甲基苯丙胺依赖青年复吸倾向与儿童期虐待及冲动性和生命质量的关系  

Relation of relapse tendency to childhood maltreatment,impulsivity and quality of life in methamphetamine-dependent youths

作　　者：侯思敏 何伊柔 景璐石 付卫东 赵勇 代彤 吴昱锡 HOU Simin;HE Yirou;JING Lushi;FU Weidong;ZHAO Yong;DAI Tong;WU Yuxi(College of Psychology,Chengdu Medical College,Chengdu 610500,China;Chengdu Compulsory Isolation and Drug Treatment Center,Chengdu 610225,China;Sichuan Women's Compulsory Isolation and Rehabilitation Center,Deyang 618000,Sichuan Province,China)

机构地区：[1]成都医学院心理学院,成都610500 [2]四川省成都强制隔离戒毒所,成都610225 [3]四川省女子强制隔离戒毒所,四川德阳618000

出　　处：《中国心理卫生杂志》2024年第9期796-801,共6页Chinese Mental Health Journal

基　　金：四川省科技厅重点研发基金项目——基于CogniPlus系统的冰毒依赖青少年认知功能特征及干预研究(2020YFS0348);国家哲学社会科学项目——青少年冰毒依赖者执行功能特征及干预研究(15XSH019)。

摘　　要：目的:探讨甲基苯丙胺依赖青年复吸倾向与儿童期虐待的关系,及冲动性和生命质量在其关系中的作用。方法:在强制隔离戒毒所选取甲基苯丙胺依赖青年287例(女160例、男127例),采用复吸倾向性调查表(RTQ)、儿童期虐待量表(CTQ-SF)、Barratt冲动性量表中文版(BIS-11)、药物成瘾者生命质量测定量表(QOL-DA)进行调查。使用SPSS宏程序PROCESS3.4来进行中介效应检验。结果:BIS-11总分在CTQ-SF总分与RTQ总分间起部分中介作用,效应值0.03(95%CI:0.01~0.05),QOL-DA总分在CTQ-SF总分和RTQ总分之间起到完全中介作用,效应值为0.05(95%CI:0.02~0.08),BIS-11总分和QOL-DA总分在CTQ-SF总分与RTQ总分间起链式中介作用,效应值为0.01(95%CI:0.00~0.03)。结论:甲基苯丙胺依赖青年的儿童期虐待、冲动性、生命质量与复吸倾向存在相关性。Objective:To explore the relationship between relapse tendency and childhood maltreatment in methamphetamine-dependent youths,and the role of impulsivity and quality of life in the relationship.Methods:To-tally 287 methamphetamine-dependent youths(160 females,127 males)were selected in compulsory drug rehabili-tation centers.The Relapse Tendency Questionnaire(RTQ),Childhood Trauma Questionnaire-Short Form(CTQ-SF),Barrett Impulsivity Scale(BIS-11)and Quality of Life for Drug Addicts(QOL-DA)for Drug Addicts were used to conduct the survey.SPSS macro program PROCESS was used to test the mediating role.Results:The BIS-11 total scores acted as a partial mediator between the total scores of CTQ-SF and RTQ,with an effect value of 0.03(95%CI:0.01-0.05),the QOL-DA total scores acted as a full mediator between the total scores of CTQ-SF and RTQ,with an effect value of 0.05(95%CI:0.02-0.08),and the scores of BIS-11 and QOL-DA acted as chain mediators between total scores of CTQ-SF and RTQ,with an effect value of 0.01(95%CI:0.00-0.03).Conclusion:Childhood maltreatment,impulsivity,and quality of life may be associated with relapse tendencies in methamphetamine-dependent youths.

关 键 词：甲基苯丙胺 儿童期虐待 复吸倾向 生命质量 冲动性 中介作用 

分 类 号：R595.5[医药卫生—内科学] B848.9[医药卫生—临床医学]