An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviors, 32(7), 1331-1346

Department of Psychology, University of Nevada, Reno, Reno, Nevada, United States
Addictive Behaviors (Impact Factor: 2.76). 08/2007; 32(7):1331-46. DOI: 10.1016/j.addbeh.2006.09.008
Source: PubMed


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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    • "Therefore, individuals who are highly prone to experiencing shame may be more likely to experience negative outcomes after perceiving or anticipating stigma. Most research has not focused on shame as a moderator in the stigma process, but has instead focused on variables like internalized stigma, a construct associated with shame (Livingston and Boyd 2010) and often conceptualized as involving shame (Luoma et al. 2007). Research suggests that people who internalize stigma experience more negative outcomes (Livingston and Boyd 2010). "
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    • "2011; Van Boekel, Brouwers, Van Weeghel, & Garretsen, 2013b). It was also found that experiences of rejection and anticipation of discrimination were prevalent among individuals in treatment for SUDs (Luoma et al., 2007). The stigma attached to SUDs acts upon different life domains and can have adverse consequences for the quality of life of individuals and their life opportunities such as employment or housing (Alonso et al., 2009; Link & Phelan, 2006). "
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    • " drug - use risk assessments . Higher mean HIV stigma scores in those incarcerated in a nar - cotics prison , those with opioid disorders , and those seeking help to cut back or stop using drugs ( e . g . , drug treatment ) suggested that previous experiences with addiction stigma , which were associated with participation in addiction treatment ( Luoma et al . , 2007 ) , may alter the experience of HIV stigma . Crim - inalization of drug use in Indonesia has fueled negative addiction stereotypes , isolated PWID , and prevented them from reaching health and harm - reduction ser - vices ( Mesquita et al . , 2007 ) . Addiction stereotypes , moreover , thwart methadone maintenance therapy expansion effo"
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