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Master Thesis

Co-addictions chez les patients suivis en médecine générale pour un mésusage d'alcool : une étude qualitative de leur problématique polyaddictive

Abstract : Introduction: Alcoholism is often accompanied by addictions to other psychoactive substances and/or behavioral addictions. The aim of the work is to explore the links between the various addictions and the possibilities of overall medical support, from the point of view of the patients followed by general practitioners. Method: A qualitative study was carried out on the basis of individual semi-directive interviews. The inclusion criteria were the presence of alcoholism associated with one or more others addictions. Results: Twelve patients participated in the research. They use their addictions to relieve a discomfort or manage the difficulties of daily life. The links between their dependencies were different for each patient with frequent behavioral associations and phenomena of positive and negative reinforcement. The patients were found to establish a hierarchy in their addictive behaviors that often leads to prioritization of care. The search for other addictions in consultation was accepted and even desired. Integrated treatments are often refused because of the different motivational stages of each addiction. Conclusion: Specific long-term motivational interviewing for each addiction as well as help in the resolution of psychological and social causes can allow an effective medical support to these patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01755477
Contributor : Santé Rennes 1 <>
Submitted on : Wednesday, June 6, 2018 - 12:22:03 PM
Last modification on : Thursday, July 9, 2020 - 12:30:44 PM

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Lise Ruterana. Co-addictions chez les patients suivis en médecine générale pour un mésusage d'alcool : une étude qualitative de leur problématique polyaddictive. Sciences du Vivant [q-bio]. 2016. ⟨dumas-01755477⟩

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