An investigation of stigma in individuals receiving treatment for substance abuse.
- Authors
- Luoma, Jason B; Twohig, Michael P; Waltz, Thomas; Hayes, Steven C; Roget, Nancy; Padilla, Michelle; Fisher, Gary
- Year
- 2007
- Journal
- Addictive behaviors
- PMID
- 17092656
- DOI
- 10.1016/j.addbeh.2006.09.008
This study examined the impact of stigma on patients in substance abuse treatment. Patients (N=197) from fifteen residential and outpatient substance abuse treatment facilities completed a survey focused on their experiences with stigma as well as other measures of drug use and functioning. Participants reported experiencing fairly high levels of enacted, perceived, and self-stigma. Data supported the idea that the current treatment system may actually stigmatize people in recovery in that people with more prior episodes of treatment reported a greater frequency of stigma-related rejection, even after controlling for current functioning and demographic variables. Intravenous drug users, compared to non-IV users, reported more perceived stigma as well as more often using secrecy as a method of coping. Those who were involved with the legal system reported less stigma than those without legal troubles. Higher levels of secrecy coping were associated with a number of indicators of poor functioning as well as recent employment problems. Finally, the patterns of findings supported the idea that perceived stigma, enacted stigma, and self-stigma are conceptually distinct dimensions.
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| The rights of drug treatment patients: Experience of addiction treatment in Poland from a human rights perspective. | Klingemann J | — | 2017 | → |
| The Role of Internalized Stigma in the Disclosure of Injecting Drug Use Among People Who Inject Drugs and Self-Report as HIV-Positive in Kohtla-Järve, Estonia. | Johannson A et al. | — | 2017 | → |
| A new era of addiction treatment amplifies the stigma of disease and treatment for individuals with obesity. | Alfaris N et al. | — | 2016 | → |
| Depression Among People Who Inject Drugs and Their Intimate Partners in Kazakhstan. | Shaw SA et al. | — | 2016 | → |
| Experienced and anticipated discrimination reported by individuals in treatment for substance use disorders within the Netherlands. | van Boekel LC et al. | — | 2016 | → |
| Factors Associated with Perceived Abuse in the Health Care System Among Long-Term Opioid Users: A Cross-Sectional Study. | Palis H et al. | — | 2016 | → |
| Internalized Stigma Among People Who Inject Drugs. | Cama E et al. | — | 2016 | → |
| Interpersonal Contact and Attitudes Toward Adolescents Who Abuse Substances. | Richardson GB et al. | — | 2016 | → |
| "Not human, dead already": Perceptions and experiences of drug-related stigma among opioid-using young adults from the former Soviet Union living in the U.S. | Gunn A et al. | — | 2016 | → |
| Pharmacy Intervention to Improve HIV Testing Uptake Using a Comprehensive Health Screening Approach. | Crawford ND et al. | — | 2016 | → |
| Reluctance to Accept Alcohol Treatment by Alcoholic Liver Disease Transplant Patients: A Qualitative Study. | Heyes CM et al. | — | 2016 | → |
| Stuck in limbo: illicit drug users' experiences with opioid maintenance treatment and the relation to recovery. | Grønnestad TE et al. | — | 2016 | → |
| Substance Use and Mental Health Stigma in Veterans With Co-Occurring Disorders. | Harnish A et al. | — | 2016 | → |
| THE EFFECT OF STIGMA ON CRIMINAL OFFENDERS' FUNCTIONING: A LONGITUDINAL MEDIATIONAL MODEL. | Moore KE et al. | — | 2016 | → |
| The Self-Stigma Process in Criminal Offenders. | Moore KE et al. | — | 2016 | → |
| Transitioning From Detoxification to Substance Use Disorder Treatment: Facilitators and Barriers. | Timko C et al. | — | 2016 | → |
| Validation of vocational assessment tool for persons with substance use disorders. | Sethuraman L et al. | — | 2016 | → |
| African American cocaine users' preferred treatment site: variations by rural/urban residence, stigma, and treatment effectiveness. | Borders TF et al. | — | 2015 | → |
