Hanne Melchior1,2, Paul Hüsing3,4, Johanna Grundmann3,4, Annett Lotzin3,4, Philipp Hiller3,4, Yiqi Pan3,4, Martin Driessen5, Norbert Scherbaum6, Barbara Schneider7,8, Thomas Hillemacher9,10, Susanne Stolzenburg11, Georg Schomerus11, Ingo Schäfer3,4. 1. Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, hmelchior@uke.de. 2. Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany, hmelchior@uke.de. 3. Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany. 4. Department of Psychiatry and Psychotherapy, Medical Center Hamburg-Eppendorf, Hamburg, Germany. 5. Clinic of Psychiatry and Psychotherapy, Bethel Hospital and University of Bielefeld, Bielefeld, Germany. 6. LVR-Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, Germany. 7. Department of Psychiatry and Addictive Disorders, LVR-Hospital Cologne, Cologne, Germany. 8. Department of Psychiatry and Psychotherapy, Goethe-University Frankfurt, Frankfurt, Germany. 9. Department of Psychiatry, Socialpsychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany. 10. Department of Psychiatry and Psychotherapy, Paracelsus Medical University, Nuremberg, Germany. 11. Department of Psychiatry, Greifswald University, Greifswald, Germany.
Abstract
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.
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.
Authors: Annette Binder; Christine Preiser; Sara Hanke; Meryem Banabak; Clara Huber; Kay Uwe Petersen; Anil Batra Journal: Qual Health Res Date: 2022-08-25
Authors: Francina Fonseca; María Robles-Martínez; Judit Tirado-Muñoz; María Alías-Ferri; Joan-Ignasi Mestre-Pintó; Ana Maria Coratu; Marta Torrens Journal: Curr Addict Rep Date: 2021-02-16