Improving healthcare for substance users: the moderating role of psychological flexibility on stigma, mental health, and quality of life

IF 1.2 Q4 HEALTH POLICY & SERVICES

International Journal of Human Rights in Healthcare Pub Date : 2023-11-24 DOI:10.1108/ijhrh-08-2023-0072

Mahvia Gull, Zartashia Kynat Javaid, Kamran Khan, Husnain Ali Chaudhry

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引用次数: 0

Abstract

Purpose Stigma is a major impediment to human rights in health care that causes discrimination, isolation and the exclusion of individuals from essential health-care services. It fosters fear, leading to negative stereotyping of individuals based on their social, cultural or health status and undermines their dignity and respect, consequently violating their right to health. Therefore, the purpose of this study is to evaluate the moderating role of psychological flexibility in the relationship between stigma (enacted, anticipated and internalized), mental health and the quality of life of substance users. Design/methodology/approach This study was based on a cross-sectional design and included 200 male patients with an age range of 18–65 years from 23 rehabilitation centers in four cities in Pakistan. The purposive sampling technique was used, and the sample size ranged from 4 to 23 participants for each site. Four scales were used to measure stigma, general mental health, quality of life and psychological flexibility in substance users. Findings The data were analyzed using SPSS and Smart PLS, which showed that stigma (enacted, anticipated and internalized) had a detrimental effect on substance users’ mental health and quality of life. Additionally, psychological flexibility acts as an efficient moderator between them. Originality/value This research unveils the moderating role of psychological flexibility in mitigating stigma’s adverse effects on individuals with substance use disorders. Future investigations should prioritize interventions aimed at enhancing psychological flexibility to ameliorate the repercussions of stigma, ultimately enhancing the well-being and quality of life of substance users.

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改善药物使用者的医疗保健：心理灵活性对污名化、心理健康和生活质量的调节作用

目的成见是保健方面人权的一大障碍，造成歧视、孤立和个人被排斥在基本保健服务之外。成见助长了恐惧，导致基于个人的社会、文化或健康状况而对其产生负面的刻板印象，损害了他们的尊严和尊重，从而侵犯了他们的健康权。因此，本研究的目的是评估心理灵活性在成见（已形成的、预期的和内在化的）、心理健康和药物使用者生活质量之间关系中的调节作用。设计/方法/途径本研究采用横断面设计，包括来自巴基斯坦四个城市 23 家康复中心的 200 名 18-65 岁男性患者。研究采用了目的性抽样技术，每个地点的样本量从 4 到 23 人不等。使用了四个量表来测量药物使用者的耻辱感、一般心理健康、生活质量和心理灵活性。研究结果使用 SPSS 和 Smart PLS 对数据进行了分析，结果表明，成见（已形成的、预期的和内在化的）对药物使用者的心理健康和生活质量有不利影响。此外，心理灵活性在两者之间起到了有效的调节作用。原创性/价值本研究揭示了心理灵活性在减轻成见对药物使用障碍患者的不利影响方面所起的调节作用。未来的调查应优先考虑旨在提高心理灵活性的干预措施，以改善成见的影响，最终提高药物使用者的福祉和生活质量。

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来源期刊

International Journal of Human Rights in Healthcare HEALTH POLICY & SERVICES-

CiteScore

2.90

自引率

7.10%

发文量

期刊介绍： nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.