Exploring the Relationship Between Adverse Childhood Experiences and Internalized Substance Use Stigma: A Mediation Analysis Among Incarcerated Women
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View abstract on PubMed
Summary
This summary is machine-generated.Adverse childhood experiences (ACEs) and mental health issues like anxiety, depression, and PTSD are linked to internalized substance use stigma (ISUS) in incarcerated women. Addressing mental health can reduce stigma and improve recovery.
Area Of Science
- Psychiatry and Behavioral Sciences
- Public Health
- Criminology
Background
- Adverse childhood experiences (ACEs) and mental health (MH) are recognized risk factors for substance use disorders.
- Internalized substance use stigma (ISUS) is a significant barrier to treatment and recovery.
- The interplay between ACEs, MH, and ISUS, particularly in incarcerated populations, is not well understood.
Purpose Of The Study
- To examine the bivariate relationships between ACEs, MH (anxiety, depression, PTSD), and ISUS in women with opioid use disorder.
- To investigate the mediating role of MH conditions in the relationship between ACEs and ISUS.
Main Methods
- Cross-sectional study of 900 incarcerated women with a history of opioid use disorder from the Kentucky JCOIN trial.
- Data collected via interviews on substance use, stigma, ACEs, and MH.
- Linear regression with mediation analysis was employed.
Main Results
- ACEs and all MH variables (anxiety, depression, PTSD) were significantly associated with ISUS (p<.001).
- Anxiety and depression partially mediated the ACEs-ISUS relationship (38% and 32% of total effect, respectively).
- PTSD fully mediated the ACEs-ISUS relationship, accounting for 69% of the total effect.
Conclusions
- ACEs are associated with MH issues, which in turn contribute to ISUS among incarcerated women.
- Integrated, trauma-informed interventions addressing ACEs, MH, and ISUS are crucial for improving recovery outcomes.
- Targeting mental health treatment may effectively mitigate internalized substance use stigma.
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