Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder
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Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder. / Melchior, Hanne; Hüsing, Paul; Grundmann, Johanna; Lotzin, Annett; Hiller, Philipp; Pan, Yiqi; Driessen, Martin; Scherbaum, Norbert; Schneider, Barbara; Hillemacher, Thomas; Stolzenburg, Susanne; Schomerus, Georg; Schäfer, Ingo.
in: EUR ADDICT RES, Jahrgang 25, Nr. 1, 01.2019, S. 20-29.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder
AU - Melchior, Hanne
AU - Hüsing, Paul
AU - Grundmann, Johanna
AU - Lotzin, Annett
AU - Hiller, Philipp
AU - Pan, Yiqi
AU - Driessen, Martin
AU - Scherbaum, Norbert
AU - Schneider, Barbara
AU - Hillemacher, Thomas
AU - Stolzenburg, Susanne
AU - Schomerus, Georg
AU - Schäfer, Ingo
PY - 2019/1
Y1 - 2019/1
N2 - BACKGROUND: 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.OBJECTIVES: 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.METHOD: 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 (aware-agree-apply-harm).RESULTS: 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. Agreeing with negative stereotypes was solely predicted by younger age, applying these stereotypes to oneself was higher in women with younger age, higher depression and SUD severity, and suffering from the application (harm) was only predicted by depression.CONCLUSIONS: 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.
AB - BACKGROUND: 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.OBJECTIVES: 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.METHOD: 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 (aware-agree-apply-harm).RESULTS: 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. Agreeing with negative stereotypes was solely predicted by younger age, applying these stereotypes to oneself was higher in women with younger age, higher depression and SUD severity, and suffering from the application (harm) was only predicted by depression.CONCLUSIONS: 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.
KW - Adolescent
KW - Adult
KW - Adult Survivors of Child Abuse/psychology
KW - Aged
KW - Comorbidity
KW - Cross-Sectional Studies
KW - Ego
KW - Female
KW - Germany/epidemiology
KW - Humans
KW - Middle Aged
KW - Models, Psychological
KW - Social Stigma
KW - Stereotyping
KW - Stress Disorders, Post-Traumatic/epidemiology
KW - Substance-Related Disorders/epidemiology
KW - Young Adult
U2 - 10.1159/000496113
DO - 10.1159/000496113
M3 - SCORING: Journal article
C2 - 30625465
VL - 25
SP - 20
EP - 29
JO - EUR ADDICT RES
JF - EUR ADDICT RES
SN - 1022-6877
IS - 1
ER -