J Opioid Manag. 2024 Jul-Aug;20(4):B10. doi: 10.5055/bupe.24.rpj.1020.
About 1 in 8 children under age 17 live with a parent who has a substance use disorder. Research on treatment access identifies stigma as a significant barrier to treatment, particularly among mothers with young children. Well-meaning but punitive state policies further perpetuate stigma, which harms families and children.
PURPOSE/HYPOTHESIS: Explore the experiences of the stigma of addiction on mothers before, during and after treatment for substance use disorder. Procedures/data/observations: Descriptive Phenomenology was used to describe the experiences of stigma of mothers with opioid use disorder (OUD) through all stages of treatment and recovery. Mothers (n=20) participating in an outpatient treatment program interviewed. A semi-structured interview schedule was used to guide the interviews and thematic analysis was used identify themes related to stigma.
CONCLUSIONS/APPLICATIONS: Our analysis identified several main themes and subthemes related to internal and external sigma, including stigma against medication for opioid use dis order, stigma from the public and healthcare professionals, internalized shame, and how mothers learned to recover and heal from stigma.
大约每 8 个 17 岁以下的儿童中就有 1 个与患有物质使用障碍的父母生活在一起。关于治疗途径的研究发现，污名是治疗的一个重大障碍，特别是对于有年幼子女的母亲而言。善意但惩罚性的州政策进一步加剧了污名化，从而伤害了家庭和儿童。
目的/假设：探讨母亲在物质使用障碍治疗前、治疗中和治疗后经历成瘾污名的情况。
程序/数据/观察：描述性现象学被用于通过治疗和康复的所有阶段描述患有阿片类物质使用障碍（OUD）的母亲的污名经历。参与门诊治疗计划的母亲（n=20）接受了采访。半结构化访谈计划用于指导访谈，主题分析用于确定与污名相关的主题。
结论/应用：我们的分析确定了与内部和外部污名相关的几个主要主题和子主题，包括对阿片类物质使用障碍药物治疗的污名、来自公众和医疗保健专业人员的污名、内化的羞耻感，以及母亲如何学会从污名中康复和治愈。
