The general practitioner in charge of addictive behavior
Introduction Recent reports confirmed that more than 22% of adult world population are suffering from addiction. Tobacco and alcohol use remain the most prevalent addictive behaviors reported in Tunisia. The management of addiction is a multidisciplinary team concept. This entity may be underdiagno...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-03-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823014189/type/journal_article |
| _version_ | 1797617053278928896 |
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| author | W. Bouali R. Omezzine Gniwa N. Faouel R. Ben Soussia L. Zarrouk |
| author_facet | W. Bouali R. Omezzine Gniwa N. Faouel R. Ben Soussia L. Zarrouk |
| author_sort | W. Bouali |
| collection | DOAJ |
| description |
Introduction
Recent reports confirmed that more than 22% of adult world population are suffering from addiction. Tobacco and alcohol use remain the most prevalent addictive behaviors reported in Tunisia. The management of addiction is a multidisciplinary team concept. This entity may be underdiagnosed due to perception default at the first line of management.
The aim of this study was to identify the limiting factors for addictive behavior approach in general practitioner (GP) clinic.
Recent reports confirmed that more than 22% of adult world population are suffering from addiction. Tobacco and alcohol use remain the most prevalent addictive behaviors reported in Tunisia. The management of addiction is a multidisciplinary team concept. This entity may be underdiagnosed due to perception default at the first line of management.
Objectives
The aim of this study was to identify the limiting factors for addictive behavior approach in general practitioner (GP) clinic.
Methods
A cross-sectional study involved 84 GPs in the city of Monastir, Tunisia. Self‐reported questionnaire was designed to survey the prevalence of patients with detectable addictive behavior among the outpatient GP clinic visitors.
Results
The participation rate was 93.3% (84/90). The prevalence of addictive behaviors was variable (38-59.5%). Tobacco use was the most common addiction (91.7%). More than seventy percent of questioned GPs were regularly consulting patients with known addictive behavior. The diagnosis was incidental in 7% of cases. Sixty percent of patients had predisposing factors for addiction. Diagnostic with screening difficulties for addictive behavior were independently related to doctor’s age >40 (OR = 6.51; p = 0.005), exercise in private clinic (OR= 6.46; p=0.004). Thirty-three percent of GPs were more involved in addiction monitoring. The use of assessment scales was noted in 15%. Young physician age (OR=5.20; p=0.002) and the absence postgraduate diploma in addictology (OR=9.66; p=0.01) were significantly associated addiction management avoidance.
Conclusions
This study aimed to assess of the attitude of GP in Monastir city regarding the addictive behaviors of their patients. The diagnosis and the management of addiction is not standardized for these health practitioners and this will not contribute to the battle against this social entity.
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:50:20Z |
| format | Article |
| id | doaj.art-27a6fbb5eaf94d759582f5da7fcc3574 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:50:20Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-27a6fbb5eaf94d759582f5da7fcc35742023-11-17T05:06:53ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S678S67810.1192/j.eurpsy.2023.1418The general practitioner in charge of addictive behaviorW. Bouali0R. Omezzine Gniwa1N. Faouel2R. Ben Soussia3L. Zarrouk4Psychiatrie, Faculty of Medicine of Monastir, Mahdiafamily medicine, Faculty of Medicine of Monastir, Monastir, TunisiaPsychiatrie, Faculty of Medicine of Monastir, MahdiaPsychiatrie, Faculty of Medicine of Monastir, MahdiaPsychiatrie, Faculty of Medicine of Monastir, Mahdia Introduction Recent reports confirmed that more than 22% of adult world population are suffering from addiction. Tobacco and alcohol use remain the most prevalent addictive behaviors reported in Tunisia. The management of addiction is a multidisciplinary team concept. This entity may be underdiagnosed due to perception default at the first line of management. The aim of this study was to identify the limiting factors for addictive behavior approach in general practitioner (GP) clinic. Recent reports confirmed that more than 22% of adult world population are suffering from addiction. Tobacco and alcohol use remain the most prevalent addictive behaviors reported in Tunisia. The management of addiction is a multidisciplinary team concept. This entity may be underdiagnosed due to perception default at the first line of management. Objectives The aim of this study was to identify the limiting factors for addictive behavior approach in general practitioner (GP) clinic. Methods A cross-sectional study involved 84 GPs in the city of Monastir, Tunisia. Self‐reported questionnaire was designed to survey the prevalence of patients with detectable addictive behavior among the outpatient GP clinic visitors. Results The participation rate was 93.3% (84/90). The prevalence of addictive behaviors was variable (38-59.5%). Tobacco use was the most common addiction (91.7%). More than seventy percent of questioned GPs were regularly consulting patients with known addictive behavior. The diagnosis was incidental in 7% of cases. Sixty percent of patients had predisposing factors for addiction. Diagnostic with screening difficulties for addictive behavior were independently related to doctor’s age >40 (OR = 6.51; p = 0.005), exercise in private clinic (OR= 6.46; p=0.004). Thirty-three percent of GPs were more involved in addiction monitoring. The use of assessment scales was noted in 15%. Young physician age (OR=5.20; p=0.002) and the absence postgraduate diploma in addictology (OR=9.66; p=0.01) were significantly associated addiction management avoidance. Conclusions This study aimed to assess of the attitude of GP in Monastir city regarding the addictive behaviors of their patients. The diagnosis and the management of addiction is not standardized for these health practitioners and this will not contribute to the battle against this social entity. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823014189/type/journal_article |
| spellingShingle | W. Bouali R. Omezzine Gniwa N. Faouel R. Ben Soussia L. Zarrouk The general practitioner in charge of addictive behavior European Psychiatry |
| title | The general practitioner in charge of addictive behavior |
| title_full | The general practitioner in charge of addictive behavior |
| title_fullStr | The general practitioner in charge of addictive behavior |
| title_full_unstemmed | The general practitioner in charge of addictive behavior |
| title_short | The general practitioner in charge of addictive behavior |
| title_sort | general practitioner in charge of addictive behavior |
| url | https://www.cambridge.org/core/product/identifier/S0924933823014189/type/journal_article |
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