Madde Kullanım Bozukluğunda İçselleştirilmiş Damgalanma: Karşılaştırmalı Çalışma

Abstract

Amaç: Çalışmanın amacı madde kullanım bozukluğu tanısı almış hastalarda içselleştirilmiş damgalanma düzeylerini araştırmak ve bu düzeyleri bipolar duygudurum bozukluğu ve şizofreni tanısı almış hastalardaki düzeylerle karşılaştırmaktır. Gereç ve Yöntemler: Kesitsel çalışmaya 167 hasta dahil edildi. Tüm hastalara sosyo-demografik veri formu ve Ruhsal Hastalıklarda İçselleştirilmiş Damgalanma Ölçeği uygulandı. Bulgular: Şizofreni (n=54) ve madde kullanım bozukluğu (n=55) tanısı almış hastalarda içselleştirilmiş damgalanma düzeylerinin, bipolar duygudurum bozukluğu (n=58) tanısı almış hastalardan daha yüksek olduğu bulundu (sırasıyla p=0,003, p=0,004). Madde kullanım bozukluğu ve şizofreni hastalarının içselleştirilmiş damgalanma düzeyleri birbirinden anlamlı olarak farklı değildi (p=1,000). Madde kullanım bozukluğu olan kadın hastaların içselleştirilmiş damgalanma puanları erkek hastalara kıyasla anlamlı olarak daha yüksekti (p=0,034). Sonuç: Madde kullanım bozukluğunda içselleştirilmiş damgalanma düzeylerinin şizofreniye benzemesi dikkat çekicidir. İçselleştirilmiş damgalanmanın incelenmesi, madde kullanım bozukluğu tanısı almış hastalarda işlevsellik, tedaviye uyum ve depresif bozukluk gibi ek hastalıkların yönetimi açısından önemlidir.

Keywords

• Madde kullanım bozukluğu
• Şizofreni
• Bipolar affektif bozukluk
• İçselleştirilmiş damgalanma

Internalized Stigma in Substance Use Disorder: A Comparative Study

Abstract

Objective: This study aimed to investigate the levels of internalized stigma among patients diagnosed with substance use disorder and to compare these levels with those observed in patients diagnosed with bipolar affective disorder and schizophrenia. Materials and Methods: This cross-sectional study included 167 patients. All participants completed a socio-demographic data form and the Internalized Stigma of Mental Illness (ISMI) scale. Results: Patients diagnosed with schizophrenia (n = 54) and substance use disorder (n = 55) exhibited significantly higher internalized stigma scores compared to those with bipolar affective disorder (n = 58) (p = 0.003 and p = 0.004, respectively). There was no significant difference in stigma levels between patients with substance use disorder and those with schizophrenia (p = 1.000). Among patients with substance use disorder, female participants had significantly higher internalized stigma scores than their male counterparts (p = 0.034). Notably, the level of internalized stigma in patients with substance use disorder was comparable to that observed in schizophrenia. Conclusion: Assessing internalized stigma in patients with substance use disorder is crucial for improving functionality, treatment adherence, and the management of comorbid conditions such as depressive disorders.

Keywords

• Substance use disorder
• Schizophrenia
• Bipolar affective disorder
• Internalized stigma

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