The role of spiritual health, emotion regulation and metacognitive beliefs in adolescents’ substance abuse
Background and Aim: Adolescence is a sensitive period with many threats. The aim of this study was to determine the role of spiritual health, emotion regulation and metacognitive beliefs in substance abuse in adolescents.
Materials and Methods: This descriptive-analytical study was conducted on 230 female and boy students of Torbat-e-Heidarieh high school in academic year 95-94 that was selected by available sampling method. After obtaining informed consent, participants completed the questionnaire of spiritual health, emotional regulation, metacognition, and drug use tendency. Data analysis was using inter regression method.
Findings: Mean and standard deviation of tendency to substance abuse was 13.61±6.2 spiritual health 86/38±13/20, emotion regulation 42/89±5/58 and metacognitive beliefs 70/23±10/05. Between the tendency to substances abuse with spiritual health and emotional regulation was inverse relationship (p<0/01) and with metacognitive beliefs was direct relationship (p<0/05). The predictor variables predict 25% of the variation of the criterion variable.
Ethical Considerations: Before the study, the goal of the study was explained to participants to participate full satisfaction.
Conclusion: The research findings showed that the increase of spiritual health and emotional regulation the tendency to substances abuse decrease and with the increasing metacognitive beliefs, the tendency to use drugs will increase. Therefore, attention is paid to the role of these factors in tendency to drug use provides ground for preventive action.
Cite this article as: Khakpoor I. The role of spiritual health, emotion regulation and metacognitive beliefs in adolescents’ substance abuse. Med Ethics J. 2018; 12(43): e9.
Bahadori Khosroshahi J, Hashemi Nosratabad T, Mashinchi Abasi N, Angoti S. Relation between metacognitive beliefs and substance abuse in students. Research in Psychological Health 2014; 98-102.
McCree DH, Wingood GM, DiClemente R, Davies S, Harrington KF. Religiosity and risky sexual behavior in African-American adolescent females. Journal of Adolescent Health 2003; 33(1): 2-8.
Alkan F, Erdem E. The relationship between metacognitive awareness, teacher self-efficacy and chemistry competency perceptions. Procedia-Social and Behavioral Sciences 2014; 143: 78-83.
Asar Roodi A, Jalilvand M, Odi D, Akaberi A. Relation between spiritual well-being and life satisfaction in nursing staff of Shahid Hashemi Nejhad Hospital of Mashhad. New Care 2013; 9(2): 156-162.
Ayazgök B, Aslan H. The review of academic perception, level of metacognitive awareness and reflective thinking skills of science and mathematics university students. Procedia-Social and Behavioral Sciences 2014; 141: 781-790.
Babayi Z, Rafieniya P. Compare metacognitive beliefs and emotion regulation difficulty in substance dependent patients and normal. Clinical Psychology 2013; 4(5): 63-71.
Bahamin GH, Davarifard F, Malekshahi M, Abi R, Dosti R. The effect of metacognitive beliefs and religious attitudes on smoking in adolescents. Research in Religion and Health 2016; 3(2): 35-45.
Bufford RK, Paloutzian RF, Ellison CW. Norms for the Spiritual Weil-Being Scale. Journal of Psychology and Theology 1991; 19 (2): 56-70.
Chamratrithirong A, Miller BA, Byrnes HF, Rhucharoenpornpanich O, Cupp PK, Rosati MJ, Fongkaew W, et al. Spirituality within the family and the prevention of health risk behavior among adolescents in Bangkok, Thailand. Social Science & Medicine 2010; 71(10): 1855-1863.
Delavar Gavam S, Alizadeh Gordal J. The role of metacognitive beliefs and positive and negative affect in the Fear of childbirth of pregnant women with first experience. Iranian Journal of Nursing Research 2014; 3(9): 8-10.
Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual Differences 2006; 40: 59-69.
Garnefski N, Kommer TVD, Kraaij V, Teerds J, Legerstee J, Onstein E. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non‐clinical sample. European Journal of Personality 2002; 16(5): 3-20.
Ghasemzadeh S, Peyvastegar M, Hosseynian S, Motabi F, Bani Hashemi S. The effectiveness of cognitive-behavioral intervention on women coping responses and cognitive emotion regulation strategies. Journal of Behavioral Sciences Research 2010, 1(4): 35-43.
Hassani J, Azad Falah S, Rasulzadeh Tabatabaie K, Ashayeri H. Evaluation of cognitive emotion regulation strategies on the basis of neuroticism and extraversion. Advances in Cognitive Science 2008; 4(10): 1-3.
