Frequency of Self-perceived Stigma in Patients with Polysubstance Abuse Disorder
DOI:
https://doi.org/10.70749/ijbr.v3i7.2997Keywords:
Polysubstance Abuse Disorder, Self-perceived Stigma, Substance use Disorder, Perceived Stigma of Substance Abuse Scale.Abstract
Objective: To determine the frequency of self-perceived stigma in patients with polysubstance abuse disorder presenting to a tertiary care psychiatric department. Study design: Cross-sectional observational study. Place and duration of study: This study was conducted in the Department of Psychiatry, Lahore General Hospital, Lahore from November 2024 to April 2025. Methodology: A total of 150 patients aged 18 to 60 years with a clinically confirmed diagnosis of polysubstance abuse disorder and a history of substance abuse for at least 12 months were enrolled through non-probability consecutive sampling. Patients with severe cognitive impairment, acute psychiatric or medical crisis, or inability to understand study procedures were excluded. After informed consent, demographic characteristics, socioeconomic status, educational background, duration of substance abuse, and substance use profile were recorded. Self-perceived stigma was assessed using the Perceived Stigma of Substance Abuse Scale. A score of 19 or above was considered indicative of self-perceived stigma. Data were analyzed using SPSS version 26.0. Stratification was performed, and post-stratification chi-square test was applied. A p-value below 0.05 was considered statistically significant. Results: The mean age of participants was 31.4 ± 9.2 years, and 78.7% were male. The overall mean Perceived Stigma of Substance Abuse Scale score was 21.3 ± 4.6. Self-perceived stigma was identified in 96 patients, giving a frequency of 64.0%. Stigma showed significant association with educational status (p = 0.037), socioeconomic status (p = 0.019), and number of concurrently used substances (p = 0.013). No significant association was observed with gender, marital status, or age group. Conclusion: Self-perceived stigma was highly prevalent among patients with polysubstance abuse disorder. Lower educational attainment, lower socioeconomic status, and greater polysubstance complexity were significantly associated with higher stigma burden. These findings indicate that stigma is an important clinical barrier in this population and should be addressed during routine psychiatric and addiction care.
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References
1. Quello, S., Brady, K., & Sonne, S. (2005). Mood disorders and substance use disorder: A complex comorbidity. Science & Practice Perspectives, 3(1), 13-21.
https://doi.org/10.1151/spp053113
2. Sultan, S. (2011). Stigmatization: Addressing self-esteem and personal growth in patients with psychological and physiological illness. Pakistan Journal of Social Sciences, 31(1), 29-36.
3. Hadera, E., Salelew, E., Girma, E., Dehning, S., Adorjan, K., & Tesfaye, M. (2019). Magnitude and associated factors of perceived stigma among adults with mental illness in Ethiopia. Psychiatry Journal, 2019, 1-9.
https://doi.org/10.1155/2019/8427561
4. Luoma, J. B., Twohig, M. P., Waltz, T., Hayes, S. C., Roget, N., Padilla, M., & Fisher, G. (2007). An investigation of stigma in individuals receiving treatment for substance abuse. Addictive Behaviors, 32(7), 1331-1346.
https://doi.org/10.1016/j.addbeh.2006.09.008
5. Crapanzano, K., Hammarlund, R., Ahmad, B., Hunsinger, N., & Kullar, R. (2018). The association between perceived stigma and substance use disorder treatment outcomes: A review. Substance Abuse and Rehabilitation, 10, 1-12.
https://doi.org/10.2147/sar.s183252
6. Belete, H., Ali, T., Mekonen, T., Fekadu, W., & Belete, T. (2021). Perceived stigma and associated factors among adults with problematic substance use in northwest Ethiopia. Psychology Research and Behavior Management, 14, 637-644.
https://doi.org/10.2147/prbm.s301251
7. Alonso, J., Buron, A., Bruffaerts, R., He, Y., Posada‐Villa, J., Lepine, J., Angermeyer, M. C., Levinson, D., De Girolamo, G., Tachimori, H., Mneimneh, Z. N., Medina‐Mora, M. E., Ormel, J., Scott, K. M., Gureje, O., Haro, J. M., Gluzman, S., Lee, S., & Vilagut, G. (2008). Association of perceived stigma and mood and anxiety disorders: Results from the World Mental Health surveys. Acta Psychiatrica Scandinavica, 118(4), 305-314.
https://doi.org/10.1111/j.1600-0447.2008.01241.x
8. Alonso, J., Buron, A., Rojas-Farreras, S., De Graaf, R., Haro, J. M., De Girolamo, G., Bruffaerts, R., Kovess, V., Matschinger, H., & Vilagut, G. (2009). Perceived stigma among individuals with common mental disorders. Journal of Affective Disorders, 118(1-3), 180-186.
