Verlin W Joseph, David I K Moniz-Lewis, Dylan K Richards, Matthew R Pearson, Jason B Luoma, Katie Witkiewitz
{"title":"Internalized Shame Among Justice-Involved Women in Substance Use Disorder Treatment: Measurement Invariance and Changes During Treatment.","authors":"Verlin W Joseph, David I K Moniz-Lewis, Dylan K Richards, Matthew R Pearson, Jason B Luoma, Katie Witkiewitz","doi":"10.1037/sah0000427","DOIUrl":null,"url":null,"abstract":"<p><p>Shame is one of the leading barriers to successful recovery in substance use treatment settings. This secondary analysis study examined measurement invariance of the Internalized Shame Scale (ISS) and explored changes in shame during treatment. Participants (N=105) in the parent study were recruited from a nonprofit residential treatment center for justice-involved women and were randomized to receive mindfulness-based relapse prevention or relapse prevention treatment. A series of confirmatory factor analyses were used to assess measurement invariance in a one-factor measurement model of the ISS. Latent growth curve modeling was used to examine change in shame over time. Our findings support the assumption of measurement invariance across multiple time points and across treatment conditions, supporting comparisons of stigma scores across groups and over time. Although we observed significant reductions in shame from pre- to post-treatment, there were no differences across treatment conditions. Additional research is needed to determine how distinct treatment components relate to reductions in shame among individuals receiving treatment for a substance use disorder.</p>","PeriodicalId":53222,"journal":{"name":"Stigma and Health","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293465/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Stigma and Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1037/sah0000427","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}
引用次数: 0
Abstract
Shame is one of the leading barriers to successful recovery in substance use treatment settings. This secondary analysis study examined measurement invariance of the Internalized Shame Scale (ISS) and explored changes in shame during treatment. Participants (N=105) in the parent study were recruited from a nonprofit residential treatment center for justice-involved women and were randomized to receive mindfulness-based relapse prevention or relapse prevention treatment. A series of confirmatory factor analyses were used to assess measurement invariance in a one-factor measurement model of the ISS. Latent growth curve modeling was used to examine change in shame over time. Our findings support the assumption of measurement invariance across multiple time points and across treatment conditions, supporting comparisons of stigma scores across groups and over time. Although we observed significant reductions in shame from pre- to post-treatment, there were no differences across treatment conditions. Additional research is needed to determine how distinct treatment components relate to reductions in shame among individuals receiving treatment for a substance use disorder.
羞耻感是药物使用治疗环境中成功康复的主要障碍之一。这项二次分析研究检验了内化羞耻感量表(ISS)的测量不变性,并探讨了治疗过程中羞耻感的变化。母研究的参与者(N=105)是从一家非营利性的司法介入女性寄宿治疗中心招募的,他们被随机分配接受基于正念的复发预防或复发预防治疗。一系列确认性因素分析用于评估 ISS 单因素测量模型的测量不变性。我们还使用了潜增长曲线模型来研究羞耻感随时间的变化。我们的研究结果支持跨时间点和跨治疗条件的测量不变性假设,支持对不同组别和不同时间段的耻辱感得分进行比较。虽然我们观察到羞耻感从治疗前到治疗后都有明显下降,但不同治疗条件下的羞耻感并无差异。我们还需要进行更多的研究,以确定不同的治疗内容与药物使用障碍患者羞耻感的降低有什么关系。