Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
Department of Mental Health, Johns Hopkins University, Baltimore, Maryland, USA.
BMJ Ment Health. 2023 Nov 22;26(1):e300852. doi: 10.1136/bmjment-2023-300852.
The correlates and consequences of stigma surrounding alcohol use are complex. Alcohol use disorder (AUD) is typically accompanied by self-stigma, due to numerous factors, such as shame, guilt and negative stereotypes. Few studies have empirically examined the possible association between self-stigma and alcohol-related outcomes.
To investigate the relationship between self-stigma about alcohol dependence and the severity of alcohol consumption and craving.
In a sample of 64 participants, the majority of whom had a diagnosis of AUD (51), bivariate correlations were first conducted between Self-Stigma and Alcohol Dependence Scale (SSAD-Apply subscale) scores and Alcohol Use Disorders Identification Test (AUDIT) scores, Alcohol Timeline Follow-Back, Obsessive-Compulsive Drinking Scale (OCDS) scores and Penn Alcohol Cravings Scale scores. Based on the results, regression analyses were conducted with SSAD scores as the predictor and AUDIT and OCDS scores as the outcomes.
SSAD scores positively correlated with AUDIT scores, average drinks per drinking day, number of heavy drinking days and OCDS scores (p<0.001, p=0.014, p=0.011 and p<0.001, respectively). SSAD scores were also found to be a significant predictor of AUDIT and OCDS scores (p<0.001 and p<0.001, respectively), even after controlling for demographics.
Higher levels of self-stigma were associated with more severe AUD, greater alcohol consumption, and more obsessive thoughts and compulsive behaviours related to alcohol.
Our results suggest that potential interventions to reduce self-stigma may lead to improved quality of life and treatment outcomes for individuals with AUD.
与饮酒相关的污名化现象及其后果十分复杂。由于羞耻感、内疚感和负面刻板印象等诸多因素，酗酒者通常会产生自我污名化。很少有研究从实证角度研究自我污名化与酒精相关结果之间可能存在的关联。
调查自我污名化与酒精依赖严重程度和饮酒渴求之间的关系。
在 64 名参与者中，大多数参与者被诊断为酒精使用障碍（51 人），首先对自我污名化和酒精依赖量表（SSAD-Apply 分量表）评分与酒精使用障碍识别测试（AUDIT）评分、酒精时间线随访、强迫性饮酒量表（OCDS）评分和宾夕法尼亚酒精渴求量表（Penn Alcohol Cravings Scale）评分之间进行了双变量相关性分析。基于这些结果，以 SSAD 得分为预测变量，以 AUDIT 和 OCDS 得分为结果进行了回归分析。
SSAD 得分与 AUDIT 得分、平均每日饮酒量、重度饮酒日数和 OCDS 得分呈正相关（p<0.001，p=0.014，p=0.011 和 p<0.001，分别）。SSAD 得分也是 AUDIT 和 OCDS 得分的显著预测因子（p<0.001 和 p<0.001，分别），即使在控制了人口统计学因素后也是如此。
自我污名化程度越高，与酒精相关的 AUD 越严重，饮酒量越大，与酒精相关的强迫性思维和强迫性行为越多。
我们的研究结果表明，潜在的降低自我污名化的干预措施可能会改善 AUD 患者的生活质量和治疗效果。
