Carolin Kilian1, Jakob Manthey1,2,3, Sinclair Carr2, Franz Hanschmidt4, Jürgen Rehm1,2,5,6,7,8,9, Sven Speerforck3, Georg Schomerus3. 1. Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. 2. Centre for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany. 3. Department of Psychiatry, Medical Faculty, University of Leipzig, Leipzig, Germany. 4. Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany. 5. Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, ON, Canada. 6. Institute of Medical Science, University of Toronto, Toronto, ON, Canada. 7. Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada. 8. Department of Psychiatry, University of Toronto, Toronto, ON, Canada. 9. Department of International Health Projects, Institute for Leadership and Health Management, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Abstract
BACKGROUND: We summarize research on the public stigmatization of persons with alcohol use disorder (AUD) in comparison with other mental health conditions and embed the results into a conceptual framework of the stigma process. METHODS: We conducted a systematic search using Embase, MEDLINE, PubMed and PsycINFO (via Ovid), and Web of Science for population-based studies on the public stigma in AUD and at least 1 other mental health condition, published between October 1, 2010 and December 20, 2020, thus including all studies published since the last systematic review on this topic. The study is registered with PROSPERO (registration number: CRD42020173054). RESULTS: We identified 20,561 records, of which 24 met the inclusion criteria, reporting results from 16 unique studies conducted in 9 different countries. Compared to substance-unrelated mental disorders, persons with AUD were generally less likely to be considered mentally ill, while they were perceived as being more dangerous and responsible for their condition. Further, the public desire for social distance was consistently higher for people with AUD. We found no consistent differences in the public stigma toward persons with AUD in comparison with other substance use disorders. CONCLUSION: The stigmatization of persons with AUD remains comparatively high and is distinct from that of other substance-unrelated disorders.
BACKGROUND: We summarize research on the public stigmatization of persons with alcohol use disorder (AUD) in comparison with other mental health conditions and embed the results into a conceptual framework of the stigma process. METHODS: We conducted a systematic search using Embase, MEDLINE, PubMed and PsycINFO (via Ovid), and Web of Science for population-based studies on the public stigma in AUD and at least 1 other mental health condition, published between October 1, 2010 and December 20, 2020, thus including all studies published since the last systematic review on this topic. The study is registered with PROSPERO (registration number: CRD42020173054). RESULTS: We identified 20,561 records, of which 24 met the inclusion criteria, reporting results from 16 unique studies conducted in 9 different countries. Compared to substance-unrelated mental disorders, persons with AUD were generally less likely to be considered mentally ill, while they were perceived as being more dangerous and responsible for their condition. Further, the public desire for social distance was consistently higher for people with AUD. We found no consistent differences in the public stigma toward persons with AUD in comparison with other substance use disorders. CONCLUSION: The stigmatization of persons with AUD remains comparatively high and is distinct from that of other substance-unrelated disorders.
Authors: Micah Hartwell; Vanessa Lin; Mackenzee Hester; Nicholas B Sajjadi; Kelly Dunn; James Morris; Katie Witkiewitz Journal: J Addict Med Date: 2022-04-22 Impact factor: 4.647