Sunday, November 2, 2003

This presentation is part of : At Risk Children: Needs, Models and Implications

Influences of Dysfunctional Attitudes and Learned Resourcefulness on Amphetamine Use in Thai Adolescents

Rungnapa Panitrat, PhD, Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand and Jaclene A. Zauszniewski, PhD, RNC, Frances Payne Bolton School of Nursing, Case Western University, Cleveland, OH, USA.
Learning Objective #1: Screen a vulnerable adolescent by looking at dysfunctional attitudes and learned resourcefulness
Learning Objective #2: Plan the preventive and promotive program for the amphetamine user

Amphetamine abuse among Thai adolescents is now considered a serious problem. Amphetamine use results in the deterioration of the physical and psychological health of the individuals, and the economic and social health of the nation. Although the Royal Thai Government and other personnel who are involved in the problem apply various measures to manage this pandemic of amphetamine use, there is no evidence indicating the success of those measures. Rosenabaum’s learned resourcefulness model postulates that highly resourceful individuals are able to execute target behaviors or to function at optimal level despite disturbing thoughts and feelings, or in a stressful environment. The purpose of this study is to explore the influence of dysfunctional attitudes (DA) and learned resourcefulness (LR) on amphetamine use. A convenience sample of 281 Thai adolescents was recruited from schools and hospitals. There were 172 males and 109 females, representing 213 nonamphetamine and 68 amphetamine users. Data were collected by self-administered questionnaires, the set of demographic data and amphetamine experience, the Dysfunctional Attitudes Scale , and the Self-Control Schedule . Logistic regression analyses indicated that 30% variance of amphetamine use was explained by DA and LR(Chi square =88.67;p <.001). The likelihood of amphetamine use increases 5 % and decrease 10 % for every unit increase and decrease of DA and LR, respectively. In conclusion, the findings, first, provide a better understanding of the relationships among DA, LR, and amphetamine use. Next, the findings also suggest that nursing interventions should focus on cognitive restructuring and enhancing or strengthening LR by teaching or training the skills comprising LR. Then, the findings also provide empirical evidence to support the usefulness of the Rosenbaum’ LR model. The findings suggested the need for further research to examine the potential usefulness of intervention with current amphetamine users or nonusers, which incorporates cognitive restructuring and resourcefulness teaching.

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