ปัจจัยทำนายพลังต้านการเสพยาบ้าซ้ำของวัยรุ่นที่เสพยาบ้า

Abstract

Purpose: The study aimed to examine resilience to amphetamine relapse and the predictive power of factors for resilience to amphetamine relapse among adolescent amphetamine users.
Design: Predictive correlation study.
Methods: The subjects were 185 adolescent amphetamine users aged 12 to 24 years old who were receiving outpatient treatment from hospitals of the Department of Medical Services. Research instruments included the following questionnaires: 1) the demographic data form, 2) Rosenberg’s self-esteem scale, 3) the adolescent coping scale, 4) the addiction severity index, 5) the family hardiness index, 6) the social support by peers evaluation form, 7) the nine questions for depression (9Q) and 8) the resilience to amphetamine relapse scale. All had content validity. The Cronbach’s alpha coefficients of reliability of the 2nd to 8th instruments were .74, .91, .66, .83, .94, .84 and .97, respectively. Data were analyzed using descriptive statistics and stepwise multiple regression.
Findings: Almost half of adolescent amphetamine users (48.11%) rated their resilience to amphetamine relapse as high. Problem-focused coping, family hardiness, social support from peers and depression were predictors with 48.40% of total variances explained for resilience to amphetamine relapse among adolescent amphetamine users (p = .01).
The equation derived from standardized scores was as follows: Resilience to amphetamine relapse among adolescent amphetamine users = .621 (problem-focused coping) + .212 (family hardiness) + .217 (social support by peers)–.131 (depression). Conclusion: Nurses can promote resilience to amphetamine relapse among adolescent amphetamine users by enhancing their protective factors, including problem-focused coping, family hardiness and social support by peers, as well as reducing risk factors for depression.