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Cited by 153Substance Abuse Treatment and OutcomesResilience and Mental HealthBehavioral Health and Interventions

The Relationship Between Self-Control and Self-Efficacy Among Patients With Substance Use Disorders: Resilience and Self-Esteem as Mediators

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Yang, Chunyu, Zhou, You, Cao, Qilong, Xia, Mengfan, An, Jing·2019·Frontiers in Psychiatry
DOI 10.3389/fpsyt.2019.00388PMC PMC6582546
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Abstract

Background: While substance use disorder is one of the overarching health and social issues, that might seriously disrupt individuals’ self-control and self-efficacy, most previous studies have been conducted among university students or other groups, and little is known about how the underlying mechanisms between self-control and self-efficacy might impact patients with Substance Use Disorders. Objectives: The purpose of this study is to investigate how resilience and self-esteem mediate the relationships between self-control and self-efficacy among patients with Substance Use Disorders. Methods: We conducted a cross-sectional study of 298 patients with substance use disorder from Shifosi rehab in China. DSM-5 based diagnostic questionnaires were used to collect demographic information and assess addiction severity. The Dual-Modes of Self-Control Scale (DMSC-S) was implemented to measure self-control, while self-esteem was measured using the Self-esteem Scale (SES). The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience, and self-efficacy was measured by the regulatory emotional self-efficacy Scale (RESE). Results: The correlations between all the dimensions and total scores on the self-control, resilience, self-esteem, and self-efficacy were significantly positive (p<0.01), indicating that they could predict patients’ self-efficacy. Bootstrap testing indicated that resilience and self-esteem fully mediated the relationship between self-control and self-efficacy, relationships between self-control and self-esteem were partially mediated by resilience, and resilience partially mediated the relationship between self-esteem and self-efficacy. Finally, the multiple-group analysis indicated that the relationships among self-control, resilience, self-esteem and self-efficiency did not differ with respect to gender. Conclusions: The path from self-control through resilience and self-esteem and on to self-efficacy is significant among patients with substance use disorders, suggesting that increasing self-control, resilience, and self-esteem can improve self-efficacy among patients with Substance Use Disorders.

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Cited by

Sorted by citations

Authors
Yang, C., Zhou, Y., Cao, Q., Xia, M., & An, J.
Affiliations
  • Changzhou Institute of Technology (CN)
  • The University of Melbourne (AU)
  • Changzhou University (CN)
  • Nanjing University (CN)
Corresponding author
Zhou, You
ORCID
Venue
Frontiers in Psychiatry
Publisher
Frontiers Media SA
Published
2019-06-12
Volume
10
Pages
388-388
ISSN
1664-0640 (ISSN-L)
DOI
10.3389/fpsyt.2019.00388
PMC
PMC6582546
OpenAlex
W2952296491
Cited by
153
References
9
Citations by year
2026: 13 · 2025: 19 · 2024: 30 · 2023: 32 · 2022: 26 · 2021: 25 · 2020: 7 · 2019: 1
FWCI
11.23
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • China Postdoctoral Science Foundation (2018M632285)
  • Government of Jiangsu Province
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
substance use disorders, self-control, self-efficacy, resilience, self-esteem, mediation, addiction patients, gender differences, addiction severity

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