ArticleDrug and alcohol dependence2017
Internalized stigma as an independent risk factor for substance use problems among primary care patients: Rationale and preliminary support.
Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024Pooled it
- Design of CLARO+ (Collaboration Leading to Addiction Treatment and Recovery from Other Stresses, Plus): A randomized trial of collaborative care to decrease overdose and suicide risk among patients with co-occurring disorders.Contemporary clinical trials · 2023Trial
- Substance use stigma mechanisms associated with greater depressive symptoms, substance use-related problems, and lower behavioral activation.Addictive behaviors reports · 2026Article
- Young Adults Coping with Sibling Loss: Risk and Protective Factors for Substance Use Disorder.Journal of child & adolescent trauma · 2026Article
- Expressive Flexibility as a Buffer in the Association Between Substance Use Stigma and Drug Use Problems Among Substance-Using Individuals with Depression.Stigma and health · 2026Article
- Substance use, stigma, and coping in treatment: A qualitative study of participant perspectives.Drug and alcohol dependence reports · 2025Article
- Self and other mental health stigma among public safety professionals: a psychometric study.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025Review
- Article
- Psychometric performance of tools to measure internalized drug use stigma among people who use drugs and people on medication-assisted treatment in Dar es Salaam, Tanzania.Drug and alcohol dependence · 2024Article
- Gender identity, stimulant drug use, and criminal justice history on internalized stigma among a nationally representative sample of adults who misuse opioids.Social psychiatry and psychiatric epidemiology · 2024Article
- Assessing the dimensionality and construct validity of the military stigma scale across current service members.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024Article
- A theory-informed deep learning approach to extracting and characterizing substance use-related stigma in social media.BMC digital health · 2024Article
- Effects of a trauma-informed mindful recovery program on comorbid pain, anxiety, and substance use during primary care buprenorphine treatment: A proof-of-concept study.The American journal on addictions · 2023Article
- The Role of Emotion Dysregulation in the Association Between Substance Use Stigma and Depressive Symptoms Among Trauma-Exposed, Substance-Using Individuals.Stigma and health · 2023Article
- Recovering Individuals' Feelings About Addict and Alcoholic as Stigmatized Terms: Implications for Treatment.Substance abuse : research and treatment · 2023Article
- A conceptual framework for how structural changes in emerging acute substance use service models can reduce stigma of medications for opioid use disorder.Frontiers in psychiatry · 2023Article
- Persistence of stigma and the cessation of substance use: comparing stigma domains between those who currently use and those who no longer use substances.Frontiers in psychiatry · 2023Article
- Internalized stigma and associated factors among people with mental illness at University of Gondar Comprehensive Specialized Hospital, Northwest, Ethiopia, 2021.International journal of mental health systems · 2022Article
- Examining the Relationship between Paternal Mental Health and Informal Support Networks: Reflections on the Impact of the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Cultural adaptation and psychometric properties of the Substance Abuse Self-Stigma Scale among Latinos with Substance Use Disorders: An effective screening tool for correctional and community settings.Stigma and health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundLittle is known about internalized stigma among primary care patients, and whether the presence of internalized stigma is related to the severity of substance use problems independent of substance use-related variables. We sought to examine the relationship between internalized stigma and substance use problems among primary care patients with opioid or alcohol use disorders (OAUDs).
methodsWe present baseline data from 393 primary care patients who were enrolled in a study of collaborative care for OAUDs. Regression analyses examined the relationship between internalized stigma and substance use problems, controlling for demographics, psychiatric comorbidity, and quantity/frequency of use.
resultsThe majority of participants reported thinking, at least sometimes, that they "have permanently screwed up" their lives (60%), and felt "ashamed" (60%), and "out of place in the world" (51%) as a result of their opioid or alcohol use. Higher internalized stigma was significantly related to more substance use problems (β=2.68, p<0.01), even after the effects of covariates were accounted for. Stigma added 22%, out of 51% total variance explained, leading to a significant improvement in prediction of substance use problems.
conclusionsAmong this group of primary care patients with OAUDs, rates of internalized stigma were comparable to those reported in specialty substance use treatment settings. Consistent with extant specialty care literature, our results suggest that internalized stigma may be a unique contributor that is associated with treatment outcomes, such as substance use problems, among primary care patients with OAUDs.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.