Hammarlund R, Crapanzano K A, Luce L, Mulligan L, Ward K M
Our Lady of the Lake Division of Academic Affairs, Baton Rouge, LA, USA.
Department of Psychiatry, Louisiana State University Health Sciences Center, Baton Rouge, LA, USA,
Subst Abuse Rehabil. 2018 Nov 23;9:115-136. doi: 10.2147/SAR.S183256. eCollection 2018.
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.
物质使用障碍在全球范围内是一场公共卫生危机，伴随着严重的发病率和死亡率。对滥用这些物质的人的污名化，以及物质使用者对这种污名的内化，是普遍存在的。在本综述中，我们综合了现有证据，以探讨感知到的社会污名和自我污名在人们寻求治疗意愿中所起的作用。虽然在一些样本中，污名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。需要开展更多研究来规范自我污名和感知到的社会污名的定义和测量，以全面确定它们对寻求治疗决策的影响程度。
