Validation of the psychoactive substance refusal Self-Efficacy Questionnaire (PSRSEQ) in adolescent case-clients of social workers in Hong Kong

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-17 DOI:10.1016/j.addbeh.2024.108093

He Wang , Nick Tse , Tsun Kwan Mary Ip , Phoenix K.H. Mo , Yanqiu Yu , Joseph T.F. Lau

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Abstract

Background

Self-efficacy is a key concept in various behavioral theories. Refusal self-efficacy is important in understanding issues related to psychoactive substance use. To facilitate related research, this study translated and validated the Chinese version of the 14-item Psychoactive Substance Refusal Self-efficacy Questionnaire (PSRSEQ) among adolescents. There is a debate about whether such a refusal self-efficacy scale should be unidimensional or multidimensional.

Methods

A survey was conducted among 601 adolescent case-clients of social workers in Hong Kong from July 2021 to June 2022. Various psychometric properties were examined.

Results

The confirmatory factor analysis (CFA) supported the original 3-factor structure of the PSRSEQ (emotional relief, opportunistic, and social facilitation refusal self-efficacy), which showed satisfactory psychometric properties (internal consistency, convergent validity in terms of significant negative correlations with the intention of psychoactive substance use in the next year and psychoactive substance use behavior in the past six months, and the absence of floor effect) but ceiling effect was obvious. Notably, unacceptable discriminant validity of one subscale and strong correlations among the three subscales were observed. In another set of analyses using two split-half subsamples, the exploratory factor analysis identified a 1-factor 14-item structure, which was confirmed by CFA and showed satisfactory psychometric properties.

Conclusions

The 1-factor PSRSEQ, instead of the one having a 3-factor structure, was preferred and recommended to assess psychoactive substance refusal self-efficacy among Chinese adolescents. It is warranted to validate the scale in other adolescent and age groups in future studies.

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在香港社工的青少年个案服务对象中验证拒绝摄入精神活性物质的自我效能感问卷（PSRSEQ）

背景自我效能感是各种行为理论中的一个关键概念。拒绝自我效能感对于理解与精神活性物质使用相关的问题非常重要。为了促进相关研究，本研究翻译并在青少年中验证了 14 个项目的拒绝精神活性物质自我效能感问卷（PSRSEQ）的中文版。方法在2021年7月至2022年6月期间，对香港社工的601名青少年个案客户进行了调查。结果确认性因素分析（CFA）支持 PSRSEQ 最初的三因素结构（情绪缓解、机会主义和社会促进拒绝自我效能感），显示出令人满意的心理测量学特性（内部一致性、与未来一年使用精神活性物质的意向和过去六个月使用精神活性物质的行为呈显著负相关的收敛效度、无下限效应），但上限效应明显。值得注意的是，有一个分量表的判别效度无法接受，而且三个分量表之间存在很强的相关性。结论在评估中国青少年拒绝精神活性物质自我效能感时，推荐使用单因素 PSRSEQ，而不是三因素结构的 PSRSEQ。在未来的研究中，有必要在其他青少年和年龄组中验证该量表。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.