在物质使用治疗环境中的内部化耻辱测量:叙述性审查
Verlin W Joseph1, Matthew R Pearson2,3, Katie Witkiewitz4
1University of New Mexico Health Sciences Center, United States, New Mexico, Albuquerque.
Addiction research & theory
|May 27, 2024
概括
内化污名是物质使用障碍治疗的主要障碍,影响结果. 制定全面的耻辱措施对于改善不同人群的治疗机会和成功至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 与物质使用障碍 (SUDs) 相关的耻辱感阻碍了治疗入学,并导致治疗结果较差.
- 很少有衡量SUD和治疗结果的研究包含耻辱评价.
- 耻辱是一种根植于权力结构的系统性问题,不成比例地影响到边缘化群体.
研究的目的:
- 在治疗环境中对与SUDs相关的内化耻辱现有措施进行叙事审查.
- 确定当前污名测量工具的优点和局限性.
- 突出需要在SUD治疗研究中改进耻辱的评估.
主要方法:
- 在PubMed和PsycINFO上进行了文献搜索,以确定SUD治疗环境中耻辱的措施.
- 确定了八项耻辱措施进行审查.
- 审查的重点是这些措施的特征和心理特征.
主要成果:
- 确定了八个污名化措施,其内部一致性通常很好.
- 现有的措施往往没有考虑多个耻辱领域,交叉的耻辱和多样化的人口.
- 审查的措施中注意到对多种物质使用的评估有限.
结论:
- 有需要的耻辱措施,捕捉多个领域和交叉形式的耻辱.
- 未来的措施应在各种SUD治疗环境中的不同种族和民族群体中得到验证.
- 解决耻辱是提高开始和完成物质使用障碍治疗的关键.
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