Self-Stigma in Substance Abuse: Development of a New Measure
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Authors
Luoma, Jason B.
Nobles, Richard H.
Drake, Chad E.
Hayes, Steven C.
O'Hair, Alyssa K.
Fletcher, Lindsay B.
Kohlenberg, Barbara S.
Issue Date
2013
Type
Citation
Language
Keywords
measure development , psychometric , stigma , substance misuse
Alternative Title
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.
Description
Citation
Publisher
License
In Copyright
Journal
Volume
Issue
PubMed ID
ISSN
0882-2689