Structural Relationships of Anxiety Sensitivity and Sense of Coherence with Readiness to Use Substances in College Students: The Mediating Role of Difficulty in Emotion Regulation

Hatami Nejad, Mohammad; mirderikvand, fazlolah; sepahvandi, mohamadali

doi:10.61186/etiadpajohi.17.70.149

Volume 17, Issue 70 (3-2024) etiadpajohi 2024, 17(70): 149-174 | Back to browse issues page

‎ 10.61186/etiadpajohi.17.70.149

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Hatami Nejad M, mirderikvand F, sepahvandi M. Structural Relationships of Anxiety Sensitivity and Sense of Coherence with Readiness to Use Substances in College Students: The Mediating Role of Difficulty in Emotion Regulation. etiadpajohi 2024; 17 (70) :149-174
URL: http://etiadpajohi.ir/article-1-3013-en.html

Structural Relationships of Anxiety Sensitivity and Sense of Coherence with Readiness to Use Substances in College Students: The Mediating Role of Difficulty in Emotion Regulation

Mohammad Hatami Nejad

, Fazlolah Mirderikvand ^*

, Mohamadali Sepahvandi

Professor, Department of Psychology, Lorestan University, Khorramabad, Iran

Abstract: (340 Views)

Objective: The aim of the present study was to investigate the mediating role of difficulty in emotion regulation in the relationship between anxiety sensitivity and sense of coherence with readiness to use substances in students. Method: The study was a descriptive-correlational of structural equation model type. The statistical population of the research included students from Lorestan University, of whom 384 were selected using the convenience sampling. The tools used in this research included the anxiety sensitivity questionnaire, the sense of coherence questionnaire, the difficulty in emotion regulation scale, and the addiction potential scale. To analyze the research model, the structural equation model was used. Results: The findings showed that anxiety sensitivity and sense of coherence had a direct and significant effect on readiness to use substances. Additionally, difficulty in regulating emotions played a significant mediating role in the relationship between anxiety sensitivity and sense of coherence with readiness to use substances. In general, the results showed that the research model had good fit. Conclusion: The obtained results show that individuals who are more inclined to use substances exhibit higher levels of anxiety sensitivity and have difficulty regulating emotions, while also demonstrating a lower sense of coherence. Therefore, paying attention to these variables is particularly important in reducing students' susceptibility to substance use.

Keywords: Sense of coherence, Anxiety sensitivity, Difficulty in emotional regulation, Readiness to use substances, Students

Full-Text [PDF 603 kb] (144 Downloads)

Type of Study: Research | Subject: Special
Received: 2023/12/2 | Accepted: 2024/03/26 | Published: 2024/04/5

References

1. آذرمهر، رابعه و احمدی، عزت الله (1398). نقش حساسیت اضطرابی و کنترل توجه در پیش¬بینی گرایش به اعتیاد در جوانان. مجله ایرانی روان¬شناسی سلامت، 2(2)، ۵۰-۴۵.

2. آقاجانی، سیف اله؛ احمدی، شیرین و فلاحی، وحید (1400). مدل¬یابی علی گرایش به اعتیاد براساس حساسیت اضطرابی با میانجیگری دشواری در تنظیم هیجان در نوجوانان پسر. دانشگاه علوم پزشکی سبزوار، 28(4 )، ۴۸۸-۴۷۷.

3. اکبری، تقی؛ جاویدپور، مرتضی و شعبانیان، امیرحسین (1400). الگوی تحلیل مسیر گرایش به اعتیاد بر اساس حس انسجام با میانجیگری دشواری در تنظیم هیجان در نوجوانان پسر: یک مطالعه توصیفی. مجله دانشگاه علوم پزشکی رفسنجان، ۲۰ (۱۱)، ۱۲۲۲-۱۲۰۹.

4. جلیلی، طاهره و زارعی، افشین (1395). بررسی اثربخشی رفتار جرات¬مندانه بر کاهش آمادگی به اعتیاد. طب انتظامی، 5(4)، ۲۵۶-۲۵۱.

5. حاجلو، نادر؛ احمدی، شیرین و غریب زاده، رامین (1399). نقش حس انسجام و هوش شخصی در پیش¬بینی ولع افراد مصرف‌کننده مواد. علوم مراقبتی نظامی، ۷(۲)، ۱۷۵-۱۶۸.

