Self-stigma, hope for future, and recovery: An exploratory study of men with early-onset substance use disorder.
Self-stigma, hope for future, and recovery: An exploratory study of men with early-onset substance use disorder.
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DOI：
10.4103/ipj.ipj_52_21
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发表时间：
2022-07
影响因子：
--
通讯作者：
Suman LN
中科院分区：
文献类型：
--
作者：
Anand T;Kandasamy A;Suman LN
在物质使用障碍(SUDS)患者中内化耻辱的经历可能会削弱康复。自我调节和禁欲自我效能感等个人因素会影响人们对康复的信心和对未来的希望。本研究的目的是探讨早发性肥胖症患者的自我羞耻感、自我调节、自我效能、乐观情绪和对康复的信心之间的关系。这项研究是在40名患有肥皂泡的男性患者身上进行的。该研究采用单组探索性设计。采用自我调节问卷、服药信心问卷、药物滥用自我污名量表、修订的一般成功期望量表和渴求视觉类比量表作为测量工具。皮尔逊和斯皮尔曼的相关系数被用来检验变量之间的相关性。多元回归模型被用来检验普遍的成功预期和恢复信心的预测因素。自我调节、对成功的普遍期望(乐观)和对恢复的信心被发现与自我污名维度显著相关。多元回归模型显示自我调节和自我贬低是乐观(GES)的显著预测因子，而禁欲自我效能感和自我污名的价值观脱离维度则预测患者对康复的信心。糟糕的监管能力以及内在化的羞耻感、负罪感和贬值可能会导致较低的乐观程度和对未来成功的更低预期。患者在戒除使用行为和脱离追求生活目标方面的自我效能会导致对肥皂泡康复的信心水平降低，并对寻求治疗产生影响。
The internalizing of experience of stigma among patients with substance use disorders (SUDs) can be debilitating to recovery. Individual factors such as self-regulation and abstinence self-efficacy can impact confidence in recovery and hope for future. The aim of the study was to explore relationship among self-stigma, self-regulation, self-efficacy, optimism, and confidence in recovery of patients with early-onset SUDs. The study was carried out on a sample of 40 male patients with SUDs. The study had a single group exploratory design. The Self-Regulation Questionnaire, Drug Taking Confidence Questionnaire, Substance Abuse Self Stigma Scale, Revised Generalized Expectancy of Success (GES), and visual analog scale for craving were the measures used in the study. Pearson and spearman's correlation coefficient were used to test associations between the variables. Multiple regression models were drawn to examine predictors of generalized expectancy of success and confidence in recovery. Self-regulation, generalized expectancy of success (optimism), and confidence in recovery were found to be significantly correlated with self-stigma dimensions. The multiple regression model revealed self-regulation and self-devaluation as significant predictors of optimism (GES), whereas abstinence self-efficacy and values disengagement dimension of self-stigma predicted patients’ confidence in recovery. Poor regulatory capacities along with internalized feelings of shame, guilt, and devaluation may lead to lower levels of optimism and poorer expectancies of success from future. Patient's self-efficacy in terms of abstaining from use behaviors and disengagement from pursuing life goals can lead to lower levels of confidence in recovery from SUDs and have implications for treatment seeking.