Temporal associations between depressive features and self-stigma in people with substance use disorders related to heroin, amphetamine, and alcohol use: a cross-lagged analysis

BMC Psychiatry

Research

I-Hua Chen¹  Chieh-hsiu Liu²  Kun-Chia Chang³  Jung-Sheng Chen⁴  Marc N. Potenza⁵  Ching-Wen Chang⁶  Mohsen Saffari⁷  Chung-Ying Lin⁸  Shih-Wei Huang⁹ 

[1] Chinese Academy of Education Big Data, Qufu Normal University, Qufu City, Shandong, China;Department of Family Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan;Department of General Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan, Taiwan;Department of Psychiatry, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Department of Medical Research, E-Da Hospital, Kaohsiung, Taiwan;Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA;Connecticut Mental Health Center, New Haven, CT, USA;Connecticut Council On Problem Gambling, Wethersfield, CT, USA;Child Study Center, Yale School of Medicine, New Haven, CT, USA;Department of Neuroscience, Yale University, New Haven, CT, USA;Wu Tsai Institute, Yale University, New Haven, CT, USA;Graduate Institute of Social Work, National Taiwan Normal University, Taipei, Taiwan;Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran;Health Education Department, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran;Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Biostatistics Consulting Center, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan;Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Institute of Environmental Toxin and Emerging Contaminant, Cheng Shiu University, 83347, Kaohsiung, Taiwan;Center for Environmental Toxin and Emerging-Contaminant Research, Cheng Shiu University, 83347, Kaohsiung, Taiwan;

关键词: Substance-related disorders;    Alcohol use disorder;    Amphetamine use disorder;    Opioid use disorder;    Addictive behaviors;    Cross-lagged analysis;    Depression;    Longitudinal study;   

DOI  :  10.1186/s12888-022-04468-z

 received in 2022-06-25, accepted in 2022-12-13,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundDepression 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.MethodsOverall, 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.ResultsPositive cross-sectional associations were found between depressive features and all assessed forms of self-stigma over time (0.13 < r < 0.92). Three models of cross-lagged associations between different forms of self-stigma and depressive features indicated good fit indices (comparative fit index > 0.98). The direction of associations between depressive features towards self-stigma was stronger than the opposite direction.ConclusionPositive 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.

【 授权许可】

CC BY   
© The Author(s) 2022

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