TY -的盟Nitzburg乔治AU -韦伯,英格玛·盟——Yom-Tov兰德PY - 2019 DA - 2019/05/03 TI -互联网搜索寻求信息的医学症状前12步的成瘾治疗计划:一个网络搜索日志分析乔- J地中海互联网Res SP - e10946六世- 21 - 5 KW -酒精使用障碍KW -物质使用障碍KW - 12 KW -简短干预KW -短暂医生建议KW -匿名的互联网搜索日志数据AB -背景:短期干预是在初级保健环境中识别有问题的药物使用患者和激励他们考虑治疗方案的关键方法。然而，尽管有大量证据表明药物使用障碍患者存在延迟折扣，但医生的大多数简短建议都侧重于长期的负面医疗后果，这可能不是激励患者寻求治疗信息的最佳方式。目的:确定最激励个体寻求治疗信息的具体症状可能为进一步改进简短干预提供见解。为此，我们使用匿名的互联网搜索引擎数据来调查哪些医疗状况和症状先于搜索12步会议定位器和一般12步信息。方法:我们提取了2016年11月至2017年7月美国人在必应搜索引擎上的所有查询。这些查询被过滤为那些提到寻求匿名戒酒会(AA)或匿名戒毒会(NA)的人;此外，还分析了包含医疗症状或条件或其同义词的查询。我们确定了医疗症状和条件，预测寻求治疗的搜索在不同的时间滞后。具体来说，如果后来搜索12步程序信息的人查询某一医疗症状的概率超过了由美国所有其他必应用户组成的对照组进行同一查询的概率，则首先确定症状查询对后续12步查询具有显著的预测性。 Second, we examined symptom queries preceding queries on the 12-step program at time lags of 0-7 days, 7-14 days, and 14-30 days, where the probability of asking about a medical symptom was greater in the 30-day time window preceding 12-step program information-seeking as compared to all previous times that the symptom was queried. Results: In our sample of 11,784 persons, we found 10 medical symptoms that predicted AA information seeking and 9 symptoms that predicted NA information seeking. Of these symptoms, a substantial number could be categorized as nonsevere in nature. Moreover, when medical symptom persistence was examined across a 1-month time period, a substantial number of nonsevere, yet persistent, symptoms were identified. Conclusions: Our results suggest that many common or nonsevere medical symptoms and conditions motivate subsequent interest in AA and NA programs. In addition to highlighting severe long-term consequences, brief interventions could be restructured to highlight how increasing substance misuse can worsen discomfort from common medical symptoms in the short term, as well as how these worsening symptoms could exacerbate social embarrassment or decrease physical attractiveness. SN - 1438-8871 UR - //www.mybigtv.com/2019/5/e10946/ UR - https://doi.org/10.2196/10946 UR - http://www.ncbi.nlm.nih.gov/pubmed/31066685 DO - 10.2196/10946 ID - info:doi/10.2196/10946 ER -