Amber N. Edinoff MD, Tara L. Maudrie MSPH, Carly Chiwiwi MD, MPH, Tonya M. Kjerland MS, Liz Contreras MEd, Joseph P. Gone PhD
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引用次数: 0
摘要
背景和目标医学界有一种普遍但错误的观点，认为美国印第安人/阿拉斯加原住民（AI/AN）群体在生理上容易患药物使用障碍（SUD），其中以酒精使用障碍（AUD）最为普遍。本范围界定综述旨在研究哪些可能的社会心理问题会导致美国印第安人/阿拉斯加原住民群体中的 SUDs 长期存在。共有 405 篇文章被纳入全文综述。进一步的纳入标准包括直接研究患有 SUD 的参与者，在讨论或结论中包含将其数据与社会心理问题联系起来作为数据的可能解释的声明，以及使用研究设备测量社会心理问题。结果通过归纳过程发现了四个社会心理主题，其中反复出现的词汇与文献中的身份、偏见、孤立、歧视和自我概念有关。这些主题是创伤/历史损失、情绪和歧视/自尊。所有这些主题都是相互关联的，并且都会影响 SUD 的发展或持续。科学意义目前，专门研究情绪、创伤、自我价值和歧视与亚裔美国人/印第安人社区中的 SUD 之间相互作用的手稿并不多。本范围综述旨在强调这些问题，并讨论文化应如何在治疗中发挥作用。
A complex psychosocial portrait of substance use disorders among Indigenous people in the United States: A scoping review
Background and Objectives
There has been a prevailing but erroneous belief in the medical community that there is a biological vulnerability in the American Indian/Alaskan Native (AI/AN) community to substance use disorders (SUDs), with alcohol use disorder (AUD) being the most prevalent. This scoping review aimed to examine what possible psychosocial issues could lead to the development of the perpetuation of SUDs in the AI/AN population.
Methods
The protocol for this scoping review followed Arksey and O'Malley's methodological framework. There were 405 articles included for full-text review. Further inclusion criteria were applied which included: Directly looking at participants who had a SUD, including either in the discussion or conclusion a statement linking their data to psychosocial issues as a possible explanation for their data, and having measured the psychosocial issue with a research device. The final review included 15 studies.
Results
Four psychosocial themes were uncovered using an inductive process, where recurring words related to identity, prejudice, isolation, discrimination, and self-concept in the literature. These themes were trauma/historical loss, mood, and discrimination/self-esteem. All of these themes are interrelated, and all influence the development or sustainment of a SUD.
Discussion and Conclusions
Complex psychosocial factors in the AI/AN community are associated with SUDs. This trauma and historical loss should be addressed with culturally tailored treatments.
Scientific Significance
There are not many manuscripts that specifically look at the interplay of mood, trauma, self-worth, and discrimination with SUD in the AI/AN community. This scoping review aims to highlight these issues as well as discuss how culture should play a part in treatment.
期刊介绍：
The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.
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