甲基苯丙胺戒治者的心理依赖与保持操守关系的随访研究  

A follow-up study on the relationship between psychological dependence and maintenance of abstinence among methamphetamine rehab patients

作　　者：王深[1] 胡茂庆 刘谷丰 李时雨 WANG Shen;HU Mao-qing;LIU Gu-feng;LI Shi-yu(College of Physical Education,Fujian Normal University,Fuzhou 350108,Fujian,China;Tsinghua University High School-Fuzhou,Fuzhou 350018,Fujian,China;Education Division,Drug Rehabilitation Administration Bureau,Fujian Provincial Department of Justice,Fuzhou 350013,Fujian,China)

机构地区：[1]福建师范大学体育科学学院,福建福州350108 [2]清华附中福州学校,福建福州350018 [3]福建省司法厅戒毒管理局教育科,福建福州350013

出　　处：《中国药物依赖性杂志》2024年第2期148-154,共7页Chinese Journal of Drug Dependence

基　　金：国家社会科学基金项目(20BTY122)。

摘　　要：目的探讨甲基苯丙胺戒治者的心理依赖与保持操守的发展变化以及变量间的因果关系。方法通过间隔1年的随访研究,采用交叉滞后分析,观察392名甲基苯丙胺戒治者的心理依赖对操守时长的影响。心理依赖评估除了苯丙胺戒断症状、强迫性等常用指标外,还尝试采用了抑制心理依赖的“戒瘾内生动力”这一积极指标。结果(1)苯丙胺戒断症状可负向预测操守时长(β=-0.19,P<0.001),可能是操守时长的原因变量,其预测作用不受吸食剂量的影响(Δχ^(2)/df=0.074,P>0.05);(2)强迫性可负向预测操守时长(β=-0.17,P<0.001),操守时长也可负向预测强迫性(β=-0.25,P<0.001),表明强迫性可能是操守时长的原因变量,也可能是操守时长的结果变量,且预测作用不受吸食剂量的影响(Δχ^(2)/df=0.097,P>0.05);(3)戒瘾内生动力可正向预测操守时长(β=0.1,P<0.05),可能是操守时长的原因变量,其预测作用不受吸食剂量的影响(Δχ^(2)/df=0.114,P>0.05)。结论降低戒断症状与强迫性、增强戒瘾内生动力应是戒治康复防复吸工作的重点。Objective Exploring the developmental changes in psychological dependency and the maintenance of abstinence among MA rehab patients,as well as the Causal Relationships between the two variables.Methods This study examined how psychological dependence on MA influenced the duration of maintaining abstinence through a one-year follow-up survey on 392 MA Rehab Patients.In addition to commonly used indicators such as MA withdrawal symptoms and compulsivity,this study also attempted to use the positive indicator of"intrinsic motivation for drug detoxification"to assess psychological dependence.Results The results of the cross-lagged regression analysis are as follows:(1)The Amphetamine Cessation Symptom Assessment(ACSA)negatively predicted the duration of abstinence(β=-0.19 P<0.001),which could be an explanatory variable for the latter variable,and its predictive effect could be unaffected by the dosage of MA(Δχ^(2)/df=0.074,P>0.05).(2)Compulsivity negatively predicted the duration of abstinence(β=-0.17,P<0.001),and the duration of abstinence also negatively predicted compulsivity(β=-0.25,P<0.001),indicating that compulsivity may be both an explanatory variable and a consequential variable for the duration of abstinence,and its predictive effect is not influenced by the dosage of MA(Δχ^(2)/df=0.097,P>0.05).(3)Intrinsic motivation for drug detoxification(JYDL)positively predicted the duration of abstinence(β=0.1,P<0.05),potentially serving as an explanatory variable for the duration of abstinence,and its predictive effect is not affected by the dosage of MA(Δχ^(2)/df=0.114,P>0.05).Conclusion Reducing withdrawal symptoms and compulsivity as well as enhancing intrinsic motivation for detoxification,are key factors for the recovery from MA dependence.

关 键 词：甲基苯丙胺 心理依赖 操守 随访 交叉滞后分析 

分 类 号：R749[医药卫生—神经病学与精神病学]