-98. DOI: 10.1016/j.drugalcdep.2013.09.012.

van Boekel, L. C. van, Brouwers, E. P. M., van Weeghel, J. van & Garretsen, H. F. L. (2015). Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPs, mental health and addiction specialists and clients. International Journal of Social Psychiatric, 61(6), 539-549. DOI: 10.1177/0020764014562051.

Vargas, D., Bittencourt, M. N., Rocha, F. M., & Oliveira, M. A. F. (2013). Representação Social de Enfermeiros de Centros de Atenção Psicossocial em Álcool e Drogas (CAPS ad) sobre o dependente químico. Esc. Anna Nery,17(2), 242-248. Retrieved from http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1414-81452013000200006&lng=pt&nrm=iso&tlng=pt

Wakeman, S. E., Pham-Kanter, G., & Donelan, K. (2016). Attitudes, practices, and preparedness to care for patients with substance use disorder: results from a survey of general internists. Substance Abuse, 37(4), 635-641. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/27164025

Published

2019-09-16

How to Cite

Leite Ferreira, V., Iturriaga Goroso, M. E., & Mota Ronzani, T. (2019). Attitudes, beliefs and stigma attributed by health professionals to dependents of psychoactive substances: a systematic review. Drugs and Addictive Behavior, 4(2), 225–245. https://doi.org/10.21501/24631779.3368

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Section

Artículos de Investigación