心理弹性和抑郁在戒毒人员儿童期虐待与复吸倾向间的中介作用  

Mediating effect of psychological resilience and depression between childhood abuse and relapse tendency of drug abusers

作　　者：夏雨薇 王旭[1] 毛富强[1] 王玲[1] 宫羽 王曌 Xia Yuwei;Wang Xu;Mao Fuqiang;Wang Ling;Gong Yu;Wang Zhao(Department of Psychiatry and Psychology,Tianjin Medical University,Tianjin 300070,China)

机构地区：[1]天津医科大学精神卫生与心理学系,300070

出　　处：《中华行为医学与脑科学杂志》2021年第3期213-218,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：天津市戒毒局优势教育戒治项目(2401/1RW017)。

摘　　要：目的探讨儿童期受虐待经历对强制戒毒人员复吸倾向的影响,以及心理弹性和抑郁在二者之间的中介作用。方法选用儿童期虐待问卷(childhood trauma questionnaire,CTQ)、心理弹性量表(the Connor-Davidson resilience scale,CD-RISC)、抑郁自评量表(self-rating depression scale,SDS)和强制戒毒者复吸倾向性心理调查表对261名戒毒人员实行问卷调查。所有数据处理和分析均采用SPSS 25.0,采用相关分析、Bootstrap分析法等进行中介效应检验。结果儿童期虐待得分为(44.690±18.550)分,心理弹性得分为(60.210±22.788)分,抑郁得分为(48.370±12.450)分,复吸倾向得分为(15.300±9.833)分。儿童期虐待与心理弹性呈显著负相关(r=-0.396,P<0.01),与抑郁、复吸倾向呈显著正相关(r=0.584、0.298,P<0.01);心理弹性与抑郁、复吸倾向呈显著负相关(r=-0.558、-0.147,P<0.05);抑郁与复吸倾向呈显著正相关(r=0.286,P<0.01)。儿童期虐待可以直接预测复吸倾向(β=0.202,P<0.01),也可以通过抑郁的中介作用(β=0.082,95%CI=0.007~0.165),以及心理弹性和抑郁的链式中介作用(β=0.029,95%CI=0.002~0.064)间接影响复吸倾向。结论具有儿童期受虐待经历的强制戒毒人员心理弹性较低,易导致较高水平的抑郁,进而引发较高程度的复吸倾向。Objective To explore the influence of childhood abuse experience on relapse tendency of compulsory drug abusers,and the intermediary role of resilience and depression between them.Methods A total of 261 drug abusers were investigated with childhood trauma questionnaire(CTQ),the Connor-Davidson resilience scale(CD-RISC),self-rating depression scale(SDS)and relapse tendency psychological questionnaire.All data processing and analysis were carried out by SPSS 25.0 software.Correlation analysis,Bootstrap analysis and other methods were used to test the mediating effect.Results The scores of childhood abuse treatment,resilience,depression and relapse tendency were 44.690±18.550,60.210±22.790,48.370±12.450,and 15.300±9.833 respectively.Childhood abuse was negatively correlated with resilience(r=-0.396,P<0.01),and positively correlated with depression and relapse tendency(r=0.584,0.298,P<0.01).Resilience was negatively correlated with depression and relapse tendency(r=-0.558,-0.147,P<0.05).Depression had a significant positive correlation with relapse tendency(r=0.286,P<0.01).Childhood abuse could directly predict the tendency of relapse(β=0.202,P<0.01),and it could also affect the tendency of relapse through the mediation of depression(β=0.082,95%CI=0.007-0.165)and the chain mediation of resilience and depression(β=0.029,95%CI=0.002-0.064).Conclusion The experience of childhood abuse leads to the decrease of resilience of strong abstinence personnel and increases the level of depression,which finally increases the tendency of relapse.

关 键 词：毒品依赖 儿童期虐待 复吸倾向 心理弹性 抑郁 

分 类 号：R749.64[医药卫生—神经病学与精神病学]