Understanding Postdisaster Substance Use and Psychological Distress Using Concepts from the Self-Medication Hypothesis and Social Cognitive Theory.
Understanding Postdisaster Substance Use and Psychological Distress Using Concepts from the Self-Medication Hypothesis and Social Cognitive Theory.
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DOI：
10.1080/02791072.2017.1397304
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发表时间：
2018-04
影响因子：
2.8
通讯作者：
Ward KD
中科院分区：
文献类型：
--
作者：
Alexander AC;Ward KD
本文运用自我药疗假说和社会认知理论来解释灾后物质使用和心理困扰的发展。提出了一个概念模型，该模型采用顺序中介模型，识别感知应对自我效能、心理困扰和自我药物治疗是灾难后物质使用的途径。灾难暴露降低了感知的应对自我效能，这反过来又增加了心理困扰，随后增加了脆弱个体的自我药疗感知。这些机制导致灾后物质使用的增加。最后，提出建议，鼓励灾害研究人员在灾后心理困扰和物质使用研究中测试更复杂的模型。
This paper applies constructs from the Self-Medication Hypothesis and Social Cognitive Theory to explain the development of substance use and psychological distress after a disaster. A conceptual model is proposed, which employs a sequential mediation model, identifying perceived coping self-efficacy, psychological distress, and self-medication as pathways to substance use after a disaster. Disaster exposure decreases perceived coping self-efficacy, which in turn increases psychological distress and subsequently increases perceptions of self-medication in vulnerable individuals. These mechanisms lead to an increase in postdisaster substance use. Last, recommendations are offered to encourage disaster researchers to test more complex models in studies on postdisaster psychological distress and substance use.
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