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Course and Correlates of Stigma in Patients on Opioid Agonist Treatment: A Prospective Study from an Outpatient Treatment Program in India
BACKGROUND: Individuals with opioid dependence experience stigma and discrimination. Stigma can potentially reduce treatment-seeking and negatively affect treatment outcomes. We aimed to study the course of stigma and its correlates among patients receiving opioid agonist treatment (OAT). METHODS: W...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125463/ https://www.ncbi.nlm.nih.gov/pubmed/35656428 http://dx.doi.org/10.1177/02537176211012103 |
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author | Ghosh, Abhishek Roub, Fazle Pillai, Renjith R. Mahintamani, Tathagata Basu, Debasish Subodh, B.N. Mattoo, S.K. |
author_facet | Ghosh, Abhishek Roub, Fazle Pillai, Renjith R. Mahintamani, Tathagata Basu, Debasish Subodh, B.N. Mattoo, S.K. |
author_sort | Ghosh, Abhishek |
collection | PubMed |
description | BACKGROUND: Individuals with opioid dependence experience stigma and discrimination. Stigma can potentially reduce treatment-seeking and negatively affect treatment outcomes. We aimed to study the course of stigma and its correlates among patients receiving opioid agonist treatment (OAT). METHODS: We recruited 51 subjects (aged between 18 and 45 years) registered in the OAT clinic from February to September 2019. We excluded subjects dependent on alcohol and other drugs (except for cannabis and tobacco), with severe mental illness, intellectual disability, and organic brain disease. We assessed the internalized and enacted stigma and quality of life at the treatment entry and after 3 months. Relationship of stigma with quality of life, socio-demographic, and other clinical variables were examined at the treatment entry. RESULTS: Mean age of the subjects was 26.7 (± 5) years. At the end of three months, 33 (64.7%) patients were retained in the treatment. Internalized stigma correlated negatively with the social and environmental domains of quality of life. The strength of the correlations was modest. No significant correlation was found between demographic and clinical variables and internalized stigma and enacted stigma scores. Both internalized and enacted stigma scores reduced significantly at 3 months follow-up. The significance levels were retained even after controlling for the baseline quality of life scores. Stigma at the treatment entry did not predict early dropout. CONCLUSION: Despite higher severity at the treatment entry, the level of internalized and enacted stigma reduced significantly within three months of an outpatient-based OAT program. |
format | Online Article Text |
id | pubmed-9125463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-91254632022-06-01 Course and Correlates of Stigma in Patients on Opioid Agonist Treatment: A Prospective Study from an Outpatient Treatment Program in India Ghosh, Abhishek Roub, Fazle Pillai, Renjith R. Mahintamani, Tathagata Basu, Debasish Subodh, B.N. Mattoo, S.K. Indian J Psychol Med Original Articles BACKGROUND: Individuals with opioid dependence experience stigma and discrimination. Stigma can potentially reduce treatment-seeking and negatively affect treatment outcomes. We aimed to study the course of stigma and its correlates among patients receiving opioid agonist treatment (OAT). METHODS: We recruited 51 subjects (aged between 18 and 45 years) registered in the OAT clinic from February to September 2019. We excluded subjects dependent on alcohol and other drugs (except for cannabis and tobacco), with severe mental illness, intellectual disability, and organic brain disease. We assessed the internalized and enacted stigma and quality of life at the treatment entry and after 3 months. Relationship of stigma with quality of life, socio-demographic, and other clinical variables were examined at the treatment entry. RESULTS: Mean age of the subjects was 26.7 (± 5) years. At the end of three months, 33 (64.7%) patients were retained in the treatment. Internalized stigma correlated negatively with the social and environmental domains of quality of life. The strength of the correlations was modest. No significant correlation was found between demographic and clinical variables and internalized stigma and enacted stigma scores. Both internalized and enacted stigma scores reduced significantly at 3 months follow-up. The significance levels were retained even after controlling for the baseline quality of life scores. Stigma at the treatment entry did not predict early dropout. CONCLUSION: Despite higher severity at the treatment entry, the level of internalized and enacted stigma reduced significantly within three months of an outpatient-based OAT program. SAGE Publications 2021-06-14 2022-05 /pmc/articles/PMC9125463/ /pubmed/35656428 http://dx.doi.org/10.1177/02537176211012103 Text en © 2022 Indian Psychiatric Society - South Zonal Branch https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Ghosh, Abhishek Roub, Fazle Pillai, Renjith R. Mahintamani, Tathagata Basu, Debasish Subodh, B.N. Mattoo, S.K. Course and Correlates of Stigma in Patients on Opioid Agonist Treatment: A Prospective Study from an Outpatient Treatment Program in India |
title | Course and Correlates of Stigma in Patients on Opioid Agonist
Treatment: A Prospective Study from an Outpatient Treatment Program in
India |
title_full | Course and Correlates of Stigma in Patients on Opioid Agonist
Treatment: A Prospective Study from an Outpatient Treatment Program in
India |
title_fullStr | Course and Correlates of Stigma in Patients on Opioid Agonist
Treatment: A Prospective Study from an Outpatient Treatment Program in
India |
title_full_unstemmed | Course and Correlates of Stigma in Patients on Opioid Agonist
Treatment: A Prospective Study from an Outpatient Treatment Program in
India |
title_short | Course and Correlates of Stigma in Patients on Opioid Agonist
Treatment: A Prospective Study from an Outpatient Treatment Program in
India |
title_sort | course and correlates of stigma in patients on opioid agonist
treatment: a prospective study from an outpatient treatment program in
india |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125463/ https://www.ncbi.nlm.nih.gov/pubmed/35656428 http://dx.doi.org/10.1177/02537176211012103 |
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