美沙酮维持治疗者感觉寻求、自我感知压力与心理健康的关系  

Sensation seeking, perceived stress and mental health in methadone maintenance treatment

作　　者：杨瑾[1] 李季峰[1] 许关怡 邓慧华[1] 陆祖宏[1] 

机构地区：[1]东南大学儿童发展与学习科学教育部重点实验室,儿童发展与教育研究所,江苏南京210096 [2]江苏省南京市白下医院美沙酮维持治疗门诊,江苏南京210004

出　　处：《现代预防医学》2015年第20期3730-3732,3773,共4页Modern Preventive Medicine

基　　金：国家自然科学基金青年基金项目“社会心理视角下青少年新型毒品滥用行为的影响因素、作用方式与干预模式”,项目批准号:71203098;国家社会科学基金青年基金项目“吸毒人群艾滋病污名问题研究”,项目批准号:11CSH045;中央高校基本科研业务费专项资金资助

摘　　要：目的以美沙酮维持治疗者为研究对象,检验感觉寻求、自我感知压力与心理健康的关系。方法随机抽取185名接受美沙酮维持治疗者,各变量由自我感知压力、感觉寻求问卷和症状自评量表(SCL-90)测量。使用SPSS进行数据分析。结果 t检验显示,该人群SCL-90各因子均分、总均分均显著高于中国常模(P<0.01)。回归分析表明,感觉寻求不仅直接影响心理健康(β=0.182,P<0.01),而且通过自我感知压力的部分中介作用影响心理健康(a*b=0.063),中介效应占总效应的25.9%。结论感觉寻求可直接消极影响心理健康水平,且通过增加自我感知压力,降低心理健康水平。Objective This study was aimed to explore the relationship among sensation seeking, self-perceived stress, and mental health among patients in methadone maintenance treatment. Methods Participants were 185 methadone users randomly selected from representatives in MMT clinic. Psychological variables were assessed with SCL-90, sensation seeking scale and perceived stress scale. Results MMT patients showed significantly higher scores with SCL-90 scale and subscales than Chinese norms（Ps0.01）. Regression analysis showed that sensation seeking was able to predict score with SCL-90 by the direct manner（β=0.182, P〈0.01） and through partial mediation role of the self-perceived stress（a＊b=0.063）. The mediation effect was 25.9% of total effect. Conclusion Sensation seeking was able to negatively affect mental health both by direct effect and through the mediation effect of self-perceived stress.

关 键 词：美沙酮维持治疗 感觉寻求 自我感知压力 心理健康 

分 类 号：R195[医药卫生—卫生统计学]