Skip to main content
Top
Published in: International Journal of Mental Health and Addiction 2/2020

01-04-2020 | Original Article

Time to Get Help? Help-Seeking Process in Latin American Hospital Patients with Alcohol Use Disorder

Authors: Karina Conde, Tomás Salomon, Elida Civetta, Maria Blanco, Mariana Cremonte

Published in: International Journal of Mental Health and Addiction | Issue 2/2020

Login to get access

Abstract

Alcohol Use Disorder (AUD) is one of the most harmful conditions associated with consumption. Despite a high level of consumption and an elevated number of people living with an AUD, evidence from help-seeking processes in Latin America is scarce and absent in Argentina. This paper aims to describe reasons for delaying and starting help-seeking, the process of problem awareness, and the years elapsed between drinking initiation, problem awareness, and help-seeking, as perceived by a clinical, non-random sample of people with AUD (n = 51). The most frequent reason for delaying help-seeking was not believing there was a problem. The most frequent motivators for seeking help were having physical or psychological problems due to use and repeated attempts to reduce or stop use. The outcomes of this study can be useful for designing interventions to reduce help-seeking barriers and facilitate access to treatment.
Literature
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington: American Psychiatric Association.CrossRef
go back to reference Browne, T., Priester, M. A., Clone, S., Iachini, A., DeHart, D., & Hock, R. (2016). Barriers and facilitators to substance use treatment in the rural south: a qualitative study. The Journal of Rural Health, 32(1), 92–101.CrossRef Browne, T., Priester, M. A., Clone, S., Iachini, A., DeHart, D., & Hock, R. (2016). Barriers and facilitators to substance use treatment in the rural south: a qualitative study. The Journal of Rural Health, 32(1), 92–101.CrossRef
go back to reference Chapman, C., Slade, T., Hunt, C., & Teesson, M. (2015). Delay to first treatment contact for alcohol use disorder. Drug and Alcohol Dependence, 147, 116–121.CrossRef Chapman, C., Slade, T., Hunt, C., & Teesson, M. (2015). Delay to first treatment contact for alcohol use disorder. Drug and Alcohol Dependence, 147, 116–121.CrossRef
go back to reference Conde, K., Brandariz, R. A., & Cremonte, M. (2016). Problemas por uso de alcohol en estudiantes secundarios y universitarios. Revista Chilena de Neuro-Psiquiatría, 54(2), 84–93.CrossRef Conde, K., Brandariz, R. A., & Cremonte, M. (2016). Problemas por uso de alcohol en estudiantes secundarios y universitarios. Revista Chilena de Neuro-Psiquiatría, 54(2), 84–93.CrossRef
go back to reference Glass, J., Grant, J., Yoon, H., & Bucholz, K. (2015). Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk. Drug and Alcohol Dependence, 153, 250–257.CrossRef Glass, J., Grant, J., Yoon, H., & Bucholz, K. (2015). Alcohol problem recognition and help seeking in adolescents and young adults at varying genetic and environmental risk. Drug and Alcohol Dependence, 153, 250–257.CrossRef
go back to reference Haighton, C., Wilson, G., Ling, J., McCabe, K., Crosland, A., & Kaner, E. (2016). A qualitative study of service provision for alcohol related health issues in mid to later life. PLoS One, 11(2), e0148601.CrossRef Haighton, C., Wilson, G., Ling, J., McCabe, K., Crosland, A., & Kaner, E. (2016). A qualitative study of service provision for alcohol related health issues in mid to later life. PLoS One, 11(2), e0148601.CrossRef
go back to reference Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P. K., & Derluyn, I. (2017). Treatment challenges for alcohol service users in Kampala, Uganda. The International Journal of Alcohol and Drug Research, 6(1), 27–35.CrossRef Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P. K., & Derluyn, I. (2017). Treatment challenges for alcohol service users in Kampala, Uganda. The International Journal of Alcohol and Drug Research, 6(1), 27–35.CrossRef
go back to reference Kaufmann, C. N., Chen, L. Y., Crum, R. M., & Mojtabai, R. (2014). Treatment-seeking and barriers to treatment for alcohol use in persons with alcohol use disorders and comorbid mood or anxiety disorders. Social Psychiatry and Psychiatric Epidemiology, 49(9), 1489–1499.CrossRef Kaufmann, C. N., Chen, L. Y., Crum, R. M., & Mojtabai, R. (2014). Treatment-seeking and barriers to treatment for alcohol use in persons with alcohol use disorders and comorbid mood or anxiety disorders. Social Psychiatry and Psychiatric Epidemiology, 49(9), 1489–1499.CrossRef
