Resilience and psychiatric symptoms as mediators between perceived stress and non-medical use of prescription drugs among college students

被引:18
|
作者
Tam, Cheuk Chi [1 ]
Benotsch, Eric G. [1 ]
Weinstein, Traci L. [2 ]
机构
[1] Virginia Commonwealth Univ, Dept Psychol, POB 842018, Richmond, VA 23284 USA
[2] Rhode Isl Coll, Dept Psychol, Providence, RI 02908 USA
来源
AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE | 2020年 / 46卷 / 01期
基金
美国国家卫生研究院;
关键词
Non-medical use of prescription drugs; opioids; stimulants; resilience; psychiatric symptoms; college students; ALCOHOL-RELATED PROBLEMS; PROTECTIVE FACTORS; MENTAL-HEALTH; ILLICIT USE; MEDICAL USE; DEPRESSION; STIMULANTS; RISK; ASSOCIATION; CHILDREN;
D O I
10.1080/00952990.2019.1653315
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Due to the high prevalence of non-medical use of prescription drugs (NMUPD; i.e., use of these drugs without a doctor's prescription) among college students, it is important to identify psychosocial factors relevant to NMUPD. Prior research shows a link between perceived stress, psychiatric symptoms and NMUPD. Resilience is an essential concept in adaptive coping that emphasizes that resilience protects people against stress. Substantial evidence shows the mediation effect of resilience on the relationship between stress, psychiatric symptoms, and substance use. However, scant literature has examined associations between resilience and NMUPD. Objectives: The current study explored the relationship among perceived stress, psychiatric symptoms, resilience, and NMUPD in college students. Methods: Online data were collected from 1,052 undergraduates (68.7% females) with an average age of 19.8 years in 2016 in Virginia, United States, using anonymous surveys assessing perceived stress, psychiatric symptoms (i.e., depression and social anxiety), resilience (i.e., tenacity, tolerance, acceptance, control, and spirituality), and past-three-month NMUPD (i.e., opioids, sedatives, anxiolytics, and stimulants). Structural equation modeling was employed for data analysis. Results: Resilience together with psychiatric symptoms completely mediated the effects of perceived stress on NMUPD. Resilience completely mediated the relationship between perceived stress and psychiatric symptoms. The goodness-of-fit indicators suggested a good fit of data (RMSEA = .04; CFI = .97; TLI = .96; WRMR = 1.37). Conclusions: Resilience appears to offer protection that can mitigate the effects of perceived stress and psychiatric symptoms on NMUPD. Future interventions related to NMUPD among college students should attend to resilience.
引用
收藏
页码:120 / 130
页数:11
相关论文
共 50 条
  • [31] Factors associated with non-medical use of stimulants among college students
    Lavery, S. A.
    Le Lait, M. C.
    Severtson, S. G.
    West, N. A.
    Green, J. L.
    Dart, R. C.
    CLINICAL TOXICOLOGY, 2014, 52 (07) : 717 - 718
  • [32] Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey
    McCabe, SE
    Knight, JR
    Teter, CJ
    Wechser, H
    ADDICTION, 2005, 100 (01) : 96 - 106
  • [33] Sex differences in the associations of non-medical use of prescription drugs with depressive and anxiety symptoms among undergraduates in China
    Hua, Yilin
    Shi, Guangduoji
    Zheng, Xinyu
    Huang, Cuihong
    Xu, Yan
    Huang, Guoliang
    Wang, Wanxin
    Lu, Ciyong
    Guo, Lan
    JOURNAL OF AFFECTIVE DISORDERS, 2023, 332 : 254 - 261
  • [34] Non-medical use of prescription stimulants for academic purposes among college students: A test of social learning theory
    Ford, Jason A.
    Ong, Julianne
    DRUG AND ALCOHOL DEPENDENCE, 2014, 144 : 279 - 282
  • [35] PREVALENCE AND CORRELATES OF NON-MEDICAL USE OF PRESCRIPTION STIMULANTS AMONG UNIVERSITY STUDENTS
    Shanbhag, P. P.
    Nayak, R.
    VALUE IN HEALTH, 2015, 18 (03) : A128 - A128
  • [36] Association Between Childhood Residential Mobility and Non-medical Use of Prescription Drugs Among American Youth
    Stabler, Meagan E.
    Gurka, Kelly K.
    Lander, Laura R.
    MATERNAL AND CHILD HEALTH JOURNAL, 2015, 19 (12) : 2646 - 2653
  • [37] Association Between Childhood Residential Mobility and Non-medical Use of Prescription Drugs Among American Youth
    Meagan E. Stabler
    Kelly K. Gurka
    Laura R. Lander
    Maternal and Child Health Journal, 2015, 19 : 2646 - 2653
  • [38] TRAUMA, POSTTRAUMATIC STRESS, AND NON-MEDICAL USE OF PRESCRIPTION DRUGS IN YOUNG ADULTS IN KOSOVO
    Benotsch, Eric G.
    Mucaj, Dafina
    Tam, Cheuk Chi
    ANNALS OF BEHAVIORAL MEDICINE, 2018, 52 : S621 - S621
  • [39] PREDICTORS OF NON-MEDICAL USE OF PRESCRIPTION DRUGS AMONG PREGNANT WOMEN IN THE UNITED STATES
    Bali, V
    Raisch, D.
    Moffett, M.
    Khan, N.
    VALUE IN HEALTH, 2010, 13 (03) : A181 - A181
  • [40] The mediating effects of depressive symptoms on the association of childhood maltreatment with non-medical use of prescription drugs
    Guo, Lan
    Huang, Yeen
    Xu, Yan
    Huang, Guoliang
    Gao, Xue
    Lei, Yiling
    Luo, Min
    Xi, Chuhao
    Lu, Ciyong
    JOURNAL OF AFFECTIVE DISORDERS, 2018, 229 : 14 - 21