In:
European Addiction Research, S. Karger AG, Vol. 25, No. 1 ( 2019), p. 20-29
Abstract:
〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Self-stigma is a result of internalizing negative stereotypes by the affected person. Research on self-stigma in substance use disorders (SUD) is still scarce, especially regarding the role of childhood trauma and subsequent posttraumatic disorders. 〈 b 〉 〈 i 〉 Objectives: 〈 /i 〉 〈 /b 〉 The present study investigated the progressive model of self-stigma in women with SUD and posttraumatic stress disorder (PTSD), and the predictive value of PTSD severity and childhood trauma experiences on self-stigma. 〈 b 〉 〈 i 〉 Method: 〈 /i 〉 〈 /b 〉 In a cross-sectional study with 343 women with SUD and PTSD, we used the Self-Stigma in Alcohol Dependency Scale, the Childhood Trauma Questionnaire (CTQ), the PTSD Symptom Scale Interview (PSS-I), and to control for SUD severity and depression, the Addiction Severity Index Lite and the Beck Depression Inventory-II. Hierarchical regression analyses were conducted for each stage of self-stigma ( 〈 i 〉 aware-agree-apply-harm 〈 /i 〉 ). 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 The interrelated successive stages of self-stigma were largely confirmed. In the regression models, no significant effects of the PSS-I- and the CTQ-scores were observed at any stage of self-stigma. 〈 i 〉 Agreeing 〈 /i 〉 with negative stereotypes was solely predicted by younger age, 〈 i 〉 applying 〈 /i 〉 these stereotypes to oneself was higher in women with younger age, higher depression and SUD severity, and suffering from the application ( 〈 i 〉 harm 〈 /i 〉 ) was only predicted by depression. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 The progressive model of self-stigma could be confirmed in women with SUD and PTSD, but PTSD severity and childhood trauma did not directly affect this process. Self-stigma appears to be related to depression in a stronger way than PTSD is related to women with SUD and PTSD.
Type of Medium:
Online Resource
ISSN:
1022-6877
,
1421-9891
Language:
English
Publisher:
S. Karger AG
Publication Date:
2019
detail.hit.zdb_id:
1482231-3
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