回顾自我耻辱和感知社会耻辱对药物和酒精使用障碍患者寻求治疗决定的影响。

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2018-11-23 eCollection Date: 2018-01-01 DOI:10.2147/SAR.S183256
R Hammarlund, K A Crapanzano, L Luce, L Mulligan, K M Ward
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引用次数: 108

摘要

药物使用障碍是全球性的公共卫生危机,伴随而来的是很高的发病率和死亡率。对滥用这些物质的人的耻辱感,以及物质使用者对这种耻辱感的内化,是普遍存在的。在这篇综述中,我们综合了现有的证据,以证明感知到的社会耻辱和自我耻辱在人们寻求治疗意愿中的作用。虽然在某些样本中,耻辱感可能经常被认为是治疗的障碍,但其对治疗决策的影响程度差异很大。需要做更多的研究来标准化自我和感知的社会耻辱的定义和测量,以充分确定它们对寻求治疗决定的影响程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders.

Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders.

Substance-use disorders are a public health crisis globally and carry with them significant morbidity and mortality. Stigma toward people who abuse these substances, as well as the internalization of that stigma by substance users, is widespread. In this review, we synthesized the available evidence for the role of perceived social stigma and self-stigma in people's willingness to seek treatment. While stigma may be frequently cited as a barrier to treatment in some samples, the degree of its impact on decision-making regarding treatment varied widely. More research needs to be done to standardize the definition and measurement of self- and perceived social stigma to fully determine the magnitude of their effect on treatment-seeking decisions.

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