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The Influence of Purpose in Life on Alcohol Self-Regulation Failure Among Male Inpatients with Alcohol Use Disorder: the Mediation Effects of Self-Control and Abstinence Self-Efficacy

  • Myung Seon Song
  • Jung Min Jo
  • Sung-Doo Won
Original Article

Abstract

The aim of this study was to examine whether both self-control and alcohol abstinence self-efficacy mediate the relationship between purpose in life and alcohol self-regulation failure among male inpatients with alcohol use disorder (AUD). A total of 140 male patients with AUD were recruited from alcohol centers of four psychiatric hospitals in South Korea. All participants completed psychological assessments, including the Purpose in Life, the Alcohol Abstinence Self-Efficacy Scale, the Brief Self-Control Scale, and the Alcohol Self-Regulation Failure Scale. As hypothesized, the indirect effect analysis found that both self-control and abstinence self-efficacy may fully mediate the effects of purpose in life on alcohol self-regulation because the total effect was significant, but the direct effect was not significant. Moreover, bootstrap analysis found that the indirect effects were statistically significant. In conclusion, the effects of self-control and alcohol abstinence self-efficacy might not have different mediation effects on the relationship between purpose in life and alcohol self-regulation failure. These results suggest that both to enhance self-efficacy and self-control ability and to find purpose in life are important for AUD treatment.

Keywords

Alcohol use disorder Self-regulation Purpose in life Alcohol abstinence self-efficacy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures in this study were performed in accordance with the approval of the Ajou University Institute Review Board and with the 1975 Helsinki Declaration.

Informed Consent

The informed consent form was obtained from all participants.

