An investigation of stigma in individuals receiving treatment for substance abuse
An investigation of stigma in individuals receiving treatment for substance abuse
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DOI：
10.1016/j.addbeh.2006.09.008
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发表时间：
2007-07-01
影响因子：
4.4
通讯作者：
Fisher, Gary
中科院分区：
文献类型：
--
作者：
Luoma, Jason B.;Twohig, Michael P.;Fisher, Gary
本研究旨在探讨污名对物质滥用治疗患者的影响。来自15个住宅和门诊药物滥用治疗机构的患者（N= 197）完成了一项调查，重点是他们的经验与耻辱以及其他措施的药物使用和功能。参与者报告说，他们经历了相当高水平的制定，感知和自我耻辱。数据支持的想法，目前的治疗系统实际上可能会污名化的人在恢复中的人与更多的先前治疗事件报告了更高频率的耻辱相关的拒绝，即使在控制当前的功能和人口统计变量。与非静脉注射吸毒者相比，静脉注射吸毒者报告了更多的耻辱感，并且更经常使用保密作为应对方法。那些卷入法律的系统的人比那些没有法律的麻烦的人报告的耻辱感要少。较高水平的保密处理与一些指标的功能不佳，以及最近的就业问题。最后，研究结果的模式支持的想法，感知的耻辱，制定的耻辱，自我耻辱的概念不同的尺寸。(C)2006爱思唯尔有限公司保留所有权利。
This study examined the impact of stigma on patients in substance abuse treatment. Patients (N= 197) from fifteen residential and outpatient substance abuse treatment facilities completed a survey focused on their experiences with stigma as well as other measures of drug use and functioning. Participants reported experiencing fairly high levels of enacted, perceived, and self-stigma. Data supported the idea that the current treatment system may actually stigmatize people in recovery in that people with more prior episodes of treatment reported a greater frequency of stigma-related rejection, even after controlling for current functioning and demographic variables. Intravenous drug users, compared to non-IV users, reported more perceived stigma as well as more often using secrecy as a method of coping. Those who were involved with the legal system reported less stigma than those without legal troubles. Higher levels of secrecy coping were associated with a number of indicators of poor functioning as well as recent employment problems. Finally, the patterns of findings supported the idea that perceived stigma, enacted stigma, and self-stigma are conceptually distinct dimensions. (C) 2006 Elsevier Ltd. All rights reserved.