Relationship between self-stigma about alcohol dependence and severity of alcohol drinking and craving.
Relationship between self-stigma about alcohol dependence and severity of alcohol drinking and craving.
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酒依赖自我污名与饮酒及渴求程度的关系。
DOI：
10.1136/bmjment-2023-300852
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发表时间：
2023-11-22
期刊：
影响因子：
--
通讯作者：
Curtis, Brenda
中科院分区：
文献类型：
--
作者：
Crozier, Madeline E.;Farokhnia, Mehdi;Persky, Susan;Leggio, Lorenzo;Curtis, Brenda
关键词：
围绕酒精使用的污名的相关性和后果是复杂的。酒精使用障碍(AUD)通常伴随着自我耻辱，这是由于许多因素，如羞耻、内疚和负面刻板印象。很少有研究经验性地检验自我污名和酒精相关结果之间的可能联系。目的：探讨酒精依赖的自我污名与饮酒和渴酒严重程度的关系。以受试者为样本，其中大多数人被诊断为AUD(51分)，首先在自我污名和酒精依赖量表(SSAD-APPLY子量表)得分和酒精使用障碍识别测验(AUDIT)得分、酒精时间线随访、强迫饮酒量表(OCDS)得分和宾夕法尼亚酒精渴求量表得分之间进行了双变量相关分析。在此基础上进行回归分析，SSAD评分为预测因子，AUDIT和OCDS评分为结果。SSAD得分与审计得分、每天平均饮酒量、酗酒天数和强迫症得分呈正相关(p<；0.001，p=0.014，p=0.011和p<；0.001)。研究还发现，即使在控制了人口统计学因素之后，社会保障和生活质量评分也是审计和强迫症评分的显著预测因子(分别为0.001和0.001)。自卑程度越高，AUD越严重，饮酒越多，与酒精有关的强迫思想和强迫行为就越多。我们的结果表明，减少自我污名的潜在干预措施可能会改善AUD患者的生活质量和治疗结果。
The correlates and consequences of stigma surrounding alcohol use are complex. Alcohol use disorder (AUD) is typically accompanied by self-stigma, due to numerous factors, such as shame, guilt and negative stereotypes. Few studies have empirically examined the possible association between self-stigma and alcohol-related outcomes. To investigate the relationship between self-stigma about alcohol dependence and the severity of alcohol consumption and craving. In a sample of 64 participants, the majority of whom had a diagnosis of AUD (51), bivariate correlations were first conducted between Self-Stigma and Alcohol Dependence Scale (SSAD-Apply subscale) scores and Alcohol Use Disorders Identification Test (AUDIT) scores, Alcohol Timeline Follow-Back, Obsessive-Compulsive Drinking Scale (OCDS) scores and Penn Alcohol Cravings Scale scores. Based on the results, regression analyses were conducted with SSAD scores as the predictor and AUDIT and OCDS scores as the outcomes. SSAD scores positively correlated with AUDIT scores, average drinks per drinking day, number of heavy drinking days and OCDS scores (p<0.001, p=0.014, p=0.011 and p<0.001, respectively). SSAD scores were also found to be a significant predictor of AUDIT and OCDS scores (p<0.001 and p<0.001, respectively), even after controlling for demographics. Higher levels of self-stigma were associated with more severe AUD, greater alcohol consumption, and more obsessive thoughts and compulsive behaviours related to alcohol. Our results suggest that potential interventions to reduce self-stigma may lead to improved quality of life and treatment outcomes for individuals with AUD.
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影响因子：
--
作者：
Anand T;Kandasamy A;Suman LN
通讯作者：
Suman LN
影响因子：
4.4
作者：
CUNNINGHAM, JA;SOBELL, LC;TONEATTO, T
通讯作者：
TONEATTO, T
DOI：
10.15288/jsa.2003.64.120
发表时间：
2003-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Flannery, BA;Poole, SA;Volpicelli, JR
通讯作者：
Volpicelli, JR
影响因子：
5
作者：
Keyes, K. M.;Hatzenbuehler, M. L.;Hasin, D.
通讯作者：
Hasin, D.
影响因子：
3.9
作者：
Kummetat, Johanna Leona;Leonhard, Anya;Schomerus, Georg
通讯作者：
Schomerus, Georg