ReviewSubstance abuse and rehabilitation2018
Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders.
Review in Substance abuse and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05748639 (Randomized Controlled Trial of an Integrated Digital Cognitive-Behavioral Therapy), which is not on this map. Cited by 148 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Randomized Controlled Trial of an Integrated Digital Cognitive-Behavioral Therapy (CBT) and Pharmacotherapy Intervention for Adults With Alcohol Use Disorders
Who cites it
148 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Association between alcohol consumption and breast cancer incidence and prognosis: A systematic review and meta-analysis.Breast (Edinburgh, Scotland) · 2026Pooled it
- Digital Interventions for Recreational Cannabis Use Among Young Adults: Systematic Review, Meta-Analysis, and Behavior Change Technique Analysis of Randomized Controlled Studies.Journal of medical Internet research · 2024Pooled it
- Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024Pooled it
- Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review.Frontiers in psychiatry · 2024Pooled it
- Effectiveness of eHealth Interventions Targeting Employee Health Behaviors: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine.The International journal on drug policy · 2025Trial
- Incarceration history, antiretroviral therapy, and stigma: A cross-sectional study of people with HIV who inject drugs in St. Petersburg, Russia.The International journal on drug policy · 2023Trial
- Evaluating Harm Reduction Advice From Large Language Models.Drug and alcohol review · 2026Article
- Self-stigma and suicide cognitions in substance use disorder: the mediating role of psychological distress and the moderating role of social support.BMC psychiatry · 2026Article
- Short, animated storytelling social contact videos reduce addiction stigma in the UK, USA, and South Africa: a randomised controlled trial of 13,397 participants.EClinicalMedicine · 2026Article
- Association between inpatient AUDIT-C alcohol screening scores and postoperative outcomes: a retrospective cohort study.BMJ open · 2026Article
- Depressive Symptoms and Anticipated Help-seeking Stigma as Mental Healthcare Navigation Barriers Among People Who Use Opioids.Community mental health journal · 2026Article
- Telehealth and Intervention Stigma: Patient Perspectives About Flexible Opioid Use Disorder Treatment Delivery.Substance use & addiction journal · 2026Article
- Help-seeking for mental health and substance use problems among people in contact with the criminal justice system: a mixed-methods social network analysis.Health & justice · 2026Article
- How words discredit: A taxonomy of stigmatizing language in the electronic health record.Patient education and counseling · 2026Article
- Substance use stigma mechanisms associated with greater depressive symptoms, substance use-related problems, and lower behavioral activation.Addictive behaviors reports · 2026Article
- A scoping review of implementation strategies to reduce stigma toward people who use substances in healthcare settings.Journal of substance use and addiction treatment · 2026Article
- When delay costs a limb: Severe chronic osteomyelitis in a patient with intravenous drug use.Trauma case reports · 2026Article
- Developing a utility value set for the Alcohol Quality of Life Scale-Brief (AQoLS-Brief) using a discrete choice experiment.Health and quality of life outcomes · 2026Article
- Mental Illness Stigma in Black, Latina/o, and Asian Americans.Journal of racial and ethnic health disparities · 2026Article
88 more citing papers are in PubMed but not listed here.
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Substance-use disorders are a public health crisis globally and carry with them significant morbidity and mortality. Stigma toward people who abuse these substances, as well as the internalization of that stigma by substance users, is widespread. In this review, we synthesized the available evidence for the role of perceived social stigma and self-stigma in people's willingness to seek treatment. While stigma may be frequently cited as a barrier to treatment in some samples, the degree of its impact on decision-making regarding treatment varied widely. More research needs to be done to standardize the definition and measurement of self- and perceived social stigma to fully determine the magnitude of their effect on treatment-seeking decisions.
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Registered trials
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.