Evidence map›Paper›PMID 39455961›Full record

ArticleBMC psychiatry2024

Self-stigma in alcohol dependence scale: development and validity of the short form.

Sophia Rieckhof, Anya Leonhard, Stephanie Schindler, Juliane Lüders, Nicole Tschentscher, Sven Speerforck, Patrick W Corrigan, Georg Schomerus

Abstract readValidation Study
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sophia RieckhofDepartment of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany. sophia.rieckhof@medizin.uni-leipzig.de.
Anya LeonhardDepartment of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany.
Stephanie SchindlerDepartment of Psychiatry and Psychotherapy, Medical Center, University of Leipzig, Leipzig, Germany.
Juliane LüdersDepartment of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany.
Nicole TschentscherSpecialist Hospital Bethanien Hochweitzschen, Clinic for addiction medicine, Hochweitzschen, Germany.
Sven SpeerforckDepartment of Psychiatry and Psychotherapy, Medical Center, University of Leipzig, Leipzig, Germany.
Patrick W CorriganDepartment of Psychology, Illinois Institute of Technology, Chicago, IL, USA.
Georg SchomerusDepartment of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany.

Funding

The Institute for Translational MedicineUL1TR002389 · NCATS · UNIVERSITY OF CHICAGO · PI Joshua J Jacobs, DAVID O MELTZER · 2017 to 2026
$71.6M
NCATS NIH HHS UL1 TR002389
6 · The paper itself

Abstract

backgroundSelf-stigma is associated with low self-esteem, high shame and reduced drinking-refusal self-efficacy in people with alcohol use disorder (AUD). The Self-Stigma in Alcohol-Dependence Scale-Short Form (SSAD-SF) was designed to enable a brief, but valid assessment of AUD self-stigma.

methodsWe reduced the 64-item SSAD, originally derived from 16 stereotypes towards people with AUD, by removing the most offensive items based on perspectives of people with lived experience. The newly created scale was then assessed and validated in a cross-sectional study involving 156 people reporting alcohol issues in various treatment settings.

resultsThe 20-item SSAD-SF includes five stereotypes, with good internal consistency for each subscale and the overall scale. It reflects the four-stage progressive model of self-stigmatization with decreasing scores over the stages awareness of stereotypes, agreement with stereotypes, self-application of stereotypes, and harmful consequences for self-esteem, and highest correlations between adjacent stages. The subscales apply and harm were associated with internalized stigma, shame, reduced self-esteem, and lower drinking-refusal self-efficacy, as supported by multivariate regression models. DISCUSSION: The SSAD-SF is a valid instrument for measuring the process of self-stigmatization in people with AUD. Self-stigma is a consistent predictor of reduced self-esteem, higher shame and lower drinking-refusal self-efficacy in people with AUD. We discuss merits of the progressive model for understanding and addressing self-stigma in AUD.

Indexed as

AlcoholismSelf ConceptSocial StigmaAdultAgedFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSelf EfficacyShameStereotypingSurveys and QuestionnairesAddictionInternalized stigmaQuestionnaire validationSubstance abuse

Identifiers

PMID39455961
PMCPMC11515145

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Registered trials

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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.