Abstract

Background

It is crucial for individuals with substance use disorders, especially those with a co-occurring mental health disorder, to access effective coping resources.

Aim: We quantify coping through four domains of individual resources (self-esteem, self-efficacy, perceived social support, and hope) to examine the extent to which individuals with varying psychiatric severity can access coping-related resources. Since sex is an additional, important consideration in treatment, we also explore both sexes’ access to coping-related resources.

Method: We generate a multilevel latent variable of coping resources in class structures, one for males and one for females, to measure (1) the extent individuals with varying psychiatric presentations (types, symptoms, severity) are able to access this latent resource and (2) to control for house level effects.

Results

Our variables of self-esteem, self-efficacy, perceived social support, and hope all coalesced into a latent variable, named coping resources. Furthermore, we find that psychiatric severity is negatively related to coping resources at the individual level but function differently for males and females at the house level.

Conclusions: Treatment guidelines should address the nuanced needs of individuals and consider individual differences, such as sex, that impact access to coping resources.

中文翻译：

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开发潜在的应对资源因素以从物质使用障碍中恢复

摘要

背景

对于患有物质使用障碍的人，尤其是那些同时患有精神健康障碍的人来说，获得有效的应对资源至关重要。

目标：我们通过个人资源的四个领域（自尊、自我效能、感知到的社会支持和希望）量化应对，以检查具有不同精神疾病严重程度的个体可以获得应对相关资源的程度。由于性别是治疗中的一个额外的重要考虑因素，我们还探讨了两性获得与应对相关的资源的途径。

方法：我们在班级结构中生成了一个应对资源的多级潜在变量，一个用于男性，一个用于女性，以测量 (1) 具有不同精神表现（类型、症状、严重程度）的个体能够访问这种潜在资源的程度，以及(2)控制对房子水平的影响。

结果

我们的自尊、自我效能、感知到的社会支持和希望这些变量都合并成一个潜在变量，称为应对资源。此外，我们发现精神疾病的严重程度与个体层面的应对资源呈负相关，但在家庭层面对男性和女性的作用不同。

结论：治疗指南应解决个体的细微需求，并考虑影响应对资源获取的个体差异，例如性别。