Self-Stigma in Substance Abuse: Development of a New Measure |
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Authors: | Jason B. Luoma Richard H. Nobles Chad E. Drake Steven C. Hayes Alyssa O’Hair Lindsay Fletcher Barbara S. Kohlenberg |
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Affiliation: | 1. Portland Psychotherapy Clinic, Research, and Training Center, 1830 NE Grand Ave., Portland, OR, 97211, USA 2. University of Nevada, N. Virginia St., Reno, NV, 1664, USA 3. Department of Psychology/296, University of Nevada, Reno, NV, 89557, USA 4. Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine, Mail Stop 0354, Reno, NV, 89557-0354, USA
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Abstract: | Little attention has been paid to the examination and measurement of self-stigma in substance misuse. This paper aims to fill this gap by reporting on the development of a new scale to measure self-stigma experienced by people who are misusing substances, the Substance Abuse Self-Stigma Scale. Content validity and item refinement occurred through an iterative process involving a literature search, focus groups, and expert judges. Psychometric properties were examined in a cross-sectional study of individuals (n?=?352) receiving treatment for substance misuse. Factor analyses resulted in a 40-item measure with self devaluation, fear of enacted stigma, stigma avoidance, and values disengagement subscales. The measure showed a strong factor structure and good reliability and validity overall, though the values disengagement subscale showed a mixed pattern. Results are discussed in terms of their implications for studies of stigma impact and intervention. |
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