The cognitive, affective, and behavioral expression of self-stigma among people who use drugs in online substance use communities
Objectives: To develop a codebook for self-stigma across cognitive, affective, and behavioral domains, and to estimate the prevalence, co-occurrence, and temporal patterns of these indicators in Reddit posts by people who use drugs. Methods: We developed a ten-indicator codebook through consensus-based abductive coding spanning cognitive (self-labeling, pessimism/self-defeatism, deservingness/worthlessness), affective (shame, guilt/self-blame, despair/hopelessness), and behavioral (concealment, anticipated rejection, desire to quit, ambivalence) domains; two coders reached substantial agreement (Cohen's k = 0.72). We then scaled classification with a large language model validated against...
| Authors | Layla Bouzoubaa, Hyung Wook Choi, Milan Varghese et al. |
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| Primary category | cs.CL |
| Published | 23 June 2026 |
| Last updated at source | 23 June 2026 |
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