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A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study

A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-eval...

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Autores principales: Iqbal, Mujahid, Yan, Yu, Zhao, Na, Mubarik, Sumaira, Shrestha, Silu, Imran, Muzzamel Hussain, Jamshaid, Samrah, Abbasi, Najam ul Hasan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959136/
https://www.ncbi.nlm.nih.gov/pubmed/36833854
http://dx.doi.org/10.3390/ijerph20043164
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author Iqbal, Mujahid
Yan, Yu
Zhao, Na
Mubarik, Sumaira
Shrestha, Silu
Imran, Muzzamel Hussain
Jamshaid, Samrah
Abbasi, Najam ul Hasan
author_facet Iqbal, Mujahid
Yan, Yu
Zhao, Na
Mubarik, Sumaira
Shrestha, Silu
Imran, Muzzamel Hussain
Jamshaid, Samrah
Abbasi, Najam ul Hasan
author_sort Iqbal, Mujahid
collection PubMed
description A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes’ process macro. The results demonstrate that shame-proneness is positively associated with relapse rate. Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame, guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users’ levels of self-efficacy, which will help to reduce their risk of relapse.
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spelling pubmed-99591362023-02-26 A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study Iqbal, Mujahid Yan, Yu Zhao, Na Mubarik, Sumaira Shrestha, Silu Imran, Muzzamel Hussain Jamshaid, Samrah Abbasi, Najam ul Hasan Int J Environ Res Public Health Article A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes’ process macro. The results demonstrate that shame-proneness is positively associated with relapse rate. Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame, guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users’ levels of self-efficacy, which will help to reduce their risk of relapse. MDPI 2023-02-10 /pmc/articles/PMC9959136/ /pubmed/36833854 http://dx.doi.org/10.3390/ijerph20043164 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Iqbal, Mujahid
Yan, Yu
Zhao, Na
Mubarik, Sumaira
Shrestha, Silu
Imran, Muzzamel Hussain
Jamshaid, Samrah
Abbasi, Najam ul Hasan
A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title_full A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title_fullStr A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title_full_unstemmed A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title_short A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
title_sort mediation moderation model between self-evaluative emotions and relapse rate among polysubstance users: a comparative cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9959136/
https://www.ncbi.nlm.nih.gov/pubmed/36833854
http://dx.doi.org/10.3390/ijerph20043164
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