Hasani J. The reliability and validity of Cognitive Emotion Regulation Questionnaire-Short Form. Journal of Behavioral Sciences Research 2012; 4(9): 229-240.
Sehatpoor J. The effectiveness of solution focuses therapy on reducing the conflict between Mother and Boy adolescent. Karaj: Publisher Kharazmi University; 2015. p.28.
Bolhari J. Institutionalize spirituality in the concept of spiritual well-being. Medical Ethics 2011; 14(4): 106-112.
Jafari E, Hajeloo N, Faghani R, Khazan K. The relationship between spiritual well-being and psychological hardiness with mental health of the elderly. Journal of Behavioral Sciences Research 2012; 10(6): 431-440.
Jafari E, Dehshiri G, Eskandari H, Najafi M, Heshmati R, Hoseinifar J. Spiritual well-being and mental health in university students. Procedia-Social and Behavioral Sciences 2010; 5: 77-81.
Karbasi M. Youth and adults Problem in current Iran. Tehran: Iran Publisher Payam Noor University; 2011.
Kazemeini T. Modarres Ghorori M. The relationship between personality characteristics and risky behaviors among college students of Mashhad University of Medical Sciences. Journal of Rafsanjan University of Medical Sciences 2013; 12(11): 15-26.
Kimhy D, Vakhrusheva J, Jobson-Ahmed L, Tarrier N, Malaspina D, Gross JJ. Emotion awareness and regulation in individuals with schizophrenia: implications for social functioning. Psychiatry Research 2012; 200(2): 193-201.
Bahrami M. Predicted Couples communication patterns by spiritual health and psychological well-being of female teachers in elementary school in Karaj city. Karaj: Publisher Kharazmi University; 2015. p.48.
McRae K, Rekshan W, Williams LM, Cooper N, Gross JJ. Effects of antidepressant medication on emotion regulation in depressed patients: An iSPOT-D report. Journal of Affective Disorders 2014; 159: 1-32.
Mikaeli N, Rajabi S, Abasi M, Zamanloo KH. The relationship between emotion regulation with positive and negative emotions and student academic burnout and performance. Education Psychology 2015; 10(32): 31-52.
Miraldo M, Galizzi, MM, Merla A, Levaggi R, Schulz PJ, Auxilia F, Castaldi S, et al. Should I pay for your risky behaviours? Evidence from London. Preventive Medicine 2014; 66: 145-158.
Moemeni Gale Ghasemi T, Mosa Rezayi A, Karimiyan J, Ebrahimi A. The relationship between mental health and depression in patients with breast cancer in Esfahan Seyyed Shohada hospital. Health Information Management 2012; 8(8): 1006-1016.
Mohammadi K, Refahi JH, Samani S. Intermediation self-esteem in quality of life and risk behaviors among students. Journal of Psychological Methods and Models 2014; 14(4): 29-43.
Mohammdi fard MA, Kafi Anaraki M, Najafi M. The role of metacognition and negative emotions in predicting substance abuse. Journal of Substance Abuse Research 2015; 29(8): 65-76.
Myers SG, Grøtte, T, Haseth S, Guzey IC, Hansen B, Vogel PA, Solem S. The role of metacognitive beliefs about thoughts and rituals: A test of the metacognitive model of obsessive-compulsive disorder in a clinical sample. Journal of Obsessive-Compulsive and Related Disorders 2017; 13: 1-6.
Abdellah R. Metacognitive awareness and its relation to academic achievement and teaching performance of pre-service female teachers in Ajman University in UAE. Procedia-Social and Behavioral Sciences 2015; 174: 6-7.
Mohammadkhani SH. Structural model of substance use in adolescents at risk: assessing the direct and indirect effects of individual and social factors. Journal of Psychological Health 2008; 2(1): 5-16.
Shirinzadeh Dastgiri S, Godarzi M, Rahimi CH, Naziri GH. Investigate factor structure, validity and reliability of metacognition questionnaire. Journal of Psychology and Theology 2009; 4(12): 445-461.
Spada MM, Moneta G, Wells A. The relative contribution of metacognitive beliefs and expectancies to drinking behaviour. Alcohol & Alcoholism 2007; 42 (6): 67-74.
Toneatto T. Metacognition and substance use. Addictive Behaviors 1999; 24(2): 74-106.
Zadeh Mohammadi A, Ahmad Abadi Z. Risky behaviors among teens, strategies for prevention of crime in the family. Journal of Family Studies 2010; 20(5): 467-485.
Zahed A, Allah Ghalilo K Abolghasemi A, Narimani M. The relationship between emotion regulation strategies and interpersonal behavior among substance abusers. Research on Addiction 2009; 11: 99-114.
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