| Assessment of internalized stigma among patients with mental disorders in Thiruvananthapuram district, Kerala, India. | James TT et al. | — | 2015 | → |
| Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPs, mental health and addiction specialists and clients. | van Boekel LC et al. | — | 2015 | → |
| Correlates and Experiences of HIV Stigma in Prisoners Living With HIV in Indonesia: A Mixed-Method Analysis. | Culbert GJ et al. | — | 2015 | → |
| Growth In Buprenorphine Waivers For Physicians Increased Potential Access To Opioid Agonist Treatment, 2002-11. | Dick AW et al. | — | 2015 | → |
| How Do Indian Substance Users Perceive Stigma Towards Substance Use Vis-A-Vis Their Family Members? | Mattoo SK et al. | — | 2015 | → |
| Intersectionality of internalized HIV stigma and internalized substance use stigma: Implications for depressive symptoms. | Earnshaw VA et al. | — | 2015 | → |
| Social functioning and internalized stigma in individuals diagnosed with substance use disorder. | Can G et al. | — | 2015 | → |
| Social judgments of behavioral versus substance-related addictions: a population-based study. | Konkolÿ Thege B et al. | — | 2015 | → |
| The association between shame and substance use in young people: a systematic review. | Rahim M et al. | — | 2015 | → |
| Ultra-structural hair alterations of drug abusers: a scanning electron microscopic investigation. | Turkmenoglu FP et al. | — | 2015 | → |
| Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. | Quinn DM et al. | — | 2014 | → |
| Internalized stigma and sterile syringe use among people who inject drugs in New York City, 2010-2012. | Rivera AV et al. | — | 2014 | → |
| Psychiatric comorbidity and perceived alcohol stigma in a nationally representative sample of individuals with DSM-5 alcohol use disorder. | Glass JE et al. | — | 2014 | → |
| Stigma among Individuals with Substance Use Disorders: Does it Predict Substance Use, and Does it Diminish with Treatment? | Kulesza M et al. | — | 2014 | → |
| Stigma predicts residential treatment length for substance use disorder. | Luoma JB et al. | — | 2014 | → |
| The Acceptance and Action Questionnaire - Stigma (AAQ-S): Developing a measure of psychological flexibility with stigmatizing thoughts. | Levin ME et al. | — | 2014 | → |
| Alcohol stigma and persistence of alcohol and other psychiatric disorders: a modified labeling theory approach. | Glass JE et al. | — | 2013 | → |
| An examination of beliefs and opinions about drug use in relation to personal stigmatization towards drug users. | Palamar JJ | — | 2013 | → |
| Barriers to alcohol and other drug treatment use among Black African and Coloured South Africans. | Myers B | — | 2013 | → |
| Chapter 7. Narrative stories and discourses in an interview with a former amphetamine user. | Lilja M | — | 2013 | → |
| Mothering on the margins: homeless women with an SUD and complex mental health co-morbidities. | Dawson A et al. | — | 2013 | → |
| Self-forgiveness, shame, and guilt in recovery from drug and alcohol problems. | McGaffin BJ et al. | — | 2013 | → |
| Self-Stigma in Substance Abuse: Development of a New Measure. | Luoma JB et al. | — | 2013 | → |
| Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. | van Boekel LC et al. | — | 2013 | → |
| Substance Use Related Stigma: What we Know and the Way Forward. | Kulesza M et al. | — | 2013 | → |
| The associations between self-consciousness, depressive state and craving to drink among alcohol dependent patients undergoing protracted withdrawal. | de Timary P et al. | — | 2013 | → |
| The new psychoactive substances regime in New Zealand: a different approach to regulation. | Wilkins C et al. | — | 2013 | → |
| The relationship between drug user stigma and depression among inner-city drug users in Baltimore, MD. | Latkin C et al. | — | 2013 | → |
| The Stigma subscale of the Consumer Experiences of Stigma Questionnaire (CESQ): a psychometric evaluation in Polish psychiatric patients. | Świtaj P et al. | — | 2013 | → |
| A pilot study examining perceived rejection and secrecy in relation to illicit drug use and associated stigma. | Palamar JJ | — | 2012 | → |
| Barriers and facilitators to cannabis treatment. | Gates P et al. | — | 2012 | → |
