Stigma Towards People Living with Co-occurring Schizophrenia Spectrum and Substance Use Disorders: A Scoping Review

IF 3.2 3区 医学 Q2 PSYCHIATRY
Beth Hobern, Elise R. Carrotte, Imogen C. Rehm, Michelle Blanchard, Christopher Groot
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Abstract

This scoping review mapped the extant research literature examining stigma towards people living with co-occurring schizophrenia spectrum and substance use disorders (SZSUD). Five online databases were searched for research published before September 2023. Eighteen relevant studies were identified, including six from the perspective of people living with SZSUD and 12 exploring public stigma towards the conditions. The majority of studies (n = 11) explored stigma from care providers, including healthcare, mental healthcare, and addiction clinicians and carers. In general, responses to people living with SZSUD were more negative than towards people living with either condition alone. People living with SZSUD identified numerous challenges associated with experienced, anticipated, internalised, and perceived stigma. Additional research is required to determine the extent and scope of the stigma faced by people living with SZSUD and how stigma manifests in other types of interpersonal relationships. Implications and additional recommendations for future research are discussed.

Abstract Image

对同时患有精神分裂症谱系障碍和药物使用障碍的人的羞辱:范围审查
本范围界定综述对研究精神分裂症谱系障碍和药物使用障碍(SZSUD)并发症患者污名化问题的现有研究文献进行了梳理。我们在五个在线数据库中搜索了 2023 年 9 月之前发表的研究。确定了 18 项相关研究,其中 6 项研究从精神分裂症谱系障碍和药物使用障碍患者的角度出发,12 项研究探讨了公众对精神分裂症谱系障碍和药物使用障碍的成见。大多数研究(n = 11)探讨了来自护理提供者的污名化问题,包括医疗保健、精神保健、成瘾临床医生和护理人员。一般来说,对 SZSUD 患者的反应比对单独患有其中一种疾病的患者的反应更为负面。SZSUD 患者发现了许多与经历的、预期的、内化的和感知到的污名相关的挑战。需要开展更多的研究,以确定 SZSUD 患者所面临的成见的程度和范围,以及成见在其他类型的人际关系中的表现形式。本文讨论了未来研究的意义和其他建议。
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来源期刊
CiteScore
15.90
自引率
2.50%
发文量
245
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.
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