{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T14:29:04Z","timestamp":1794320944622,"version":"4.9.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,10,1]],"date-time":"2013-10-01T00:00:00Z","timestamp":1380585600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence suggests that some physicians harbor negative attitudes towards patients with substance use disorders (SUDs). The study sought to (1) measure internal medicine residents\u2019 attitudes towards patients with SUDs and other conditions; (2) determine whether demographic factors influence regard for patients with SUDs; and (3) assess the efficacy of a 10-hour addiction medicine course for improving attitudes among a subset of residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study of 128 internal medicine residents at an academic medical center in New York City. Scores from the validated Medical Condition Regard Scale (MCRS) were used to assess attitude towards patients with alcoholism, dependence on narcotic pain medication, heartburn, and pneumonia. Demographic variables included gender, postgraduate training year, and prior addiction education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean baseline MCRS scores were lower (less regard) for patients with alcoholism (41.4) and dependence on narcotic pain medication (35.3) than for patients with pneumonia (54.5) and heartburn (48.9) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001). Scores did not differ based upon gender, prior hours of addiction education, or year of training. After the course, MCRS scores marginally increased for patients with alcoholism (mean increased by 0.16,\n                      <jats:italic toggle=\"yes\">P =<\/jats:italic>\n                      .04 [95% confidence interval, CI: 0.004\u20130.324]) and dependence on narcotic pain medication (mean increased by 0.09,\n                      <jats:italic toggle=\"yes\">P =<\/jats:italic>\n                      .10 [95% CI: 0.02\u20130.22]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Internal medicine residents demonstrate less regard for patients with SUDs. Participation in a course in addiction medicine was associated with modest attitude improvement; however, other efforts may be necessary to ensure that patients with potentially stigmatized conditions receive optimal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2013.815143","type":"journal-article","created":{"date-parts":[[2013,7,5]],"date-time":"2013-07-05T11:25:00Z","timestamp":1373023500000},"page":"356-362","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":62,"title":["Stigmatization of Substance Use Disorders among Internal Medicine Residents"],"prefix":"10.1177","volume":"34","author":[{"given":"Ellen C.","family":"Meltzer","sequence":"first","affiliation":[{"name":"Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College and New York Presbyterian Weill Cornell Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Suppes","sequence":"additional","affiliation":[{"name":"Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Psychology, Columbia University, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Burns","sequence":"additional","affiliation":[{"name":"Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Shuman","sequence":"additional","affiliation":[{"name":"Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Orfanos","sequence":"additional","affiliation":[{"name":"College of Arts and Sciences, Cornell University, Ithaca, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher V.","family":"Sturiano","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College Midtown Center for Treatment and Research, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Charney","sequence":"additional","affiliation":[{"name":"Department of Medicine and Department of Obstetrics and Gynecology, Weill Cornell Medical College and New York Presbyterian Weill Cornell Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Fins","sequence":"additional","affiliation":[{"name":"Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, New York, New York, USA"},{"name":"Department of Medicine, Weill Cornell Medical College and New York Presbyterian Weill Cornell Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,10,1]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"Columbia University. 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