Psychiatry and Clinical Psychopharmacology
Original Article

How early life stress and insecure attachment affect decision-making style and motivation to use alcohol: a structural equation model

1.

Department of Psychiatry, Bugok National Hospital, Changnyong, Republic of Korea

2.

Department of Psychiatry, Inje University School of Medicine, Haeundae Paik Hospital, Pusan, Republic of Korea

3.

Department of Psychiatry, Pusan National University School of Medicine, Yangsan, Republic of Korea

Psychiatry and Clinical Psychopharmacology 2019; 29: 178-181
DOI: 10.1080/24750573.2019.1611019
Read: 848 Downloads: 519 Published: 04 February 2021

Based on previous studies, we hypothesized that early life stress (ELS), insecure attachment (IA), decision-making style (DMS), and one’s motivation to use alcohol (MA) have mutual influence. So this study was conducted to clarify the mechanisms between them by structural equation modelling. We surveyed 256 adult men who consumed alcohol and conducted a confirmatory factor analysis to construct an appropriate structural equation model. Results showed direct effects on MA by ELS (36.7%) and IA (23.1%) and an indirect impact on MA with DMS as a mediator, of 12.2% and 9.8%, respectively. The model fit indices of this model satisfied recommended levels at χ2 /df = 2.498, GFI = 0.931 and CFI = 0.959. In conclusion, MA is directly affected by ELS, IA and DMS. Furthermore, DMS acts as a moderator.

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EISSN 2475-0581