The present study involves a psychometric evaluation of the Substance Abuse Self-Stigma Scale (SASSS), a 40-item dimensional measure of internalized or self-stigma developed by Jason Luoma and collaborators, among Latinos with substance use disorders (SUDs). The present study’s specific aim is to assess the psychometric properties (factor structure and reliability) of the translated and culturally adapted SASSS instrument in a cross-sectional study of individuals (n = 412) with SUDs with or without human immunodeficiency virus (HIV) from correctional facilities and community treatment programs. A confirmatory factor analysis evidenced the four-factor structure of SASSS. Results showed significant correlations with HIV felt stigma among those participants with co-occurring SUD and HIV (n = 119), internalized shame, stigma-related interpersonal rejection due to substance abuse, symptoms of depression, substance use within the last 30 days, psychological flexibility, self-esteem, and self-efficacy, supporting good convergent validity. The measure showed a strong factor structure and adequate reliability estimates supporting its applicability to Latinos with SUDs from community and criminal justice settings. Findings are discussed in terms of their implications for studies of stigma impact and intervention.
La Terapia de Aceptación y Compromiso (TAC) ha demostrado ser una intervención prometedora para el estigma internalizado en personas con virus de la inmunodeficiencia humana (VIH) y trastornos por uso de drogas (TUD). Sin embargo, hay incertidumbre sobre si esta intervención es apropiada para latinx hispanx hablantes. Este estudio preliminar evaluamos la viabilidad y aceptabilidad de una intervención TAC culturalmente adaptada y desarrollada para reducir el estigma internalizado del VIH y TUD en una muestra de latinxs de habla hispana. Ocho pacientes de clínicas primarias con diagnóstico de VIH y TUD participaron en este estudio. Se recopilaron medidas de viabilidad y aceptabilidad, así como tasa de asistencia. Todas las personas participantes describieron la intervención como aceptable, alcanzable, fácil de usar e indicaron estar receptivas a la terapia. La TAC parece ser una intervención aceptable y viable para las personas pacientes de atención primaria de descendencia latina de habla hispana. Un estudio de control aleatorizado es requerido para explorar mejor la eficacia de la intervención.
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