go back to reference treatment-seekingKrenek, M., Lyons, R., & Simpson, T. L. (2016). Degree of correspondence between daily monitoring and retrospective recall of alcohol use among men and women with comorbid AUD and PTSD. The American Journal on Addictions, 25(2), 145–151.CrossRef treatment-seekingKrenek, M., Lyons, R., & Simpson, T. L. (2016). Degree of correspondence between daily monitoring and retrospective recall of alcohol use among men and women with comorbid AUD and PTSD. The American Journal on Addictions, 25(2), 145–151.CrossRef
go back to reference Lansford, J. E., Godwin, J., Alampay, L. P., Uribe Tirado, L. M., Zelli, A., Al-Hassan, S. M., et al. (2016). Mothers’, fathers’ and children’s perceptions of parents’ expectations about children’s family obligations in nine countries. International Journal of Psychology, 51(5), 366–374.CrossRef Lansford, J. E., Godwin, J., Alampay, L. P., Uribe Tirado, L. M., Zelli, A., Al-Hassan, S. M., et al. (2016). Mothers’, fathers’ and children’s perceptions of parents’ expectations about children’s family obligations in nine countries. International Journal of Psychology, 51(5), 366–374.CrossRef
go back to reference Martínez-González, J. M., López, R. V., Iglesias, E. B., & Verdejo-García, A. (2016). Self-deception as a mechanism for the maintenance of drug addiction. Psicothema, 28(1), 13–19.PubMed Martínez-González, J. M., López, R. V., Iglesias, E. B., & Verdejo-García, A. (2016). Self-deception as a mechanism for the maintenance of drug addiction. Psicothema, 28(1), 13–19.PubMed
go back to reference Mellinger, J. L., Winder, G. S., DeJonckheere, M., Fontana, R. J., Volk, M. L., Lok, A. S., & Blow, F. C. (2018). Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis. Journal of Substance Abuse Treatment, 91, 20–27.CrossRef Mellinger, J. L., Winder, G. S., DeJonckheere, M., Fontana, R. J., Volk, M. L., Lok, A. S., & Blow, F. C. (2018). Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis. Journal of Substance Abuse Treatment, 91, 20–27.CrossRef
go back to reference Observatorio Argentino de Drogas. (2017). Tabaco-Alcohol. intensidad del consumo. Estudio nacional en población de 12 a 65 años sobre consumo de sustancias psicoactivas. Argentina: Secretaría de Políticas Integrales sobre Drogas de la Nación Argentina (Sedronar). Observatorio Argentino de Drogas. (2017). Tabaco-Alcohol. intensidad del consumo. Estudio nacional en población de 12 a 65 años sobre consumo de sustancias psicoactivas. Argentina: Secretaría de Políticas Integrales sobre Drogas de la Nación Argentina (Sedronar).
go back to reference Owens, M. D., Chen, J. A., Simpson, T. L., Timko, C., & Williams, E. C. (2018). Barriers to addiction treatment among formerly incarcerated adults with substance use disorders. Addiction Science & Clinical Practice, 13(1), 19.CrossRef Owens, M. D., Chen, J. A., Simpson, T. L., Timko, C., & Williams, E. C. (2018). Barriers to addiction treatment among formerly incarcerated adults with substance use disorders. Addiction Science & Clinical Practice, 13(1), 19.CrossRef
go back to reference Pilatti, A., Fernández, C., Viola, A., García, J. S., & Pautassi, R. M. (2017). Reciprocal effect of impulsiveness and alcohol consumption in argentine teenagers. Health and Addictions, 17(1), 107–120. Pilatti, A., Fernández, C., Viola, A., García, J. S., & Pautassi, R. M. (2017). Reciprocal effect of impulsiveness and alcohol consumption in argentine teenagers. Health and Addictions, 17(1), 107–120.
go back to reference Poznyak, V., & Rekve, D. (2018). Global status report on alcohol and health 2018. Washington: Management of Substance Abuse Unit: World Health Organization. Poznyak, V., & Rekve, D. (2018). Global status report on alcohol and health 2018. Washington: Management of Substance Abuse Unit: World Health Organization.
go back to reference Probst, C., Manthey, J., Martinez, A., & Rehm, J. (2015). Alcohol use disorder severity and reported reasons not to seek treatment: a cross-sectional study in European primary care practices. Substance Abuse Treatment, Prevention, and Policy, 10(1), 1.CrossRef Probst, C., Manthey, J., Martinez, A., & Rehm, J. (2015). Alcohol use disorder severity and reported reasons not to seek treatment: a cross-sectional study in European primary care practices. Substance Abuse Treatment, Prevention, and Policy, 10(1), 1.CrossRef
