Leyla Baysan Arabaci, PhD, MsC, BSN, Dilek Ayakdaş Dağli, PhD, MsC, BSN, Gülsenay Taş, MsC, BSN, Ayşe Büyükbayram Arslan, PhD, MsC, BSN, Faculty of Health Sciences, Division of Nursing, Department of Mental Health and Psychiatry Nursing, Cigli Main Campus.
J Addict Nurs. 2020 Oct/Dec;31(4):295-301. doi: 10.1097/JAN.0000000000000370.
The aim of this stu dy was to determine the levels of internalized stigma and social functioning of patients with alcohol use disorders.
The study is cross-sectional and descriptive. The data were collected between August 2017 and August 2018 using face-to-face interviews with 104 alcohol-dependent patients who were undergoing inpatient treatment. The data collection was done so through personal information forms, the Internalized Stigma of Mental Illness Scale (ISMIS), and the Social Functioning Scale (SFS). Descriptive statistics, t test, and correlation analysis were used in evaluating data.
Analysis of the sociodemographic characteristics of the patients showed that the mean age was 47.28 ± 10.10 years and 92.3% of the patients were male. The mean age of patients when they first started drinking alcohol is 19.37 ± 6.25 years. It was determined that 85.5% of the patients were also cigarette smokers, 37.5% were previously treated because of alcohol dependence, and 34.6% are currently having legal problems. Patients' ISMIS mean score was 71.99 ± 13.78, and the mean scores of subscales were moderate. In SFS, the mean scores of the "preliminary social activity" and "leisure activities" subscales and the total scale scores were at a moderate level and those of the other subscales (social withdrawal, interpersonal functionality, independent competence, independent performance, job-profession) were below average. As the ISMIS mean score increases, the SFS subscales' mean scores decrease (p < .05).
Alcohol-dependent patients negatively stigmatize themselves, and the functionality of their prosocial activity skills, along with their recreational activities, is inadequate. Furthermore, as ISMIS tends to increase, SFS (interpersonal functioning, prosocial activities, recreational activities, independence-performance) levels decrease.
本研究旨在确定酒精使用障碍患者的内化污名和社会功能水平。
本研究为横断面描述性研究。2017 年 8 月至 2018 年 8 月期间，通过面对面访谈收集了 104 名正在接受住院治疗的酒精依赖患者的数据。使用个人信息表、内化精神疾病污名量表（ISMIS）和社会功能量表（SFS）收集数据。采用描述性统计、t 检验和相关分析对数据进行评估。
对患者的社会人口学特征进行分析，结果显示，患者的平均年龄为 47.28 ± 10.10 岁，92.3%为男性。患者首次饮酒的平均年龄为 19.37 ± 6.25 岁。85.5%的患者同时吸烟，37.5%因酒精依赖接受过治疗，34.6%目前存在法律问题。患者 ISMIS 平均得分为 71.99 ± 13.78，各分量表得分为中度。在 SFS 中，“初步社会活动”和“休闲活动”分量表及总分的平均得分处于中等水平，其他分量表（社会退缩、人际关系功能、独立能力、独立表现、职业）的平均得分则低于中等水平。ISMIS 平均得分越高，SFS 分量表的平均得分越低（p <.05）。
酒精依赖患者对自己存在消极的污名化，其亲社会活动技能和娱乐活动的功能不足。此外，ISMIS 倾向于增加，SFS（人际关系功能、亲社会活动、娱乐活动、独立表现）水平下降。
