Social representations of users with alcohol problems about spirituality
repercussions on nursing care*
Keywords:
Nursing, Psychology, Social, Religion, Motivation, AlcoholismAbstract
Objective: To understand the social representations of users with mental health needs resulting from alcohol use regarding spirituality and their implications for the implementation of nursing care.
Method: A descriptive-qualitative study conducted from May to December 2024, grounded in the theory of Social Representations. The data, collected through Free Association and semi-structured interviews, were subjected to Thematic Analysis.
Results: Representations regarding alcoholism, abstinence, and spirituality were revealed. Alcoholism, initially perceived as a pleasure, turns into a nightmare. Abstinence emerged as the challenging act of rejecting drugs, marked by mental struggle and relapses. Spirituality represented faith in God to overcome addiction, serving as a refuge and crucial support for recovery.
Final Considerations: The ambivalence of alcoholism, the challenge of abstinence, and faith are highlighted as essential. These insights inform nursing practice in the Amazon by guiding comprehensive, culturally sensitive care that strengthens the bond with patients and improves their treatment adherence.
References
1. Alves MPO, DE Moraes ARA. Política de Drogas no Brasil: incongruências nas políticas preventivas e repressivas e distinção entre tráfico e consumo. Rev Bras Direito Const (Online) [Internet]. 2025 [cited 2026 Jan 14];25:507-27 Available from: https://doi.org/10.62530/rbdc25p507
2. Brasil. Ministério da Saúde. Lei nº 10.216, de 6 de abril de 2001. Dispõe sobre a proteção e os direitos das pessoas portadoras de transtornos mentais e redireciona o modelo assistencial em saúde mental [Internet]. Brasília: Diário Oficial da União; 2001 [cited 2026 Jan 26]. p. 2. Available from: https://www.planalto.gov.br/ccivil_03/leis/leis_2001/l10216.htm
3. Borges MS, Santos MBC, Pinheiro TG. Social representations about religion and spirituality. Rev Bras Enferm [Internet]. 2015 [cited 2024 Dec 15];68(4):524-31. Available from: https://doi.org/10.1590/0034-7167.2015680406i
4. World Health Organization(WHO). Constitution of the World Health Organization. [Internet]. Geneva: WHO; 1948 [cited 2026 Jan 26];62:2679. Available from: https://www.globalhealthrights.org/instrument/constitution-of-the-world-health-organization-who/
5. Campos MTF, Rodrigues JP. Influência da espiritualidade e religiosidade no abuso de álcool e drogas: revisão integrativa. SMAD Rev Eletrônica Saúde Mental Álcool Drog [Internet]. 2022 [cited 2025 Jun 15];18(2):106-16. Available from: https://www.researchgate.net/publication/362329918_Influencia_da_espiritualidade_e_religiosidade_no_abuso_de_alcool_e_drogas_revisao_integrativa
6. Jodelet D. Ciências sociais e representações: estudo dos fenômenos representativos e processos sociais, do local ao global. Soc Estado [Internet]. 2018 [cited 2026 Jan 14];33(2):423-42. Available from: http://dx.doi.org/10.1590/s0102-699220183302007
7. Moscovici S. A psicanálise, sua imagem e seu público. 1st ed. Petrópolis: Vozes; 2012. 456 p.
8. Moscovici S. Representações sociais: investigações em psicologia social. 5th ed. Petrópolis: Vozes; 2015. P408 p.
9. Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesqui Qual [Internet]. 2017 [cited 2026 jan 31];5(7):1-12. Available from: https://www.researchgate.net/publication/315756131
10. Braun V, Clarke V. Thematic analysis: a practical guide. 1st ed. London: Sage; 2021. p. 376 p.
11. Gonçalves JR , de Lima LG. Espiritualidade em pacientes oncológicos: a compreensão da enfermagem na dimensão espiritual. Revista JRG de Estudos Acadêmicos [Internet]. 2020 [cited 2025 May 30];3(6):12-27. Available from: https://revistajrg.com/index.php/jrg/article/view/101
12. da Silva SÉD, Rodrigues DM, de Oliveira MAF, Araújo JS, Rodrigues DP, dos Santos AL, et al. Social representations of alcoholism: experiences of a group of withdrawing users. Cogitare Enferm [Internet]. 2024 [cited 2025, May 30];29:e96865. Available from: https://doi.org/10.1590/ce.v29i0.96865
13. da Silva SÉD, de Oliveira MAF, Rodrigues HDI, de Castro PMS, Ferreira JA, Costa TRO. Social representations of abstinent alcoholics about alcoholism and its implications to maintain abstinence. Rev Baiana Enferm [Internet]. 2025 [cited 2026 jun 16];39:e63083. Available from: https://doi.org/10.18471/rbe.v39.63083
14. da Silva LES, Helman B, Silva DCL, de Aquino ÉC, de Freitas PC, Santos RO, et al. Prevalence of heavy episodic drinking in the Brazilian adult population: National Health Survey 2013 and 2019. Epidemiol Serv Saúde [Internet]. 2022 [cited 2025 jul 20]; 31(Spe1):e2021379. Available from: https://doi.org/10.1590/SS2237-9622202200003.especial
15. da Cunha VF, de Almeida AA, Pillon SC, Fontaine AMG, Scorsolini-Comin F. Religiosidade/espiritualidade na prática em enfermagem: revisão integrativa. Rev Psicol Saúde [Internet]. 2022 [cited 2025 Jun 30];14(2):131-50. Available from: https://doi.org/10.20435/pssa.v14i2.1287
16. Forti S, Serbena CA, Scaduto AA. Mensuração da espiritualidade/religiosidade em saúde no Brasil: uma revisão sistemática. Ciênc Saúde Colet [Internet]. 2020 [cited 2025 Jul 22];25(4):1463-74. Available from: https://doi.org/10.1590/1413-81232020254.21672018
17. Zerbetto SR, Gonçalves AMS, Santile N, Galera SAF, Acorinte AC, Giovannetti G. Religiosity and spirituality: mechanisms of positive influence on the life and treatment of alcoholics. Esc Anna Nery [Internet]. 2017 [cited 2026 Jan 14];21(1):e20170005. Available from: https://doi.org/10.5935/1414-8145.20170005
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