Problematic smartphone use and two types of problematic use of the internet and self-stigma among people with substance use disorders

Ching Wen Chang, Jung Sheng Chen, Shih Wei Huang, Marc N. Potenza, Jian An Su, Kun Chia Chang, Amir H. Pakpour, Chung Ying Lin

研究成果: Article同行評審

22 引文 斯高帕斯(Scopus)

摘要

Background and aims: Guided by the Interaction of Person-Affect-Cognition-Execution (I-PACE) model and a self-stigma framework, this study aimed to investigate relationships between cognitive and affective self-stigma and behavioral self-stigma, problematic use of internet (PUI), and problematic smartphone use (PSU) among people with substance use disorders (SUDs). It also examined mediating roles for affective self-stigma in the relationships between cognitive self-stigma and behavioral self-stigma/PUI/PSU. Methods: Using a cross-sectional design, 530 participants diagnosed with SUDs in Taiwan were recruited from a psychiatric center in Taiwan. Mediation models were investigated using the Hayes’ Process Macro Model 4. Results: Mediation analyses indicated that cognitive self-stigma was directly associated with behavioral self-stigma (p < 0.001), but not with either types of PUI or PSU (p-values ranging from 0.41 to 0.76). Affective self-stigma was directly related to behavioral self-stigma (p < 0.001), two types of PUI, and PSU (β = 0.24–0.30; all p < 0.001); cognitive self-stigma was indirectly associated with behavioral self-stigma (β = 0.53; 95 % bootstrapping CI = 0.46, 0.60), two types of PUI, and PSU (β = 0.20–0.25; 95 % bootstrapping CI = 0.08–0.14, 0.31–0.37) via a mediating effect of affective self-stigma. Discussion and conclusion: Findings support the I-PACE model in a self-stigma context. The findings also suggest that addressing affective self-stigma may help prevent or reduce behavioral self-stigma, PUI, and PSU among people with SUDs. Longitudinal studies are warranted to investigate over time relationships between self-stigma and PUI/PSU in people with SUDs.

原文English
文章編號107807
期刊Addictive Behaviors
147
DOIs
出版狀態Published - 2023 12月

All Science Journal Classification (ASJC) codes

  • 醫藥(雜項)
  • 臨床心理學
  • 毒理學
  • 精神病學和心理健康

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