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Comparisons of psyc...
Comparisons of psychological distress and self-stigma among three types of substance use disorders receiving treatment-as-usual approaches : real-world data from a 9-month longitudinal study
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- Chang, K. -C (author)
- Department of General Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan, Taiwan
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- Chen, H. -P (author)
- Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, Kaohsiung, Taiwan
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- Huang, S. -W (author)
- Institute of Environmental Toxin and Emerging Contaminant, Cheng Shiu University, Kaohsiung, Taiwan
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- Chen, J. -S (author)
- Department of Medical Research, E-Da Hospital, Kaohsiung, Taiwan
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- Potenza, M. N. (author)
- Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States
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- Pakpour, Amir H. (author)
- Jönköping University,HHJ, Avdelningen för omvårdnad,The Jönköping Academy for Improvement of Health and Welfare
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- Lin, C. -Y (author)
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, 1 University Road, Tainan, 701401, Taiwan
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(creator_code:org_t)
- 2022-12-02
- 2022
- English.
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In: Therapeutic Advances in Chronic Disease. - : Sage Publications. - 2040-6223 .- 2040-6231. ; 13
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- Background: Substance use is an important issue worldwide and people with substance use disorders (SUDs) have been reported to have high levels of psychological distress and self-stigma. Therefore, psychological distress and self-stigma in people with SUDs are considerable. Objective: The present study used a longitudinal design to examine whether treatment-as-usual approaches in Taiwan improve psychological distress and self-stigma among people with three types of SUDs (heroin, amphetamine, and alcohol use disorders). Design: A 9-month longitudinal design involving four assessments spaced 3 months apart. Methods: Convenience sampling was used to recruit people with heroin (n = 112), amphetamine (n = 151), and alcohol (n = 56) use disorders from outpatient psychiatric center in Southern Taiwan. Psychological distress was assessed using the Depression, Anxiety, Stress Scale (DASS-21), and self-stigma was assessed using the Self-Stigma Scale–Short (SSS-S). Generalized estimating equation (GEE) models were constructed to understand between-group differences in psychological distress and self-stigma over time. Results: Patients with heroin and amphetamine use disorders had lower levels of psychological distress as compared with those with alcohol use disorder. Levels of psychological distress were lower at Time 2 to Time 4 as compared with Time 1. Patients with heroin and amphetamine use disorders had higher levels of self-stigma as compared with those with alcohol use disorder. Self-stigma levels remained stable over time. The dropout rate of receiving treatment-as-usual approach in the 9-month study was 60%. Conclusion: Treatment as usual for SUDs among outpatients in Taiwan may decrease psychological distress but not self-stigma. However, such effects need to be further examined given the high drop-out rates and absence of a control condition. The findings suggest that self-stigma may warrant additional treatment for patients with SUDs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Beroendelära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Substance Abuse (hsv//eng)
Keyword
- addictive behaviors
- alcohol
- amphetamine
- heroin
- psychological distress
- self-stigma
- substance-related disorders
Publication and Content Type
- ref (subject category)
- art (subject category)
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