A comparative study of old versus novel psychoactive substances on craving, perceived stigma and suicidal risk among rural-dwelling patients with substance abuse

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-04-25 DOI:10.1111/jpm.13058

Rasha Salah Eweida, Mahmoud Abdelwahab Khedr, Rasha Mohamed Hussein

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引用次数: 0

Abstract

What is known on the subject?

According to recent estimates, 10.4% of adults are patients with substance abuse, which is almost double the global rate.
Rural areas are typically marginalized, compounded by a lack of access to mental health care, creating a startling disparity in suffering from drug use issues among rural cohorts.

What the paper adds to existing knowledge?

Drawing on data from a descriptive comparative design would provide a distinctive picture related to the similarities and/or differences in relation to craving and how it affects perceived stigma and suicidal risk among patients using old versus novel psychoactive substances.

What are the implications for practice?

Substance abuse is a leading public health concern that forces nurses to encompass it into their agendas to tackle this looming problem.
Addiction rehabilitation services are frequently run by nurses. They are well-versed in supporting patients during their journey to recovery and enabling them to adjust to a new lifestyle.

Introduction

Substance use disorder is a leading public health concern that currently, nations regulatory agencies are grappled with. The noticeable difference in the chemical structures between old and novel psychoactive substances can result in significant clinical complications among patients with substance abuse.

Aim

The study aims to compare substance craving, perceived stigma and suicidal risk among patients addicted to old and novel psychoactive substances (NPS).

Method

A descriptive comparative design was adopted on a sample of 105 patients with substance use who completed The Penn Alcohol Craving Scale (PACS), The Perceived Stigma of Addiction Scale (PSAS) and Suicide Probability Scale (SPS).

Discussion

Most participants were male, with 89.5% in the old addictive substance group and 93.8% in the new addictive substance group. A statistically significant difference in the NPS groups' perceptions of stigma (23.4 ± 5.3) compared to the old addictive substance group (20.6 ± 4.2), (t = 3.037, p = .003).

Implication for Practice

Participants in the new substance group report more suicidal ideation, negative self-evaluation and hostility than those in the old substance group. Policies and practices should be tailored to the type of drug used and potential risk factors to avoid suicide among patients with substance abuse.

查看原文本刊更多论文

农村居民药物滥用患者对新旧精神活性物质在渴求、耻辱感和自杀风险方面的比较研究。

相关知识：据最新估计，10.4% 的成年人是药物滥用患者，几乎是全球比例的两倍。农村地区是典型的边缘化地区，再加上缺乏心理健康护理，造成了农村群体在药物滥用问题上的惊人差异。本文对现有知识有何补充？利用描述性比较设计中的数据，可以提供一幅独特的图画，说明渴求的相似性和/或差异，以及它如何影响使用旧式和新型精神活性物质的患者的耻辱感和自杀风险。对实践的启示：药物滥用是一个主要的公共卫生问题，迫使护士将其纳入自己的议程，以解决这一迫在眉睫的问题。戒毒康复服务通常由护士负责。他们精通在患者康复过程中为其提供支持，使其能够适应新的生活方式。ABSTRACT 简介：药物滥用障碍是一个主要的公共健康问题，目前各国监管机构都在努力解决这一问题。旧式和新型精神活性物质在化学结构上的明显差异会导致药物滥用患者出现严重的临床并发症。研究目的：本研究旨在比较旧式和新型精神活性物质（NPS）成瘾患者的药物渴求、感知耻辱感和自杀风险。方法采用描述性比较设计，抽样调查了 105 名药物滥用患者，他们填写了宾州酒精渴求量表（PACS）、成瘾感知耻辱量表（PSAS）和自杀可能性量表（SPS）。与旧成瘾物质组（20.6 ± 4.2）相比，新成瘾物质组（23.4 ± 5.3）的耻辱感与旧成瘾物质组（20.6 ± 4.2）有明显的统计学差异（t = 3.037，p = .003）。应根据所使用药物的类型和潜在风险因素制定相应的政策和措施，以避免药物滥用患者自杀。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric and Mental Health Nursing 医学-护理

CiteScore

4.70

自引率

3.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.