https://doi.org/10.1016/j.jad.2009.02.006
9. Pinhal, M., Schreck, B., Leboucher, J., Abesdris, J., Barrangou-Pouyes-Darlas, M., Eyzop, E., Galantai, V., Kunze-, L. R., Lambert, S., Prétagut, S., Verholleman, A., Victorri-Vigneau, C., Laforgue, E., & Grall-Bronnec, M. (2024). Are the self-stigma and perceived stigma of patients treated with methadone or buprenorphine still a problem fifty years after the marketing authorization for opioid agonist treatment? The observational STIGMA study. Addiction Science & Clinical Practice, 19(1).
https://doi.org/10.1186/s13722-024-00506-1
10. Luoma, J. B., Kulesza, M., Hayes, S. C., Kohlenberg, B., & Larimer, M. (2014). Stigma predicts residential treatment length for substance use disorder. The American Journal of Drug and Alcohol Abuse, 40(3), 206-212.
https://doi.org/10.3109/00952990.2014.901337
11. Isman, K., Giorgi, S., Ellis, J. D., Huhn, A. S., Liu, T., & Curtis, B. (2025). Perceived stigma and its role in substance use disorder treatment completion. The American Journal of Drug and Alcohol Abuse, 51(5), 628-638.
https://doi.org/10.1080/00952990.2025.2528778
12. Luderer, M., Stockreiter, D., Binder, A., Müller, L., Burger, F., Stüben, N., & Reif, A. (2026). Stigma from healthcare professionals and care-limiting behaviors in individuals with substance use disorders: A mixed-methods study. The Lancet Regional Health - Europe, 63, 101587.
https://doi.org/10.1016/j.lanepe.2025.101587
13. Rosenkranz, M., Schranz, A., Verthein, U., Schomerus, G., Speerforck, S., & Manthey, J. (2025). “Those pot heads” – perceived external stigma and self-stigma among cannabis users in Germany: Prevalence and associations with socio-demographics, cannabis use patterns and psychological distress. Journal of Cannabis Research, 7(1).
https://doi.org/10.1186/s42238-025-00328-1
14. Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination and the health of illicit drug users. Drug and Alcohol Dependence, 88(2-3), 188-196.
https://doi.org/10.1016/j.drugalcdep.2006.10.014
15. Corrigan, P., Schomerus, G., Shuman, V., Kraus, D., Perlick, D., Harnish, A., Kulesza, M., Kane-Willis, K., Qin, S., & Smelson, D. (2016). Developing a research agenda for understanding the stigma of addictions part I: Lessons from the mental health stigma literature. The American Journal on Addictions, 26(1), 59-66.
https://doi.org/10.1111/ajad.12458
16. Hasan, A. A., & Asiri, S. (2026). The influence of virtual clinics on perceptions of stigma, appointment compliance among patients with mental illness and substance use disorder: Findings from the cross-sectional design. Journal of Ethnicity in Substance Abuse, 1-23.
https://doi.org/10.1080/15332640.2026.2618986
17. Keyes, K., Hatzenbuehler, M., McLaughlin, K., Link, B., Olfson, M., Grant, B., & Hasin, D. (2010). Stigma and treatment of alcohol disorders in the United States. Comprehensive Psychiatry, 51(6), e6.
https://doi.org/10.1016/j.comppsych.2010.06.029
18. Elkalla, I. H., El-Gilany, A., Baklola, M., Terra, M., Aboeldahab, M., Sayed, S. E., & ElWasify, M. (2023). Assessing self-stigma levels and associated factors among substance use disorder patients at two selected psychiatric hospitals in Egypt: A cross-sectional study. BMC Psychiatry, 23(1).
https://doi.org/10.1186/s12888-023-05093-0
19. Eweida, R. S., Abdelwahab Khedr, M., & Hussein, R. M. (2024). A comparative study of old versus novel psychoactive substances on craving, perceived stigma and suicidal risk among rural-dwelling patients with substance abuse. Journal of Psychiatric and Mental Health Nursing, 31(6), 1046-1056.
https://doi.org/10.1111/jpm.13058
20. McKinnon, H. F., Fair, M. L., Teel, J., Lubaczewski, C., Kimura, A., Smith, K., & Eichelberger, K. (2026). Perceptions of stigma of pregnant individuals experiencing substance use disorder receiving prenatal care at Magdalene clinic: A cross-sectional study. Harm Reduction Journal, 23(1).
https://doi.org/10.1186/s12954-025-01377-8
21. Patel, K., Pokorski, E., Norkoli, D., Dunkel, E., Wang, X., & Yang, L. H. (2024). Persistence of stigma and the cessation of substance use: comparing stigma domains between those who currently use and those who no longer use substances. Frontiers in Psychiatry, 14.
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