Barriers to seeking help for physicians with substance use disorder: A review.
Identifieur interne : 000650 ( Main/Exploration ); précédent : 000649; suivant : 000651Barriers to seeking help for physicians with substance use disorder: A review.
Auteurs : Flora Vayr [France] ; Fabrice Herin [France] ; Benedicte Jullian [France] ; Jean Marc Soulat [France] ; Nicolas Franchitto [France]Source :
- Drug and alcohol dependence [ 1879-0046 ] ; 2019.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (psychologie), Automédication (effets indésirables), Automédication (psychologie), Comorbidité (MeSH), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Médecins (psychologie), Stigmate social (MeSH), Troubles liés à une substance (psychologie), Troubles liés à une substance (thérapie), Troubles liés à une substance (épidémiologie).
- MESH :
- effets indésirables : Automédication.
- psychologie : Acceptation des soins par les patients, Automédication, Médecins, Troubles liés à une substance.
- thérapie : Troubles liés à une substance.
- épidémiologie : Troubles liés à une substance.
- Comorbidité, Facteurs de risque, Femelle, Humains, Mâle, Stigmate social.
English descriptors
- KwdEn :
- Comorbidity (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Patient Acceptance of Health Care (psychology), Physicians (psychology), Risk Factors (MeSH), Self Medication (adverse effects), Self Medication (psychology), Social Stigma (MeSH), Substance-Related Disorders (epidemiology), Substance-Related Disorders (psychology), Substance-Related Disorders (therapy).
- MESH :
- adverse effects : Self Medication.
- epidemiology : Substance-Related Disorders.
- psychology : Patient Acceptance of Health Care, Physicians, Self Medication, Substance-Related Disorders.
- therapy : Substance-Related Disorders.
- Comorbidity, Female, Humans, Male, Risk Factors, Social Stigma.
Abstract
BACKGROUND
Substance use disorders (SUD) might concern as many as 8-15% of physicians. Previous studies suggest that self-diagnosis and self-medication are common practices among physicians. The aim of this review was to identify if barriers to seeking help and medical care for impaired physicians exist. We also aimed at characterizing the nature of these barriers.
METHODS
The review included scientific papers published on the MEDLINE and PsychINFO databases between January 2000 and September 2018. The inclusion criteria were: (i) articles that focused on SUD in physicians. The exclusion criteria were: (i) no mention of SUD; (ii) no mention of barriers to seeking help; (iii) articles focused on burn-out and work-related stress; (iv) articles focused on risk factors or treatments for SUD; (v) articles focused on psychiatric comorbidities and (vi) those focused on other professionals.
RESULTS
Potential barriers to seeking help that were identified for impaired physicians with SUD included denial of the disease and of loss of performance, fear of stigma, psychiatric comorbidities, fear of familial/social/professional and economic consequences and a lack of knowledge.
CONCLUSIONS
Different barriers to seeking help could be identified. Priority should be given to educating medical students to ameliorate this. Increased awareness should reduce the stigma, which, even nowadays, still prevents some physicians from seeking help.
DOI: 10.1016/j.drugalcdep.2019.04.004
PubMed: 31035230
Affiliations:
Links toward previous steps (curation, corpus...)
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Electronic address: herin.f@chu-toulouse.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France; INSERM UMR 1027, Université de Toulouse III, Toulouse, F-31000</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region></placeName></affiliation></author><author><name sortKey="Jullian, Benedicte" sort="Jullian, Benedicte" uniqKey="Jullian B" first="Benedicte" last="Jullian">Benedicte Jullian</name><affiliation wicri:level="3"><nlm:affiliation>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region></placeName></affiliation></author><author><name sortKey="Soulat, Jean Marc" sort="Soulat, Jean Marc" uniqKey="Soulat J" first="Jean Marc" last="Soulat">Jean Marc Soulat</name><affiliation wicri:level="3"><nlm:affiliation>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France; INSERM UMR 1027, Université de Toulouse III, Toulouse, F-31000, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France; INSERM UMR 1027, Université de Toulouse III, Toulouse, F-31000</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region></placeName></affiliation></author><author><name sortKey="Franchitto, Nicolas" sort="Franchitto, Nicolas" uniqKey="Franchitto N" first="Nicolas" last="Franchitto">Nicolas Franchitto</name><affiliation wicri:level="3"><nlm:affiliation>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000</wicri:regionArea><placeName><region type="region" nuts="2">Occitanie (région administrative)</region><region type="old region" nuts="2">Midi-Pyrénées</region></placeName></affiliation></author></analytic><series><title level="j">Drug and alcohol dependence</title><idno type="eISSN">1879-0046</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Comorbidity (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Patient Acceptance of Health Care (psychology)</term><term>Physicians (psychology)</term><term>Risk Factors (MeSH)</term><term>Self Medication (adverse effects)</term><term>Self Medication (psychology)</term><term>Social Stigma (MeSH)</term><term>Substance-Related Disorders (epidemiology)</term><term>Substance-Related Disorders (psychology)</term><term>Substance-Related Disorders (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (psychologie)</term><term>Automédication (effets indésirables)</term><term>Automédication (psychologie)</term><term>Comorbidité (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins (psychologie)</term><term>Stigmate social (MeSH)</term><term>Troubles liés à une substance (psychologie)</term><term>Troubles liés à une substance (thérapie)</term><term>Troubles liés à une substance (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Self Medication</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Automédication</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Automédication</term><term>Médecins</term><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Patient Acceptance of Health Care</term><term>Physicians</term><term>Self Medication</term><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Risk Factors</term><term>Social Stigma</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Comorbidité</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Stigmate social</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Substance use disorders (SUD) might concern as many as 8-15% of physicians. Previous studies suggest that self-diagnosis and self-medication are common practices among physicians. The aim of this review was to identify if barriers to seeking help and medical care for impaired physicians exist. We also aimed at characterizing the nature of these barriers.