References

  1. Achtziger, A., Gollwitzer, P. M., & Sheeran, P. (2008). Implementation intentions and shielding goal striving from unwanted thoughts and feelings. Personality and Social Psychology Bulletin, 34, 381–393.CrossRefPubMedGoogle Scholar
  2. American-Psychiatric-Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington: American Psychiatric Pub.CrossRefGoogle Scholar
  3. Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122–147.CrossRefGoogle Scholar
  4. Baumeister, R. F. (2003). Ego depletion and self-regulation failure: a resource model of self-control. Alcoholism: Clinical and Experimental Research, 27, 281–284.CrossRefGoogle Scholar
  5. Baumeister, R. F., & Heatherton, T. F. (1996). Self-regulation failure: an overview. Psychological Inquiry, 7, 1–15.CrossRefGoogle Scholar
  6. Brown, J. M., Miller, W. R., & Lawendowski, L. A. (1999). The self-regulation questionnaire. In L. VanderCreek & T. L. Jackson (Eds.), Innovations in clinical practice: a sourcebook (Vol. 17, pp. 281–292). Sarasota: Professional Resource Press/Professional Resource Exchange.Google Scholar
  7. Burrow, A. L., & Spreng, R. N. (2016). Waiting with purpose: a reliable but small association between purpose in life and impulsivity. Personality and Individual Differences, 90, 187–189.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Carey, M. P., Carey, K. B., Carnrike Jr., C. L., & Meisler, A. W. (1990). Learned resourcefulness, drinking, and smoking in young adults. Journal of Psychology, 124(4), 391–395.CrossRefPubMedGoogle Scholar
  9. Carroll, S. (1993). Spirituality and purpose in life in alcoholism recovery. Journal of Studies on Alcohol and Drugs, 54, 297–301.CrossRefGoogle Scholar
  10. Carver, C. S., & Scheier, M. F. (1982). Control theory: a useful conceptual framework for personality—social, clinical, and health psychology. Psychological Bulletin, 92, 111–135.CrossRefPubMedGoogle Scholar
  11. Carver, C., & Scheier, M. (1998). On the self-regulation of behavior. New York: Cambridge University Press.CrossRefGoogle Scholar
  12. Carver, C. S., & Scheier, M. F. (2011). Self-regulation of action and affect. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: research, theory, and applications (Vol. 2, pp. 3–21). New York: Guilford Press.Google Scholar
  13. Crumbaugh, J. C. (1968). Cross-validation of purpose-in-life test based on Frankl’s concepts. Journal of Individual Psychology, 24, 74–81.PubMedGoogle Scholar
  14. Crumbaugh, J. C., & Henrion, R. (1988). The PIL Test: administration, interpretation, uses theory and critique. Paper presented at the International Forum for Logotherapy.Google Scholar
  15. Crumbaugh, J. C., & Maholick, L. T. (1964). An experimental study in existentialism: the psychometric approach to Frankl’s concept of noogenic neurosis. Journal of Clinical Psychology, 20, 200–207.CrossRefPubMedGoogle Scholar
  16. de Ridder, D. T., Lensvelt-Mulders, G., Finkenauer, C., Stok, F. M., & Baumeister, R. F. (2012). Taking stock of self-control: a meta-analysis of how trait self-control relates to a wide range of behaviors. Personality and Social Psychology Review, 16, 76–99.CrossRefPubMedGoogle Scholar
  17. DeWitz, S. J., Woolsey, M. L., & Walsh, W. B. (2009). College student retention: an exploration of the relationship between self-efficacy beliefs and purpose in life among college students. Journal of College Student Development, 50, 19–34.CrossRefGoogle Scholar
  18. DiClemente, C. C., Carbonari, J. P., Montgomery, R., & Hughes, S. O. (1994). The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol, 55, 141–148.CrossRefPubMedGoogle Scholar
  19. Frankl, V. E. (1992). Man’s search for meaning (Vol. 4th). Boston: Beacon Press.Google Scholar
  20. Galek, K., Flannelly, K. J., Ellison, C. G., Silton, N. R., & Jankowski, K. R. (2015). Religion, meaning and purpose, and mental health. Psychology of Religion and Spirituality, 7, 1.CrossRefGoogle Scholar
  21. Gollwitzer, P. M. (1999). Implementation intentions: strong effects of simple plans. American Psychologist, 54, 493–503.CrossRefGoogle Scholar
  22. Heather, N., Booth, P., & Luce, A. (1998). Impaired control scale: cross-validation and relationships with treatment outcome. Addiction, 93, 761–771.CrossRefPubMedGoogle Scholar
  23. Hicks, I. J., & Routledge, C. (2014). The experience of meaning in life. New York: Springer.Google Scholar
  24. Hofmann, W., Luhmann, M., Fisher, R. R., Vohs, K. D., & Baumeister, R. F. (2014). Yes, but are they happy? Effects of trait self-control on affective well-being and life satisfaction. Journal of Personality, 82, 265–277.CrossRefPubMedGoogle Scholar
  25. Hong, H., Kim, H., Kim, J., & Kim, J. (2012). Validity and reliability validation of the Korean version of the Brief Self-Control Scale (BSCS). Korean Journal of Psychology: General, 31, 1193–1210.Google Scholar
  26. Hull, J. G., & Slone, L. B. (2004). Alcohol and self-regulation. Handbook of self-regulation: Research, theory, and applications, 466–491.Google Scholar
