Comunicación y reducción del estigma y autoestigma en personas con adicción al alcohol
DOI:
https://doi.org/10.31637/epsir-2024-1048Palabras clave:
estigma, autoestigma, tabú, adicciones, alcoholismo, trastorno por uso de alcohol, salud mental, comunicaciónResumen
Introducción: Más de 2.300 millones de personas en el mundo consumen alcohol debido a factores culturales y económicos, lo que provoca serios problemas de salud y sociales, contribuyendo al 5,3 % de las muertes globales. Las personas que han desarrollado trastornos de salud y adicciones derivados de conductas de riesgo con alcohol conviven de manera paralela con el estigma social hacia la condición que padecen. Metodología: Se ha llevado a cabo una revisión bibliográfica para ofrecer una visión actualizada del tema. Resultados: Aunque se han observado resultados mixtos, la evidencia general sugiere que la reducción del estigma puede facilitar la búsqueda de ayuda y mejorar la efectividad de las campañas de comunicación en salud mental y adicciones. La revisión revela estudios sobre la influencia del lenguaje, representación de personas, formatos y métodos para fomentar empatía, además de identificar el estigma como una barrera significativa para buscar tratamiento. Discusión: Se destaca la necesidad de ofrecer mensajes claros, generalistas y humanizados para reducir estigmas, con especial atención a la empatía y al equilibrio entre impacto y costo económico. Conclusiones: Se propone investigar la eficacia de influir sobre líderes de opinión, considerando la importancia de una comunicación recurrente y sus costes.
Descargas
Citas
Bandura, A. (2004). Social cognitive theory for personal and social change by enabling media. En A. Singhal, M. J. Cody, E. M. Rogers y M. Sabido (Eds.), Entertainment-Education and Social Change (pp. 75-96). Lawrence Erlbaum Associates.
Barry, C. L., McGinty, E. E., Pescosolido, B. A. y Goldman, H. H. (2018). Communication strategies to counter stigma and improve mental illness and substance use disorder policy. Psychiatric Services, 69(2), 136-146. https://doi.org/10.1176/appi.ps.201700076 DOI: https://doi.org/10.1176/appi.ps.201700076
Cialdini, R. B. (2001). Influence: Science and practice (4ª ed.). Allyn and Bacon.
Clement, S., van Nieuwenhuizen, A., Kassam, A., Flach, C., Lazarus, A., de Castro, M., McCrone, P., Norman, I. y Thornicroft, G. (2012). Filmed v. live social contact interventions to reduce stigma: Randomised controlled trial. The British Journal of Psychiatry, 201(1), 57-64. https://doi.org/10.1192/bjp.bp.111.093120 DOI: https://doi.org/10.1192/bjp.bp.111.093120
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D. y Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services. DOI: https://doi.org/10.1176/appi.ps.201100529
Corrigan, P. W. (2000). Mental health stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology: Science and Practice, 7(1), 48-67. https://doi.org/10.1093/clipsy.7.1.48 DOI: https://doi.org/10.1093/clipsy/7.1.48
Corrigan, P. W. y Kosyluk, K. A. (2014). Reducing stigma through understanding mental illness. Journal of Social and Clinical Psychology, 33(7), 618-635.
Corrigan, P. W., & Rüsch, N. (2002). Mental Illness Stereotypes and Clinical Care: Do People Avoid Treatment Because of Stigma? Psychiatric Rehabilitation Skills, 6(3), 312-334. https://doi.org/10.1080/10973430208408441 DOI: https://doi.org/10.1080/10973430208408441
Hammarlund, R., Crapanzano, K. A., Luce, L., Mulligan, L. y Ward, K. M. (2018). Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders. Substance Abuse and Rehabilitation, 9, 115-136. https://doi.org/10.2147/SAR.S183256 DOI: https://doi.org/10.2147/SAR.S183256
Kummetat, J. L., Leonhard, A., Manthey, J., Speerforck, S. y Schomerus, G. (2022). Understanding the association between alcohol stigma and alcohol consumption within Europe: A cross-sectional exploratory study. European Addiction Research, 28(6), 446-454. https://doi.org/10.1159/000526200 DOI: https://doi.org/10.1159/000526200
Link, B. G. y Phelan, J. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363-385. DOI: https://doi.org/10.1146/annurev.soc.27.1.363
Livingston, J. D., Milne, T., Fang, M. L. y Amari, E. (2012). The effectiveness of interventions for reducing stigma related to substance use disorders: A systematic review. Addiction, 107(1), 39-50. https://doi.org/10.1111/j.1360-0443.2011.03601.x DOI: https://doi.org/10.1111/j.1360-0443.2011.03601.x
McGinty, E. E., Goldman, H. H., Pescosolido, B. y Barry, C. L. (2015). Portraying mental illness and drug addiction as treatable health conditions: Effects of a randomized experiment on stigma and discrimination. Social Science & Medicine, 126, 73-85. DOI: https://doi.org/10.1016/j.socscimed.2014.12.010
McGinty, E. E., Goldman, H. H., Pescosolido, B. y Barry, C. L. (2018). Communicating about mental illness and violence: Balancing stigma and increased support for services. Journal of Health Politics, Policy and Law, 43(2), 185-228. https://doi.org/10.1215/03616878-4303507 DOI: https://doi.org/10.1215/03616878-4303507
McLellan, A. T., Lewis, D. C., O’Brien, C. P. y Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. Journal of the American Medical Association, 284(13), 1689-1695. DOI: https://doi.org/10.1001/jama.284.13.1689
McQuail, D. (2010). McQuail's mass communication theory (6ª ed.). Sage Publications.
