Self-Esteem Mediates the Effects of Loneliness on Problematic Alcohol Use
INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION(2023)
摘要
Loneliness has been associated with problematic alcohol use, but it is not known whether self-perceptions mediate this relationship. In this study, the general population in China (N = 1123) and Germany (N = 1018) was surveyed to assess whether self-esteem and self-efficacy mediate the effect of loneliness on problematic alcohol use in two culturally distinct environments. Multiple regression analysis demonstrated that higher AUDIT scores were negatively associated with self-esteem ( b = -0.08, p < .001). Self-esteem mediated the effect of loneliness on AUDIT score (indirect effect: 0.06, CI: 0.03 − 0.10, p < .001), while self-efficacy did not (indirect effect: 0.02, CI: -0.003 − 0.05, p = .10). These findings suggest that self-esteem explains the relationship between loneliness and problematic alcohol use. As self-esteem may be more modifiable than external social factors, these results have positive practical implications for alcohol use disorder treatment strategies.
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关键词
Self-efficacy,Social isolation,Alcohol consumption,China,Germany
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