6. حاجی حسنی، مهرداد؛ شفیع آبادی، عبداله؛ پیرساقی، فهیمه و کیانی پور، عمر (1391). رابطه بین پرخاشگری، ابراز وجود و افسردگی با آمادگی به اعتیاد در دانشجویان دختر دانشگاه علامه طباطبایی. دانش و پژوهش در روان شناسی کاربردی، 13(3)، ۷۴-۶۵.

7. حسینی، سیدناصر؛ ثابت، مهرداد؛ درتاج، فریبرز و شمالی اسکویی، آرزو (1401). پیش¬بینی اعتیاد به تلفن همراه بر اساس عوامل فراتشخیصی (بدتنظیمی هیجانی، باورهای فراشناختی و عدم تحمل بلاتکلیفی) و اضطراب. سبک زندگی اسلامی با محوریت سلامت، ۶(۴)، 339-328.

8. زرگر، یدالله (1385). ساخت و اعتباریابی مقیاس ایرانی آمادگی به اعتیاد. دومین همایش انجمن روان¬شناسی ایران.

9. زرگر، یداله؛ نجاریان، بهمن و نعامی، عبدالزهرا (1387). بررسی رابطه ویژگی¬های شخصیتی (هیجان-خواهی، ابراز وجود، سرسختی روان¬شناختی) و نگرش مذهبی و رضایت زناشویی با آمادگی اعتیاد به مواد مخدر در کارکنان یک شرکت صنعتی در اهواز. مجله علوم تربیتی و روا¬ن¬شناسی، 15(1)، 99-120.

10. شیری، علی و محمود علیلو، مجید (1399). نقش راهبردهای سرزنش خود و سرزنش دیگران در نشانه‌های اعتیاد به اینترنت با میانجیگری اضطراب. فصلنامه پژوهش های نوین روانشناختی، 15(58)، 11-25.

11. عامری، نرجس (1401). روابط ساختاری طرحواره‌های ناسازگار اولیه با ولع مصرف در افراد وابسته به مواد تحت درمان نگهدارنده با متادون: نقش میانجی شفقت به خود. فصلنامه علمی اعتيادپژوهي، ۱۶(۶۶)، ۷۰-۴۷.

12. قریب بلوک، معصومه؛ میکائیلی، نیلوفر و بشرپور، سجاد (1401). پیش‌بینی کیفیت خواب در نوجوانان بر اساس نگرش ناکارآمد درباره خواب، روان‌آزردگی¬گرایی، اعتیاد به اینترنت و حساسیت اضطرابی با میانجیگری راهبردهای تنظیم هیجان و ذهن‌آگاهی. مجله علوم روان¬شناختی، ۲۱(۱۱۶)، ۱۵۳۸-۱۵۲۱.

13. منعمی، آلاء و زینالی، علی (1401). نقش دشواری در تنظیم هیجان و تکانشگری (مدل پنج عاملی) در پیش‌بینی استفاده مشکل‌زای تلفن همراه در نوجوانان. رویش روان شناسی، ۱۱(۱)، ۱۲-۱.

14. نریمانی، محمد و عینی، ساناز (1400). مدل علی اضطراب ویروس کرونا در سالمندان براساس تنیدگی ادراک شده و حس انسجام: نقش میانجی حمایت اجتماعی ادراک شده. روان‌شناسی پیری، 7(1)، 13-27

15. Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco: Jossey-Bass.

16. Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36(6), 725-733 [DOI:10.1016/0277-9536(93)90033-Z] [PMID]

17. Asnaani, A., Tyler, J., McCann, J., Brown, L., & Zang, Y. (2020). Anxiety sensitivity and emotion regulation as mechanisms of successful CBT outcome for anxiety-related disorders in a naturalistic treatment setting. Journal of Affective Disorders, 267, 86-95. [DOI:10.1016/j.jad.2020.01.160] [PMID]

18. Assayag, Y., Bernstein, A., Zvolensky, M. J., Steeves, D., & Stewart, S. S. (2012). Nature and role of change in anxiety sensitivity during NRT-Aided cognitive-behavioral smoking cessation treatment. Cognitive Behaviour Therapy, 41(1), 51-62. [DOI:10.1080/16506073.2011.632437] [PMID]