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The review included scientific papers published on the MEDLINE and PsychINFO databases between January 2000 and September 2018. The inclusion criteria were: (i) articles that focused on SUD in physicians. The exclusion criteria were: (i) no mention of SUD; (ii) no mention of barriers to seeking help; (iii) articles focused on burn-out and work-related stress; (iv) articles focused on risk factors or treatments for SUD; (v) articles focused on psychiatric comorbidities and (vi) those focused on other professionals.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Potential barriers to seeking help that were identified for impaired physicians with SUD included denial of the disease and of loss of performance, fear of stigma, psychiatric comorbidities, fear of familial/social/professional and economic consequences and a lack of knowledge.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Different barriers to seeking help could be identified. Priority should be given to educating medical students to ameliorate this. Increased awareness should reduce the stigma, which, even nowadays, still prevents some physicians from seeking help.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31035230</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>24</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-0046</ISSN><JournalIssue CitedMedium="Internet"><Volume>199</Volume><PubDate><Year>2019</Year><Month>06</Month><Day>01</Day></PubDate></JournalIssue><Title>Drug and alcohol dependence</Title><ISOAbbreviation>Drug Alcohol Depend</ISOAbbreviation></Journal><ArticleTitle>Barriers to seeking help for physicians with substance use disorder: A review.</ArticleTitle><Pagination><MedlinePgn>116-121</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0376-8716(18)30728-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.drugalcdep.2019.04.004</ELocationID><Abstract><AbstractText Label="BACKGROUND">Substance use disorders (SUD) might concern as many as 8-15% of physicians. Previous studies suggest that self-diagnosis and self-medication are common practices among physicians. The aim of this review was to identify if barriers to seeking help and medical care for impaired physicians exist. We also aimed at characterizing the nature of these barriers.</AbstractText><AbstractText Label="METHODS">The review included scientific papers published on the MEDLINE and PsychINFO databases between January 2000 and September 2018. The inclusion criteria were: (i) articles that focused on SUD in physicians. The exclusion criteria were: (i) no mention of SUD; (ii) no mention of barriers to seeking help; (iii) articles focused on burn-out and work-related stress; (iv) articles focused on risk factors or treatments for SUD; (v) articles focused on psychiatric comorbidities and (vi) those focused on other professionals.</AbstractText><AbstractText Label="RESULTS">Potential barriers to seeking help that were identified for impaired physicians with SUD included denial of the disease and of loss of performance, fear of stigma, psychiatric comorbidities, fear of familial/social/professional and economic consequences and a lack of knowledge.</AbstractText><AbstractText Label="CONCLUSIONS">Different barriers to seeking help could be identified. Priority should be given to educating medical students to ameliorate this. Increased awareness should reduce the stigma, which, even nowadays, still prevents some physicians from seeking help.</AbstractText><CopyrightInformation>Copyright © 2019 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vayr</LastName><ForeName>Flora</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herin</LastName><ForeName>Fabrice</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France; INSERM UMR 1027, Université de Toulouse III, Toulouse, F-31000, France. Electronic address: herin.f@chu-toulouse.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jullian</LastName><ForeName>Benedicte</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soulat</LastName><ForeName>Jean Marc</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Occupational Diseases Department, Toulouse-Purpan University Hospital, Toulouse, F-31000, France; INSERM UMR 1027, Université de Toulouse III, Toulouse, F-31000, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Franchitto</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Addiction Medicine, Toulouse-Purpan University Hospital, Toulouse, F-31000, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>04</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Drug Alcohol Depend</MedlineTA><NlmUniqueID>7513587</NlmUniqueID><ISSNLinking>0376-8716</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012651" MajorTopicYN="N">Self Medication</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057545" MajorTopicYN="Y">Social Stigma</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019966" MajorTopicYN="N">Substance-Related Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Impaired physician</Keyword><Keyword MajorTopicYN="Y">Mandatory reporting</Keyword><Keyword MajorTopicYN="Y">Occupational health</Keyword><Keyword MajorTopicYN="Y">Psychiatric comorbidity</Keyword><Keyword MajorTopicYN="Y">Substance use disorder</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>10</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>03</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>04</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31035230</ArticleId><ArticleId IdType="pii">S0376-8716(18)30728-2</ArticleId><ArticleId IdType="doi">10.1016/j.drugalcdep.2019.04.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Midi-Pyrénées</li><li>Occitanie (région administrative)</li></region></list><tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Vayr, Flora" sort="Vayr, Flora" uniqKey="Vayr F" first="Flora" last="Vayr">Flora Vayr</name></region><name sortKey="Franchitto, Nicolas" sort="Franchitto, Nicolas" uniqKey="Franchitto N" first="Nicolas" last="Franchitto">Nicolas Franchitto</name><name sortKey="Herin, Fabrice" sort="Herin, Fabrice" uniqKey="Herin F" first="Fabrice" last="Herin">Fabrice Herin</name><name sortKey="Jullian, Benedicte" sort="Jullian, Benedicte" uniqKey="Jullian B" first="Benedicte" last="Jullian">Benedicte Jullian</name><name sortKey="Soulat, Jean Marc" sort="Soulat, Jean Marc" uniqKey="Soulat J" first="Jean Marc" last="Soulat">Jean Marc Soulat</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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