ArticleAlcoholism, clinical and experimental research2014
Psychiatric comorbidity and perceived alcohol stigma in a nationally representative sample of individuals with DSM-5 alcohol use disorder.
Article in Alcoholism, clinical and experimental research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- The Etiologic, Theory-Based, Ontogenetic Hierarchical Framework of Alcohol Use Disorder: A Translational Systematic Review of Reviews.Psychological bulletin · 2021Pooled it
- Women and People From Deprived Areas Are Less Likely to be Assessed for Liver Transplantation for Alcohol-related Liver Disease: Results From a National Study of Transplant Assessments.Transplantation direct · 2025Article
- Evidence-Based Assessment of Substance Use Disorder.Assessment · 2024Review
- Neighborhood Disadvantage, Patterns of Unhealthy Alcohol Use, and Differential Associations by Gender, Race/Ethnicity, and Rurality: A Study of Veterans Health Administration Patients.Journal of studies on alcohol and drugs · 2022Article
- The association between comorbidities and stigma among breast cancer survivors.Scientific reports · 2022Article
- Help-Seeking Patterns and Barriers to Care Among Latino Immigrant Men with Unhealthy Alcohol Use.Journal of racial and ethnic health disparities · 2022Article
- Relationship between psychological factors and perceived stigma of addiction among women with substance use disorders, Thailand.Journal of education and health promotion · 2022Article
- Symptoms of anxiety, depression, and borderline personality in alcohol use disorder with and without comorbid substance use disorder.Alcohol (Fayetteville, N.Y.) · 2021Article
- Patterns of Alcohol Use Among Transgender Patients Receiving Care at the Veterans Health Administration: Overall and Relative to Nontransgender Patients.Journal of studies on alcohol and drugs · 2021Article
- Patterns and temporal change of psychopathological symptoms among inpatients with alcohol use disorder undergoing a twelve-step based treatment.Addictive behaviors reports · 2020Article
- Magnitude and Associated Factors of Perceived Stigma among Adults with Mental Illness in Ethiopia.Psychiatry journal · 2019Article
- Intersections of poverty, race/ethnicity, and sex: alcohol consumption and adverse outcomes in the United States.Social psychiatry and psychiatric epidemiology · 2017Article
- Combat experience and problem drinking in veterans: Exploring the roles of PTSD, coping motives, and perceived stigma.Addictive behaviors · 2017Article
- Dignity in mental health practice & research: Time to unite on innovation, outreach & education.The Indian journal of medical research · 2016Article
- Gender Differences in the Life Concerns of Persons Seeking Alcohol Detoxification.Journal of substance abuse treatment · 2016Article
- A trans-theoretical approach to alcohol abuse profile in the general population of an islamic country - Mashhad, Iran.Journal of medicine and life · 2015Article
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAlcohol use disorder (AUD) is among the most stigmatized health conditions and is frequently comorbid with mood, anxiety, and drug use disorders. Theoretical frameworks have conceptualized stigma-related stress as a predictor of psychiatric disorders. We described profiles of psychiatric comorbidity among people with AUD and compared levels of perceived alcohol stigma across profiles.
methodsCross-sectional data were analyzed from a general population sample of U.S. adults with past-year DSM-5 AUD (n = 3,368) from the National Epidemiologic Survey on Alcohol and Related Conditions, which was collected from 2001 to 2005. Empirically derived psychiatric comorbidity profiles were established with latent class analysis, and mean levels of perceived alcohol stigma were compared across the latent classes while adjusting for sociodemographic characteristics and AUD severity.
resultsFour classes of psychiatric comorbidity emerged within this AUD sample, including those with: (i) high comorbidity, reflecting internalizing (i.e., mood and anxiety disorders) and externalizing (i.e., antisocial personality and drug use disorders) disorders; (ii) externalizing comorbidity; (iii) internalizing comorbidity; and (iv) no comorbidity. Perceived alcohol stigma was significantly higher in those with internalizing comorbidity (but not those with high comorbidity) as compared to those with no comorbidity or externalizing comorbidity.
conclusionsPerceived stigma, as manifested by anticipations of social rejection and discrimination, may increase risk of internalizing psychiatric comorbidity. Alternatively, internalizing psychiatric comorbidity could sensitize affected individuals to perceive more negative attitudes toward them. Future research is needed to understand causal and bidirectional associations between alcohol stigma and psychiatric comorbidity.
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