Autor: |
Mohsen Saffari, Kun-Chia Chang, Jung-Sheng Chen, Ching-Wen Chang, I-Hua Chen, Shih-Wei Huang, Chieh-hsiu Liu, Chung-Ying Lin, Marc N. Potenza |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
BMC Psychiatry, Vol 22, Iss 1, Pp 1-11 (2022) |
Druh dokumentu: |
article |
ISSN: |
1471-244X |
DOI: |
10.1186/s12888-022-04468-z |
Popis: |
Abstract Background Depression is a mental health problem and substance use concerns are socially unacceptable behaviors. While depression and substance use may individually impact self-concept and social relationships, their co-occurrence can increase the risk of self-stigmatization. However, there is no evidence regarding how depression and self-stigma may influence each other over time. The aim of the current study was to evaluate the cross-sectional and longitudinal relationships between features of depression and self-stigma in people with substance use disorders. Methods Overall, 319 individuals with substance use disorders (273 males) with a mean (± SD) age of 42.2 (± 8.9) years were recruited from a psychiatric center in Taiwan by convenience sampling. They were assessed for features of depression and self-stigma at four times over a period of nine months using the depression subscale of the Depression Anxiety Stress Scales (DASS-21) and Self-Stigma Scale-Short S (SSS-S), respectively. Repeated-measures analyses of variance, Pearson correlations and cross-lagged models using structural equation modeling examined cross-sectional and temporal associations between depression and self-stigma. Results Positive cross-sectional associations were found between depressive features and all assessed forms of self-stigma over time (0.13 0.98). The direction of associations between depressive features towards self-stigma was stronger than the opposite direction. Conclusion Positive associations between depressive features and self-stigma were found in people with substance use disorders. Although these associations may be bidirectional longitudinally, the directions from depressive features to self-stigma may be stronger than the reverse directions, suggesting treatment of depression in earlier stages may prevent self-stigmatization and subsequent poor outcomes in people with substance use disorders. |
Databáze: |
Directory of Open Access Journals |
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