RELATIONSHIP BETWEEN FAMILY DYSFUNCTIONING, SELF-ESTEEM AND SUBSTANCE ABUSE IN ADULTS
DOI:
https://doi.org/10.71000/y1erq934Keywords:
Adults, Family Relations, Gender Identity, Mental Health, Self Concept, Substance-Related Disorders, Young AdultsAbstract
Background: Substance abuse is a growing public health concern, particularly in developing countries where young adults represent a significant portion of the population. Psychological and familial factors such as self-esteem and family functioning have been increasingly recognized as influential in substance use behavior. However, limited regional studies exist that explore these dynamics in the adult population of semi-urban areas in Pakistan, including Okara, where substance abuse trends are rising among youth and adult groups.
Objective: This study aimed to examine the relationship between family dysfunction, self-esteem, and substance abuse in adults, and to determine whether family functioning and self-esteem could significantly predict substance abuse levels.
Methods: A total of 220 participants (192 men and 28 women), aged between 18 and 44 years (M = 24.04, SD = 4.78), were recruited using non-probability random sampling from public locations and university settings in Okara, Pakistan. Data were collected using a demographic sheet, the Family Functioning Index Scale, the Rosenberg Self-Esteem Scale, and the Drug Abuse Screening Test. Statistical analysis included Pearson product-moment correlation, linear regression, and independent t-tests.
Results: Substance abuse showed a significant negative correlation with both family functioning (r = -0.47, p < 0.01) and self-esteem (r = -0.21, p < 0.01). A positive correlation was found between family functioning and self-esteem (r = 0.31, p < 0.01). Regression analysis revealed that family functioning (β = -0.47, p < 0.001) and self-esteem (β = -0.218, p < 0.001) significantly predicted substance abuse. Gender comparison showed a significant difference in self-esteem between men and women (t (217) = -4.52, CI [-7.76, -3.05], p < 0.001), with women reporting higher self-esteem.
Conclusion: The study emphasizes the importance of fostering healthy family dynamics and promoting self-esteem as preventative measures against substance abuse. Findings support the development of policy-driven mental health and family-strengthening programs aimed at adults in similar populations.
References
Bang KS, Kim S, Lee G, Jeong Y, Shin DA, Kim M. Intervention Studies on the Enhancement of Self-Concept Among Adolescent Mothers: A Systematic Review. J Psychosoc Nurs Ment Health Serv. 2022;60(3):31-9.
Eggleston M, Watkins W, Frampton C, Hanger N. Coordination difficulties and self-esteem: The views of children, adolescents, and their parents. Aust Occup Ther J. 2020;67(5):437-46.
Elizarov E, Konshina T, Benish-Weisman M, Lee TK, Van Ryzin M, Vos SR, et al. Family functioning, well-being, and mental health among new immigrant families. J Fam Psychol. 2023;37(6):806-17.
French KA, Drummond L, Storey R. Childhood psychological maltreatment and work-family conflict throughout adulthood: A test of self-concept and social mechanisms. J Occup Health Psychol. 2022;27(3):267-85.
Hinojosa-Marqués L, Monsonet M, Kwapil TR, Barrantes-Vidal N. The impact of family environment on self-esteem and symptoms in early psychosis. PLoS One. 2021;16(4):e0249721.
Hutchinson J, Cassidy T. Well-being, self-esteem and body satisfaction in new mothers. J Reprod Infant Psychol. 2022;40(5):532-46.
Kim BSK, Suh HN, Subica A. Asian American child-parent cultural value discrepancies, family conflict, life satisfaction, and self-esteem. J Couns Psychol. 2023;70(5):510-21.
Kitt ER, Lewis KM, Galbraith J, Abend R, Smith AR, Lebowitz ER, et al. Family accommodation in pediatric anxiety: Relations with avoidance and self-efficacy. Behav Res Ther. 2022;154:104107.
Pinquart M. Behavior Problems, Self-Esteem, and Prosocial Behavior in Siblings of Children With Chronic Physical Health Conditions: An Updated Meta-Analysis. J Pediatr Psychol. 2023;48(1):77-90.
Richter J, Finn C. Transactions between self-esteem and perceived conflict in romantic relationships: A 5-year longitudinal study. PLoS One. 2021;16(4):e0248620.
Tehrani HD, Yamini S, Vazsonyi AT. The links between parenting, self-esteem, and depressive symptoms: a meta-analysis. J Adolesc. 2025;97(2):315-32.
Zahra ST, Saleem S. Family cohesion and depression in adolescents: A mediating role of self-confidence. J Pak Med Assoc. 2021;71(2(b)):677-80.
Arter S, Kiel E, McAllister J, Hay MC. Behavioral Outcomes of Children With In-Utero Opioid Exposure Age 2-7 and Parenting Self-Efficacy. J Am Psychiatr Nurses Assoc. 2024;30(3):569-75.
Atkin AL, Subica AM, Nalven T, Christophe NK. Individual and Familial Risk and Promotive Factors for Substance Use Among Multiracial American Young Adults. Subst Use Misuse. 2025;60(4):577-85.
Goldstick JE, Lyons VH, Myers MG, Walton MA, Heinze JE, Cunningham RM. Within- and between-person associations with drug use disorder among adolescents and emerging adults presenting to an urban emergency department. Drug Alcohol Depend. 2021;221:108605.
Meier J, Edginton E. The prenatal maternal representations of mothers at risk of recurrent care proceedings in the Family Drug and Alcohol Court: A thematic analysis. Infant Ment Health J. 2020;41(5):628-41.
White AC, Diggs ON, Neppl TK. Father and mother harsh parenting and adult romantic relationships over time: Individual behavior during adolescence. J Fam Psychol. 2024;38(5):775-85.
Davodi, L. S., et al. (2024). "Critique of Self-esteem from Nathaniel Branden’s Perspective in Light of Islamic Teachings." Quran and Religious Enlightenment 5(1): 97-108.
Jamshed, J. and F. Bakhsh (2023). "Pakistan's War on Drugs: Examining the Integral Contributions of Police and Prosecution in Narcotics Trials." Current Trends in Law and Society 3(1): 66-76.
Khattak, M. K., et al. (2024). "Family Wellness Exigency: Dysfunctional Family’s Association with Drug Addiction Among Males Members in District Kohat." Pakistan Social Sciences Review 8(2): 960-968. Journal of Marital and Family Therapy 27(3): 281-300.
Melkam, M., et al. (2023). "Substance use and associated factors among high school students in Northwest Ethiopia." Pan African Medical Journal 44(1).
Mojtabai, R. (2022). "Estimating the prevalence of substance use disorders in the US using the benchmark multiplier method." JAMA psychiatry 79(11): 1074-1080.
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Copyright (c) 2025 Saba Younas, Tauseef Ahmad, Zunaira Abdul Malik, Sana Noor ul Meen, Muahammad Umair Waheed, Amina Ashiq, M. Abdullah Baloch, Sameen Sadaqat, Ayesha Jabbar, Fatima Saeed (Author)
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