Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder

GND
1028651481
ORCID
0000-0003-2281-2985
Affiliation
a Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Melchior, Hanne;
GND
1210447967
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Hüsing, Paul;
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Grundmann, Johanna;
GND
1028641370
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Lotzin, Annett;
GND
141608854
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Hiller, Philipp;
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Pan, Yiqi;
GND
112805205
Affiliation
d Clinic of Psychiatry and Psychotherapy, Bethel Hospital and University of Bielefeld, Bielefeld, Germany
Driessen, Martin;
GND
1050415485
ORCID
0000-0003-1759-6990
LSF
13643
Affiliation
e LVR-Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, Germany
Scherbaum, Norbert;
GND
172631343
Affiliation
f Department of Psychiatry and Addictive Disorders, LVR-Hospital Cologne, Cologne, Germany
Schneider, Barbara;
GND
12370653X
Affiliation
h Department of Psychiatry, Socialpsychiatry and Psychotherapy, Hannover Medical School, Hannover, Germany
Hillemacher, Thomas;
GND
1190670372
Affiliation
j Department of Psychiatry, Greifswald University, Greifswald, Germany
Stolzenburg, Susanne;
GND
123090555
ORCID
0000-0002-6752-463X
Affiliation
j Department of Psychiatry, Greifswald University, Greifswald, Germany
Schomerus, Georg;
GND
129262447
ORCID
0000-0002-9711-3559
Affiliation
b Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany
Schäfer, Ingo

Background: Self-stigma is a result of internalizing negative stereotypes by the affected person. Research on self-stigma in substance use disorders (SUD) is still scarce, especially regarding the role of childhood trauma and subsequent posttraumatic disorders.

Objectives: The present study investigated the progressive model of self-stigma in women with SUD and posttraumatic stress disorder (PTSD), and the predictive value of PTSD severity and childhood trauma experiences on self-stigma.

Method: In a cross-sectional study with 343 women with SUD and PTSD, we used the Self-Stigma in Alcohol Dependency Scale, the Childhood Trauma Questionnaire (CTQ), the PTSD Symptom Scale Interview (PSS-I), and to control for SUD severity and depression, the Addiction Severity Index Lite and the Beck Depression Inventory-II. Hierarchical regression analyses were conducted for each stage of self-stigma ( aware-agree-apply-harm ).

Results: The interrelated successive stages of self-stigma were largely confirmed. In the regression models, no significant effects of the PSS-I- and the CTQ-scores were observed at any stage of self-stigma. Agreeing with negative stereotypes was solely predicted by younger age, applying these stereotypes to oneself was higher in women with younger age, higher depression and SUD severity, and suffering from the application ( harm ) was only predicted by depression. Conclusions: The progressive model of self-stigma could be confirmed in women with SUD and PTSD, but PTSD severity and childhood trauma did not directly affect this process. Self-stigma appears to be related to depression in a stronger way than PTSD is related to women with SUD and PTSD.

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Citation style:
Melchior, H., Hüsing, P., Grundmann, J., Lotzin, A., Hiller, P., Pan, Y., Driessen, M., Scherbaum, N., Schneider, B., Hillemacher, T., Stolzenburg, S., Schomerus, G., Schäfer, I., 2019. Substance Abuse-Related Self-Stigma in Women with Substance Use Disorder and Comorbid Posttraumatic Stress Disorder. https://doi.org/10.1159/000496113
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