19. Besson, M., & Forget, B. (2016). Cognitive dysfunction, affective states, and vulnerability to nicotine addiction: a multifactorial perspective. Frontiers in Psychiatry, 7, 160-173. [DOI:10.3389/fpsyt.2016.00160] [PMID] []

20. Betke, K., Basińska, M. A., & Andruszkiewicz, A. (2021). Sense of coherence and strategies for coping with stress among nurses. BMC nursing, 20(1), 107-120. [DOI:10.1186/s12912-021-00631-1] [PMID] []

21. Bollen, K. A. (1989). Structural Equations with Latent Variables (Vol. 210). Hoboken, New Jersey: John Wiley & Sons.‏ [DOI:10.1002/9781118619179]

22. Brady, L. L., Credé, M., Harms, P. D., Bachrach, D. G., & Lester, P. B. (2019). Meta-analysis of risk factors for substance abuse in the US military. Military Psychology, 31(6), 450-461.‏ [DOI:10.1080/08995605.2019.1657754]

23. Brajković, L., Jelinčić, K., & Kopilaš, V. (2022). Relationship between dark triad, coping styles, sensation seeking and substance use among youth. The Open Psychology Journal, 15(1), 10-25. [DOI:10.2174/18743501-v15-e2210120]

24. Calandri, E., Graziano, F., Borghi, M., & Bonino, S. (2018). Depression, positive and negative affect, optimism and health-related quality of life in recently diagnosed multiple sclerosis patients: the role of identity, sense of coherence, and self-efficacy. Journal of Happiness Studies, 19(1), 277-295. [DOI:10.1007/s10902-016-9818-x]

25. Chou, H. L., & Chou, C. (2019). A quantitative analysis of factors related to Taiwan teenagers' smartphone addiction tendency using a random sample of parent-child dyads. Computers in Human Behavior, 99, 335-344. [DOI:10.1016/j.chb.2019.05.032]

26. Eres, R., Lim, M. H., Lanham, S., Jillard, C., & Bates, G. (2021). Loneliness and emotion regulation: implications of having social anxiety disorder. Australian Journal of Psychology, 73(1), 46-56. [DOI:10.1080/00049530.2021.1904498]

27. Eriksson, M., & Lindström, B. (2005). Validity of Antonovsky's sense of coherence scale: a systematic review. Journal of Epidemiology & Community Health, 59(6), 460-466.‏ [DOI:10.1136/jech.2003.018085] [PMID] []

28. Foroughi, A. A., Mohammadpour, M., Khanjani, S., Pouyanfard, S., Dorouie, N., & Parvizi Fard, A. A. (2019). Psychometric properties of the Iranian version of the Anxiety Sensitivity Index-3 (ASI-3). Trends in Psychiatry and Psychotherapy, 41, 254-261.‏ [DOI:10.1590/2237-6089-2018-0078] [PMID]

29. Geyer, R. B., Dreyer-Oren, S. E., Das, A., & Clerkin, E. M. (2023). Distressed Drinking: The Moderating Impact of Distress Tolerance on the Relation Between Anxiety Sensitivity, Panic Symptoms, and Alcohol Use and Problems. Journal of Studies on Alcohol and Drugs, 84(6), 928-935. [DOI:10.15288/jsad.22-00353] [PMID]

30. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]

31. Gross, J. J. (2001). Emotion regulation in adulthood: timing is everything. Current Directions in Psychological Science, 10(6), 214-219. [DOI:10.1111/1467-8721.00152]

32. Gross, J. J. (2015). Emotion regulation: current status and future prospects. Psychological Inquiry, 26(1), 1-26. [DOI:10.1080/1047840X.2014.940781]

33. Hatami Nejad, M., Akbari, H., Amraei, K., Khaleghi Dehabadi, P., Momenzadeh, F., & Karamali, F. (2023). Investigating the relationships between sensation-seeking and addiction with accident risk among professional drivers with structural equation modeling approach. Archives of Trauma Research, 12(3), 150-158.

