Cargando…
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...
Autores principales: | , , , , , , , |
---|---|
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 |
_version_ | 1784895199190712320 |
---|---|
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. |
format | Online Article Text |
id | pubmed-9959136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT iqbalmujahid amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT yanyu amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT zhaona amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT mubariksumaira amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT shresthasilu amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT imranmuzzamelhussain amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT jamshaidsamrah amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT abbasinajamulhasan amediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT iqbalmujahid mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT yanyu mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT zhaona mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT mubariksumaira mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT shresthasilu mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT imranmuzzamelhussain mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT jamshaidsamrah mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy AT abbasinajamulhasan mediationmoderationmodelbetweenselfevaluativeemotionsandrelapserateamongpolysubstanceusersacomparativecrosssectionalstudy |