Montoya Salas, K. (2011). Síndrome alcohólico fetal. Medicina Legal de Costa Rica, 28(2). https://bit.ly/46anyc9
Naciones Unidas. (2023). Objetivo 3: Salud y bienestar. https://www.un.org/sustainabledevelopment/es/health/
National Academies of Sciences, Engineering, and Medicine. (2016). Ending discrimination against people with mental and substance use disorders: The evidence for stigma change. The National Academies Press. https://doi.org/10.17226/23442 DOI: https://doi.org/10.17226/23442
Observatorio Español de las Drogas y las Adicciones. (2023). Informe 2023. Alcohol, tabaco y drogas ilegales en España. Ministerio de Sanidad. Delegación del Gobierno para el Plan Nacional sobre Drogas.
Organización Mundial de la Salud. (2018). Global status report on alcohol and health 2018. Ginebra: OMS. https://www.who.int/publications/i/item/9789241565639
Organización Mundial de la Salud. (2023). Plan de acción mundial sobre el alcohol 2022-2030. Ginebra: OMS. https://bit.ly/3LnzX31
Real Academia Española. (2014). Estigma. En Diccionario de la lengua española (23.ª ed.). https://dle.rae.es/estigma
Rehm, J. y Shield, K. D. (2019). Global burden of alcohol use disorders and alcohol liver disease. Bio-Medecines, 7(4), e99. DOI: https://doi.org/10.3390/biomedicines7040099
Room, R. (2005). Stigma, social inequality, and alcohol and drug use. Drug and Alcohol Review, 24(2), 143-155. DOI: https://doi.org/10.1080/09595230500102434
Rüsch, N., Angermeyer, M. C. y Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529-539. https://doi.org/10.1016/j.eurpsy.2005.04.004 DOI: https://doi.org/10.1016/j.eurpsy.2005.04.004
Rüsch, N., Angermeyer, M. C. y Corrigan, P. W. (2006). El estigma de la enfermedad mental: Conceptos, consecuencias e iniciativas para reducirlo. European Psychiatry (Ed. Española). https://doi.org/10.1017/S1134066500003209 DOI: https://doi.org/10.1017/S1134066500003209
Schomerus, G., Lucht, M., Holzinger, A., Matschinger, H., Carta, M. G. y Angermeyer, M. C. (2011). The stigma of alcohol dependence compared with other mental disorders: A review of population studies. Alcohol and Alcoholism, 46(2), 105-112. DOI: https://doi.org/10.1093/alcalc/agq089
Sociedad Española de Psiquiatría Clínica e inRecovery. (2021). Estigma hacia personas con adicción en la población general española: Resultados de la encuesta. http://bit.ly/3y5Ydn2
Tajfel, H. y Turner, J. C. (1986). The social identity theory of inter-group behavior. En S. Worchel y W. G. Austin (Eds.), Psychology of intergroup relations. Nelson-Hall.
Wallhed Finn, S., Mejldal, A., Baskaran, R. y Søgaard Nielsen, A. (2023). Effects of media campaign videos on stigma and attitudes towards treatment seeking for alcohol use disorder: A randomized controlled study. BMC Public Health, 23(1), 1919. https://doi.org/10.1186/s12889-023-16811-4 DOI: https://doi.org/10.1186/s12889-023-16811-4
Weiner, B., Perry, R. P. y Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology. DOI: https://doi.org/10.1037//0022-3514.55.5.738
Yang, L. H., Kleinman, A., Link, B. G., Phelan, J. C., Lee, S. y Good, B. (2007). Culture and stigma: adding moral experience to stigma theory. Social Science & Medicine, 64, 1524-1535. DOI: https://doi.org/10.1016/j.socscimed.2006.11.013
Zwick, J., Appleseth, H. y Arndt, S. (2020). Stigma: how it affects the substance use disorder patient. Substance Abuse Treatment, Prevention, and Policy, 15, 50. https://doi.org/10.1186/s13011-020-00288-0 DOI: https://doi.org/10.1186/s13011-020-00288-0
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Manuel León Gayo
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under Creative Commons Non Commercial, No Derivatives Attribution 4.0. International (CC BY-NC-ND 4.0.), that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).