| DSM-5 changes on the horizon: substance use disorders. | Fitzgerald B et al. | — | 2012 | → |
| Evaluation of a training program for nurse supervisors who monitor nurses in an alternative-to-discipline program. | Cadiz D et al. | — | 2012 | → |
| Experiences of stigma and discrimination among users of mental health services in Poland. | Świtaj P et al. | — | 2012 | → |
| Exploring the relationship between experiential avoidance, alcohol use disorders, and alcohol-related problems among first-year college students. | Levin ME et al. | — | 2012 | → |
| From personal tragedy to personal challenge: responses to stigma among sober living home residents and operators. | Heslin KC et al. | — | 2012 | → |
| Integrating substance use disorder services with primary care: the experience in California. | Padwa H et al. | — | 2012 | → |
| Methadone as social control: institutionalized stigma and the prospect of recovery. | Harris J et al. | — | 2012 | → |
| Negative attributions towards people with substance use disorders in South Africa: variation across substances and by gender. | Sorsdahl K et al. | — | 2012 | → |
| Psychometric assessment of scales measuring HIV public stigma, drug-use public stigma and fear of HIV infection among young adolescents and their parents. | Ha TH et al. | — | 2012 | → |
| Quasi-experimental evaluation of a substance use awareness educational intervention for nursing students. | Cadiz DM et al. | — | 2012 | → |
| Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders. | Luoma JB et al. | — | 2012 | → |
| The internalized stigma experienced by members of a mental health advocacy group in South Africa. | Sorsdahl KR et al. | — | 2012 | → |
| Young adults' perceptions of an adolescent's use of marijuana and alcohol. | Nabors LA et al. | — | 2012 | → |
| Consumer and treatment provider perspectives on reducing barriers to opioid substitution treatment and improving treatment attractiveness. | Deering DEA et al. | — | 2011 | → |
| Development and psychometric evaluation of scales that assess stigma associated with illicit drug users. | Palamar JJ et al. | — | 2011 | → |
| Everybody hurts: addiction, drama, and the family in the reality television show Intervention. | Kosovski JR et al. | — | 2011 | → |
| Harm reduction, methadone maintenance treatment and the root causes of health and social inequities: An intersectional lens in the Canadian context. | Smye V et al. | — | 2011 | → |
| Self-stigma in alcohol dependence: consequences for drinking-refusal self-efficacy. | Schomerus G et al. | — | 2011 | → |
| Social exclusion, personal control, self-regulation, and stress among substance abuse treatment clients. | Cole J et al. | — | 2011 | → |
| Standardized measures for substance use stigma. | Brown SA | — | 2011 | → |
| Attitudes about addiction: a national study of addiction educators. | Broadus AD et al. | — | 2010 | → |
| Continuities and changes in self-change research. | Klingemann H et al. | — | 2010 | → |
| Job loss discrimination and former substance use disorders. | Baldwin ML et al. | — | 2010 | → |
| Obesity stigma: important considerations for public health. | Puhl RM et al. | — | 2010 | → |
| Psychosocial factors associated with successful transition into HIV case management for those without primary care in an urban area. | Johnson D et al. | — | 2010 | → |
| The development and psychometric properties of a new measure of perceived stigma toward substance users. | Luoma JB et al. | — | 2010 | → |
| Creating a strategy for progress: a contextual behavioral science approach. | Vilardaga R et al. | — | 2009 | → |
| Managing identity impacts associated with disclosure of HIV status: a qualitative investigation. | Frye V et al. | — | 2009 | → |
| Nowhere to go: how stigma limits the options of female drug users after release from jail. | van Olphen J et al. | — | 2009 | → |
| Stigma reported by nurses related to those experiencing drug and alcohol dependency: a phenomenological Giorgi study. | Lovi R et al. | — | 2009 | → |
| Reducing self-stigma in substance abuse through acceptance and commitment therapy: Model, manual development, and pilot outcomes. | Luoma JB et al. | — | 2008 | → |