The mediating role of forgiveness and self-efficacy in the relationship between childhood maltreatment and treatment motivation among Malaysian male drug addicts

Loy See Mey, Rozainee Khairudin, Tengku Elmi Azlina Tengku Muda, Hilwa Abdullah @ Mohd Nor, Mohammad Rahim Kamaluddin

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Studies have reported high rates of childhood maltreatment among individuals with drug addiction problems; however, investigation about the potentially protective factors to mitigate the effects of maltreatment experiences on motivation to engage in addiction treatment has received less attention. This study aims at exploring the mediating effects of forgiveness and self-efficacy on the association between childhood maltreatment and treatment motivation among drug addicts. A total of 360 male drug addicts (mean age = 33.34, SD = 7.25) were recruited from three mandatory inpatient rehabilitation centers in Malaysia. Participants completed a package of self-report questionnaires including measures of childhood maltreatment experiences, forgiveness, self-efficacy, and motivation for treatment. The analysis conducted using the structural equation model (SEM) revealed that childhood maltreatment significantly predicted lower treatment motivation, while forgiveness and self-efficacy played a fully mediating role regarding the effect of childhood maltreatment on treatment motivation. In conclusion, these findings suggest that combining the element of forgiveness and self-efficacy in treatment programs appears to benefit the drug addicts with childhood maltreatment history.

Original languageEnglish
Article number816373
Number of pages13
JournalFrontiers in Psychology
Publication statusPublished - 2022


  • childhood maltreatment
  • drug addicts
  • forgiveness
  • self-efficacy
  • treatment motivation

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