a Substance Use Disorders Institute , University of the Sciences , Philadelphia , Pennsylvania , USA.
b Center for Young Adult Addiction and Recovery , Kennesaw State University , Kennesaw , Georgia , USA.
Subst Use Misuse. 2019;54(8):1376-1384. doi: 10.1080/10826084.2019.1581221. Epub 2019 Apr 4.
Labels such as "addict" and "substance abuser" have been found to elicit implicit and explicit stigma among the general public previously. The difference in the levels of this bias among individuals in recovery and those employed in the health profession has not yet been identified, however. The current study seeks to answer this question using measures of implicit bias.
A subset sample (n = 299) from a previously completed study (n = 1288) was selected for analysis. Mixed-model ANOVA tests were completed to identify variance between d-prime automatic association scores with the terms "addict" and "substance abuser" among individuals in recovery and those identified as working in the health professions.
Individuals in recovery did not have lower negative associations with either term, whereas individuals employed as health professionals had greater negative associations with the term "substance abuser" but did not have greater negative associations with the term "addict."
Results provide further evidence that previously identified stigmatizing labels have the potential to influence medical care and medical practitioner perceptions of individuals with substance use disorders and should be avoided. Further exploration into the role negative associations derived from commonly used labels have in the individual recovery process is needed to draw appropriate recommendations.
此前的研究发现，“瘾君子”和“药物滥用者”等标签会在普通大众中引起内隐和外显的污名。然而，尚未确定康复者和从事健康职业者之间这种偏见水平的差异。本研究旨在使用内隐偏见测量来回答这个问题。
从之前完成的一项研究（n=1288）中选择了一个亚样本（n=299）进行分析。完成混合模型方差分析测试，以确定康复者和被认定为从事健康职业者的个体之间与“瘾君子”和“药物滥用者”这两个术语的 d-prime 自动联想评分之间的差异。
康复者对这两个术语都没有较低的负面联想，而从事健康职业的个体对“药物滥用者”这个术语有更大的负面联想，但对“瘾君子”这个术语没有更大的负面联想。
结果进一步证明，以前确定的污名化标签有可能影响医疗保健和医疗从业者对患有物质使用障碍的个体的看法，应予以避免。需要进一步探索从常用标签中得出的负面联想在个体康复过程中的作用，以提出适当的建议。