34. Hochwälder J. (2022). Theoretical Issues in the Further Development of the Sense of Coherence Construct. In: Mittelmark, M. B., Bauer, G. F., Vaandrager, L., Pelikan, J. M., Sagy, S., Eriksson, M., Lindström, B., Meier Magistretti, C., editors. The Handbook of Salutogenesis [Internet]. 2nd ed. Berlin: Cham, Springer [DOI:10.1007/978-3-030-79515-3_53] [PMID]

35. Hochwälder, J., & Saied, V. (2018). The relation between sense of coherence and daily hassles among university students. Health Psychology and Behavioral Medicine, 6(1), 329-339. [DOI:10.1080/21642850.2018.1538802] [PMID] []

36. Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: a Multidisciplinary Journal, 6(1), 1-55. [DOI:10.1080/10705519909540118]

37. Huffine, C. L., Folkman, S., & Lazarus, R. S. (1989). Psychoactive drugs, alcohol, and stress and coping processes in older adults. The American Journal of Drug and Alcohol Abuse, 15(1), 101-113. [DOI:10.3109/00952998908993403] [PMID]

38. Karagiannopoulou, E., Desatnik, A., Rentzios, C., & Ntritsos, G. (2023). The exploration of a 'model' for understanding the contribution of emotion regulation to students learning. The role of academic emotions and sense of coherence. Current Psychology, 42(30), 26491-26503. [DOI:10.1007/s12144-022-03722-7]

39. Kaufman, E. A., Xia, M., Fosco, G., Yaptangco, M., Skidmore, C. R., & Crowell, S. E. (2016). The Difficulties in emotion regulation scale short form (DERS-SF): validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment, 38(3), 443-455. [DOI:10.1007/s10862-015-9529-3]

40. Kaya-Demir, D., & Çırakoğlu, O. C. (2022). The role of sense of coherence and emotion regulation difficulties in the relationship between early maladaptive schemas and grief. Death Studies, 46(6), 1372-1380. [DOI:10.1080/07481187.2021.1936295] [PMID]

41. Kerksieck, P., Büssing, A., Frick, E., Jacobs, C., & Baumann, K. (2017). Reduced sense of coherence due to neuroticism: are transcendent beliefs protective among catholic pastoral workers? Journal of Religion and Health, 56(6), 1956-1970. [DOI:10.1007/s10943-016-0322-8] [PMID]

42. Khoshgoftar, Z., Karamali, F., Zamani Nasrabadi, M., & Hatami Nejad, M. (2023). Investigating the relationships between problem-solving ability, resilience and academic burnout in virtual medical education students using structural equation modeling. Psychological Science and Education, 28(4), 134-144. [DOI:10.17759/pse.2023280408]

43. Konaszewski, K., Kolemba, M., & Niesiobędzka, M. (2021). Resilience, sense of coherence and self-efficacy as predictors of stress coping style among university students. Current Psychology, 40(8), 4052-4062. [DOI:10.1007/s12144-019-00363-1]

44. Lebeaut, A., Tran, J. K., & Vujanovic, A. A. (2020). Posttraumatic stress, alcohol use severity, and alcohol use motives among firefighters: The role of anxiety sensitivity. Addictive Behaviors, 106, 106-118. [DOI:10.1016/j.addbeh.2020.106353] [PMID]

45. Mahammadzadeh, A., Poursharifi, H., & Alipour, A. (2010). Validation of Sense of Coherence (SOC) 13-item scale in Iranian sample. Procedia - Social and Behavioral Sciences, 5, 1451-1455. [DOI:10.1016/j.sbspro.2010.07.306]

46. Marshall-Berenz, E. C., Vujanovic, A. A., & MacPherson, L. (2011). Impulsivity and alcohol use coping motives in a trauma-exposed sample: The mediating role of distress tolerance. Personality and Individual Differences, 50(5), 588-592. [DOI:10.1016/j.paid.2010.11.033] [PMID] []

47. McEvoy, P. M., & Shand, F. (2008). The effect of comorbid substance use disorders on treatment outcome for anxiety disorders. Journal of Anxiety Disorders, 22(6), 1087-1098. [DOI:10.1016/j.janxdis.2007.11.007] [PMID]

48. Meredith, P., Moyle, R., & Kerley, L. (2020). Substance use: links with sensory sensitivity, attachment insecurity, and distress in young adults. Substance Use & Misuse, 55(11), 1817-1824. [DOI:10.1080/10826084.2020.1766502] [PMID]

49. Nevid, J. S., Gordon, A. J., Miele, A. S., & Keating, L. H. (2020). Personality profiles of individuals with substance use disorders: Historical overview and current directions. Journal of Mental Health & Clinical Psychology, 4(2), 10-22.‏ [DOI:10.29245/2578-2959/2020/2.1198]

50. Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., Smits, J. A. J., & Doan, S. N. (2016). Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion. Clinical Psychology Review, 49, 67-78. [DOI:10.1016/j.cpr.2016.07.003] [PMID]

51. Pallant, J. F., & Lae, L. (2002). Sense of coherence, well-being, coping and personality factors: further evaluation of the sense of coherence scale. Personality and Individual Differences, 33(1), 39-48. [DOI:10.1016/S0191-8869(01)00134-9]

52. Piper, M. E., Cook, J. W., Schlam, T. R., Jorenby, D. E., & Baker, T. B. (2011). Anxiety diagnoses in smokers seeking cessation treatment: relations with tobacco dependence, withdrawal, outcome and response to treatment. Addiction, 106(2), 418-427. [DOI:10.1111/j.1360-0443.2010.03173.x] [PMID] []

53. Qi, J., Rappaport, L. M., Cecilione, J., Hettema, J. M., & Roberson-Nay, R. (2021). Differential associations of distress tolerance and anxiety sensitivity with adolescent internalizing psychopathology. Journal of Clinical Child & Adolescent Psychology, 50(1), 97-104. [DOI:10.1080/15374416.2019.1602838] [PMID] []

54. Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1-8.‏ [DOI:10.1016/0005-7967(86)90143-9] [PMID]

55. Rohani, C., Khanjari, S., Abedi, H. A., Oskouie, F., & Langius‐Eklöf, A. (2010). Health index, sense of coherence scale, brief religious coping scale and spiritual perspective scale: Psychometric properties. Journal of Advanced Nursing, 66(12), 2796-2806.‏ [DOI:10.1111/j.1365-2648.2010.05409.x] [PMID]

56. Rutherford, H. J. V., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 36, 1-14. [DOI:10.1016/j.dr.2014.12.008] [PMID] []

57. Salters-Pedneault, K., Roemer, L., Tull, M. T., Rucker, L., & Mennin, D. S. (2006). Evidence of broad deficits in emotion regulation associated with chronic worry and generalized anxiety disorder. Cognitive Therapy and Research, 30(4), 469-480. [DOI:10.1007/s10608-006-9055-4]

58. Stathopoulou, G., Gold, A. K., Hoyt, D. L., Milligan, M., Hearon, B. A., & Otto, M. W. (2021). Does anxiety sensitivity predict addiction severity in opioid use disorder? Addictive Behaviors, 112, 106-124. [DOI:10.1016/j.addbeh.2020.106644] [PMID] []

59. Stewart, S. H., Taylor, S., Jang, K. L., Cox, B. J., Watt, M. C., Fedoroff, I. C., & Borger, S. C. (2001). Causal modeling of relations among learning history, anxiety sensitivity, and panic attacks. Behaviour Research and Therapy, 39(4), 443-456. [DOI:10.1016/S0005-7967(00)00023-1] [PMID]

60. Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., Abramowitz, J. S., Holaway, R. M., Sandin, B., Stewart, S. H., Coles, M., Eng, W., Daly, E. S., Arrindell, W. A., Bouvard, M., & Cardenas, S. J. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19(2), 176-188. [DOI:10.1037/1040-3590.19.2.176] [PMID]

61. Weed, N. C., Butcher, J. N., McKenna, T., & Ben-Porath, Y. S. (1992). New measures for assessing alcohol and drug abuse with the MMPI-2: The APS and AAS. Journal of Personality Assessment, 58(2), 389-404.‏ [DOI:10.1207/s15327752jpa5802_15] [PMID]

62. Weiss, N. H., Kiefer, R., Goncharenko, S., Raudales, A. M., Forkus, S. R., Schick, M. R., & Contractor, A. A. (2022). Emotion regulation and substance use: A meta-analysis. Drug and Alcohol Dependence, 230, 109-131. [DOI:10.1016/j.drugalcdep.2021.109131] [PMID] []

63. WHO, C. O. (2020). World health organization. Air Quality Guidelines for Europe, (91).‏

64. Wilson, N., Kariisa, M., Seth, P., Smith, H. T., & Davis, N. L. (2020). Drug and Opioid-Involved Overdose Deaths - United States, 2017-2018. MMWR. Morbidity and Mortality Weekly Report, 69(11), 290-297. [DOI:10.15585/mmwr.mm6911a4] [PMID] []