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Master Thesis

Les approches thérapeutiques dans le trouble de l'usage de l'alcool : quel est le choix des médecins généralistes dans le Calvados et pourquoi ?

Abstract : Background: The French Society of Alcohology (FSA) has issued recommendations for the management of Alcohol Use Disorder (AUD). These recommendations are long and difficult to consult for general practitioners (GP). Therapeutic approaches of those practitioners are poorly described. Objective: To explore the motivations of GP of Calvados in their therapeutic choices for the management of AUD. Method: We carried out a qualitative study with twenty GP. Results: Exploring AUD is a difficulty for most doctors. GP use drugs as much as psychotherapies, with a preference for outpatient withdrawal by Benzodiazepines. The most used therapeutic approaches are motivational approaches. There is a slight preference for psychotherapy for GP outside the Caen area. Some psychotherapies are not offered in front of social and family problems. Half of the GP express difficulties with the therapeutic alliance. Five of the twenty physicians interviewed received training in the AUD. Nineteen of the physicians surveyed did not have any notion of the recommendations of the FSA. Conclusion: The factors guiding the management of AUD by GP of Calvados are the place of exercise, the socio-professional characteristics of the patient, the quality of the patient's environment and the therapeutic alliance. GP of Calvados are insufficiently trained on the AUD. To improve their skills, solutions deserve to be studied by the University of Caen-Normandy and the Order of Doctors of Calvados.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02496740
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Submitted on : Tuesday, March 3, 2020 - 11:39:00 AM
Last modification on : Monday, April 6, 2020 - 1:32:33 AM
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  • HAL Id : dumas-02496740, version 1

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Félix Colom. Les approches thérapeutiques dans le trouble de l'usage de l'alcool : quel est le choix des médecins généralistes dans le Calvados et pourquoi ?. Médecine humaine et pathologie. 2019. ⟨dumas-02496740⟩

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