The effect of mindfulness based self-compassion training on internalized stigma and treatment adherence in individuals with substance use disorder

Aim: This study was conducted to determine the effect of Mindfulness-Based Self-Compassion Training on the on internalized stigma and treatment compliance in individuals with substance use disorders. Material and Methods: The research was conducted as a pretest/posttest controlled experimental study conducted between December 2023 and March 2025 with a total of 100 patients (50 in the control group and 50 in the experimental group). The research was completed with 100 patients (50 control, 50 experimental) hospitalized. Data were collected using the Descriptive Characteristics Form, the Internalized Stigma in Mental Illness Scale (RHIDS), and the Morisky Treatment Compliance Scale. Patients in the experimental group were given 8 sessions of self-compassion training, and no intervention was applied to patients in the control group. Number, percentage, mean, standard deviation, chi-square, dependent and independent groups t-test was used in the analysis of the data. Results: Analysis results showed that mindfulness-based self-compassion training had a statistically significant effect on internalized stigma and treatment adherence (P: 0.001). There was a significant decrease in internalized stigma and a significant increase in treatment adherence in the experimental group after the training. There was no change in the control group. Conclusion: Mindfulness-based self-compassion training is an effective method for both reducing internalized stigma and increasing treatment adherence in individuals with substance use disorders. Keywords: Internalized stigma, Substance use disorder, Mindfulness-based self-compassion, Treatment compliance, Psychiatric nursing