go back to reference Rehm, J., Allamani, A., Della Vedova, R., Elekes, Z., Jakubczyk, A., Landsmane, I., ... & Snikere, S. (2015a). General practitioners recognizing alcohol dependence: a large cross-sectional study in 6 European countries. The Annals of Family Medicine, 13(1), 28-32. Rehm, J., Allamani, A., Della Vedova, R., Elekes, Z., Jakubczyk, A., Landsmane, I., ... & Snikere, S. (2015a). General practitioners recognizing alcohol dependence: a large cross-sectional study in 6 European countries. The Annals of Family Medicine, 13(1), 28-32.
go back to reference Rehm, J., Dawson, D., Frick, U., Gmel, G., Roerecke, M., Shield, K. D., & Grant, B. (2014). Burden of disease associated with alcohol use disorders in the United States. Alcoholism: Clinical and Experimental Research, 38(4), 1068–1077.CrossRef Rehm, J., Dawson, D., Frick, U., Gmel, G., Roerecke, M., Shield, K. D., & Grant, B. (2014). Burden of disease associated with alcohol use disorders in the United States. Alcoholism: Clinical and Experimental Research, 38(4), 1068–1077.CrossRef
go back to reference Rehm, J., Manthey, J., Struzzo, P., Gual, A., & Wojnar, M. (2015b). Who receives treatment for alcohol use disorders in the European Union? A cross-sectional representative study in primary and specialized health care. European Psychiatry, 30(8), 885–893.CrossRef Rehm, J., Manthey, J., Struzzo, P., Gual, A., & Wojnar, M. (2015b). Who receives treatment for alcohol use disorders in the European Union? A cross-sectional representative study in primary and specialized health care. European Psychiatry, 30(8), 885–893.CrossRef
go back to reference Ros-Cucurull, E., Palma-Álvarez, R. F., Cardona-Rubira, C., García-Raboso, E., Jacas, C., Grau-López, L., ..., Casas, M. (2018). Alcohol use disorder and cognitive impairment in old age patients: a 6 months follow-up study in an outpatient unit in Barcelona. Psychiatry Research, 261, 361-366. Ros-Cucurull, E., Palma-Álvarez, R. F., Cardona-Rubira, C., García-Raboso, E., Jacas, C., Grau-López, L., ..., Casas, M. (2018). Alcohol use disorder and cognitive impairment in old age patients: a 6 months follow-up study in an outpatient unit in Barcelona. Psychiatry Research, 261, 361-366.
go back to reference Schuler, M. S., Puttaiah, S., Mojtabai, R., & Crum, R. M. (2015). Perceived barriers to treatment for alcohol problems: a latent class analysis. Psychiatric Services, 66(11), 1221–1228.CrossRef Schuler, M. S., Puttaiah, S., Mojtabai, R., & Crum, R. M. (2015). Perceived barriers to treatment for alcohol problems: a latent class analysis. Psychiatric Services, 66(11), 1221–1228.CrossRef
go back to reference Thombs, D. L., & Osborn, C. J. (2019). Introduction to addictive behaviors. Guilford Press. Thombs, D. L., & Osborn, C. J. (2019). Introduction to addictive behaviors. Guilford Press.
go back to reference Verissimo, A. D. O., & Grella, C. E. (2017). Influence of gender and race/ethnicity on perceived barriers to help-seeking for alcohol or drug problems. Journal of Substance Abuse Treatment, 75, 54–61.CrossRef Verissimo, A. D. O., & Grella, C. E. (2017). Influence of gender and race/ethnicity on perceived barriers to help-seeking for alcohol or drug problems. Journal of Substance Abuse Treatment, 75, 54–61.CrossRef
go back to reference Wallhed Finn, S., Bakshi, A., & Andréasson, S. (2014). Alcohol consumption, dependence, and treatment barriers: perceptions among nontreatment seekers with alcohol dependence. Substance Use & Misuse, 49(6), 762–769.CrossRef Wallhed Finn, S., Bakshi, A., & Andréasson, S. (2014). Alcohol consumption, dependence, and treatment barriers: perceptions among nontreatment seekers with alcohol dependence. Substance Use & Misuse, 49(6), 762–769.CrossRef
go back to reference Watkins, K. E., Ober, A., McCullough, C., Setodji, C., Lamp, K., Lind, M., ...,Osilla, K. C. (2018). Predictors of treatment initiation for alcohol use disorders in primary care. Drug and Alcohol Dependence, 191, 56-62. Watkins, K. E., Ober, A., McCullough, C., Setodji, C., Lamp, K., Lind, M., ...,Osilla, K. C. (2018). Predictors of treatment initiation for alcohol use disorders in primary care. Drug and Alcohol Dependence, 191, 56-62.
Metadata
Title
Time to Get Help? Help-Seeking Process in Latin American Hospital Patients with Alcohol Use Disorder
Authors
Karina Conde
Tomás Salomon
Elida Civetta
Maria Blanco
Mariana Cremonte
Publication date
01-04-2020
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 2/2020
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-019-00157-3

Other articles of this Issue 2/2020

International Journal of Mental Health and Addiction 2/2020 Go to the issue