Self-Esteem and Non-Medical Use of Prescription Drugs among College Students: Coping as a Mediator.
Self-Esteem and Non-Medical Use of Prescription Drugs among College Students: Coping as a Mediator.
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大学生的自尊和处方药的非医疗使用：作为调解者的应对。
DOI：
10.1080/10826084.2020.1735441
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发表时间：
2020
影响因子：
2
通讯作者：
Li,Xiaoming
中科院分区：
文献类型：
--
作者：
Tam,CheukChi;Benotsch,EricG;Li,Xiaoming
非医疗使用处方药（NMUPD）已成为威胁公众健康的一个重要因素。在美国，NMUPD在年轻人（18-25岁）中特别常见。自尊是物质使用的一个强大的心理社会因素。物质使用文献还记录了自尊通过其他认知因素（如应对）与酒精使用相关。鉴于应对在物质使用干预中的重要作用，重要的是要了解应对如何改变自尊对NMUPD影响的机制。然而，很少有研究探讨自尊，应对和NMUPD之间的中介机制。目前的研究旨在探讨一个假设的调解模型之间的自尊，应对，和NMUPD在college students.MethodsData收集在线从1052本科生（年龄18至25岁，723名女性）在弗吉尼亚州的一所大型公立大学。参与者报告了他们过去三个月的NMUPD（即阿片类药物，镇静剂，抗焦虑药和兴奋剂），自尊和应对（13个领域;例如积极应对和自责）。采用探索性因素分析（EFA）和验证性因素分析（CFA）对应对方式的因素结构进行分析。结构方程模型（SEM）被用来检验假设的中介model.ResultsEFA和CFA确定了一个两因素结构的应对（即适应性应对和适应不良应对）。结构方程模型表明，适应性应对和适应不良应对在自尊与NMUPD的关系中起完全中介作用。拟合优度指标显示模型拟合良好（RMSEA = .04; CFI = .95; TLI = .93; WRMR = 1.11）。结论自尊是大学生NMUPD的保护因素，自尊与NMUPD的关系通过两种应对方式介导。未来针对大学生NMUPD的干预应关注自尊和应对。
ObjectivesNon-medical use of prescription drugs (NMUPD) has become a threat to public health. In the United States, NMUPD is especially common in young adults (aged 18-25). Self-esteem is a robust psychosocial factor of substance use. The substance use literature also documents that self-esteem is associated with alcohol use through other cognitive factors, such as coping. Given the important role of coping in substance use intervention, it is important to understand how coping alters mechanisms underlying the effects of self-esteem on NMUPD. However, little research has explored mediational mechanisms among self-esteem, coping, and NMUPD. The current study sought to examine a hypothesized mediation model among self-esteem, coping, and NMUPD in college students.MethodsData were collected online from 1052 undergraduates (aged 18 to 25; 723 females) in a large public university in Virginia. Participants reported their past-three-month NMUPD (i.e. opioids, sedatives, anxiolytics, and stimulants), self-esteem, and coping (13 domains; e.g. active coping and self-blame). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to identify the factorial structure of coping. Structural equation modeling (SEM) was employed for examining the hypothesized mediation model.ResultsEFA and CFA identified a two-factor structure of coping (i.e. adaptive coping and maladaptive coping). SEM suggested that adaptive coping together with maladaptive coping completely mediated the relationship between self-esteem and NMUPD. The goodness-of-fit indicators suggest a good model fit (RMSEA = .04; CFI = .95; TLI = .93; WRMR = 1.11).ConclusionSelf-esteem appears to be a protective factor for NMUPD in college students, and its relationship with NMUPD is mediated by two types of coping. Future interventions targetting NMUPD among college students should attend to self-esteem and coping.