Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

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

  • 8 Accesses

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.

This is a preview of subscription content, log in to check access.

Fig. 1

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington: American Psychiatric Association.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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).

  14. 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.

  15. 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.

  16. Poznyak, V., & Rekve, D. (2018). Global status report on alcohol and health 2018. Washington: Management of Substance Abuse Unit: World Health Organization.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  21. 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.

  22. 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.

  23. Thombs, D. L., & Osborn, C. J. (2019). Introduction to addictive behaviors. Guilford Press.

  24. 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.

  25. 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.

  26. 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.

Download references

Funding

Partial funding for this study was provided by the Universidad Nacional de Mar del Plata (UNMdP) and by the Consejo Nacional de Investigaciones científicas y Técnicas (CONICET), Argentina.

Author information

Correspondence to Karina Conde.

Ethics declarations

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

All procedures followed were under the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Conde, K., Salomon, T., Civetta, E. et al. Time to Get Help? Help-Seeking Process in Latin American Hospital Patients with Alcohol Use Disorder. Int J Ment Health Addiction (2020). https://doi.org/10.1007/s11469-019-00157-3

Download citation

Keywords

  • Alcohol Use Disorder
  • Treatment barriers
  • Help-seeking
  • Hospital patients