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Self-Esteem and Problematic Drinking in China: A Mediated Model.

Hui Zhai1, Yanjie Yang1, Hong Sui2

  • 1Department of Medical Psychology, Public Health Institute of Harbin Medical University, Harbin, China.

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Low self-esteem is linked to problematic drinking. Negative coping mediates this link in men but not women, suggesting tailored interventions for alcohol use disorders.

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Area of Science:

  • Psychology
  • Public Health
  • Addiction Research

Background:

  • Self-esteem is associated with problematic drinking, but the underlying mechanisms are not fully understood.
  • Understanding these mechanisms is crucial for developing effective interventions for alcohol use disorders.

Purpose of the Study:

  • To investigate whether coping mechanisms mediate the relationship between self-esteem and problematic drinking.
  • To explore potential gender differences in this mediation among Chinese adults.

Main Methods:

  • A cross-sectional survey was conducted with 689 problematic drinkers (517 men, 172 women) in Harbin, China.
  • Participants completed self-esteem, coping, and alcohol use disorder assessments.
  • Data were analyzed using descriptive statistics, correlations, and bootstrap analyses.

Main Results:

  • Lower self-esteem was associated with problematic drinking, with no gender differences observed in this direct relationship.
  • Negative coping mediated the self-esteem and problematic drinking link exclusively in men.
  • Positive coping did not mediate this relationship in either gender.

Conclusions:

  • Self-esteem and coping strategies are interconnected in problematic drinkers.
  • Gender-specific mediation by negative coping highlights the need for tailored interventions.
  • Interventions for men with problematic drinking should address both low self-esteem and negative coping mechanisms.