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Construction of the Structural Equation Model on Substance Use in Adolescents

청소년 물질남용의 구조 모형

  • Published : 2009.06.26

Abstract

Purpose: The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents. Methods: Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987(p<.001), df=121, ${\chi}^2$/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices. Conclusion: This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.

Keywords

References

  1. Aas, H., Klepp, K. I., Laberg, J. C., & Aaro, L. E. (1995). Predicting adolescents' intentions to drinking alcohol: Outcome expectancies and self-efficacy. Journal of Studies on Alcohol, 56, 293- 299
  2. Bae, J. Y. (2008). Causal relationships between school adjustment of middle school students and related variables. Journal of Korean Academy of Nursing, 38, 454-464 https://doi.org/10.4040/jkan.2008.38.3.454
  3. Carmines, E., & McIver, J. (1981). Analyzing models with unobserved models: Analysis of covariance structures. Beverly Hills, CA: Sage
  4. Chang, S. O., Kim, E. J., Seomin, G. A., Lee, S. J., & Park, C. S. (2006). Comparison of influential variables for smoking temptation between adolescent and adult smokers. Journal of Korean Academy of Nursing, 36, 561-570
  5. Cho, W. J., Kwon, I. S., Kim, K. S., & Seo, K. M. (2004). Relationship between problematic drinking behavior and the personalities of high school students. Journal of Korean Academy of Community Health Nursing, 15, 471-482
  6. Chung, Y. O. & Lee, C. W. (1997). A study of factor structures of the Barratt Impulsiveness Scale in Korean university students. Korean Journal of Clinical Psychology, 16, 117-129
  7. Derogatis, L. R., & Govi, L. (1973). The SCL-90: An out-patient psychiatric rating scale preliminary report. Psychopharmacology Bulletin, 9, 13-27
  8. Frances, A. (1994). Diagnostic and statistical manual of mental disorders. DSM-IV (4th ed.). Washington DC: American Psychiatric Association
  9. Harter, S. (1982). The perceived competence scale for children. Child Development, 53, 87-97 https://doi.org/10.2307/1129640
  10. Im, S. B., Lee, J. E., & Yang, S. O. (2007). An analysis of nursing research on addiction in Korea. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 16, 14-22
  11. Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York, NY: Academy Press
  12. June, K. J., Sohn, S. Y., So, A. Y., Yi, G. M., & Park, S. H. (2007). A study of factors that influence internet addiction, smoking, and drinking in high school students. Journal of Korean Academy of Nursing, 37, 872-882
  13. Kang, L. J., & Kim, H. S. (2005). Risk and protective factors related to cigarette smoking among Korean male high school students. Consumption Culture Research, 8, 121-142
  14. Kim, G. J. (1984). The effect of academic achievements and perceived parental attitudes on self-concepts of elementary and secondary school students. Unpublished doctoral dissertation, Chung Ang University, Seoul
  15. Kim, H. S. (1996). Structural model of delinquent behavior influencing by media violence. Unpublished doctoral dissertation, Ewha Womans University, Seoul
  16. Kim, H. S. (2001). The influence of a family dynamic environment, personality, and smoking on delinquent behavior among Korean adolescents. Journal of Korean Academy of Nursing, 31, 641-655
  17. Kim, H. S., Min, B. K., & Kim, H. S. (1992). Correlation between delinquent and their character pattern and family dynamics. Ulsan University Medical Journal, 1, 188-205
  18. Kim, K. I., Kim, J. H., & Won, H. T. (1984). Korean manual of symptom checklist-90- revision. Seoul: Chungang Aptitude Publishing Company
  19. Kim, K. S. (2007). Structural equation model: AMOS 7.0. Seoul:Hannarae
  20. Kim, M. S., & Kwon, J. H. (2004). A test of cognition-mediated model of adolescent smoking behavior. The Korean Journal of Clinical Psychology, 23, 297-312
  21. Kim, Y. S., Kim, J. W., & Kim, S. C. (2001). A national survey on adolescent alcohol use prevalence and related factors. Korean Journal of Social Welfare, 47(11), 71-106
  22. Korean Association Against Drug Abuse. (2006). Prevalence of drug abuse among adolescents. Retrieved August 20, 2006 from http: //www.drugfree.or.kr/drug_bbs/board.php?board=seoul& config=&command=body&no=57&search=청소년&shwhere=subject
  23. Kwak, K. J. (1995). Life satisfaction of adolescents in terms of KLSSA. The Korean Journal of Psychology, 2, 5-16
  24. Lee, K. Y. (2003). A study on the screening scale for potential drug use adolescents (SPDA) and survey of the drinking, smoking, and drug using. Busan: Korean Association Against Drug Abuse Busan Council
  25. Lee, S. M. (1990). Covariance structure analysis. Seoul: Seongwonsa
  26. Min, B. K., Choi, S. J., & Lee, K. H. (1978). Korean adolescents' behavioral pattern. Seoul: Youngsin Academy
  27. Park, N. S., & Oh, K. J. (1992). Effects of methylphenidate treatment on cognitive behavioral symptoms and social, academic & emotional adjustment of ADHD children. The Korean Journal of Clinical Psychology, 11, 235-248
  28. Park, Y. H. (2001). A study about self-esteem, anxiety and depression of smoking adolescent. Unpublished doctoral dissertation, ChungnamNational University, Seoul
  29. Phee, S. S., Oh, S. W., & Park, M. C. (2000). Influences on perceived stress, dysfunctional attitude, self-efficacy, social support, and coping style on maladaptation in the adolescents with substance abuse. Journal of Korean Neuropsychiatric Association, 39, 297-308
  30. Shin, S. R., Lee, D. S., & Park, J. W. (2000). The effect of life smoking cessation program-multidisciplinary approach. Journal of Korean Academy of Nursing, 30, 110-121
  31. Sin, H. S., & Kim, M. K. (1998). Relationship of psychological types and behavioral characteristics in juvenile delinquents on probation. The Korean Journal of Psychology, 10, 227-250
  32. Vaux, A., Phillips, J., Holly, L., Thomson, B., Williams, D., & Stewart, D. (1986). The social support appraisal (SS-A) scale: Studies of reliability and validity. American Journal of Community Psychology, 14, 195-219 https://doi.org/10.1007/BF00911821
  33. Velicer, W. F., DiClemente, C. C., Rossi, J. S., & Prochaska, J. O. (1990). Relapse situations and self-efficacy: An integrative model. Addictive Behaviors, 15, 271-283 https://doi.org/10.1016/0306-4603(90)90070-E
  34. Wu, N. S., Lu, Y., Sterling, S., & Weisner, C. (2004). Family environment factors and substance use severity in an HMO adolescent treatment population. Clinical Pedriatrics, 43, 323-333 https://doi.org/10.1177/000992280404300403

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