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

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.

HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study

“…Distress directly related to COVID-19, as well as the unintended social and economic consequences of lockdowns contributed to increased patterns of substance misuse, along with alcohol- and drug-related overdoses ( Centers for Disease Control and Prevention, 2020a , Czeisler, 2020 , Mougharbel et al, 2021 , Nguyen and Buxton, 2021 ). This was foreseen by many, as stress has long been linked to substance abuse and risk of relapse ( Yang et al, 2020 ). Alarmingly, a prevailing concern is that the pandemic will have long-lasting impacts on mental and behavioral health.…”

“…Similarly, a study of PLWH in Argentina showed that resilience mitigated the impact of economic disruptions on mental health during the COVID-19 pandemic ( Ballivian et al, 2020 ). Others have also shown that higher levels of resilience are associated with less perceived stress and higher life satisfaction in PWUD, two critical factors involved in SUDs ( Yang et al, 2020 ). These results support the notion that psychological resilience serves as a buffer against poor mental health that may directly and indirectly protect from substance misuse.…”

“…For instance, the effect of resilience on substance misuse may be in part mediated by anxiety, with higher resilience acting as a safeguard against anxiety, thereby reducing the risk of substance misuse. The potential complexity of these pathways is exemplified in a study by Yang et al (2020) , which found that positive affect, self-esteem, and social support partially mediated the effects of resilience on perceived stress and life satisfaction among PWUD. On the other hand, resilience may directly reduce the risk of substance misuse by enhancing cognitive control and mindfulness over urges to use and to avoid impulsive and social behaviors conducive to substance use ( Alim et al, 2012 ).…”

Family and Psychosocial Functioning in Bipolar Disorder: The Mediating Effects of Social Support, Resilience and Suicidal Ideation

“…The present study exemplified that better performance in family functioning indicated greater resilience and predicted better mental health in hemodialysis patients (Kukihara et al, 2020). Resilience and life satisfaction are partially mediated by perceived social support in substance use disorder (Yang et al, 2020). Higher resilience is associated with better psychosocial functioning, which has been investigated in clinically stable BD outpatients (Mizuno et al, 2016).…”

“I Grew Up Amidst Alcohol and Drugs:” a Qualitative Study on the Lived Experiences of Parental Substance Use Among Adults Who Developed Substance Use Disorders Themselves

“…Although the importance of social networks in improving early and more sustained recovery outcomes has been established (144), this study provides insight in how family, parent and peer support systems can both inhibit and encourage recovery in offspring of parents with SUDs. Consequently, specific components of early recovery social networks, such as network size (133,139,145), quality (146), and density (138) have proven to be important factors in recovery outcomes. Strong associations have been found between ongoing contact with substance users and continued substance use (147).…”