  27. Hustad, J. T., Carey, K. B., Carey, M. P., & Maisto, S. A. (2009). Self-regulation, alcohol consumption, and consequences in college student heavy drinkers: a simultaneous latent growth analysis. Journal of Studies on Alcohol and Drugs, 70, 373–382.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Hutzell, R. (1988). A review of the Purpose in Life Test. Paper presented at the International Forum for Logotherapy.Google Scholar
  29. Ilgen, M., Tiet, Q., Finney, J., & Moos, R. H. (2006). Self-efficacy, therapeutic alliance, and alcohol-use disorder treatment outcomes. Journal of Studies on Alcohol, 67, 465–472.CrossRefPubMedGoogle Scholar
  30. Kim, S. (1996). Modeling relapse of alcoholism: male alcoholic in-patients of psychiatric ward. Unpublished doctoral dissertation, Seoul National University, Seoul.Google Scholar
  31. Kim, I.S. (2002). A study on the purpose of life and self-concept of alcoholics. Unpublished master’s thesis, Chung-Ang University, Seoul. Google Scholar
  32. Lee, K. S., & Chung, S. J. (2005). A correlational study among meaning in life, health status, and self-efficacy. The 5th International Nursing Conference, 98–98.Google Scholar
  33. Marsh, A., Smith, L., Piek, J., & Saunders, B. (2003). The purpose in life scale: psychometric properties for social drinkers and drinkers in alcohol treatment. Educational and Psychological Measurement, 63, 859–871.CrossRefGoogle Scholar
  34. McKnight, P. E., & Kashdan, T. B. (2009). Purpose in life as a system that creates and sustains health and well-being: an integrative, testable theory. Review of General Psychology, 13, 242–251.CrossRefGoogle Scholar
  35. Mischel, W., Shoda, Y., & Peake, P. K. (1988). The nature of adolescent competencies predicted by preschool delay of gratification. Journal of Personality and Social Psychology, 54, 687–696.CrossRefPubMedGoogle Scholar
  36. Oettingen, G., Pak, H., & Schnetter, K. (2001). Self-regulation of goal-setting: turning free fantasies about the future into binding goals. Journal of Personality and Social Psychology, 80, 736–753.CrossRefPubMedGoogle Scholar
  37. Park, C. L. (2010). Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257.CrossRefPubMedGoogle Scholar
  38. Park, E. S., & Park, J. A. (2013). Research trends and implications in meaning in life. Ewha Journal of Social Sciences, 29, 2013.Google Scholar
  39. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Quinn, P. D., & Fromme, K. (2010). Self-regulation as a protective factor against risky drinking and sexual behavior. Psychology of Addictive Behaviors, 24, 376–385.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Reker, G. T. (2000). Theoretical perspective, dimensions, and measurement of existential meaning. Exploring existential meaning: Optimizing human development across the life span, 39–55.Google Scholar
  42. Reker, G. T., Peacock, E. J., & Wong, P. T. (1987). Meaning and purpose in life and well-being: a life-span perspective. Journal of Gerontology, 42, 44–49.CrossRefPubMedGoogle Scholar
  43. Robak, R. W., & Griffin, P. W. (2000). Purpose in life: what is its relationship to happiness, depression, and grieving? North American Journal of Psychology, 2, 113–119.Google Scholar
  44. Robinson, E. A., Cranford, J. A., Webb, J. R., & Brower, K. J. (2007). Six-month changes in spirituality, religiousness, and heavy drinking in a treatment-seeking sample. Journal of Studies on Alcohol and Drugs, 68, 282–290.CrossRefPubMedGoogle Scholar
  45. Sayette, M. A., & Griffin, K. M. (2011). Self-regulatory failure and addiction. In K. D. Vohs & R. F. Baumeister (Eds.), Handbook of self-regulation: research, theory, and applications (Vol. 2, pp. 505–521). New York: Guilford Press.Google Scholar
  46. Shin, H.Y. (2008). Study of the psychosocial characteristics among sober alcoholics in alcoholics anonymous: analysis on the time in recovery and gender. Unpublished master’s thesis, Yonsei University, Seoul. Google Scholar
  47. Shoda, Y., Mischel, W., & Peake, P. K. (1990). Predicting adolescent cognitive and self-regulatory competencies from preschool delay of gratification: identifying diagnostic conditions. Developmental Psychology, 26, 978–986.CrossRefGoogle Scholar
  48. Simmons, D. D. (1980). Purpose-in-life and the three aspects of valuing. Journal of Clinical Psychology, 36, 921–922.CrossRefGoogle Scholar
  49. Skrabski, A., Kopp, M., Rozsa, S., Rethelyi, J., & Rahe, R. H. (2005). Life meaning: an important correlate of health in the Hungarian population. International Journal of Behavioral Medicine, 12, 78–85.CrossRefPubMedGoogle Scholar
  50. Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of Personality, 72, 271–324.CrossRefPubMedGoogle Scholar
  51. Waisberg, J. L., & Porter, J. E. (1994). Purpose in life and outcome of treatment for alcohol dependence. The British Journal of Clinical Psychology, 33(Pt 1), 49–63.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of PsychiatryKeyo HospitalUiwangSouth Korea

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