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

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

Blog Article

Abstract Background Self-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.Methods We reduced the 64-item SSAD, originally derived from 16 stereotypes towards people with AUD, by removing the most offensive items based L-PHENYLALANINE 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.

Results The 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 Riding Helmets people with AUD.We discuss merits of the progressive model for understanding and addressing self-stigma in AUD.