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Year : 2020  |  Volume : 36  |  Issue : 3  |  Page : 208-213

A cross-sectional study to assess disability and internalized stigma among treatment-seeking individuals with opioid use disorders

Department of Psychiatry and Clinical Psychology, Government Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Shabir Ahmad Dar
Department of Psychiatry Government Medical College, Srinagar - 190 003, Jammu and Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijsp.ijsp_112_19

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Background: India being located between the Golden Crescent and the Golden Triangle is vulnerable to being both a destination and transit route for opioids, leading to significant clinical and public health burden. This study aimed to assess the disability and internalized stigma among opioid use disorder (OUD) patients. Materials and Methods: This was a cross-sectional, observational, descriptive study conducted in the drug de-addiction center of a tertiary care medical college and hospital in North India in patients with OUDs. Disability among patients with OUDs was measured using the Indian Disability Evaluation and Assessment scale (IDEAS), while stigma was measured using the Internalized Stigma of Mental Illness scale. Results: Among 100 patients with OUD, maximum impairment noted was in interpersonal relationships followed by the work domain. However, the least affected was the self-care domain. The mean total score of internalized stigma was 4.31 ± 0.39. There was a statistically significant correlation between demographic variables with injection drug use and high-risk behavior (r = 0.92, P < 0.01, and 0.883, P < 0.01, respectively). Conclusions: Disability assessment using IDEAS among patients with OUD shows a significant impairment across various domains. The highest degree of disability was found in the interpersonal relationships followed by the work domain. Targeting internalized stigma in patients with OUD can contribute toward reducing the disability associated with it.

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