Factors Predicting Self-stigma among Youths Receiving Substance Abuse Treatment
Keywords:
Self-stigma, Substance abuse, Youths, Cognitive fusion, Self-esteemAbstract
Self-stigma is a presence of negative evaluation, attitudes, emotions, and thoughts resulting from an individual’s identification with a stigmatized group and feeling unacceptable within society. Self-stigma is a significant obstacle to the treatment process in the young with substance abuse. Youths receiving substance treatment often stigmatize themselves, develop negative feelings, lose self-confidence in quitting an addiction, or lack cooperation or avoid treatment. These behaviors lengthen their treatment period, so it is essential to reduce stigma. This study aimed to identify self-stigma and factors predicting this among the youths undergoing rehabilitation in ten substance abuse treatment facilities in Wiwatpolamuang schools, navy camps in the east of Thailand. Simple random sampling was applied to draw 430 voluntary participants. Data was collected using seven questionnaires, which collected data on sociodemographic details, self-stigma in substance abuse, self-esteem, cognitive fusion, family connectedness, friendship intimacy, and personal resources. Descriptive statistics and stepwise multiple regression were used to analyze data.
The findings revealed that the youths receiving drug treatment had self-stigma of substance abuse. Among them, 11.16 % had a low level, 79.07% had a moderate level, and 9.77% had a high level of self-stigma. Stepwise multiple regression analysis showed that cognitive fusion, friendship intimacy, family connectedness, and self-esteem explained 36.7% of the variance in the self-stigma of substance abuse among the youths under treatment, which cognitive fusion was the strongest. The research findings suggested that nurses or health care providers should promote self-esteem for preventing or minimizing self-stigma and focus on creating programs or activities to minimize cognitive fusion.
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