How Resilience Promotes Mental Health of Patients With DSM-5 Substance Use Disorder? The Mediation Roles of Positive Affect, Self-Esteem, and Perceived Social Support.

Chunyu Yang,You Zhou,Mengfan Xia

doi:10.3389/fpsyt.2020.588968

Abstract

Objectives: The existing studies found that resilience is a salient trait that can significantly affect people's psychological well-being with substance use disorders (SUDs). However, few studies examined how the mechanisms are connected between resilience and mental health among patients with Diagnostic and Statistical Manual of Mental Disorders—fifth edition SUD. This study investigated the mediation effects of positive affect, perceived social support, and self-esteem on the effect of resilience on perceived stress and life satisfaction in SUD patients.Design: A total of 415 patients diagnosed with Diagnostic and Statistical Manual of Mental Disorders—fifth edition SUD from the south of China joined the research.Outcome Measures: The study applied Connor–Davidson Resilience Scale, Positive and Negative Affect Scale, Multidimensional Scale of Perceived Social Support, Rosenberg Self-Esteem Scale, and Satisfaction with Life Scale to measure patients' resilience, positive affect, self-esteem, perceived social support, perceived stress, and life satisfaction.Results: Structural equation model analysis revealed that positive affect and self-esteem partially mediate the relationship between resilience and perceived stress. In contrast, positive affect and perceived social support partially mediate the relationship between resilience and life satisfaction.Conclusion: The findings provide insights for evidence-based substance abuse intervention that positive affect, self-esteem, and perceived social support can conditional the effects of resilience on promoting the mental health of SUD patients.

Highlights

Substance use disorders (SUDs) have been widely considered a global threat, posing enormous risks to individual well-being and cohesion of societies [1]
The results indicated that income was significantly and positively correlated with resilience, positive affect, social support, self-esteem, and life satisfaction, whereas income was negatively correlated with addiction severity
The factor analysis showed that 19 items in Satisfaction with Life Scale (SWLS) and PSS scales produced four factors, which indicated that the significant correlation between life satisfaction and perceived stress was not driven by method bias

Summary

Introduction

Substance use disorders (SUDs) have been widely considered a global threat, posing enormous risks to individual well-being and cohesion of societies [1]. Many studies show that perceived stress and life satisfaction are two prominent factors that play significant roles in influencing addiction severity and integral well-being [2]. Numerous addiction theories have depicted the theoretical linkage between perceived stress and substance abuse [4,5,6]. Tension reduction theory [6] and self-medication hypothesis [5] postulate that chronic perceived stress is one of the primary motivations of taking illicit substances, which may temporarily alleviate psychological distress. Empirical findings reveal that exposure to stress and post-traumatic stress disorder can increase illicit drug consumption level, frequency, and severity [7,8,9,10,11]. Exploring the strategies to reduce perceived stress among people with SUD is of great importance for minimizing SUD’s detrimental impacts and enlarging both the physical and mental well-being of people with SUD

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Discussion

Conclusion